A complete new smile with All-on-X implants
Replacing a full set of upper or lower teeth can be genuinely life-changing. With All-on-X, just four to six carefully placed implants support a beautiful fixed bridge - often with new teeth fitted the same day.
What does "All-on-X" actually mean?
The "X" simply refers to the number of dental implants used - usually four, sometimes six, occasionally more depending on the case. The clever bit isn't the number itself, but how the implants are positioned. By tilting some of them carefully into the strongest, densest areas of your jawbone, we can support an entire arch of new teeth without needing one implant per tooth.
Why All-on-X matters more than the technical name suggests
Most patients who come to us about All-on-X aren't really there for the dental detail. They're there because they've spent years with failing teeth, awkward dentures, or the kind of smile they no longer recognise. All-on-X is genuinely one of the most rewarding treatments we offer - because the change it makes to a patient's life goes far beyond their mouth.
Complete implant dentistry in Richmond, including full arch reconstruction
Full arch implant treatment isn't something every practice offers in-house. Our team handles the entire process at Richmond Hill Dental, from initial 3D planning through to your final fitted teeth. That means you stay with the same familiar team throughout, and your treatment is never split awkwardly between different clinics.
Is All-on-X right for you?
This treatment tends to suit patients who:
- Have multiple failing or unrestorable teeth in one or both jaws
- Have struggled for years with loose, uncomfortable or ill-fitting dentures
- Have lost most of their teeth, often through advanced gum disease
- Want a fixed, permanent solution rather than something removable
- Have been told they don't have enough bone for traditional implants
A thorough consultation and 3D scan will confirm whether you're a suitable candidate, and we'll always be honest if a different approach would suit you better.
The benefits of choosing full arch implants
All-on-X gives patients something dentures simply can't:
- A fixed, non-removable set of teeth that don't shift or click
- The ability to eat, speak and smile without thinking about your teeth
- A more natural appearance and feel than removable solutions
- No adhesives, no overnight soaking, no embarrassment
- Help preserving the jawbone over time
- Often avoids the need for extensive bone grafting
Modern dentistry in Richmond powered by 3D planning
Every All-on-X case begins with a detailed 3D CBCT scan and digital iTero impressions. This lets us see your jawbone, nerves and sinuses in remarkable detail, then plan the exact position, depth and angle of every single implant - virtually - long before any surgery happens.
Your All-on-X journey at Richmond Hill Dental
Full arch implant treatment is a properly considered process, and we'll be alongside you every step of the way. Here's exactly what to expect.
Step 1 - Your initial consultation
You'll meet our implant team for a dedicated consultation (£95), where we'll listen carefully to your goals, examine your current situation, and explain whether All-on-X is the right path for you.
Step 2 - 3D scan and digital planning
We'll take a 3D CBCT scan of your jaw and digital impressions of your mouth, then plan every implant virtually before any surgery happens. You'll receive a clear, fully costed written treatment plan to take home and consider.
Step 3 - Stabilisation before treatment
Some patients need preparatory work first - gum treatment, careful management of failing teeth, or hygiene visits to settle inflammation. We'll never rush this stage, because the foundation matters.
Step 4 - Implant placement and same day teeth
On surgery day, any remaining failing teeth are gently removed, the implants are placed in their carefully planned positions, and a fixed temporary bridge is attached - usually within the same appointment. Most patients have their treatment under IV sedation for maximum comfort.
Step 5 - Healing and integration
Over the next three to six months, your implants bond firmly with your jawbone. You'll wear your fixed temporary teeth throughout, eating soft foods initially and gradually returning to normal as healing progresses.
Step 6 - Your final teeth
Once your implants have fully integrated, we'll fit your final, beautifully crafted set of teeth. You'll have input on how they look - shape, shade, character - so the finished smile feels properly yours.
Why patients across Richmond choose us for full arch implants
Our team has been carrying out implant dentistry for many years, with a quietly excellent reputation across Richmond, Kew, East Sheen and TW10. A few of the reasons patients choose us:
- Detailed digital planning using in-house 3D CBCT scanning
- Dentsply Sirona implant systems, one of the most trusted in the world
- Focus on long-term function, not just immediate aesthetics
- Honest, no-pressure assessment of your suitability
- Calm, family-feeling practice rather than a corporate clinic
- A team that genuinely cares about how you feel along the way
How long does All-on-X treatment take?
From your first consultation to your final teeth, most cases take six to nine months in total. The implants themselves are placed in a single surgical visit (often with same day temporary teeth), and the healing period that follows allows the implants to bond firmly with your jawbone. We'll give you a clear, realistic timeline at your consultation.
How much does All-on-X cost in Richmond Hill?
We're a fully private practice with transparent, upfront pricing across every stage:
- Implant consultation - £95
- 3D CBCT diagnostic scan - £125
- All-on-X full arch treatment - from £9,000 per arch
- IV sedation - from £500
- Stabilise loose denture - from £3,000
Final pricing depends on the number of implants used, the complexity of your case, and whether additional procedures (such as bone grafting) are needed. You'll always receive a full written treatment plan before agreeing to anything.
Frequently asked questions
Is All-on-X surgery uncomfortable?
The whole area is fully numbed throughout, and most patients have their treatment under IV sedation - which means they remember very little of the appointment. Mild tenderness in the days afterwards is normal and tends to settle quickly with simple pain relief.
How long do All-on-X implants last?
With good home care and regular hygiene visits, the implants themselves regularly last for decades. The fixed teeth attached on top may need refurbishing or replacing after 10 to 15 years depending on wear and care - similar to how natural teeth may need attention over time.
Will I be without teeth during treatment?
For most patients, no. A fixed temporary bridge is usually attached on the same day as your implant surgery, so you'll leave the practice with a complete set of teeth. Your final, beautifully crafted teeth are fitted three to six months later, once the implants have fully healed.
What if I've been told I don't have enough bone for implants?
That's exactly the kind of case All-on-X is designed for. By tilting some implants into the strongest, densest areas of the jawbone, we can often avoid the need for extensive bone grafting. Our 3D CBCT scan will show clearly what's possible for you.
Will my new teeth look natural?
Beautifully so. Your final teeth are digitally designed and carefully matched to suit your face, lip line, age and personality. Most patients say their new smile looks better than their natural teeth ever did - and certainly better than any denture they've worn.
Can I have All-on-X if I currently wear dentures?
Yes, and it's one of the most common reasons patients come to us for this treatment. We'll assess whether All-on-X or simpler denture stabilisation?? would be the right step for you, and explain the difference clearly.
How do I keep All-on-X teeth clean?
We'll teach you exactly how to look after your new teeth using specialised brushes, water flossers and interdental cleaners. Regular hygiene appointments every three to four months are important to keep everything healthy long-term.
Will I need to take time off work?
Most patients take three to five days off after their implant placement to allow for initial swelling and recovery. By the end of the first week, the majority are back to normal activities, although we'd suggest avoiding heavy exercise for a little longer.