Same Day Dental Implants, Sacramento

The most life-like way to replace bad or missing teeth with dental implants.

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

What are All-On-4 Implants?

The “Teeth in a Day,” All-On-4 procedure allows most patients to have any remaining teeth removed, implants inserted, and a beautiful, permanent, functional smile delivered in only a single day! This technique has the ability to not only provide patients with a beautiful smile, but also give them a renewed outlook on life. We see countless patients suffering with extensive decay, old or failing dental work, and fractured teeth. For these patients, All-On-4, “Teeth in a Day” is the best solution to obtain a new smile and correct the dental problems of the past.


  • Best looks/aesthetics | Looks and feels the most like natural teeth.
  • Permanent | Can’t come in and out of the mouth like a denture.
  • No long recovery times before you can use your dental implants.
  • Does not cover the roof of the mouth!
  • Best chewing capability of all full mouth/full arch tooth replacement choices.
  • Needs the smallest amount of bone | Great for those who have been told they don’t have enough bone to get implants.
  • Taste your food better!

How All-On-4 Dental Implants Work

The technique includes removing any remaining teeth, adding 4-6 implants per arch, and affixing a low-profile bridge to the implants. The implants are typically added at special angles to avoid the patient’s sinuses. This also removes the need for expensive bone grafting with long recovery times.

The standard All-On-4 procedure involves four implants and acrylic denture teeth overlaid upon a titanium frame. Our doctor has improved this procedure based on knowledge and experience to provide an improved outcome for our patients. At Sacramento Dentures and Implants, we meticulously examine each and every case and base our treatment plan on the individual patient’s anatomy. Your doctor will place between four and six implants per arch and temporary fixed bridges will be used while your implants fuse with your jawbones and your mouth heals. After the healing is finished, the doctor and lab technician will design your final teeth with zirconia, which is much more stable than the conventional acrylic (plastic) denture teeth used by most other dental implant practices. Zirconia also offers a more realistic, life-like finished product and is more sanitary and resistant to discoloration. This means they will look better and last longer than the acrylic/titanium hybrid bridges you find at other dental implant practices.

Am I a Candidate?

Most people will be a candidate for All-On-4 dental implants. Your doctor will use a blend of straight and angled implants to avoid the sinuses and engage the strongest bone. Applying this method often removes the need for expensive and lengthy sinus augmentation bone grafts.

Our doctor will perform a thorough evaluation during your free consultation to see if All-On-4, “Teeth in a Day” is an option for you.

Life-Changing Results

Same-day smiles from actual patients

All-On-4 Dental Implant Cost

Pricing includes all extractions, as many implants as needed, fixed temporary teeth, and fixed permanent teeth.


This pricing is the best in Sacramento and also offers the best end result. We can achieve this by having a highly trained dentist who performs the entire procedure from beginning to end along with an experienced in-house dental lab technician. They have performed this procedure from beginning to end together more times than they can count.


For your final teeth, you, your dentist, and our in-house lab technician will work together to design your perfect smile. While competing practices still use acrylic denture teeth over titanium bars, we use zirconia for the best in appearance, durability, and resistance to staining. Upgrading to these materials usually costs much more at other practices. At Sacramento Dentures and Implants, they’re our standard.

Single Arch

Upper or Lower
Zirconia Final Bridge

Both Arches

Full Mouth
Zirconia Final Bridge

Available Financing & Payment Options

Dental implants are a significant investment in yourself, and having the option to break this investment down into monthly payments can help make these life-changing services more accessible and easier to fit into your budget. Our office works with multiple financing providers to offer payment plans to cover either all or part of your dental implant procedure.

Longer-term options for lower payments (up to 96 months)

Interest-free up to 6 months

Longer-term options for lower payments (up to 60 months)

Option to apply with a co-applicant increases chance of approval

Frequently Asked Questions

Can I eat with my new teeth immediately?

