If you are missing most or all your teeth, you know how it affects your daily life. Eating becomes a challenge. Smiling feels uncomfortable. Speaking clearly can be difficult. You may have been told that dentures are your only option. But there’s a better way.
At Cosmetic & Advanced Dentistry in Owings Mills, we offer All-on-4 implants as a permanent, life-changing solution for patients in Baltimore and surrounding communities. Dr. Ed Lazer and Dr. Audrey Doroshenko are your dental implant specialists in Owings Mills and the greater Baltimore area.
What Are All-on-4 Implants?
All-on-4 is a full-arch tooth replacement treatment that uses just four strategically placed dental implants to support a complete arch of replacement teeth. Instead of placing an individual implant for every missing tooth, we use four implants to support a fixed bridge of replacement teeth.
The name “All-on-4” comes from the use of four implants to support all your teeth on one arch. Two implants are placed vertically at the front of the jaw. Two are angled toward the back to maximize contact with available bone. This strategic placement often eliminates the need for bone grafting.
The benefits of All-on-4 implants include:
- Same-Day Teeth: In many cases, you can receive a temporary set of fixed teeth on the same day as your surgery. You leave our Owings Mills office with a functional smile, not a gap.
- No Bone Grafting in Most Cases: The angled placement of the rear implants is designed to make the best use of available bone. This often eliminates the need for bone grafting, which can add months to your treatment timeline.
- Fixed and Stable: All-on-4 implants are fixed in place. They don’t slip, click, or require messy adhesives. You can speak, laugh, and eat with confidence.
- Preserve Your Jawbone: Dental implants stimulate your jawbone, which prevents the bone loss that occurs with missing teeth. This helps maintain your facial structure and prevents the sunken, aged appearance often associated with dentures.
- Natural Look and Feel: The final prosthetic teeth are custom-made to look, feel, and function like natural teeth. Dr. Lazer’s cosmetic expertise ensures your new smile is beautiful and natural-looking.
The “Cosmetic & Advanced” Difference
Most dental practices operate in silos. You see a general dentist for diagnosis, then get referred to an oral surgeon for implants, and then to another dentist for the final restoration. That’s not how we do dentistry.
We have built our practice around a rare and powerful model: a cosmetic dentist and a prosthodontist working as a single, coordinated team under one roof. We call it The Cosmetic & Advanced Method.
Dr. Ed Lazer is a nationally recognized cosmetic dentist trained at the Las Vegas Institute for Advanced Dental Studies (LVI). He is the artistic vision behind your smile, ensuring that your final result is breathtakingly natural.
Dr. Andrey Doroshenko is a fellowship-trained prosthodontist and implant specialist. He is the structural architect, ensuring that your implants are placed with surgical precision and that the foundation is flawless.
When you choose All-on-4 at Cosmetic & Advanced Dentistry, you are buying a coordinated brain trust. Your treatment is co-diagnosed, co-planned, and co-executed by two specialists at the top of their fields. Function and beauty are never separate conversations.
The All-on-4 Procedure
Step 1: Consultation and Planning
Your journey begins with a comprehensive consultation with both Dr. Lazer and Dr. Doroshenko. We use a CBCT (Cone Beam CT) scanner to create a 3D image of your jawbone, nerves, and sinuses. This helps us plan your implant placement with surgical precision.
Step 2: Implant Placement
On the day of your surgery, we place four implants into your jawbone. Two implants are placed vertically at the front. Two are angled at the back to maximize bone contact. We offer sedation options to ensure your comfort throughout the procedure.
Step 3: Immediate Temporary Restoration
After implant placement, we attach a temporary prosthesis to your implants. You leave our office with a functional set of teeth on the same day.
Step 4: Healing
Over the next 3 to 6 months, your implants fuse with your jawbone in a process called osseointegration. This creates a strong, stable foundation for your permanent teeth.
Step 5: Final Restoration
Once your implants are fully healed, Dr. Lazer and Dr. Doroshenko work together to design and place your final, custom-crafted prosthesis. Your new smile is complete.
Am I a Candidate for All-on-4?
Most patients who are missing most or all of their teeth are candidates for All-on-4. You may be a good candidate if:
- You are missing most or all of your teeth in one or both jaws
- You have experienced bone loss and have been told you need bone grafting for traditional implants
- You are tired of loose, uncomfortable dentures
- You are in good overall health
- You are committed to maintaining good oral hygiene
The All-on-4 technique is specifically designed to address bone deficiencies, using the densest available bone for implant placement. This means that even if you have been told you aren’t a candidate for traditional implants, you may still be a candidate for All-on-4.
Cost of All-on-4 Implants in Baltimore
The cost of All-on-4 implants varies based on several factors, including the number of arches treated, the material used for the final restoration, and any preparatory procedures required. Typical ranges in the Baltimore area are:
- All-on-4 implants: $15,000 – $35,000 per arch
- Full-mouth reconstruction: $20,000 – $50,000+ per arch, depending on complexity
NOTE: These are just general estimates. We provide clear, itemized estimates before any treatment begins. We also offer flexible payment options through CareCredit and other financing partners.
