Home / Procedures / Dental implants / All-on-X and All-on-4

Oral and maxillofacial surgery · Brisbane

All-on-X and All-on-4 dental implants

Dental implants can replace all the teeth in the upper and/or lower jaws. Dr Tuckett offers a full-service pathway in Brisbane, from extractions and bone grafting through to implant surgery, and works with a specialist prosthodontist or your own dentist for the new teeth.

Illustration comparing All-on-4 and All-on-X: a full arch of teeth supported by four implants, and by more than four, in the lower jaw
Illustration of an implant in the jaw bone.
Full serviceextractions, bone grafting, sinus lifting and implants
Custom guidesmade from a CT scan and an in-house intraoral scan
General mainlyanaesthetic, with local and sedation also offered
Usually referredby your dentist or GP

About full-arch implants

Replacing all the teeth in a jaw

Dental implants can replace a single missing tooth, or all the teeth in the upper and/or lower jaws. All-on-4 and All-on-X are names often used for replacing a full arch of teeth on a small number of implants.

The new teeth

A prosthesis for the whole arch

In a jaw with no teeth, the prosthesis covers almost the full dental arch.

  • Some prostheses with many teeth are fixed permanently onto the implants with screws or special cement
  • Other types can be taken out for daily cleaning
The number of implants

It depends on the prosthesis

The number of implants Dr Tuckett places depends on the prosthesis. For example, for a complete upper prosthesis of 12 artificial teeth, four or more implants may be needed.

The plan for your jaw is worked out after your consultation, once your scans have been reviewed.

Illustration of a full set of upper and lower teeth fixed to implants in the jaw bones, shown through a transparent skull
Illustration of full-arch teeth fixed to implants in the upper and lower jaws.

For the general steps of implant treatment, see dental implants.

Under one roof

A full-service pathway

Dr Tuckett offers each of these, so your treatment can be planned as one pathway.

The pathway

From first appointment to new teeth

Four stages, shared between Dr Tuckett and the dentist or prosthodontist who makes your teeth.

  1. Step 1

    Consultation and assessment

    You have a consultation and assessment with Dr Tuckett. He arranges your scans, takes your consent and tailors the surgery to you. Bring any x-rays or CT scans you already have.

  2. Step 2

    Your plan and quote

    Once your plan is made, the rooms give you a quote. Dr Tuckett also works with the prosthodontist or your own dentist to plan the teeth that will attach to the implants.

  3. Step 3

    Surgery

    Dr Tuckett uses custom surgical guides, made from a CT scan and an in-house intraoral scan. Where your plan needs it, extractions, bone grafting and sinus lifting form part of your treatment. After your procedure he gives you specific care instructions, and general after surgery care is here.

  4. Step 4

    The restoration

    A specialist prosthodontist makes the restoration. If your own dentist is qualified, you go back to them for it instead.

Is it for you?

Working out what suits you

Whether a full-arch plan is the right choice is something you and Dr Tuckett work out at your consultation, after the assessment and scans. He explains the options available and the risks, and tells you what to expect.

Questions such as how many implants you need, how the surgery is planned and how long each stage takes depend on your jaw and your scans. They are answered for you personally at the consultation, not in general terms on a web page.

Bring with you

Any x-rays or CT scans you have already had organised. Dr Tuckett will advise if any further investigations are required.

Where you'll have surgery

Anaesthetic options

Dr Tuckett uses general anaesthetic mainly, and also offers local anaesthetic and sedation. Which one is used is decided with you as part of your assessment.

Used mainly

General anaesthetic

Being put to sleep for the surgery. General anaesthetic is given by a specialist anaesthetist, who puts you to sleep and wakes you up safely.

Also offered

Local anaesthetic and sedation

Dr Tuckett also offers local anaesthetic and sedation. He talks through these options with you at your consultation.

About risk. Dr Tuckett discusses the procedure and its associated risks with you in depth at your consultation, before you decide. After your procedure he gives you specific instructions for your care, and those are the ones to follow. Surgery carries risk, and you should seek a second opinion if you're unsure.

Fees

Cost

Every full-arch plan is different, so any fee information on this website is general guidance only. After your consultation and assessment, the rooms give you a quote based on your plan. Call (07) 3063 7675 if you'd like to ask about fees before you book.

Getting started

Referral and waiting times

A referral is usually needed.

Consultations are held at each of his rooms, including Everton Park, Queen Street, Mater South Brisbane, Mater Redlands and Tarragindi.

For dentists and GPs

Referring a patient for full-arch implants? Dr Tuckett works with a specialist prosthodontist, or sends your patient back to you for the restoration if you're qualified to provide it. Include any x-rays or CT scans you have.

  • Online referral form
  • Email
  • Fax
  • PDF referral
Open the referral form

Questions

All-on-X and All-on-4 questions

Can dental implants replace all the teeth in a jaw?

Yes. Dental implants can replace all the teeth in the upper and/or lower jaws. In a jaw with no teeth, the prosthesis covers almost the full dental arch.

How many implants will I need?

The number depends on the prosthesis. For example, for a complete upper prosthesis with 12 artificial teeth, four or more implants may be needed. Dr Tuckett works out the plan for you after your consultation and scans.

Are the new teeth fixed in place or removable?

Some prostheses with many teeth are fixed permanently onto the implants with screws or special cement. Other types can be taken out for daily cleaning.

Will I be asleep for the surgery?

Dr Tuckett offers general anaesthetic mainly, and also local anaesthetic and sedation. The choice is discussed with you as part of your assessment.

Do I need a referral?

Usually, yes. Your dentist or GP can refer you using the online referral form, email, fax or a PDF referral. More on referrals.

Who makes the new teeth?

Dr Tuckett places the implants. A specialist prosthodontist makes the restoration, or if your own dentist is qualified, you return to them for it.

How much does it cost?

Fees depend on your individual plan, so any figures here would be general guidance only. After your consultation and assessment, the rooms give you a quote.

Book an implant consultation

Call the rooms on (07) 3063 7675, or send an enquiry and the team will come back to you.

Dr Joel Tuckett in surgical scrubs with a headlight, arms crossed

About Dr Joel Tuckett

Dr Tuckett is an Oral and Maxillofacial Surgeon. At your consultation he explains the options and risks, and he looks after you from the first appointment through to discharge.

Dr Tuckett is an internationally published author in the fields of Facial trauma, Antibiotic stewardship, Radiotherapy induced Xerostomia, Parotid surgery and Head and Neck cancer. He is a senior lecturer at the University of Queensland where he educates both medical and dental students.

He currently has public appointments at the Princess Alexandra, STARS and Mackay Base hospitals where he works to train the new generation of surgeons.

Find out more →

Memberships and affiliations

ANZAOMS, full member The University of Queensland Australian Medical Association Royal Australasian College of Dental Surgeons Academy of Oral and Maxillofacial Implantologists (AOMI)
Brisbane Face and Jaw Surgery
Brisbane and Everton Park
Mater Private Hospital Redland
Redlands