All-on-X replaces a whole arch of failing or missing teeth with a fixed bridge on dental implants. At Imagine Advanced Dental Arts in Lawrenceville, NJ, it is done as teeth in a day: your remaining teeth are removed, 4 to 6 implants are placed, and fixed temporary teeth are attached in one appointment, while you are asleep. About six months later, the temporary teeth are replaced with a final zirconia bridge. Dr. Maria Rhode does the surgery and the teeth herself, and has completed about 100 full-arch cases over the last four years.
Patrick, a college student, lived with constant pain from severe decay. He left our office with a fixed new smile the same day.
| Teeth on surgery day | Fixed (non-removable) temporary teeth, the same day as your extractions and implants |
|---|---|
| Implants per arch | 4 to 6, chosen for your bone |
| Time in the chair | 2 to 4 hours for one arch, 4 to 6 hours for both |
| Anesthesia | IV sedation or general anesthesia, given by a visiting board-certified anesthesiologist |
| Final teeth | Zirconia bridge, started about 6 months after surgery |
| Fee | $30,000 to $40,000 for one arch, $65,000 to $75,000 for both, all-inclusive |
| Implant guarantee | Failed implants replaced at no cost for the first 2 years |
| Surgeon and restoring dentist | Dr. Maria Rhode, in our Lawrenceville office |
All-on-X is a full-arch implant bridge: a complete set of upper or lower teeth fixed to implants in the jaw. It does not come out at night, does not need adhesive, and does not cover the roof of your mouth the way an upper denture does. The "X" stands for the number of implants, which is chosen for your case rather than fixed at four.
Dr. Rhode places 4 to 6 implants per arch, and aims for six wherever the bone allows. Four implants can hold a full-arch bridge, but with six, the case is over-engineered: if one implant is not stable enough on surgery day, or does not take during healing, the others still carry your fixed teeth. That margin is what makes teeth in a day dependable. She usually uses Neodent implants, part of the Straumann Group.
Extractions, implants, and teeth all happen in one appointment. It takes 2 to 4 hours for one arch and 4 to 6 hours for both.
You arrive with your own teeth, failing or not. You are asleep or deeply sedated for the whole procedure, cared for by a board-certified anesthesiologist.
Dr. Rhode removes the teeth that cannot be saved and cleans the sockets.
Using surgical guides made from your 3D scan, she places 4 to 6 implants in the arch.
Your fixed temporary teeth, made by a dental lab before surgery from your scans, are screwed onto the implants.
You wake up with a full set of teeth and go home the same day. Plan on a driver.
Anesthesia is always part of All-on-X here. You receive IV sedation or general anesthesia, given by a visiting board-certified anesthesiologist, so you do not feel the surgery. Dr. Rhode does not perform the procedure without it. See our sedation dentistry page for more.
Visit 1: Consultation
Exam, a review of your health history and medications, and a frank talk about whether fixed All-on-X, a snap-on denture, or something else fits you. You leave knowing the fee and the options.
Visit 2: Records
Once you decide to go ahead, we take a CBCT 3D scan, a digital intraoral scan (3Shape or Straumann scanner), and photos. These are used to design your implant positions, your surgical guides, and your temporary teeth.
Visit 3: Surgery and teeth in a day
Extractions, implant placement, and your fixed temporary teeth, all in one appointment under anesthesia.
Months 2 and 4: Healing checks
Short visits to check healing, the bite, and the temporary bridge. Repairs or part replacements during this time are included.
Month 6: Final zirconia teeth
Once the implants have fused with the bone, we convert you to the final zirconia bridge, with try-ins so you approve the look and bite before it is finished. This takes as few as two visits, or several for more complex cases.
Every year: Maintenance visit
We check the bridge and its screws, balance the bite, and take a CBCT scan to confirm the implants and bone are healthy.
All-on-X at Imagine Advanced Dental Arts is $30,000 to $40,000 for one arch, or $65,000 to $75,000 for upper and lower. It is one case fee that covers everything from the first scan to the final teeth:
When you compare quotes, check what each one includes. A lower number often leaves out the extractions, the anesthesia, the guides, the temporary teeth, or the final zirconia bridge, and those are added later. Our guide to what NJ all-inclusive All-on-4 quotes leave out walks through the line items.
