If you’re missing most or all of your teeth, you’ve probably come across a treatment called All-on-4 dental implants. It’s a popular solution that offers a fixed, natural-looking smile without the hassle of traditional dentures. But while All-on-4 is a powerful option, it’s not always the best fit for every patient.
At Dental Designs by Alisa Reed, we know that not everyone wants or qualifies for All-on-4. That’s why we’re excited to offer a new, flexible alternative, LOCATOR Fixed by Zest Dental Solutions. It’s a less invasive, more affordable solution that still gives you the confidence of a full-arch restoration.
What Are All-on-4 Dental Implants?
All-on-4 dental implants are a type of full-mouth restoration. Instead of placing an implant for every missing tooth, this technique uses four dental implants to support a full set of upper or lower teeth.
The implants are strategically angled and placed in the jaw to maximize bone support. Once healed, a custom fixed bridge is attached, giving you a permanent, non-removable set of teeth that look and function just like the real thing.
Clinical studies show All-on-4 implants have an impressive 95-98% success rate after 5-10 years, making them one of the most reliable tooth replacement options.
Benefits of All-on-4:
- Fixed, secure full-arch solution
- Looks and feels like natural teeth
- No slipping or adhesives like dentures
- Can often avoid bone grafting
Sounds great, right? And it is, for the right patient. But it’s not without its challenges.
What Are the Problems with All-on-4 Dental Implants?
While All-on-4 is a groundbreaking procedure, it’s not always the ideal solution for every patient. Here are some common concerns we hear:
1. It’s Invasive
All-on-4 requires oral surgery to place the implants, often under sedation. For patients with health concerns or low bone volume, this may be too risky or simply not feasible.
2. It’s Expensive
Even with fewer implants, All-on-4 can cost $15,000 to $30,000 per arch. That’s a significant investment, and not all insurance plans will help cover it. This represents a substantial financial consideration for many of our patients in The Woodlands and North Houston.
3. It’s Not Removable
Some patients prefer the flexibility of a removable solution, especially if maintenance or hygiene is a concern.
4. It Requires Good Bone Density
You need an adequate jawbone to support the implants. If you’ve had missing teeth for a long time, you may need bone grafting first.
Comparing All Tooth Replacement Options: Finding Your Perfect Smile Solution
When it comes to replacing missing teeth, The Woodlands patients have more options than ever before. Each solution offers different benefits, limitations, and considerations. Understanding all available options helps you make an informed decision that aligns with your oral health needs, lifestyle preferences, and budget.
Traditional Removable Dentures
Pros:
- Most affordable upfront option
- No surgery required
- Easily replaceable if damaged
- Works for patients with significant bone loss
- Covered by many insurance plans
Cons:
- Can slip or move while speaking or eating
- Requires adhesives for stability
- May cause sore spots or discomfort
- Needs to be removed and cleaned daily
- Typically lasts only 5-7 years before needing replacement
- Doesn’t prevent bone loss in the jaw
Best for: Patients seeking the most economical solution, those who cannot undergo surgery, or as a temporary option while considering more permanent solutions.
Partial Dentures
Pros:
- More affordable than implant options
- Preserves remaining natural teeth
- No surgery required
- Can be removed for cleaning
- Often partially covered by insurance
Cons:
- May put stress on remaining teeth
- Metal clasps can be visible when smiling
- Less stable than fixed options
- Requires daily removal and maintenance
- Needs adjustment or replacement every 5-8 years
Best for: Patients missing several teeth but not an entire arch, those with budget constraints, or patients who cannot undergo implant surgery.
Single Tooth Implants
Pros:
- Most natural look and function for individual teeth
- Preserves jawbone health and density
- Doesn’t affect adjacent teeth
- Can last 20+ years with proper care
- Highest success rate (98%) for single tooth replacement
Cons:
- Most expensive option when replacing multiple teeth
- Requires adequate bone density
- Surgical procedure with longer healing time
- May not be covered by insurance
- Not practical for full-arch replacement
Best for: Replacing individual teeth, especially in visible areas, for patients with good bone density and oral health who want the most natural-looking solution.
