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What to Expect from All-On-X Dental Implants for Severe Bone Loss Patients

caucasian lady treats her teeth at the dentist

Written by:

Dr. Justin Soon

Published on:

What to Expect from All-On-X Dental Implants for Severe Bone Loss Patients

Having a complete set of teeth is crucial for maintaining proper oral and dental health. Besides enhancing your appearance and self-confidence, a full set of teeth supports proper chewing, digestion, and speech.

However, various conditions like gum disease, tooth decay, or trauma can lead to the loss of teeth, which in turn can cause bone loss in the jaw. Severe jaw bone loss can significantly impact oral and dental health, making it vital for patients to be aware of their options when it comes to treatments like All-on-X dental implants.

In this blog post, we’ll delve into the world of All-on-X dental implants, exploring what they are and discussing whether patients with severe bone loss can still benefit from them. We’ll also touch on the All-on-X dental implant procedure for severe bone loss patients, implant-supported dentures as a possible alternative, and the costs and financing options available for All-on-X dental implants. Additionally, we’ll explore bone grafting techniques that may be utilised to improve the chances of success with All-on-X dental implants.

So, read on and discover what to expect from All-on-X dental implants for severe bone loss patients. Learn more about this innovative dental solution and whether it might be the right choice for you or a loved one.

Summary of The Content

  • All-on-X dental implants offer a transformative solution for patients with severe bone loss, providing increased stability, comfort, and reduced maintenance compared to traditional implants and other tooth replacement options.

  • Severe bone loss can be caused by factors such as periodontal disease, tooth extraction, and pressure from dentures, potentially affecting dental implant candidates.

  • Eligibility for All-on-X dental implants is assessed on a case-by-case basis, with bone grafting considered for improved implant support in some instances.

  • The All-on-X dental implant procedure involves preparation, surgery, and post-surgical care, with the surgical process including implant placement and temporary prosthesis fitting.

  • Implant-supported dentures can be an alternative to All-on-X dental implants, offering pros and cons that patients should compare before deciding on a treatment.

  • The cost of All-on-X dental implants can be managed through payment plans and insurance options, such as health funds, Fund My Dental, Supercare, and MPDSS.

What Are All-On-X Dental Implants?

All-on-X dental implants are a modern and innovative dental implant solution for individuals who have lost multiple teeth or suffer from severe bone loss. This treatment involves the placement of four titanium implants in the upper or lower jawbone, which then support a full arch of teeth. All-on-X dental implants are designed to provide a stable, natural-looking and long-lasting solution for patients with tooth loss due to periodontal disease, tooth decay, or trauma.

All-on-X dental implants are made from various materials, such as titanium, titanium alloy or zirconia, and are surgically inserted into the jawbone to replace natural tooth roots. The implants fuse with the bone over time, providing a strong and stable foundation for the false teeth.

The Advantages of Choosing All-On-X Dental Implants

All-on-X dental implants offer several advantages over traditional dental implants and other teeth replacement options like bridges or removable dentures:

  1. Less invasive:
    Compared to traditional implants, which often require bone grafting for patients with insufficient bone, the All-on-X dental implants may be a less invasive procedure due to the strategic placement of implants, potentially eliminating the need for bone grafts.

  2. Faster treatment time:
    All-on-X dental implants typically require fewer surgical procedures, which can reduce the overall treatment time compared to other options that may need multiple surgeries for bone grafting and implant placement.

  3. Lower cost:
    While still an investment, All-on-X dental implants can be more cost-effective than other treatment options that require multiple individual tooth replacements or extensive bone grafting.

  4. Improved functionality:
    All-on-X dental implants provide a stable and secure foundation for prosthetic teeth, allowing patients to chew and speak more comfortably than traditional dentures.

  5. Natural appearance:
    The false teeth used with All-on-X dental implants are designed to closely resemble natural teeth, providing a more aesthetically pleasing appearance.