Yes! However, while your implants and teeth are firmly placed from day one, we do ask that you keep up a soft foods diet during the four month healing timeframe. So what does that mean? A good general rule is that you can eat any food you can cut with the side of a plastic fork. We ask this because you are investing in a treatment that can last you many decades, perhaps even the rest of your life, and keeping to a softer diet during the healing period will allow the best union your implants into the bone and help establish a fantastic long-term outcome.

How long has the All-on-4 procedure been available?

This life-changing solution was pioneered by Portuguese dentist Paolo Malo in the 1990s. Since then, this procedure has safely been performed on hundreds of thousands of individuals and has been improved upon to the method you see today.

How do I care for my All-On-4 teeth?

Taking care of your teeth is easy, but consistency is the key. Similar to how we are supposed to regularly brush and floss natural teeth, you need do this with the All-On-4 teeth and implants. A few minutes a day is all it will take to keep your implants and mouth healthy. Regularly brushing your bridges with a soft bristle tooth brush and cleaning under them with a water flosser (WaterPik is a well-known and popular brand) a few times a day is all it will take.

Cigarette smoking can escalate the possibility of implant complications, so we recommend not using tobacco products with dental implants. Patients with diabetes should also be made aware of a heightened possibility of problems with dental implants. Controlling your diabetes is very important for the long-term success of your new implants.

Other than that, regularly follow through with your doctor consistently during the year for quick examinations of your new All-on-4 implants.

What do the new implant bridges feel like?

The new dental implants will bring a new sensation which will take a few days or sometimes a few weeks to get used to.

Is there excessive pain with this procedure?

Although you can expect moderate pain, it is similar to the pain associated with standard teeth extractions. We use a combination of medications to help control the pain and keep our patients as comfortable as possible.

Is there pain after this procedure?

Though your experience may vary some, most patients can expect mild discomfort and possibly swelling afterwards. Many patients return the next day for their follow-up appointment reporting very little pain. All patients are prescribed medication for pain to help reduce any discomfort. Also, if you are a candidate for it, your doctor will give you a steroid shot which will: help reduce discomfort and swelling for the first few days.

What is the recovery time like for this procedure?

This will vary from person to person, but, overall, the recovery time is faster and easier with All-on-4 implants compared to other complete teeth replacement options. This is mostly due to the bridges being attached directly to the bone by your implants. Conventional dentures and implant dentures both require recovery periods during which time the dentures can move and lead to sore spots. The pain should decline for the most part within one to two, with full healing typically after six months.

What is the difference between Sacramento Dentures and Implants and another dental practice offering a wide range of dental services?

We limit our practice to dental prosthetics and implants. Dental implants, and especially "teeth-in-a-day," are our passion, and our team is constantly working to ensure our patients receive the best possible results. Other dental practices will refer you to other providers, use outside labs, and have inconsistent pricing. They will take several months or even years to complete your procedure while charging you 50-100% more. Your doctor performs the complete procedure from surgery to final teeth. We provide an in-house dental lab and certified lab technician, along with transparent and affordable pricing. By providing all these services at one location, our team is able to deliver a premium service at an affordable price.

What is the difference between your practice and national implant offices?

At Sacramento Dentures and Implants, we have the same advantages of the national implant offices by limiting our practice to dental implants and prosthetics. We have an in-house dental prosthetic lab, very competitive pricing, and same day teeth. However, we are privately owned, and each patient will be seen exclusively by our doctor. Our team focuses on the satisfaction of our patients instead of cost cutting, shareholders, and monthly quotas. With corporate implant offices, there is no guarantee that you will be treated by the same doctor that has the great reviews or whom your friend recommended you to see. Our doctor oversees your complete procedure and our team will do everything we can to make sure you are overjoyed with your new smile and treat you like family.

How does this compare to snap in dentures or mini dental implants?

Mini dental implants are not related to what we do at Columbus Dentures and Implants for our All-On-4 "teeth-in-a-day " procedure. Please proceed with caution at any office recommending mini dental implants as a permanent restoration solution. They have a very high complication and failure rate.

