All-on-4 Dental Implants

Office Location

4824 S Union Ave, 
Tulsa, OK 74107

Transform your entire smile in a single appointment with All-on-4 dental implant technology. This revolutionary approach replaces a full arch of damaged or missing teeth using only four precisely placed implants, giving you a complete, functional smile on the day of your procedure.

Dr. Joanna Roulston and the team at Tulsa Dental Center specialize in helping patients regain confidence through this life-changing treatment. Whether you’re struggling with multiple failing teeth, uncomfortable dentures, or extensive dental problems, All-on-4 offers an immediate solution that restores both function and beauty to your smile.

Our patients often come to us feeling self-conscious about their teeth, avoiding social situations, or struggling to eat the foods they love. All-on-4 changes everything, providing a permanent solution that feels and functions like natural teeth from day one.

Why Choose All-on-4 Technology?

  • Immediate Functionality – Walk out with working teeth the same day
  • Streamlined Process – Avoid lengthy treatment timelines
  • Bone Preservation – Maintain facial structure without grafting
  • Enhanced Comfort – No more slipping or uncomfortable dentures
  • Superior Aesthetics – Custom-crafted for natural beauty
  • Lasting Solution – Designed for decades of reliable function
  • Simplified Maintenance – Clean and care like your original teeth
  • Restored Confidence – Speak, laugh, and eat without worry

Ready to reclaim your smile? Contact Tulsa Dental Center at (918) 446-6100 for your consultation.

How All-on-4 Works

All-on-4 technology strategically places four dental implants to support an entire arch of replacement teeth. Dr. Roulston positions these implants at calculated angles to maximize contact with existing bone structure, often eliminating the need for bone grafting procedures that can delay treatment for months.

The process begins with careful evaluation of your jaw structure using advanced imaging technology. This allows precise planning of implant placement to achieve optimal stability and support for your new teeth.

Innovative Implant Positioning

Unlike traditional methods requiring multiple implants, All-on-4 uses an innovative angled approach that takes advantage of your strongest bone areas. The two front implants are placed vertically, while the back implants are angled to avoid sensitive areas like sinuses while maximizing bone contact.

This strategic positioning creates a solid foundation that can immediately support temporary teeth, allowing you to leave our office with a complete smile on treatment day.

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Premium Materials for Lasting Results

Your final restoration will be crafted from high-grade zirconia, representing the pinnacle of dental material technology. Unlike older acrylic materials, zirconia provides exceptional strength while maintaining the translucent properties that create natural-looking teeth.

Zirconia Benefits

  • Unmatched Strength – Withstands normal chewing forces without damage or wear
  • Natural Appearance – Light transmission mimics real tooth enamel for realistic aesthetics
  • Stain Resistance – Maintains color and luster over time with proper care
  • Biocompatibility – Works harmoniously with your body’s natural tissues
  • Longevity – Engineered for decades of reliable performance

The result is a restoration that not only looks beautiful but performs reliably for years to come, giving you confidence in both appearance and function.

Ideal Candidates for All-on-4

This treatment works exceptionally well for patients facing various dental challenges. You may be an excellent candidate if you’re dealing with multiple tooth loss, failing dental work, or uncomfortable dentures that interfere with daily life.

Many patients who’ve been told they need extensive bone grafting find that All-on-4’s angled approach makes treatment possible without these additional procedures. The technique often works even when traditional implants aren’t feasible due to bone limitations.

Perfect for patients with:

  • Extensive tooth loss in one or both arches
  • Failing bridges or dental work requiring replacement
  • Uncomfortable or unstable dentures
  • Moderate bone loss without desire for grafting procedures
  • Need for immediate tooth replacement

Age alone doesn’t determine candidacy – we evaluate each case individually to ensure All-on-4 provides the best solution for your specific situation.

Your Treatment Experience

Consultation and Planning

Your journey begins with a comprehensive evaluation where Dr. Roulston examines your oral health, discusses your goals, and determines if All-on-4 meets your needs. Advanced imaging helps plan precise implant placement for optimal results.

Treatment Day

The procedure typically requires 4-6 hours, depending on your specific case complexity. You’ll receive sedation for comfort throughout the process, and leave with secure temporary teeth attached to your new implants.

Healing and Integration

Over the following 3-4 months, your implants integrate with surrounding bone tissue while you wear temporary restorations. This healing period ensures optimal stability before creating your permanent teeth.

