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All-on-4® Dental Implants in Londonderry & Salem, NH
A Life-Changing Full Arch Solution with Fewer Implants
For patients missing most or all of their teeth, All-on-4® dental implants offer a revolutionary solution—replacing an entire upper or lower arch with just four strategically placed implants. At Curtin Oral Surgery & Associates, we provide this advanced treatment option in both Londonderry and Salem, helping patients restore function, appearance, and confidence in a single, streamlined process.
Our locations are easily accessible for patients throughout Southern New Hampshire and the Merrimack Valley, including Derry, Windham, Pelham, and Methuen, MA. Whether you're visiting our Londonderry office just off I-93 or our Salem practice on Main Street, you'll receive a personalized treatment plan rooted in surgical expertise and patient comfort.
What Is the All-on-4 Treatment Concept?
The All-on-4® technique replaces a full set of missing teeth using just four dental implants per arch. These implants are strategically angled and positioned to support a custom, fixed full-arch prosthesis.
Key Benefits of All-on-4® Include:
- Fewer implants needed, even in areas of low bone density
- Often avoids the need for bone grafting
- Immediate load options may allow for a temporary prosthesis on the day of surgery
- Permanent, stable full-arch restoration
- Improved speech, function, and quality of life
This approach is especially beneficial for patients who are currently wearing dentures or who are facing the loss of multiple teeth.
Why Choose Curtin Oral Surgery for All-on-4®?
As a board-certified oral and maxillofacial surgeon, Dr. Jared Curtin, DDS, has advanced training in full arch rehabilitation and complex implant placement. Our practice combines surgical precision, state-of-the-art 3D imaging, and patient-centered planning to ensure optimal outcomes for All-on-4® procedures.
Many patients come to us after being told they are not candidates for implants elsewhere due to bone loss. With the All-on-4® technique, we can often avoid the need for grafting and still deliver a stable, lasting result.
Our full arch implant treatments are performed in-house at either our Londonderry office or our Salem location, both fully equipped for surgical procedures and sedation.
The All-on-4® Treatment Process
While the specifics vary based on your case, the All-on-4® process typically includes:
- Comprehensive Evaluation — Advanced imaging (CBCT scans) and assessment of your bone structure and oral health.
- Surgical Placement of Four Implants — Performed under local anesthesia with optional IV sedation or oral conscious sedation for comfort.
- Immediate or Delayed Restoration — In many cases, a temporary prosthesis can be placed on the same day. Final prosthetics follow after healing.
- Final Restoration — Your dentist will fabricate and place a custom full-arch restoration tailored to your smile.
We work closely with your restorative dentist to ensure seamless coordination and beautiful results.
Is All-on-4® Right for You?
You may be a candidate for All-on-4® if you:
- Are missing most or all of your upper or lower teeth
- Are tired of wearing loose or uncomfortable dentures
- Have been told you're not a candidate for traditional implants due to bone loss
- Want a long-term solution that looks and feels like real teeth
If you're unsure whether All-on-4® or another option like implant-supported dentures is right for you, we'll walk you through the best choices for your goals, health, and budget.
FAQs
Is All-on-4® better than traditional dentures?
Yes—for many patients, All-on-4® offers superior function, comfort, and aesthetics compared to removable dentures. The prosthesis is fixed in place and supported by implants, which helps prevent bone loss and allows for a stronger bite.
How long does the All-on-4® process take?
You may receive a temporary prosthesis the same day as your implant surgery. The final restoration is usually placed after 4–6 months of healing.
Do I need bone grafting?
One of the advantages of All-on-4® is that it often avoids the need for bone grafting, even in patients with moderate bone loss. This makes it a faster and more efficient treatment option.
Will I be without teeth during the healing period?
In most cases, no. A temporary prosthesis is typically placed on the same day, so you won't leave the office without teeth.
What kind of sedation is available?
We offer multiple sedation options including IV sedation and general anesthesia, depending on your needs and medical history. These are available at both our Londonderry and Salem locations.
Act fast. Gently rinse the tooth (avoid scrubbing), place it in milk or saline, and contact our office immediately. Quick reimplantation can sometimes save the tooth.
Rebuild Your Smile with All-on-4®
You don't have to live with the discomfort and limitations of missing teeth. With All-on-4®, you can restore your entire smile in fewer steps—without compromising stability or appearance. At Curtin Oral Surgery, we'll guide you through every phase of treatment with expert care.
