Replace a Full Arch of Missing Teeth With Confidence

If you are missing most or all of your teeth, All-on-4 dental implants may allow you to replace an entire arch with a fixed, implant-supported restoration.

At AZ Max Oral & Maxillofacial Surgeons, our board-certified oral and maxillofacial surgeons customize every full-arch treatment plan based on your anatomy, bone support, and long-term goals.

6

Board-Certified Oral Surgeons

4.9

Trustindex Rating

12K+

 Patient Reviews

5

Arizona Locations

Why Choose AZ Max for All-on-4 Dental Implants?

Replacing an entire arch of teeth is one of the most advanced procedures in implant dentistry. Long-term success depends on careful planning, precise surgery, and choosing the right treatment approach for each patient.

At AZ Max, our board-certified oral surgeons customize every full-arch case based on your anatomy, bone support, and restorative goals. Whether your treatment involves four implants or more implants for greater support, your plan is designed to provide predictable, long-lasting results.

What Sets Us Apart

  • Personalized patient experience
  • Multiple board-certified oral and maxillofacial surgeons
  • Co-developer of the patented Chrome GuidedSMILE® process for advanced full-arch implant treatment
  • Advanced hospital-based surgical and anesthesia training
  • Full-arch implant and bone grafting expertise
  • 3D imaging and digital treatment planning
  • Five Arizona locations
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  • 4.9 Excellent rating Last 12 months
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Glenn Hultstrand
0 days ago
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Compassionate staff and excellent care are the hallmarks of AZ Max. I know, because I practiced dentistry for 36 years in Minnesota. On a recent trip, passing through Mesa, I experienced a dental emergency. Dr Austin and his staff accommodated my schedule and provided care that exceeded my expectations. If I were practicing general dentistry in Mesa, I'd insist that my patients seek their surgical care from the team at AZ Max. They're amazing!
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Gracee Hodges
1 days ago
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We had such a great experience here! Everyone was so kind and welcoming to both my husband and me, from Dr. Allen to the assistants and the front desk staff. You can tell that everyone genuinely cares about their patients and wants them to feel comfortable and taken care of. The whole team was so patient, helpful, and sweet throughout the entire process, and we’re so grateful for all of them. It’s hard to find a place where the entire staff makes you feel so welcomed, and we’re really thankful we found this office. We would absolutely recommend them to anyone!!
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Paulette Segraves
1 days ago
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One of the nicest offices I’ve been to, meaning the people, the doctors, everyone, they’re great. would highly recommend
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Robert Chavez
1 days ago
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Dr. DJ was outstanding, his staff was so professional and accommodating. They got me in right away when I had a situation with my tooth. Dr. DJ was very caring and understanding, extremely thorough when explaining my situation. I highly recommend his and his team’s care in every aspect.
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K Gray
1 days ago
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As someone with a significant fear of dental procedures, I can honestly say that my experience at AZ Max was exceptional from the moment I walked through the door. I immediately felt welcomed, comfortable, and at ease. The entire staff was wonderful, and Dr.Lemieux is absolutely amazing! He made me feel comfortable, reassured, and stress-free throughout the entire process. Having wisdom teeth removed in your 50s, I had always been told, could be a pretty rough experience. I’m happy to say that my experience has been the complete opposite here! Even my recovery at home has been much easier than I ever expected. Thank you to Dr. Lemieux and the entire AZ Max team for your kindness, compassion, and outstanding care. You truly make a difference, especially for patients who struggle with dental anxiety. I’m so grateful to have had such a positive experience! Highly recommend!
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Jeffrey Arena
1 days ago
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This was my first time having oral surgery, and AZ Max was fantastic. From the ladies that got my anesthesia set up to Dr. Allen yanking out my teeth, everyone did a great job. I will have to have more surgery in the future and AZ Max will be my first choice. Good job guys, thank you. 👍🏻
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Deeadra Zachary
2 days ago
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The staff and Doctor were amazing. My procedure went smoothly and I really appreciated how they treated me as a person. I was comfortable and they kept asking about my comfort. Dr. Fluckiger and staff are the absolute best! He called me after my procedure and was available anytime i had questions. I highly recommended.
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Diane Darnell
2 days ago
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Thanks you have been amazing .
