Full arch dental implants replace an entire row of missing or failing teeth using a small number of titanium implants anchored in the jawbone, rather than replacing each tooth individually. For patients who are missing most or all of their teeth in one or both arches, this approach can restore chewing function and facial support in a way that traditional dentures cannot always match. At Oral Surgeons, P.C., serving Des Moines, Ankeny, and Clive, Dr. Scott Johnson, DDS, MD, and our team evaluate whether full arch treatment fits a patient's oral health and goals.

What Are Full Arch Dental Implants?

Rather than placing one implant for every missing tooth, full arch treatment uses a limited number of strategically positioned implants to support an entire fixed or removable prosthesis. Our Dental Implants team plans implant position and number based on jawbone volume, bite forces, and the type of prosthesis being planned.

The implants themselves are titanium posts placed into the jaw, where they gradually bond with the surrounding bone through a process called osseointegration. Once integrated, they serve as a stable foundation for a full-arch restoration that is either fixed in place or designed to snap onto the implants for removal by the patient.

Full Arch Dental Implants vs. Dentures

Traditional removable dentures rest on the gums and rely on suction, adhesive, or the shape of the ridge for retention. Over time, the jawbone beneath a denture can shrink because it is no longer stimulated by tooth roots, which may cause the denture to fit less securely and require adjustment or replacement.

Consideration Traditional Dentures Full Arch Dental Implants
Stability Can shift or loosen, especially over time Anchored to the jawbone for a secure fit
Bone health Bone loss under the denture is common Osseointegration may help reduce bone loss
Daily care Removed for cleaning and often overnight Fixed options are cared for like natural teeth; removable options snap on and off
Chewing function May limit certain foods Generally closer to natural chewing ability

According to AAOMS Oral and Maxillofacial Surgeons, full-mouth dental implants are anchored to the jawbone, and the bone actually fuses to the implant through a process called osseointegration, which reduces the risk of bone loss compared to dentures that rest on the gums alone.

Full Arch Dental Implants Cost

Full arch dental implants cost varies from patient to patient because no two mouths require the exact same treatment plan. Some people need additional procedures such as bone grafting before implants can be placed, while others are ready for implant placement without preliminary surgery. The number of implants, the type of prosthesis, and whether extractions are needed all affect the total cost.

  • The type of prosthesis chosen — fixed or removable — affects overall treatment cost
  • Additional procedures like bone grafting or tooth extractions add to the total
  • Some dental or medical insurance plans may partially cover portions of treatment
  • Financing options are often available through the surgical or restorative practice

Because full arch treatment replaces an entire row of teeth with a limited number of implants rather than one implant per tooth, the total cost is generally less than replacing every individual tooth separately, though it remains a significant investment that is best discussed during a consultation.

What to Expect During Treatment

Full arch treatment typically begins with a thorough evaluation of your jawbone, remaining teeth, gum health, and bite. Dental imaging helps our surgeons determine how many implants are needed and where they should be placed for long-term stability. In some cases, any remaining unhealthy teeth are removed at the same time implants are placed.

After the implants are placed, a healing period allows osseointegration to occur before the final prosthesis is attached, though a temporary prosthesis is often provided so you are not without teeth during healing. Your restorative dentist works alongside our surgical team throughout this process to design a prosthesis that fits your bite and appearance.

Are You a Candidate for Full Arch Implants?

Good candidates for full arch dental implants generally have enough jawbone to support implants, or are candidates for bone grafting to build up the area. Overall health, gum condition, and habits such as smoking can all affect candidacy and healing. A thorough evaluation at our office is the only reliable way to know whether full arch treatment, a different implant approach, or another restoration is the better fit for your situation.

Patients who are frustrated with loose dentures, who are missing most of their teeth, or who are facing extraction of multiple failing teeth are often the ones who benefit most from exploring this option.

Conclusion

Full arch dental implants offer a fixed or implant-retained alternative to traditional dentures by anchoring an entire row of replacement teeth to a limited number of implants. Cost and treatment length vary based on individual needs, including whether bone grafting or extractions are required. An in-person evaluation is the best way to understand whether this approach fits your oral health goals.

Frequently Asked Questions

How many implants are needed for a full arch of teeth?

The number varies by patient and treatment plan, but full arch restorations typically use a limited number of implants per arch rather than one implant for every missing tooth.

How much do full arch dental implants cost?

Cost depends on the number of implants, the type of prosthesis, and whether additional procedures like bone grafting or extractions are needed. A consultation is the best way to get an individualized estimate.

Are full arch implants better than dentures?

Full arch implants are generally more stable than traditional dentures and may help reduce bone loss, but the right choice depends on your oral health, bone volume, and personal goals.

Can full arch implants be removed by the patient?

It depends on the type of prosthesis. Fixed restorations are only removable by a dentist, while some removable, implant-retained designs can be taken out by the patient for cleaning.

How long does full arch implant treatment take?

Treatment length varies based on whether extractions or bone grafting are needed and how long osseointegration takes to complete, often spanning several months from initial surgery to the final prosthesis.

About the Author

Oral Surgeons, P.C. has offices at 7400 Fleur Drive Ste. 200 and 3940 Ingersoll Avenue in Des Moines, 460 NW 36th Street in Ankeny, and 12345 University Avenue Ste. 102 in Clive, Iowa. The practice is led by Dr. Scott Johnson, DDS, MD, who completed his dental studies at the University of Iowa College of Dentistry and his medical degree and Oral and Maxillofacial Surgery residency through the University of Pittsburgh Medical Center, training at UPMC Presbyterian Hospital, Montefiore Hospital, and Children's Hospital of Pittsburgh. Dr. Johnson is board certified by the American Board of Oral and Maxillofacial Surgery and is a member of the American Association of Oral and Maxillofacial Surgeons and the American Dental Association. The practice also includes Dr. John Janulewicz, Dr. Ryan Marsh, Dr. Luke Freml, Dr. Michael Morio, Dr. Brock Radich, Dr. Stephen Ridenour, Dr. Michelle Peters, and Dr. Jeffery Schwarzkopf.

Medical Disclaimer

The information provided in this article is for educational purposes only and does not constitute professional medical or dental advice, diagnosis, or treatment. Candidacy for full arch dental implants can only be determined through an in-person examination and imaging. Always seek the advice of your dentist, oral surgeon, or other qualified health provider with any questions regarding a dental implant procedure. Never disregard professional advice or delay in seeking it because of something you have read here.