Snap-in implant dentures, on the other hand, are a wonderful option for some patients. We also provide this option and have an entire page dedicated to these if you want to learn more. They may be a more budget-friendly alternative to All-On-4 "teeth-in-a-day" dental implants.

How frequently should I have my dental implants professionally cleaned?

You should (visit us every six months to have your implants checked and cleaned. Doing this will help ensure the longevity of your new teeth and implants.

Can implants fail?

Although titanium implants do have a 95+% success rate, yes, they can still fail. Some of the things which may contribute to failure:

  • Failure to integrate into the bone
  • Tobacco use
  • Diabetes

If your implant fails within the first year, your doctor will replace it for free.


Why am I salivating (drooling) so much?

This is completely normal when you first have an implant placed in your mouth. Your body senses it as foreign material and is trying to “flush” it out. This increased salivation should decrease within 2-3 days.

Can I be put under for my procedure?

We do not currently use general anesthesia, we do, however, offer both IV and oral conscious sedation. To learn more about these options click here. The medication will provide relaxation and typically makes it so you don’t remember your procedure. For this, the doctor writes you a prescription, and you can fill it at your pharmacy of choice. NOTE: You MUST have someone driving you to and from for your procedure, due to the oral sedation pill(s). You MUST NOT operate a motor vehicle or any machinery after taking your medication.

Are All-On-4 bridges always attached to the implants the same day as the procedure?

Most cases will be attached immediately. In certain situations, mostly depending on the quality of your bone and volume, we will not be able to attach your bridge(s) the same day and you will need to wear an interim healing denture while your new implants integrate into your bone. Your doctor will go over this in-depth at your examination.

How long can I expect to bleed after surgery?

Significant bleeding will have stopped before you leave our office, however, expect to have some slight bleeding (oozing) for 1-3 days after your procedure. Additionally, you will most likely notice increased salivation when we first put your temporary teeth in. When this increased saliva mixes with a little blood, it can look like a lot of blood. If you experience heavy bleeding, please call our office.

Will I know how to use my prosthetic teeth right away?

Just as you would need practice to get used to walking with a prosthetic leg, it will need some practice and patience to get used to your prosthetic teeth. All that being said, since they are firmly attached to your jaw, All-On-4 teeth will be the easiest to get comfortable with of all the full-arch restoration options.

Will I automatically know how to speak with my new teeth right away?

Again, this will take some time, but with a little practice and patience, your mouth and tongue will adjust quickly. "S’s" will be the toughest to pronounce. Practicing words like "stupendous" and "Mississippi" will help you get used to your prosthetic teeth. In a few cases, patients may experience a small lisp long-term with All-On-4 upper teeth.

How long after the procedure should I wait to use a Waterpik or water flosser?

Patients should wait six weeks after the procedure before you begin cleaning with a water flosser.

Am I too young for the dental implants?

No, this is not just a procedure for the elderly. It’s actually very common for people in their 40s, 30s, and even 20s to need to replace their teeth. Replacing bad teeth can be quite beneficial to your overall physical health, and having the ability to speak, smile, and laugh confidently with teeth you’re proud of can benefit your psychological health.

What items should I have ready ahead of my procedure?

  • Ice packs
  • Wash cloths you wouldn't mind throwing out
  • Comfortable clothes you don’t mind throwing away
  • Soft foods (see list above)

What will my prosthetic teeth be made of?

We make the final bridge out of zirconia. Zirconia is much stronger and more resistant to staining and wear than conventional acrylic All-On-4 implants that many providers offer. If you select a competing office, be certain you know what kind of material they will be using. If you do decide on acrylic prosthetic teeth with a titanium bar with a different office, you can expect to see staining surrounding the teeth and to have them replaced every five to ten years. Also, be certain you understand the total price you are going to pay for the surgery, temporary teeth, and final new teeth. Other practices may charge you a base fee only for you to find out you owe an additional $5,000-$15,000 for your new teeth.

How much does the All-On-4 procedure cost?

