★★★★★ 4.9 Rated (184 Google Reviews)  •  Main Line Dental Arts • Specialized Periodontics & Dental Implants  •  Dr. Milita Borguet, DMD • Dr. Margaret Hodgson, DMD • Dr. Peter Susanin, DMD  •  Call (610) 664-9510  •  110 N Essex Ave, Narberth, PA 19072
Dental Implant Services

All-on-4® Dental Implants

All-on-4® Dental Implants
Board-Certified Periodontal Care Narberth, PA

All-on-4® Teeth Replacement in Narberth, PA

Replace an Entire Arch of Missing or Failing Teeth on Just Four Implants

Duration 1–2 Hours Typical
Comfort Local & Sedation
Clinician Board-Certified
Partnership Dentist Coordinated

The All-on-4® treatment concept is a revolutionary protocol that allows patients suffering from widespread tooth loss, severe periodontal disease, or broken-down teeth to replace an entire upper or lower arch of teeth using just four strategically angled dental implants.

By tilting the posterior implants at up to 45 degrees, our periodontists take maximum advantage of your existing bone density, frequently eliminating the need for extensive bone grafting or sinus lifts. In many cases, a temporary full-arch fixed bridge can be attached the very day of surgery.

At Main Line Dental Arts, Dr. Borguet, Dr. Hodgson, and Dr. Susanin perform 3D computer-guided All-on-4 procedures with utmost care, helping patients regain their natural smile, speech, and youthful facial contours.

Who Is a Candidate?

You may benefit from this treatment if you experience any of the following:

Patients with multiple missing, broken, or failing teeth in one or both arches
Individuals wearing loose, uncomfortable traditional dentures seeking a permanent fixed solution
Patients diagnosed with advanced periodontal disease facing full dental extractions
Those who have suffered bone loss and wish to avoid extensive sinus augmentation

What to Expect: Step-by-Step

1

1. 3D Scan & Digital Prosthetic Mapping

We obtain a 3D CBCT scan to map the strongest areas of your jawbone and digitally simulate exact implant angulation and bridge aesthetics.

2

2. Extraction & Guided Implant Placement

Under gentle sedation, any remaining failing teeth are removed, and four precision titanium implants are placed—two upright in the front and two tilted in the back.

3

3. Same-Day Temporary Fixed Bridge

A temporary, custom-crafted acrylic hybrid bridge is securely attached to the implants, allowing you to walk out with a complete, beautiful smile that same day.

4

4. Final Zirconia or Porcelain Permanent Arch

After full osseointegration over 3 to 6 months, your final permanent bridge is custom-fabricated, providing exceptional strength, lifelike luster, and permanent function.

Key Clinical Advantages

Fixed & Permanent

Never slips, clicks, or requires messy denture glues. It stays fixed in your mouth 24/7.

Often Eliminates Bone Grafting

Angled posterior implants maximize existing dense bone in the anterior jaw.

Same-Day Smile Transformation

Leave our office with functional, attractive fixed teeth the day of surgery.

Restores Normal Chewing & Speech

Eat all your favorite foods and speak with clear, natural articulation.

Patient Preparation & Recovery Guide

Practical instructions to ensure an anxiety-free visit and smooth, rapid healing.

Pre-Procedure Preparation
  • Health & Medication Review: Continue taking prescribed routine medications unless specifically advised by our doctors.
  • Pre-Op Nutrition: Eat a light, nourishing meal prior to procedures performed under local anesthesia. (If conscious sedation is scheduled, follow fasting guidelines provided).
  • Comfort Attire: Wear comfortable, loose-fitting clothing. Feel free to bring earbuds to listen to relaxing music during care.
  • Escort for Sedation: If receiving conscious oral sedation, arrange a trusted companion to drive you home and assist you afterward.
Post-Procedure Recovery Care
  • Rest & Cold Therapy: Rest quietly with your head slightly elevated. Apply an ice pack externally (20 minutes on, 20 off) to reduce swelling.
  • Gentle Soft Diet: Enjoy nutritious soft foods (protein shakes, Greek yogurt, broths, scrambled eggs). Never drink through a straw.
  • Gentle Oral Hygiene: Do not spit or rinse vigorously during the first 24 hours. After 24 hours, begin gentle warm salt-water rinses after meals.
  • Dedicated Follow-Up: Our clinical team phones you to check on your comfort, and we coordinate digital records directly with your general dentist.

Treatment Roadmap & Clinical Milestones

What to expect from your initial specialist consultation through complete recovery.

Phase 1
3D Planning & Imaging

High-resolution 3D CBCT scan to map bone density, nerve paths, and simulate virtual implant placement.

Phase 2
Guided Placement

Atraumatic surgical fixture placement with gentle local anesthesia and optional relaxation sedation.

Phase 3
Osseointegration

Biological fusion where bone cells integrate directly onto titanium surface over 8 to 12 weeks.

Phase 4
Final Restoration

Custom zirconia or porcelain crown/bridge delivery, co-managed with your restorative dentist.

The Specialist Advantage

Why Choose a Board-Certified Periodontist?

Periodontists undergo 3 additional years of accredited university surgical residency beyond dental school, focusing exclusively on jawbone biology, tissue regeneration, and micro-precision implant placement. We partner closely with your family dentist to deliver lasting clinical excellence.

Frequently Asked Questions

Yes. In the majority of All-on-4 cases, our periodontists can attach a fixed temporary bridge on the day of surgery once initial implant stability is achieved.

Daily cleaning is simple using a water flosser, superfloss, and interdental brushes underneath the bridge, combined with regular periodontal cleanings at our office.

Most patients experience mild swelling and soreness for 3 to 5 days, which is easily managed with prescribed or over-the-counter medication. Most return to light work within 2-3 days.

Conventional dentures rest on the gums, accelerate bone loss, and cover the roof of the mouth, diminishing taste. All-on-4 is anchored in bone, feels like natural teeth, and leaves the palate completely open.
Main Line Dental Arts

Schedule Your Personal Consultation Today

Our board-certified periodontists, Dr. Borguet, Dr. Hodgson, and Dr. Susanin, are here to help restore your oral health with compassionate, personalized care.