All-on-4 Dental Implants in Roanoke, VA
Ready for a full set of teeth that stay in place? All-on-4 dental implants in Roanoke replace a complete upper or lower arch with one fixed bridge supported by just four implants. No more slipping dentures, no messy adhesive, and nothing covering the roof of your mouth.
At Mill Mountain Dentistry By Opulent Dental, every full-arch case is planned by Dr. Abdel Kader Felo, a prosthodontist and implant specialist with more than 35 years of experience. From your first consultation to your final teeth, Dr. Felo guides your treatment at our office on Brambleton Avenue, and financing options help fit a new smile into your budget.
Book your All-on-4 consultation today and find out if you are a candidate.
What Are All-on-4 Dental Implants?
All-on-4 is a full-arch dental implant technique that replaces every tooth in the upper or lower jaw with one fixed bridge attached to four implants. The two front implants are placed upright, and the two back implants are usually angled to make the most of the bone you already have, which can reduce or avoid the need for bone grafting.
Once the bridge is attached, it stays in your mouth. You clean it every day much like natural teeth, and only your dentist removes it for professional maintenance.
Benefits of All-on-4 Dental Implants
- A full arch of fixed teeth on just four implants
- No adhesive, no slipping, and no plastic over your palate
- Chew a wider range of foods than with removable dentures
- Helps preserve the jawbone where the implants sit
- A natural-looking smile designed around your face and bite
Full-Mouth Dental Implants in Roanoke
Full-mouth dental implants replace the teeth in both arches. With the All-on-4 approach, each arch is usually restored with four implants and one fixed bridge, so a full mouth often needs eight implants rather than one implant for every missing tooth. Some patients only need the upper or the lower arch restored, and Dr. Felo plans each arch around your bite so your new upper and lower teeth work together.
Fixed Implant Dentures vs. Snap-In Implant Dentures
Both options use implants to steady a full arch of teeth, but they feel different day to day. A fixed implant denture, such as All-on-4, is attached to the implants and stays in your mouth. Snap-in implant dentures clip onto implants and come out each night for cleaning.
| Fixed implant denture (All-on-4) | Snap-in implant denture | |
|---|---|---|
| Removed at home | No, only by your dentist | Yes, every day |
| Typical implants per arch | Four or more | Two to four |
| Upper palate covered | No | Often partly covered |
| Feel when chewing | Closest to natural teeth | Stable, with slight movement |
| Upfront cost | Higher | Lower |
Full-Arch Restoration Options
All-on-4 Full-Arch Implants
Four implants support a fixed bridge for one arch. It is the most common full-arch approach when the jawbone can support it.
Full-Arch Restoration With Five or Six Implants
When bone density, bite forces, or the size of the arch call for extra support, a full-arch restoration may use five or six implants instead of four. This is sometimes called All-on-X. Dr. Felo recommends the number of implants after reviewing your imaging.
Full-Arch Bridge Materials
Final full-arch bridges are commonly made from acrylic with denture teeth or from stronger ceramic materials such as zirconia. Each has trade-offs in cost, strength, and repair, and Dr. Felo will explain which suits your bite and budget.
Who Is a Candidate for All-on-4 Dental Implants?
You may be a good candidate if you:
- Are missing most or all of your teeth in one or both arches
- Have failing teeth from advanced decay or gum disease
- Wear dentures that feel loose, sore, or unstable
- Have some bone loss but want to limit grafting
- Are healthy enough for minor oral surgery
Smoking, uncontrolled diabetes, and some medications can affect healing. Dr. Felo reviews your health history and imaging at your consultation to confirm whether All-on-4 is right for you.
How Much Do All-on-4 Dental Implants Cost in Roanoke?
All-on-4 and other full-arch dental implants typically cost about $15,000 to $30,000 per arch in Virginia, including the implants and the final fixed bridge. Your total depends on whether you need extractions or bone grafting, how many implants are placed, the bridge material, and whether you restore one arch or both.
| Treatment | Typical range in Virginia |
|---|---|
| All-on-4 or full-arch implants (one arch) | $15,000 - $30,000 |
| Full-mouth implants (both arches) | $30,000 - $60,000 |
| Tooth extraction, if needed | $150 - $650 per tooth |
| Bone graft, if needed | $400 - $2,500 |
These are typical regional ranges, not a quote. Your exact cost is confirmed after your exam and imaging.
Does Insurance Cover All-on-4 Dental Implants?
Dental insurance rarely pays for a whole arch, but many plans cover part of it, such as extractions or a share of the implants or bridge as a major service, up to the plan's annual maximum. We accept and file most private dental insurance, including Delta Dental, MetLife, Aetna, Cigna, Guardian, and Anthem Blue Cross, and we can help you check your benefits.
