Replacing all your teeth with implants is a big decision many people consider after years of dental problems, failing teeth, or wearing uncomfortable dentures. When someone asks “can I replace all your teeth with implants,” they want to know what the process looks like, who is a good candidate, the types of full‑mouth solutions, recovery, cost, and risks. This article explains planning and treatment options, the step‑by‑step process, day‑to‑day recovery, long‑term care, likely costs and insurance issues, possible complications, and the next steps to take if you want to replace all your teeth with implants in St. Louis, MO.
Who can replace all your teeth with implants?
Most adults who want a stable, long‑term solution can be evaluated to see if they can replace all your teeth with implants. Key factors are oral health and bone volume — enough jawbone is needed to anchor implants. Medical conditions such as uncontrolled diabetes, active cancer treatment, or heavy smoking can affect healing and candidacy. Age alone is not a barrier, but realistic expectations are important: implants restore chewing and appearance but require surgical care and maintenance. When bone is thin or sinuses are low, additional treatments like bone grafts or sinus lifts may be required before implants can be placed.
Types of full‑mouth implant solutions
All‑on‑4 / All‑on‑6 (fixed full‑arch)
All‑on‑4 or All‑on‑6 refers to a fixed prosthesis supported by four or six implants per arch. The typical workflow includes removing failing teeth, placing implants (often angled to maximize bone use), and attaching a provisional fixed bridge the same day or soon after. Pros: a stable, non‑removable solution that feels most like natural teeth and offers strong chewing function. Cons: higher upfront cost, and if one implant fails the entire prosthesis may need attention.
Implant‑supported bridge or multiple individual implants
Some patients choose to replace every tooth with individual implants and crowns or use implant‑supported bridges across spans. This can be more expensive and take longer but offers maximal tooth‑by‑tooth restoration and easier repairs in some cases. Bridges require fewer implants but still provide fixed restorations.
Removable overdentures vs fixed restorations
Removable implant overdentures snap onto two to four implants and are typically less costly. They improve stability over traditional dentures but are removable for cleaning. Fixed restorations stay in the mouth and are cleaned like natural teeth. Overdentures can be a good interim or cost‑sensitive option; fixed bridges offer the best function and comfort long‑term.
Step‑by‑step: What to expect when you replace all your teeth with implants
Consultation and advanced planning
The first visit includes a medical and dental history review, clinical exam, and imaging. A 3D CBCT scan shows bone volume and nerve locations, while intraoral scans and digital smile design tools help plan the final look. Your dentist will review options, timelines, and estimated costs and create a personalized treatment plan for those who want to replace all your teeth with implants in St. Louis, MO.
Surgical phase: extractions, grafting, guided implant placement
Surgery may happen in stages or all at once. Teeth that can’t be saved are removed. If bone grafting or sinus lifts are needed, those may be done at the same time or months before implant placement depending on healing. Many teams use computer‑guided placement to improve accuracy. Local anesthesia, oral sedation, or IV sedation can help patients stay comfortable during longer procedures.
Temporary teeth, healing, and final restorations
After implants are placed, provisional (temporary) teeth are commonly provided so you’re not without function or appearance while implants integrate with bone — a process that typically takes 3–6 months. Once healed, the final crowns, bridges, or fixed arches are fabricated and delivered for a precise fit and esthetic finish.
Recovery timeline and day‑to‑day expectations
Expect soreness, swelling, and some bruising for several days after surgery. Pain is usually managed with medication and ice packs. Diet typically progresses from liquids and soft foods to normal foods over a few weeks as healing allows. Many people return to light activities within a few days and resume normal exercise in 1–2 weeks, depending on the extent of surgery.
Long‑term care and maintenance
Daily hygiene — brushing, flossing, and using interdental brushes — is essential. Implant restorations require regular professional cleanings and checkups every 3–6 months at first, then at intervals your dentist recommends. With good care, implants can last many years, but checkups catch problems early.
Costs, insurance, and financing when you replace all your teeth with implants
Costs vary widely based on the number of implants, need for grafting or extractions, type of final prosthesis, laboratory fees, and sedation. Fixed full‑arch solutions cost more than overdentures. Some dental insurance covers parts of the treatment (extractions, certain prosthetics) but often excludes implant hardware. Common financing includes dental loans, third‑party medical financing, and in‑office payment plans. Get an itemized estimate to compare options.
Risks, complications, and how they’re managed
Potential complications include infection, failed osseointegration (implant failure), nerve injury causing numbness or altered sensation, and sinus problems for upper implants. Experienced teams reduce risks with careful planning, imaging, and sterile technique. Red‑flag symptoms needing prompt care: severe uncontrolled bleeding, spreading swelling, persistent fever, sudden numbness, or a loose implant.
Questions to ask your dentist
– How many full‑mouth implant cases have you placed? – Do you use CBCT and guided surgery for planning? – What sedation options do you offer? – What is the expected timeline and number of visits? – What warranties or follow‑up care are included? – Can I see before‑and‑after photos of similar cases?
Why experience and advanced technology matter
High implant volume and advanced credentials improve outcomes and predictability. South County Complete Dental Care and Dr. James Fetsch bring extensive implant experience and advanced training to full‑arch cases. The practice uses 3D CBCT, intraoral scanning, RAYFace facial scanning, X‑Nav guided surgery, and digital smile design to plan precise, esthetic results. Sedation options, private suites, and a patient‑first team support comfort during longer treatments.
Is replacing all your teeth with implants right for you? Next steps
If you’re thinking about replacing all your teeth with implants in St. Louis, MO, book a consultation. Bring prior x‑rays and a list of medications and medical history. Ask for a CBCT scan, a clear treatment timeline, and a written cost estimate. To learn which full‑mouth option fits your goals and budget, schedule a visit to discuss personalized planning and comfort options with a qualified implant team.