Final Restoration

Once healing is complete, we’ll create your custom zirconia teeth through a series of appointments spanning several weeks. This process ensures perfect fit, function, and aesthetics for your permanent smile.

Investment and Financial Options

All-on-4 represents a significant investment in your quality of life and overall health. Our transparent pricing includes everything needed for complete treatment – from extractions through final restoration.

Treatment includes:

  • All necessary extractions
  • Implant placement (4-6 per arch)
  • Bone grafting when required
  • Sedation for comfort
  • Temporary fixed teeth
  • Final zirconia restoration
  • Comprehensive follow-up care

Making Treatment Affordable

We partner with leading financing companies to help make your treatment accessible. Options include extended payment plans with manageable monthly amounts that fit your budget.

Insurance benefits can often be applied to portions of your treatment, and we’ll help maximize your coverage. Multiple payment methods are accepted for your convenience.

Call (918) 446-6100 to discuss personalized financing solutions that work for your situation.

First-Time Patient?

Learn more about the Tulsa Dental Center Experience

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The Tulsa Dental Center Difference

Expert Care You Can Trust

Dr. Joanna Roulston has invested extensively in advanced implant training, studying the latest techniques to provide optimal outcomes for her patients. Her commitment to continuing education ensures you receive the most current and effective treatment available.

Advanced Technology

Our digital workflow allows precise treatment planning and custom restoration design. We can show you projected results and make adjustments before treatment begins, ensuring you’re completely satisfied with your planned outcome.

Honest, Transparent Approach

Many practices advertise low prices only to add unexpected fees later. Our comprehensive pricing includes premium materials and complete care without hidden costs or surprise charges.

Comfort-Focused Care

We understand dental anxiety and offer multiple sedation options to ensure your complete comfort. From oral sedation to IV options, we’ll customize your experience for maximum relaxation throughout treatment.

Recovery and Adaptation

What to Expect Initially

Some bleeding and swelling following surgery is completely normal and typically resolves within 48 hours. We provide detailed post-operative instructions and medications to keep you comfortable during healing.

Time Away from Work

Most patients benefit from taking 4-7 days off work to focus on initial healing and adaptation to their new teeth. This time allows proper rest and adjustment to speaking and eating with your restoration.

Learning Your New Smile

Every patient adapts differently to their All-on-4 teeth. Most find the adjustment period relatively brief, while others may need additional time to become completely comfortable. Patience during this phase leads to the best long-term results.

Schedule Your Consultation

Don’t let one practitioner’s opinion prevent you from exploring this life-changing treatment. Multiple techniques and approaches exist that may work even when other options seem limited.

Contact Tulsa Dental Center today at (918) 446-6100 to schedule your All-on-4 consultation with Dr. Joanna Roulston. During this appointment, we’ll evaluate your specific situation and discuss whether this treatment offers the right solution for your needs.

Common Questions About Teeth in a Day

 

Will I be able to eat normally afterward?

You’ll receive functional temporary teeth immediately, but initially need to follow a soft diet to support proper healing. As your mouth heals and implants stabilize, you’ll gradually return to enjoying all your favorite foods.

How much does All-on-4 treatment cost?

Pricing varies based on individual needs, but typically ranges from $25,000-$35,000 per arch nationally. We provide detailed cost breakdowns during consultation and offer financing to make treatment accessible.

How long does the actual procedure take?

Expect 3-4 hours per arch for the surgical procedure. Full mouth treatment naturally requires a longer appointment to complete both upper and lower restorations.

Will the procedure be painful?

Anesthesia ensures you feel no discomfort during treatment. Post-operative pain is typically manageable with prescribed medications and usually peaks within the first 48 hours before gradually improving.

How long does recovery take?

While individual healing varies, most patients experience their most significant discomfort in the first few days. Complete healing and adaptation to new teeth can take several months.

Can All-on-4 work with limited bone?

Often, yes. The angled implant technique frequently enables treatment even when patients have been told they lack sufficient bone for traditional implants. Multiple placement strategies can achieve successful outcomes.

Can I get All-on-4 the same day as extractions?

Absolutely. Same-day extractions and implant placement actually represent the ideal scenario, as you’ll have maximum bone volume available on extraction day.

Do I need to see a specialist?

Dr. Roulston is qualified to perform All-on-4 procedures through extensive continuing education in implant dentistry. She regularly travels to study advanced techniques, making specialized referral unnecessary.

Do you offer payment plans?