  6. Preserves bone structure:
    By replacing lost tooth roots with dental implants, All-on-X helps maintain healthy bone levels in the jaw, preventing further bone loss and preserving the facial structure.

In conclusion, All-on-X dental implants offer a promising solution for patients with tooth loss or severe bone loss, providing a stable, functional, and natural-looking alternative to traditional implants, bridges, or dentures.

By carefully evaluating the extent of bone loss and considering other treatment options, a dentist can help determine if All-on-X dental implants are the right choice for a patient’s unique needs.

Severe Bone Loss: What You Need to Know

Understanding severe bone loss is essential for dental patients, as it can significantly impact their treatment options and the success of dental procedures such as All-on-X dental implants.

Causes of Severe Bone Loss in the Jaw

Several factors can contribute to severe bone loss in the jaw, including:

  1. Periodontal or gum disease:
    Severe gum disease can lead to the breakdown of bone and gum tissue, resulting in the loss of bone mass and reduced bone density over time.

  2. Tooth loss:
    When a tooth is lost, the bone that once supported it begins to atrophy or shrink due to a lack of stimulation from chewing and pressure. This can cause the jawbone to lose volume and strength.

  3. Ill-fitting dentures:
    Dentures that don’t fit properly can put undue pressure on the jawbone, accelerating bone loss and causing further damage to the bone structure.

  4. Trauma:
    Injuries to the face or jaw can lead to bone loss, particularly if the trauma results in tooth loss or damage to the jawbone.

  5. Age:
    As people age, the rate of bone loss tends to increase, making older individuals more susceptible to severe bone loss cases.

How Severe Bone Loss Affects Dental Implant Candidates

Severe bone loss can impact dental implant candidates in several ways:

  1. Insufficient bone for implant placement:
    A strong bone foundation is necessary for dental implant success. Severe bone loss may result in a lack of bone to support the implant, making traditional dental implants unsuitable.

  2. Increased need for bone grafting:
    In cases of severe bone loss, patients may need to undergo bone grafting treatment to regenerate enough bone volume for successful implant placement. This can extend the treatment timeline and increase the overall cost.

  3. Complications in the upper jaw:
    Severe bone loss in the upper jaw can lead to complications such as sinus cavity issues, making it more challenging to place traditional implants.

  4. Reduced bone strength and density:
    Severe bone loss can weaken the jawbone, reducing its ability to support dental implants and potentially leading to implant failure if left unaddressed.

All-On-X Dental Implants for Severe Bone Loss: Is It Possible?

For patients with severe bone loss, the prospect of receiving All-on-X dental implants might seem challenging. However, some measures can be taken to assess eligibility and increase the chances of a successful outcome.

Assessing Eligibility for All-On-X Dental Implants

To determine if a patient is a suitable candidate for All-on-X dental implants, several factors are considered:

  1. Type and extent of bone loss:
    The severity and location of the bone loss can influence the feasibility of All-on-X dental implants. In some cases, the strategic placement of the implants can minimise the need for additional bone support.

  2. Overall oral health:
    Good oral health is crucial for the success of dental implants. Candidates should have healthy gums and be free from active periodontal or gum disease.

  3. Medical history:
    Certain medical conditions or medications can affect a patient’s ability to heal following implant surgery, potentially impacting the success of the treatment.

  4. Lifestyle factors:
    Smoking and excessive alcohol consumption can impede healing and increase the risk of implant failure. Patients may be advised to quit smoking and limit alcohol intake before undergoing All-on-X dental implant surgery.

Considering Bone Grafting for Improved Implant Support

All-on-X dental implants offer a valuable solution that minimises the need for bone grafting procedures. It is important to note, however, that while the All-on-X technique requires less bone density compared to traditional implant methods, a certain level of bone density is still necessary for optimal outcomes. In cases where the minimum threshold of bone density is not met, it may be necessary to consider bone grafting as a supplementary procedure to enhance the implant’s long-term success. Here’s what bone grafting can do:

  1. Increase bone volume:
    Bone grafting can regenerate lost bone and increase the bone volume in areas affected by bone atrophy, providing a more stable foundation for dental implants.