Financing Full-Arch Dental Implants
To spread out the cost, we accept CareCredit and offer in-house payment plans and a VIP Membership savings plan. Ask about your options at your consultation.
The All-on-4 Dental Implant Process, Step by Step
- Consultation and imaging. Dr. Felo examines your mouth, reviews digital imaging of your jawbone, and talks through your goals.
- Treatment planning. As a prosthodontist, Dr. Felo plans the final teeth first, including their shape, your bite, and your smile line, then positions the implants to support them.
- Implant surgery. Any failing teeth are removed and the implants are placed under local anesthesia. If you feel anxious, ask about sedation dentistry.
- Temporary teeth. You wear temporary teeth while the implants heal, so you are not left without a smile.
- Healing. Over the next three to six months, the implants fuse with your jawbone.
- Your final fixed bridge. Your custom bridge is made and attached to the implants.
All-on-4 Dental Implants vs. Traditional Dentures
Traditional dentures cost less upfront, but they rest on the gums and can loosen as the jawbone shrinks over time. All-on-4 implants anchor your teeth to the bone, which gives you more biting strength and helps preserve the bone where the implants sit.
| All-on-4 dental implants | Traditional dentures | |
|---|---|---|
| How they stay in | Fixed to implants | Rest on the gums, may need adhesive |
| Roof of the mouth | Left uncovered | Upper denture usually covers it |
| Jawbone | Helps preserve bone at implant sites | Bone keeps shrinking |
| Daily care | Brush and clean in place | Remove, soak, and clean |
| Upfront cost | Higher | Lower |
Recovery After All-on-4 Surgery
Most patients return to light activities within a few days. Swelling, bruising, and soreness are common in the first week and usually ease with pain relief and cold compresses. You follow a soft-food diet while the implants heal, then move back to firmer foods once your final bridge is in place.
Caring for Your Fixed Implant Dentures
- Brush twice a day with a soft brush, including along the gumline under the bridge
- Use a water flosser or implant floss to clean beneath the bridge
- Keep regular cleanings and checkups so the implants and gums stay healthy
- Wear a night guard if you grind or clench your teeth
Why Choose Dr. Felo for Full-Arch Dental Implants in Roanoke?
Full-arch treatment is as much about the final teeth as the implants. Dr. Abdel Kader Felo, DDS, MS, is a prosthodontist with more than 35 years of experience and a Fellow and Diplomate of the American Academy of Implant Prosthodontics (AAIP) and the International Congress of Oral Implantologists (ICOI). He plans your implants around how your new teeth should look, fit, and bite, so your smile looks natural and feels comfortable.
All-on-4 Dental Implants for Patients Near Roanoke
Patients come to our Roanoke office for full-arch implant care from across the Roanoke Valley. Learn more about dental implants near you:
- Dental Implants Near Salem, VA
- Dental Implants Near Vinton, VA
- Dental Implants Near Cave Spring, VA
- Dental Implants Near Hollins, VA
Last updated: October 21, 2026
All-on-4® is a registered trademark of Nobel Biocare Services AG.
All-on-4 Dental Implant FAQs
Your Full-Arch Implant Visits at Our Roanoke Office
Your All-on-4 consultation, treatment planning, and follow-up visits take place at our office at 5000 Brambleton Avenue in Roanoke, close to the Electric Road (VA-419) junction and Tanglewood Mall. Full-arch treatment spans several visits over a few months, so one easy-to-reach office in the Cave Spring area keeps your care simple.
Mill Mountain Dentistry By Opulent Dental
5000 Brambleton Ave, Roanoke, VA 24018, United States
Hours of Operation
- Mon–Thu07:30 AM–05:30 PM
- Fri07:30 AM–02:30 PM
- Sat & SunClosed
Meet Your Implant Specialist
Dr. Abdel Kader Felo, DDS, MS
Dental Implant Specialist & Prosthodontist
Dr. Felo is a Consultant Prosthodontist and Implantologist with more than 35 years of experience, a Fellow and Diplomate of the American Academy of Implant Prosthodontics (AAIP) and the International Congress of Oral Implantologists (ICOI). He leads implant treatment planning and restorative care at Mill Mountain Dentistry By Opulent Dental in Roanoke, VA.
Meet Dr. FeloInsurance & payment options
Dental Insurances and Finances
At Mill Mountain Dentistry By Opulent Dental, we understand that patient finances are important, so we accept and are able to file most commercial and private dental insurances.
Plans we accept and file include Anthem Blue Cross, Guardian, Cigna, Lincoln Financial Group, Delta Dental, Aetna, MetLife, GEHA, Ameritas, Principal and UnitedHealthcare. Coverage depends on your plan, so call +1 540-769-6370 with your insurance information if you have questions about your benefits.
- CareCredit accepted
- In-house payment plans
- VIP Membership savings plan
- No dental insurance? No problem