The entire cost for the single arch (upper or lower) is $22,800. For both upper and lower arches, the total cost is $41,000. Both prices include removing any remaining teeth, placing your implants, same day fixed temporary teeth, and your fixed permanent zirconia teeth. Other offices often charge an operation fee, temporary teeth fee, and then surprise you at the end with yet another fee for your final teeth. Our pricing is completely transparent, and we will not surprise you with any extra costs.

How can I get new teeth in only one day? I thought dental implants needed to heal?

What is unique about this procedure, and what allows us to attach new teeth your metal implants from day one, is that all of your implants will be rigidly held in place by your new teeth (the implant bridge). Splinting them together prevents the micro-movement of the implants that can lead to early failure. Basically, your implants and bridge support one another.

Your dental implants are made from titanium, the same metal used in replacement knee and hip joints, so your jaw will naturally grow around and bond with them over time.

What if a different dentist has said that I'm not a great candidate or don't have enough bone for dental implants?

The majority of patients that have been advised they are not candidates for dental implants are actually fantastic candidates for the All-On-4 procedure. The combination of using angled implants and using the front of the jaw where the bone is more dense lets us perform the procedure for many patients who thought implants were not right for them. Our team can usually perform this procedure without needing expensive grafting that delays treatment by months or even years. Please come see us for a free implant exam to see if you're a candidate.

Will the extractions, implants, and new teeth really be completed in the same day?

Yes! This is our preferred way of doing this procedure with an ideal final result. With the leading dental implants and materials available today, there is often no reason to have to wait months or even years to complete the process like patients experienced in the past.

Is your doctor a specialist such as a peridontist, oral surgeon, or prosthodontist?

No, the doctor is a general dentist who limits their practice to prosthetics and dental implantology. Dental implantology is their passion, and they have placed more dental implants than most specialists and other general dentists. In very select cases, they will collaborate with other dental specialists to ensure that our patients get the best possible treatment for their situation.

How do you offer the All-On-4, "Teeth in a Day" dental implant procedure for far less than other local dental practices?

Because of the high number of these procedures we perform and limiting our practice to dental implants, we have advantages that other practices do not have. Our office has in-house lab and lab technician along with a single dentist who performs the entire procedure. Because of these efficiencies, we are able to offer these procedures for our patients at the most competitive pricing available. Not only do we have the lowest prices, we also use only the finest dental implants and zirconia teeth.

Are payment plans available?

Yes. Our practice offers multiple payment plans including third party financing. We work with our patients in any way possible to get them smiling again.

Click here for financing options.

Does your practice offer warranties or guarantees?

If a dental implant should fail to integrate we will replace it at no cost to you. We warranty the final dental bridge for 5 years. To keep this warranty, patients must return every 6 months for hygiene and maintenance of their implants and bridges. This warranty does not apply to patients who continue to use nicotine products or have uncontrolled diabetes or develop other uncontrolled systemic conditions that compromise their implants.

How long will the All-on-4 procedure take?

Typically the surgery takes about 1 hour per arch. Then, the lab portion of making the teeth takes about 2 hours. If we begin in the morning, for a single upper or lower arch, patients are usually done around lunch time. If we are replacing both top and bottom teeth, we usually finish closer to 2:30 to 3:30 in the afternoon. Most of this time is waiting for the teeth to be produced in our lab and trying them in to be certain your smile is exactly how you want it. It is a long day, but will definitely be worth it in the end!

What if I'm not happy with my new teeth?

Our team does everything in our power to ensure you love your new teeth. The teeth you receive the same day of the procedure are only a temporary/transitional set. When we fabricate your final teeth, you will have full control of the design and appearance of your smile.

What about some of these out of town dentists in Florida, Las Vegas, etc. advertising same day final teeth?

While this can be a good fit for many patients, in the rare case of complications or broken teeth, it can be very difficult to repair if you traveled thousands of miles away or out of the country. Most local practices will not be willing to repair another dentist's work. A major advantage of having a temporary set of fixed teeth on the day of your procedure is you get to test them out and discover what you like/don’t like. For the final zirconia or nano-ceramic teeth, we can offer try-ins to ensure that your teeth look exactly the way you want them to look. While it’s great to get your final teeth immediately, doing this does come with some serious drawbacks that cannot be ignored.