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Sheila Benares
2 days ago
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Dr. Lemieux is very pleasant and patient enough to explained each step of my treatment plan, answering all my questions that eases my anxiety.The staff are friendly and welcoming. Before my procedure, Dr. Lemieux and his team demonstrates effieciently and review again the procedure that really helps me feel that i’m in good hands. I have great experience during the scheduling and the waiting time to be seen is short. I will highly recommend Dr. Lemieux and this office to my family and friends.Thank you Dr. Lemieux and his great team for taking good care of me.
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James McRoberts
2 days ago
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I’ve had three teeth extracted and four implants by AZ Max all without pain of any kind. My dental work healed without issue. They just do a great job and painless.
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Ashlee Morrow
2 days ago
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I had a really great experience with this oral surgeon! I was definitely nervous and scared going into surgery, but the doctor and his team helped make me feel so much more comfortable and at ease. They made the whole experience less intimidating, and I’m really grateful for that. The healing process has gone well, and everything is looking good so far. I’m happy with how everything turned out and would definitely recommend them to anyone who needs oral surgery. Thank you to the doctor and his team for making what could have been a very stressful experience a positive one!
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Karen Kidd
2 days ago
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The doctor and staff were so friendly and professional. I have every confidence in them. Thank you so much!!
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Frank R Garcia
3 days ago
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Courteous, Exceptional professional, communication/explanation of services I requested & options to my needs were very clearly defined with the pro's & con's clearly defined.
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Valerie Wolf
3 days ago
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My husband had a great experience with his oral surgery. Everyone was nice and very professional. The staff and Dr. Romney all explained everything and the follow up was good. Everything has gone as explained to us.
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Les Cain
3 days ago
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Very friendly staff. Explained everything well with clear steps laid out for the process to be undertaken.
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Debbie Greenlea
3 days ago
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Very professional and friendly.
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stephanie fernandez
4 days ago
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Dr. Brent Boyse is a wonderful doctor who takes much pride in his job by taking really good care of his patients
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Jacque Shakotko
4 days ago
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Everyone was so friendly and professional.
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Patrick Halliday
4 days ago
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Good experience, Dr explained in detail the procedure. Excellent service. Friendly staff.
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Keely Davis
4 days ago
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I genuinely can’t say enough good things about this place and Dr. Allen! I will be getting a procedure done here next year and had to get my wisdom teeth out today to prep. I had all 4 extracted and I have not had a single minute of pain or swelling since i left! Made me so much more confident about next year!
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Sylvia Coccagna
4 days ago
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The staff w as attentive and patient. They worked with me t o come up with the best alternative for my situation. I highly recommend them?
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Steven Congleton
4 days ago
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The staff was so pleasant and professional. And the plans are clearly explained to you. So you know what to expect from the dentist service and surgery process. Thank you very much.
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J P
4 days ago
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Got me in quickly. I was very pleased that he was able to perform my procedure with a local anesthetic without any sedation.
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Evelyn Johnson
4 days ago
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Such a professional and kind staff and doctor Romney is the best! Thank you for for taking such excellent care of me. And then your office sent me flowers during my recovery! Thank you!
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Rebecca Crozier
4 days ago
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Dr. Romney made sure I understood all the details of oral surgery. He made me feel very confident in my decision comfortable. His staff; Decker and Jenny were amazing!

