It depends entirely on your anatomy. Some patients are excellent candidates for a four-implant arch, while others benefit from five, six, or more. Dr. Brown will recommend a specific number only after reviewing your 3D scans.


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A Full-Arch Solution Custom-Tailored to Your Anatomy
All-on-X is a full-arch implant protocol built around a simple idea: every patient’s jawbone is different, so the number of implants used to support a new arch of teeth should be, too. Rather than committing to a fixed count, Dr. Brown evaluates your bone density, jaw structure, and long-term goals using 3D imaging, then determines whether four, five, six, or more implants will give you the strongest, most durable foundation.
This flexible approach makes All-on-X a good option for patients whose bone structure doesn’t align neatly with a standard four-implant plan, including those who want the added stability of additional implant support for heavier bite forces or long-term peace of mind.

How All-on-X Works
- Comprehensive evaluation with CBCT 3D imaging to map your bone density and structure
- Dr. Brown determines the ideal implant count and placement pattern for your case
- Failing or unhealthy teeth are removed and implants are placed in the same visit in many cases
- A temporary fixed bridge is attached while you heal
- A final, custom-fabricated arch is placed once osseointegration is complete

All-on-X vs. All-on-4: What’s the Difference?
All-on-4 refers specifically to a four-implant protocol. All-on-X uses that same overall philosophy — a fixed, full-arch restoration supported by implants — but doesn’t limit the implant count to four. For patients with more significant bone loss, a heavier bite, or a desire for extra long-term security, additional implants can provide a sturdier foundation. Dr. Brown will recommend the approach that best matches your specific anatomy during your consultation.
Benefits of All-on-X
- Personalized implant count based on your unique bone structure
- Fixed, non-removable full-arch restoration
- Can accommodate patients who aren’t ideal candidates for a strict four-implant plan
- Often completed with a same-day temporary bridge
- Designed for long-term durability and stability
Every smile is different. Schedule a consultation with Dr. Brown to find the All-on-X plan built around your bone structure.
Experience Exceptional Oral Health Care
Request an appointment at one of our locations in the Kansas City area to meet with an expert oral surgeon!

Frequently Asked Questions
Cost is tied to the number of implants placed, so an All-on-X plan with additional implants may cost more than a standard All-on-4 case. We’ll provide a full, itemized quote once your treatment plan is finalized.
In some cases, yes — if imaging or intraoperative findings suggest a different implant count would serve you better, Dr. Brown will discuss this with you before proceeding.
Yes. Your final restoration is custom-fabricated to match your facial structure, bite, and desired aesthetic, resulting in a natural-looking, fully functional smile.