  2. Improve bone density:
    The process of bone grafting can strengthen the jawbone by promoting new bone growth, which in turn can improve bone density and support dental implants.

  3. Combine with other procedures:
    In some cases, bone grafting may be combined with other procedures, such as sinus lift surgery, to further enhance implant support in areas with limited bone availability.

The All-On-X Dental Implant Procedure for Severe Bone Loss Patients

Knowing the ins and outs of the All-on-X dental implant procedure for severe bone loss patients is essential, as it allows them to understand the process better, prepare for the surgery, and have realistic expectations for recovery.

Preparing for the Procedure

Proper preparation can help achieve a smoother surgical experience and faster recovery. Here are some ways to prepare for the All-on-X dental implant procedure:

  1. Consultation:
    Schedule a comprehensive examination with a dental professional to discuss your unique needs, treatment options, and any concerns you may have.

  2. Dental clearance:
    Address any existing dental issues, such as gum disease or tooth decay, to create a healthy environment for the implants.

  3. Medical evaluation:
    If necessary, consult with your primary care doctor to address any medical conditions that could affect the success of the implant surgery.

  4. Pre-operative instructions:
    Follow the dental professional’s guidelines, which may include stopping certain medications with the agreement of your medical doctor, avoiding smoking, and arranging post-operative care and transportation.

The Surgical Process

The All-on-X procedure involves several steps, which include:

  1. Anaesthesia:
    You’ll receive local anaesthesia or sedation for your comfort during dental surgery.

  2. Tooth extraction (if required):
    Any remaining damaged or diseased teeth will be removed to make way for the dental implants.

  3. Bone grafting (if necessary):
    If bone grafting is required, the dental professional will perform this procedure to increase the bone volume and improve the foundation for the implants.

  4. Dental implant placement:
    The dentist will strategically place four titanium screws into the jawbone, with two angled implants at the back to maximise support in areas of bone loss.

  5. Abutment attachment:
    Abutments, which connect the dental implants to the prosthetic teeth, will be attached to the implants.

  6. Temporary teeth:
    A set of temporary teeth will be placed on the abutments, allowing you to eat and speak while the implants heal and fuse with the bone during the recovery period.

Post-Surgical Care and Recovery

Following the All-on-X dental implant procedure, patients should:

  1. Follow their dentist’s instructions regarding pain management, oral hygiene, and any necessary medications.

  2. Eat a soft diet for the first few weeks to minimise pressure on the implants and promote healing.

  3. Attend follow-up appointments to monitor the healing process and to check that the implants are fusing properly with the bone.

  4. Maintain good oral hygiene and continue to visit your dentist for regular check-ups and cleanings.

Implant-Supported Dentures: A Possible Alternative

For patients considering All-on-X dental implants, it’s important to be aware of other treatment options, such as implant-supported dentures. These dentures are another viable solution for replacing missing teeth and may be more suitable for certain patients, depending on their unique needs and preferences.

Comparing All-On-X Dental Implants and Implant-Supported Dentures

Here is a comparison table outlining the main differences between All-on-X dental implants and implant-supported dentures:

All-on-X Dental ImplantsImplant-Supported Dentures
Fixed and non-removableRemovable
Four implants per archTypically 2-6 implants per arch
Full-arch replacementCan be a full-arch or partial replacement
Faster treatment timeMay require more time for treatment
Higher initial costPotentially lower initial cost

Pros and Cons of All-on-X Dental Implants


  1. Stability and security:
    The fixed nature of All-on-X dental implants provides excellent stability and security, eliminating the risk of dentures slipping or clicking.

  2. Improved comfort:
    Since All-on-X implants are fixed and non-removable, they closely resemble the feel and function of natural teeth, offering improved comfort and confidence.