All-on-4 Dental Implants
Pros:
- Permanent, fixed solution
- Uses only 4 implants per arch
- Restores full functionality and appearance
- Prevents further bone loss
- Success rates of 95-98% after 10 years
- Can often work with less bone than traditional implants
Cons:
- Significant investment ($20,000-30,000 per arch)
- Requires oral surgery
- Not removable for cleaning
- Some patients report difficulty adjusting to the feel
- Requires excellent oral hygiene maintenance
Best for: Patients missing all teeth in an arch who want the most permanent, natural-feeling solution and have adequate bone structure or can undergo bone grafting.
LOCATOR Fixed System
Pros:
- More affordable than All-on-4 ($10,000-15,000 per arch on average)
- Less invasive procedure
- Fixed for daily use but retrievable by dentist
- Works with less bone density
- Easier to clean and maintain
- Can be upgraded or modified more easily
- 94.5% success rate even in challenging cases
Cons:
- Slightly less rigid than All-on-4
- May need more frequent professional maintenance
- Not as widely available as other options
- Some insurance plans may not cover it specifically
Best for: Patients who want the security of fixed teeth without the cost or invasiveness of All-on-4, those with some bone loss, or patients seeking a middle-ground between dentures and full implants.
Implant-Supported Overdentures
Pros:
- More stable than traditional dentures
- Removable for cleaning
- Requires fewer implants than All-on-4
- Less expensive than fixed implant options
- Can work with moderate bone loss
- Prevents further bone resorption
Cons:
- Still removable (not permanently fixed)
- Requires daily removal and cleaning
- Attachments may wear and need replacement
- Less natural feel than fixed options
Best for: Patients transitioning from traditional dentures who want improved stability without full implant costs, or those who prefer the ability to remove their teeth for cleaning.
Meet LOCATOR Fixed: A Flexible Alternative to All-on-4
For patients who want something more stable than dentures but less invasive than All-on-4, we offer the LOCATOR Fixed system from Zest Dental Solutions.
This innovative solution combines the stability of implants with the versatility of overdentures, offering a “best of both worlds” approach to full-arch restoration.
What Makes LOCATOR Fixed Different?
- Minimally Invasive – Typically uses 2–4 implants without extensive surgery
- More Affordable – Lower cost than full All-on-4 procedures
- Fixed, Yet Retrievable – Your restoration stays secure, but your dentist can remove it for cleanings or adjustments
- Comfortable & Aesthetic – Looks and feels like real teeth
- Great for Patients with Bone Loss – Works even when traditional implants aren’t an option
How LOCATOR Angled Abutments Help Even More Patients
The new LOCATOR Angled Abutments allow us to place implants even when the bone isn’t perfectly aligned, something that might otherwise disqualify you from traditional implants or All-on-4.
This means more patients can benefit from implant-retained restorations for a secure fit without needing bone grafts or complex surgical adjustments.
Studies show that the LOCATOR system has a 94.5% success rate, even in patients previously considered poor candidates for implants, with significantly reduced treatment times compared to traditional methods.