Will All-On-4 teeth move (front to back, side to side)?

No, they are firmly attached to your implants, which are rigidly anchored to your jaw. If your All-On-4 teeth begin moving for any reason, call us so we can schedule an exam.

Why do you call it "teeth in a day" when I don’t receive my permanent teeth until 4-6 months after my surgery?

The procedure is referred to as "teeth in a day" because you are receiving a set of implant-supported functional prosthetic temporary teeth in one day. As there are often major changes to your mouth during the implant integration and healing phase, it is best to start with a transitional set of teeth. This ensures the best long-term outcome with your permanent teeth.

Can my temporary teeth get damaged?

Yes, the temporary teeth are made of acrylic and can chip, crack, and occasionally break. This is quite common. The great thing about the acrylic temporary is that it can be easily repaired. If you have any issues with the temporary, just call our office and we’ll get you fixed up right away.

Can my final teeth get damaged?

While it is possible for nano-ceramic and zirconia to be damaged, it’s very uncommon. These materials are among the strongest and most durable materials available in dentistry.

I already have a dental implant (or implants), can they be used for All-On-4?

Unfortunately, not. As your current dental implants will not be the proper position that this procedure requires, and as bone reduction will be necessary, we cannot use your existing implants and they will most likely need to be removed.

Are my All-On-4 bridges removable?

No, you cannot remove these yourself. Only the dentist is able to remove them. They are secured to your implants.

Can food get under my All-On-4 bridge(s)?

Yes, any prosthetic in the mouth can get some amount of food under it. You can rinse with water to get food out from under your bridge(s), and cleaning daily with a water flosser will be included in your long-term hygiene regimen.

How long should I take off work for recovery after surgery?

Of all full arch replacement options, All-On-4 often has the shortest time required before returning to work. Generally 4-7 days is sufficient. That being said, since there is always the chance of swelling and bruising, and you will need to get used to eating and speaking with your new teeth, the more time you can take off, the better.

All-On-4 Procedure 


The procedure itself usually takes 4-6 hours depending if you are having a single arch treated (upper or lower) or both arches (full mouth). When you leave our office, the temporary teeth will be securely attached to your new implants. You will wear your temporary bridge(s) for 4 months to allow time for the dental implants to fuse with the bone and for your jaws and gums to heal into a stable, long-term position before we create your final bridge(s). Allowing this recovery time ensures the best possible fit for the permanent teeth. After this healing time, we will begin producing your permanent bridge(s). This involves a few appointments over a five to six week period, during which time you’ll help us design the smile you want for your permanent teeth.


Mouth Impressions

The lab uses these to make your temporary implant bridge(s). Possible wax try-in – if you are missing all or most of the teeth in the arch that we will be treating, the doctor may suggest a wax try-in. This is a mock up of what your temporary implant bridge and will be used to check bite position, aesthetics, etc.



Remove any teeth (if applicable), place implants, place temporary implant bridge(s). The procedure typically takes anywhere from 4-7 hours.


Post Op #1

Day after procedure | Check healing and answer any questions you may have.


Post Op #2

3 weeks after procedure | Remove sutures, check healing, patient typically cleared to begin using water flosser/WaterPik at this appointment.


Impressions for Final Teeth

4 months after procedure


Try In

5-10 Days After Impressions | We will try in a mock-up of your final teeth. Multiple wax try-ins are needed in some cases. We have to make sure you are completely happy with your wax try-ins before processing them. Once they are processed, we are unable to make changes to them. If you wish to make changes to your bridge(s) after you have approved them and they have been fabricated, there will be a full-cost remake charge.


Seat Final Teeth

After you approve your wax try-in(s), it typically takes 4-6 weeks before your bridge or bridges are ready to seat.

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