  3. Faster treatment time:
    All-on-X dental implants generally require fewer appointments, as they can often be placed and loaded with temporary teeth in a single day.


  1. Higher cost:
    The initial cost of All-on-X dental implants can be higher compared to implant-supported dentures.

  2. Harder to clean and maintain:
    All-on-X dental implants cannot be removed by the patient for cleaning, so maintaining oral hygiene is crucial.

Pros and Cons of Implant-Supported Dentures


  1. Removability:
    Implant-supported dentures can be removed by the patient, making cleaning and maintenance easier.

  2. Versatility:
    Implant-supported dentures can be used to replace a full arch or a partial arch of missing teeth, offering more flexibility in treatment options.

  3. Potentially lower initial cost:
    Implant-supported dentures may have a lower initial cost compared to All-on-X dental implants, making them more accessible for some patients.


  1. Less stability:
    Although implant-supported dentures offer more stability than traditional dentures, they may not provide the same level of stability as All-on-X dental implants.

  2. Longer treatment time:
    Implant-supported dentures may require more appointments and a longer treatment time compared to All-on-X dental implants.

The Costs and Financing Options for All-On-X Dental Implants

Knowing the costs and financing options for All-on-X dental implants is an essential aspect of the decision-making process, as it allows patients to budget and plan effectively for their treatment.

Understanding the Investment in Your Smile

Investing in All-on-X dental implants is an investment in your overall oral health, confidence, and quality of life. The cost of All-on-X dental implants varies depending on factors such as the complexity of the case, the materials used, and the dental professional’s experience.

While the initial cost may be higher than other tooth replacement options, All-on-X dental implants provide long-term benefits, including increased stability, improved comfort, and reduced maintenance.

Exploring Payment Plans and Insurance Options

To help make All-on-X dental implants more accessible, several payment plans and insurance options are available for patients to consider:

  1. Health funds:
    Many private health fund providers in Australia offer coverage for dental procedures, including All-on-X dental implants. It’s essential to check with your health fund provider to understand what your policy covers and any potential out-of-pocket expenses.

  2. Fund My Dental:
    Fund My Dental is a dental financing solution offering flexible payment plans for dental procedures, including All-on-X dental implants. This can help patients spread the cost of treatment over a period of time, making it more manageable.

  3. Supercare:
    Supercare is an Australian company that assists individuals in accessing their superannuation funds to cover medical procedures, including dental treatments like All-on-X dental implants. This option may be suitable for those with limited access to other financing options.

  4. Metropolitan Patients Dental Subsidy Scheme (MPDSS):
    The MPDSS is an initiative in some Australian states that provides financial assistance to eligible patients for dental treatments, including implants. Eligibility criteria and scheme availability vary between states, so you must check with your local dental authority for information.

By exploring these payment plans and insurance options, patients can find a suitable solution to make All-on-X dental implants a more accessible treatment option. Discussing your financing options with a dental professional, who can provide guidance and support throughout the process, is crucial.

Final Thoughts

All-on-X dental implants for severe bone loss patients offer a transformative solution for those experiencing tooth loss and its associated challenges. By understanding the procedure, eligibility criteria, and potential alternatives like implant-supported dentures, patients can decide on the most suitable treatment for their needs. It’s essential to weigh the costs and benefits of All-on-X dental implants and explore financing options to make this life-changing treatment more accessible.

If you’re considering All-on-X dental implants or would like to learn more about your options, the team at Karrinyup Dental Centre is here to help. Our dental professionals are experienced in providing comprehensive, personalised care for a comfortable and successful treatment experience.

To book an appointment, visit our website or call Karrinyup Dental Centre today, and take the first step towards restoring your smile and improving your overall oral health.

Dr. Justin Soon


Dr. Justin Soon

Dr. Justin completed his Bachelor of Dental Surgery at the University of Western Australia. Dr Justin completed his surgical implant training under the mentorship of Dr. Glen Liddelow, Dr. Graham Carmichael, and Dr. Brent Allan at the Branemark Centre.

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