Meet Our Dental Implant Surgeons

Our team includes multiple board-certified surgeons, PHOENIX Magazine Top Dentist honorees, and experienced providers who perform advanced full-arch implant treatment every day.

Dr. Austin Brinks

Dr. R. Brinks Austin

DDS, MD

Dr. Brent Boyse

Dr. Brent Boyse

DDS

Dr. Gregory Romney

Dr. Greg Romney

DMD

Dr. DJ Lemieux

Dr. DJ Lemieux

DMD

Dr. Jason Fluckiger

Dr. Jason Fluckiger

DMD

Dr. Trevor Allen, DDS

Dr. Trevor Allen

DDS

Together, our surgeons bring advanced surgical training, years of implant experience, and a reputation for treating even the most complex full-arch cases.

What Are All-on-4 Dental Implants?

Full-Arch Dental Implants graph

How All-on-4 Dental Implants Work

All-on-4 dental implants replace an entire arch of missing teeth with a fixed bridge that is securely attached to dental implants.

Dental Implants

Four or more titanium implants are surgically placed into the jawbone, where they heal and fuse with the bone. These implants act as artificial tooth roots, providing a stable foundation for your new teeth.

Abutments

Once the implants are in place, small connector pieces called abutments attach to the implants. The abutments extend above the gums and provide a secure connection between the implants and your replacement teeth.

Fixed Bridge

A custom-made bridge is attached to the implants after they have healed. The bridge replaces an entire arch of missing teeth and is designed to restore your ability to eat, speak, and smile with confidence.

Benefits of All-on-4 Dental Implants

Compared with removable dentures, All-on-4 dental implants can offer several advantages.

Replace an entire arch with fewer implants

Fixed teeth that stay securely in place

Restore chewing ability

Improve speech compared with removable dentures

Help preserve jawbone after tooth loss

Support facial structure

May reduce the need for bone grafting

Long-term solution for extensive tooth loss

Candidates for All-on-4 Dental Implants

Many adults missing most or all of their teeth are candidates for full-arch implant treatment. The primary consideration is whether your jaw can provide enough support for long-term implant stability.

You may be a good candidate if you:

Are missing most or all of your teeth

Have several teeth that cannot be saved

Wear removable dentures

Want a fixed alternative to dentures

Have enough bone for implant placement or qualify for bone grafting

Are healthy enough to undergo oral surgery

Your surgeon will evaluate your oral health, bone support, medical history, and treatment goals before recommending the most appropriate full-arch solution.

The All-on-4 Treatment Process

Every full-arch implant case is unique, but most patients follow a similar treatment process. Your timeline may vary depending on whether teeth need to be removed, bone grafting is recommended, and how your implants heal. 

1. Consultation and 3D Planning

Your surgeon evaluates your oral health, jawbone, bite, and treatment goals using photographs, digital X-rays, and CBCT imaging. This allows detailed planning before surgery begins. Your surgeon will also review anesthesia options based on your procedure and comfort needs.

2. Tooth Removal and Bone Preparation

If damaged teeth remain, they are removed. When necessary, bone grafting or other procedures may be performed to create a healthy foundation for long-term implant success.

3. Implant Placement

Four or more implants are strategically placed in the jaw to maximize stability and support your future restoration.

4. Temporary Teeth

Many patients receive a fixed temporary bridge shortly after implant placement, allowing them to leave surgery with functional teeth while healing takes place.

5. Final Restoration

After the implants have fully integrated with the jawbone, your temporary bridge is replaced with a custom-designed permanent restoration that restores long-term function and appearance.

Recovery After All-on-4 Surgery

Most patients tolerate full-arch implant surgery well. Mild swelling, bruising, and soreness are common during the first several days and gradually improve as healing progresses.
Recovery varies depending on your treatment plan and whether extractions or bone grafting were performed. You will be given personalized post-operative instructions, including recommendations for diet, oral hygiene, and activity during healing.

How Long Do All-on-4 Dental Implants Last?

With proper home care and regular professional maintenance, the implants themselves are designed to last for decades. The bridge attached to the implants may eventually require maintenance or replacement because of normal wear.

Routine follow-up appointments help monitor the health of your implants, surrounding tissues, and restoration to support long-term success.

FAQs About All-on-4 Dental Implants

Is All-on-4 the same as All-on-X?

No. All-on-X is a general term used to describe full-arch implant treatment, where the “X” represents the number of implants supporting the restoration. All-on-4 is one specific type of All-on-X treatment that uses four implants. 

Do I receive temporary teeth the same day?

Many patients receive a fixed temporary bridge shortly after implant placement. Your surgeon will determine whether immediate teeth are appropriate for your case.

Is bone grafting always necessary?

No. Many patients have enough existing bone to support All-on-4 treatment without grafting. If additional support is needed, your surgeon will discuss the available options.

How do I clean All-on-4 dental implants?

Your bridge should be brushed daily, and the area underneath it should be cleaned to remove plaque and food debris. Depending on your restoration, we may recommend floss threaders, interdental brushes, or a water flosser to help keep the implants and surrounding gums healthy.

Where can I get All-on-4 dental implants in the Phoenix East Valley?

AZ Max Oral & Maxillofacial Surgeons provides All-on-4 dental implant treatment at our offices in Mesa, North Mesa, Queen Creek, Tempe, and an additional location in Show Low. We offer free dental implant consultations at all five locations. Call or text (480) 830-5866 to book an appointment

Schedule a Free Dental Implant Consultation

Book a consultation at one of our five locations:

Mesa, North Mesa, Queen Creek, Tempe and Show Low

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