The Journey to Your New Smile with LOCATOR Fixed
After evaluating all options, many of our Woodlands patients choose LOCATOR Fixed for its balance of benefits. Here’s what you can expect during the treatment process:
1. Comprehensive Consultation (Week 1)
- Initial Examination: We’ll assess your oral health, including remaining teeth, gum condition, and jawbone density
- 3D Imaging: Advanced imaging gives us a detailed view of your bone structure
- Treatment Planning: Dr. Reed or Dr. Smith will create a customized treatment plan tailored to your specific needs
- Financial Discussion: Our team will explain costs, insurance coverage, and payment options
2. Preparatory Phase (If Needed)
- Extractions: If you have remaining teeth that cannot be saved, gentle removal is performed
- Healing Period: Typically 2-3 weeks for soft tissue healing
- Temporary Solution: We provide comfortable temporary dentures during the healing phase
3. Implant Placement (Week 3-4)
- Minimally Invasive Surgery: Usually requires only 2-4 implants placed in a single appointment
- Local Anesthesia: Most patients only need local anesthesia, though sedation options are available
- Same-Day Option: In some cases, we can attach a temporary restoration the same day
4. Healing and Integration (Weeks 4-12)
- Initial Healing: Soft tissue healing takes just 1-2 weeks
- Osseointegration: Implants fully integrate with jawbone over 8-12 weeks
- Progress Monitoring: We’ll schedule check-ups to ensure proper healing
5. Final Restoration (Week 12-14)
- Impression Taking: Digital or traditional impressions capture the exact position of your implants
- Try-In Appointment: We’ll verify the fit, function, and appearance before finalizing
- Attachment Placement: The special LOCATOR attachments are secured to your implants
- Final Delivery: Your custom-made, fixed restoration is attached and adjusted for comfort
6. Aftercare and Maintenance
- Initial Follow-up: 1-2 weeks after final placement
- Regular Maintenance: Professional cleanings and check-ups every 6 months
- Periodic Assessment: The dentist can remove the prosthesis for thorough cleaning annually
- Long-term Care: Proper home care extends the life of your restoration for many years
“The LOCATOR Fixed process was much simpler than I expected. Dr. Reed carefully explained each step, and I felt comfortable throughout. Three months later, I have secure teeth that don’t come out—it’s changed my life completely.” —Robert J., The Woodlands
Is LOCATOR Fixed the Right Solution for You?
After analyzing hundreds of cases in The Woodlands, we’ve identified specific situations where LOCATOR Fixed is likely the optimal solution. See if you recognize yourself in these scenarios:
You’re Likely an Ideal Candidate if:
Health Profile:
- You have overall good health but may have some medical conditions that make extended surgery risky
- You have experienced moderate bone loss but don’t want to undergo extensive bone grafting
- You need a solution that accommodates controlled conditions like diabetes or osteoporosis
Financial Considerations:
- You’re seeking a long-term solution but the $20,000+ investment for All-on-4 isn’t feasible
- You want value but aren’t willing to compromise on having fixed teeth
- You’re looking to maximize potential insurance benefits
Lifestyle Factors:
- You want a secure smile that doesn’t restrict your diet or social activities
- You value easy maintenance and thorough cleaning options
- You prefer the most comfortable option that still provides a natural look
- You want a solution that can be adapted or modified as your needs change
Previous Experience:
- You’ve been unhappy with traditional dentures
- You’ve been told you’re not a candidate for All-on-4
- You’ve hesitated about implants due to concerns about invasive surgery
Why Choose Dental Designs by Alisa Reed?
At Dental Designs by Alisa Reed, we believe in personalized solutions, not one-size-fits-all treatments. Dr. Alisa Reed and Dr. Stacey Smith have decades of experience helping patients like you rediscover their smiles through high-quality, compassionate care.
Whether you need a second opinion, are curious about dental implants, or are looking for an All-on-4 alternative, our team is here to help you feel comfortable, informed, and confident in your choices.
We’re proud to serve patients across The Woodlands, offering leading-edge care with a hometown feel.
Don’t wait to transform your smile! Call us at 281-623-4996 or request an appointment online to discover your best tooth replacement options.
Dr. Alisa Reed is a seasoned dentist with over 25 years of experience in the dentistry field spanning preventive to cosmetic dentistry. She regularly attends continuing dental education classes and seminars on advanced dental procedures. Passionate about helping her patients achieve optimal oral health and well-being, she has recently started treating those with sleep apnea through effective sleep medicine treatments.
Read The Full Bio