If the fixed bridge is more than your budget allows, a snap-on (locator) denture on four implants is the main alternative. It stays put when you eat and talk, but you take it out to clean it.
| Fixed All-on-X | Snap-on denture | |
|---|---|---|
| Fee per arch | $30,000 to $40,000 | $20,000 to $25,000 |
| Implants per arch | 4 to 6 | 4 |
| Removable? | No, only the dentist removes it | Yes, you snap it out daily |
| Surgeries | One | Two: implants, then uncovering about 6 months later |
| While healing | Fixed temporary teeth | A denture |
| Included | Extractions, anesthesia, scans and guides, temporaries, and every visit | |
Missing only a few teeth? Individual implants or an implant bridge may be the better fit; see multiple tooth implants and dentures and implant dentures.
All-on-X is for adults whose teeth in an arch are failing, loose, broken, or already gone, and for denture wearers who want fixed teeth. There is no upper age limit; Dr. Rhode has treated patients in their 80s. Thin or shrunken bone is often not a barrier: she rebuilds it in our office with guided bone regeneration and ridge augmentation (bone grafting). She does not place zygomatic implants, so your CBCT scan tells us at the consultation whether your case can be done here.
Uncontrolled diabetes
Poorly controlled blood sugar slows healing and raises the risk of infection. We will work with your physician and revisit treatment once it is under control.
Bone-strengthening drugs such as bisphosphonates
These medicines, used for osteoporosis and some cancers, carry a risk of osteonecrosis of the jaw (bone that fails to heal) after oral surgery. Dr. Rhode does not place full-arch implants for patients taking them.
Radiation therapy to the jaw
Radiation reduces the blood supply to the jawbone, which raises the risk of implant failure and of bone that does not heal.
Smokers can be treated, but smoking roughly doubles the risk that an implant fails, so smokers sign a consent acknowledging that higher risk.
Your same-day teeth are made of PMMA, a strong dental acrylic, designed from your scans before surgery. They carry you through healing and let us fine-tune the look and the bite. At about six months we make the final bridge in zirconia, a high-strength ceramic. You try it in before it is finished.
You clean the fixed bridge at home with a toothbrush and a water flosser such as a Waterpik, which reaches under the bridge where the gums meet the implants. The bridge stays in; only we remove it, and only if there is a problem. Once a year you come back for an All-on-X maintenance visit: we check the bridge and its screws, balance the bite, and take a CBCT scan to verify the implants and bone are healthy. Snap-on dentures come out daily for cleaning. For more, see how to clean full-arch implants the right way.
The first six months are when an implant fuses with the bone, and when most failures happen. If an implant fails in the first 2 years, Dr. Rhode removes it, grafts the site, and replaces it at no cost to you. After that, a replacement implant is billed. Because Dr. Rhode adds implants whenever the bone allows, one failed implant usually does not mean losing your fixed teeth.
Two All-on-X patients from our office, before and after. Every photo in our smile gallery is one of our own patients.
She fell while walking her dog and broke her upper teeth. In one day, Dr. Rhode removed the failing teeth, placed implants, and secured a fixed bridge.
Patient Reviews
Comfort and clear explanations come up again and again.
"I chose Imagine Dental because my former dentist was part of an 'assembly line' practice. I wanted something smaller, more personal. I'm not a fan of going to the dentist but the staff put me at ease and spent time explaining things. I didn't feel rushed out to make room for the next patient. I'm glad I made the switch."
Nicole B Patient review
"Beautiful office with an inviting feel. Professional, knowledgeable and friendly staff."
Lauri C. May 11th Patient review
Our office at 3100 Princeton Pike serves patients from Lawrenceville, Princeton, Ewing, Hamilton, Pennington, West Windsor, and Bucks County, PA, and many travel farther for full-arch care. See the areas we serve, contact us, or call 609-896-0589 to book your All-on-X consultation.