Yes, we work with multiple financing partners to provide flexible payment options. Applications are quick and easy, with immediate approval decisions in most cases.

Are the bridges attached immediately?

This depends on your individual case. Some patients receive immediate loading (same-day attachment), while others may need delayed loading based on implant stability and bone quality.

How long will I experience bleeding?

Normal post-operative bleeding typically subsides within 24-48 hours. Contact our office immediately if bleeding continues beyond this timeframe or becomes concerning.

Will I need to learn how to use my new teeth?

Most patients require some adjustment time to become completely comfortable with their new teeth. The adaptation process varies, but patience and practice lead to excellent long-term results.

Will All-on-4 affect my speech?

Temporary speech changes are possible as you adapt to your new teeth. Most patients adjust relatively quickly and regain normal speech patterns within a short time.

When can I use a water flosser after surgery?

Wait 1-2 weeks until initial healing progresses before incorporating water flossing into your routine. Follow our specific post-operative instructions for optimal healing.

Am I too young for this treatment?

Age isn’t the determining factor – dental condition is. All-on-4 is appropriate for anyone with significant tooth loss or damage, regardless of age.

How should I prepare for recovery?

Stock soft foods, arrange ice packs for swelling, plan transportation home, take time off work, and fill prescriptions before your procedure for optimal recovery preparation.

What are the final teeth made from?

We use premium zirconia for final restorations. This material offers exceptional strength, natural appearance, and long-term durability compared to traditional alternatives.

How do you achieve stability for immediate teeth?

When adequate bone quality provides sufficient primary stability, implants can immediately support temporary teeth. The temporary restoration splints implants together, preventing movement during healing.

Why should I choose local treatment?

Local treatment ensures your surgeon is available if any issues arise. International options may seem cost-effective initially but can become expensive when considering total costs and potential complications.

Do All-on-4 teeth ever move?

No. Your bridges are rigidly secured to implants that are firmly anchored in bone. Any movement indicates a problem requiring immediate evaluation.

Why is it called "teeth-in-a-day"?

You receive functional temporary teeth on treatment day. Starting with temporaries allows your mouth to heal and adapt before creating permanent teeth for optimal long-term results.

Can temporary teeth break?

Temporary acrylic teeth can chip or crack occasionally. Fortunately, acrylic repairs easily, and we can address any issues promptly when they arise.

Can final zirconia teeth break?

While theoretically possible, zirconia damage is extremely rare due to its exceptional strength. It’s among the most durable materials available in modern dentistry.

Can you use existing implants for All-on-4?

Existing implants typically can’t be incorporated into All-on-4 treatment due to positioning requirements and integration with our specific treatment protocol.

Can I remove the bridges myself?

No. All-on-4 bridges are permanently attached and require professional tools and expertise for removal. Only a dentist can safely remove these restorations.

Will food get stuck under the bridges?

Some food trapping is possible, which is why we recommend daily water flossing and specialized cleaning tools. Proper hygiene maintains your restoration and oral health.

How much time off work do I need?

Generally 4-7 days, though some patients prefer longer to fully adapt to their new teeth. Consider potential swelling and the adjustment period when planning time away.

Do you professionally clean All-on-4 teeth?

Yes, we recommend annual professional maintenance for your All-on-4 restoration. Regular professional care supports longevity and optimal oral health.

Can implants fail?

While uncommon, implant failure can occur due to various factors including infection, poor hygiene, medical conditions, or smoking. Following post-operative instructions minimizes risk.

Will I produce excess saliva initially?

New oral appliances can temporarily stimulate increased saliva production. This natural response typically normalizes within a few days as your body adapts.

What sedation options are available?

We offer both oral conscious sedation using prescribed medications and IV sedation for deeper relaxation during your procedure, depending on your comfort needs.

Who developed All-on-4?

Portuguese dentist Dr. Paulo Malo created the All-on-4 technique in the late 1990s to help patients with extensive tooth loss. The procedure has since gained worldwide acceptance and refinement.

We're Ready To See You!

Get the help and high quality service you need.  Our team is standing by and ready to assist you with any questions you may have.

Contact Information

Payment Methods:

Tulsa Dental Center Credit Cards

Business Hours

 

Monday 8AM - 5PM
Tuesday 8AM - 5PM
Wednesday 8AM - 5PM
Thursday 8AM - 5PM
Friday Closed
Saturday Closed
Sunday Closed

 

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