Patient Review
Frequently Asked Questions
How long do All-on-4 implants last?
With proper care, the titanium implant posts can last a lifetime. The prosthetic teeth may need replacement after 10 to 15 years due to normal wear. Regular dental check-ups and good oral hygiene are essential to maximizing their lifespan.
Are All-on-4 implants painful?
Most patients report minimal discomfort during the procedure. We use local anesthesia and offer sedation options to ensure your comfort. After surgery, any soreness is typically mild and manageable with over-the-counter pain relievers.
Can I get All-on-4 implants if I have bone loss?
Yes. The All-on-4 technique is specifically designed to address bone deficiencies. The angled placement of the rear implants uses the densest available bone, often eliminating the need for bone grafting. Dr. Doroshenko will evaluate your bone health during your consultation to determine the best approach.
How long does the All-on-4 procedure take?
The surgical placement takes about 2 to 3 hours per arch. You receive temporary teeth on the same day. The full healing period takes 3 to 6 months before your permanent restoration is placed.
Does insurance cover All-on-4 implants?
Many dental insurance plans cover a portion of implant treatment. As an out-of-network provider, we submit claims on your behalf, and you receive reimbursement directly from your insurance company. We will help you understand your coverage and provide a clear cost estimate before treatment begins.
What are the alternatives to All-on-4 implants?
Alternatives include traditional dentures, implant-supported dentures (with 2-3 implants), or individual implants for each missing tooth. However, All-on-4 is often the best option for patients who are missing most or all of their teeth and want a permanent, stable solution without bone grafting.
Can I eat normally with All-on-4 implants?
Yes. Once healed, All-on-4 implants restore nearly all of your natural chewing power. You can enjoy a wide variety of foods without restrictions. You may be advised to eat soft foods for the first few weeks after surgery, but you will gradually return to your normal diet.
Are All-on-4 and All-on-X the same?
The terms are often used interchangeably. All-on-4 specifically refers to using four implants per arch. All-on-X refers to using a variable number of implants (typically 4-6). Dr. Doroshenko will determine the optimal number for your specific case based on your bone density and anatomy.
Can I smoke with All-on-4 implants?
Smoking significantly increases the risk of implant failure. It impedes healing and can interfere with osseointegration. We strongly recommend quitting smoking before and after the procedure to ensure the best possible outcome.
To learn more about our dental implant services, visit:
- Benefits of Dental Implants
- Cost of Dental Implants
- Dental Implant FAQ
- Dental Implants vs Dentures
- Multiple Dental Implants
- Single Tooth Dental Implant
- Types of Dental Implants
Why Choose Cosmetic & Advanced Dentistry for All-on-4 Implants?
When you are replacing an entire arch of teeth, you are rebuilding the foundation of your bite, your ability to eat, and the natural contours of your face. This is complex work, and it demands a level of expertise that most practices can’t offer.
Complex restorative care should be seamless, not fragmented. That’s the principle we’ve built Cosmetic & Advanced Dentistry around. Our team model is built for cases exactly like yours.
Two Specialists Who Work as One
Dr. Ed Lazer and Dr. Andrey Doroshenko don’t work in separate silos. They co-diagnose and co-plan every All-on-4 case. Your final smile is designed by Dr. Lazer before any implant is placed. The aesthetic outcome is not an afterthought; it is the blueprint. Dr. Doroshenko then executes the surgical placement with prosthodontic precision, ensuring that the implants are positioned to support that exact vision.
This is daily, in-person coordination by two specialists who share the same treatment rooms, the same digital records, and the same commitment to your outcome.
Precision Planning, Not Guesswork
Every All-on-4 case is planned using CBCT 3D imaging before we ever touch your jaw. We use digital planning tools and 3D surgical guides to place implants exactly where they need to be. This precision means fewer surprises, shorter surgery times, and more predictable healing.
We know where your nerves and sinuses are before we start. We know how much bone we have to work with and where it is strongest. This is the difference between hoping an implant works and knowing it will.
A Track Record of Complex Cases
Our case volume in full-arch restorations is among the highest in the region. We have refined our workflows so that your All-on-4 care is efficient, coordinated, and predictable. Your outcome matters to us as much as it matters to you.
One Location, No Referrals
We handle every phase of your All-on-4 treatment in our Owings Mills office. You don’t need to coordinate between multiple offices or unfamiliar specialists. Everything from your initial consultation to your final restoration happens in one place, with one team.
The result is a restoration that’s built to last, designed to look natural, and supported by a team that does this every day. View our Smile Gallery to see real patient results.
Schedule Your Free All-on-4 Consultation Today
If you are tired of loose dentures or struggling with missing teeth, All-on-4 implants could change your life. Call Cosmetic & Advanced Dentistry at (410) 697-6290 to schedule your complimentary consultation. You can also request an appointment online anytime. We proudly serve patients from Baltimore, Owings Mills, and all surrounding communities.