Yes. At Imagine Advanced Dental Arts your remaining teeth are removed, 4 to 6 implants are placed, and a fixed set of temporary teeth is attached, all in one appointment. You go home the same day with teeth you can smile and talk with.
All-on-4 is a protocol that uses four implants per arch. All-on-X means the number of implants is chosen for your case. Dr. Rhode places 4 to 6 per arch, and six where the bone allows, so that if one implant does not take, the others can still carry your fixed teeth.
The fee is $30,000 to $40,000 for one arch, or $65,000 to $75,000 for both arches. It includes extractions, the CBCT scan and surgical guides, 4 to 6 implants, anesthesia, the same-day temporary teeth, every visit during healing, and the final zirconia bridge.
You will be under IV sedation or general anesthesia, given by a visiting board-certified anesthesiologist, so you do not feel the surgery. Dr. Rhode does not perform All-on-X without anesthesia.
Most patients are sore for about a week, and most take only a couple of days off work. We send you home with written instructions, and we are a phone call away.
Three visits get you to teeth in a day: a consultation, a records visit for scans, and the surgery. After that come short checks at about 2 and 4 months, the switch to final zirconia teeth at about 6 months (two visits for simpler cases, several for complex ones), and a yearly maintenance visit.
About 6 months. The implants need that time to fuse with the bone. You wear the fixed temporary teeth until then, and then we make the final zirconia bridge.
A soft diet for the 6 months of healing, until the implants have fused and the final zirconia teeth are in. Think eggs, fish, pasta, soft vegetables, and nothing hard, crunchy, or very chewy. After the final zirconia teeth are in, you can eat anything you want: bagels, raw carrots, nuts, steak.
Yes. Imagine Advanced Dental Arts offers interest-free, in-office payment plans over 6, 12, or 24 months for All-on-X. If your dental insurance pays for extractions or implants, that amount is taken off the case fee.
Not in full. All-on-X is a case fee, and we do not bill medical insurance. If your dental plan pays toward extractions or implants, we apply whatever it allows to your fee.
If an implant fails in the first 2 years, Dr. Rhode removes it, grafts the site, and replaces it at no cost to you. Because she places extra implants whenever the bone allows, a single failed implant usually does not cost you your fixed teeth.
There is no upper age limit. Dr. Rhode has treated patients in their 80s. Your health and medications matter far more than your age.
Yes, but smoking roughly doubles the risk of implant failure, so smokers are asked to sign a consent acknowledging that higher risk. Quitting, even for the healing months, improves the odds.
Dr. Rhode rebuilds bone in our office with guided bone regeneration and ridge augmentation. She does not place zygomatic implants, so the CBCT scan at your consultation tells us whether your case can be done here.
Yes. A snap-on (locator) denture on four implants is $20,000 to $25,000 per arch with the same inclusions. You remove it to clean it, and it needs a second, smaller surgery about 6 months after the first to uncover the implants.
The fixed bridge stays in. Only the dentist removes it, if there is ever a problem. You clean around it at home with a brush and a water flosser, and we check it every year.
dental implants
A zirconia crown is a smart pick for back teeth that chew hard ; for visible front teeth, translucent or layered zirconia, or a glassier ceramic like e.max, usually blends in better.
dental implants
Monolithic zirconia, milled as one solid piece, rarely chips. Layered zirconia does, because its chewing surface is fired porcelain over the zirconia core. Ask which one you are getting.
dental implants
A dentist Lawrenceville search misleads New Jersey patients twice: it mixes Mercer County offices with Georgia ones, and its listings lead with gentle-care promises that say little about who treats you long term.
Book an All-on-X consultation with Dr. Maria Rhode and leave knowing your options, your timeline, and your fee.
Find us
On Princeton Pike just off I-295, between Princeton and Trenton. Patients drive to us from across Mercer County and beyond.
Imagine Advanced Dental ArtsDirections from East Windsor, Ewing Township, Hamilton, Hopewell, Mercerville, Morrisville, Pennington, Plainsboro, Robbinsville, West Windsor, Yardley and all the towns we serve.
