All-on-X is a full-arch implant treatment that replaces an entire upper or lower row of teeth using four to six dental implants. It is designed for patients who want fixed replacement teeth instead of removable dentures. Patients missing fewer teeth may want to compare it with our dental implant treatment options.

How is All-on-X different from dentures?

Dentures rest on top of the gums and are removed daily. All-on-X teeth are fixed to dental implants, which gives them more stability when you speak, smile, and chew. Patients who want a removable option can also learn more about traditional dentures.

What is the difference between All-on-4 and All-on-X?

All-on-4 uses exactly four implants to support a full arch of teeth. All-on-X is more flexible because the number of implants can vary, usually from four to six, depending on your bone, bite, and treatment plan. If you are replacing both upper and lower teeth, you may also want to review full-mouth dental implants.

How much does All-on-X cost?

All-on-X cost depends on the number of arches being treated, whether extractions are needed, your bone condition, sedation, and the type of final restoration. For more details about pricing and payment options, visit our dental implant cost and financing page.

Am I a good candidate for All-on-X?

You may be a candidate if you are missing most or all teeth on one arch, have loose dentures, or have teeth that can no longer be predictably saved. If you have been told you do not have enough upper-jaw bone for regular implants, zygomatic implants may also be an option to discuss.

Is the All-on-X procedure painful?

The procedure is completed with local anesthesia, and sedation may be available to help you feel more comfortable. Some soreness after surgery is normal, but most patients manage recovery with instructions from our team. Patients who feel nervous about treatment can learn more about IV sedation.

Do you offer sedation for All-on-X?

Yes. IV sedation and local anesthesia may be available for All-on-X treatment. We review your health history, comfort level, and procedure plan before recommending the right option. You can also learn more about sedation dentistry at Markham Family Dental.

How long does the All-on-X process take?

The full process often takes several months from consultation to final teeth. Temporary teeth may be placed the day of surgery for qualifying patients, while the final bridge is placed after the implants heal and integrate with the bone. After surgery, we provide clear dental implant aftercare instructions to support healing.

Do you offer financing for All-on-X?

Yes. Flexible payment options may be available, and our team can help you understand your estimate before treatment begins. You can review your options on our insurance and financing page.

Can All-on-X work if I have bone loss?

In some cases, yes. All-on-X implants can sometimes be angled to make better use of available bone. If bone loss is more advanced, Dr. Burkhalter may discuss bone grafting or zygomatic implants.

All-on-X Dental Implants in Harlan, IA

Permanently replace a full arch of missing or failing teeth, and leave our office smiling the same day.

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(712) 755-5342

Underside of a full-arch implant-supported fixed denture showing its metal attachment points

A Fixed Smile When Dentures or Failing Teeth Are Holding You Back

Eating gets harder. Speaking feels less natural. Smiling can start to feel like something you control instead of something you enjoy.

All-on-X dental implants replace a full upper or lower arch with fixed teeth supported by implants, not removable plates or adhesives.

At Markham Family Dental in Harlan, Dr. Burkhalter plans full-arch implant treatment with 3D imaging, sedation options, and a clear treatment plan before anything begins.

Explore Topics on This Page

What Is All-on-X?

Benefits of All-on-X

Who Is a Good Candidate?

All-on-X Cost

Treatment Process

Related Treatment Options

Why Choose Markham?

Frequently Asked Questions

what is All-on-X

All-on-X is a way to replace a full arch of teeth using four to six dental implants that hold a single, fixed bridge of new teeth. It rebuilds an entire upper or lower jaw at once, which makes it one of the most complete tooth replacement options available. The teeth are secured to the implants instead of resting on the gums like a removable denture, so you get a stable bite for speaking, smiling, and chewing. Your plan is built from a 3D scan of your bone, bite, and smile goals, and many patients leave the day of surgery with a fixed set of temporary teeth.

The X in All-on-X stands for the number of dental implants used to hold the arch, most often four, five, or six. All-on-4 uses four implants and All-on-6 uses six. The teeth are the same fixed bridge either way. Only the number of implants underneath changes, and it is chosen for your jaw and bite, not picked from a menu. More implants can add support on the upper jaw or for a stronger bite, while four well-placed implants carry a full arch reliably in many cases.

Illustration of an All-on-X full-arch restoration on several dental implants

The Benefits Of All-On-X

Fixed in Place

Your teeth are attached to dental implants, so they do not slip, shift, or need to be removed at night.

More Chewing Confidence

After healing, many patients can enjoy foods that were difficult with loose or removable dentures.

Supports Jawbone Health

Implants help replace missing tooth roots and support the bone beneath your smile.

Same-Day Temporary Teeth

For qualifying patients, temporary fixed teeth can be placed the same day as surgery.

Natural-Looking Smile

Your restoration is designed around your face, bite, and smile goals.

No Denture Adhesive

No glue. No soaking overnight. No removable plate shifting while you talk or eat.

Why Choose All-On-X Over Dentures?

No adhesives. No limits. Just a smile that stays where it belongs.

All-on-X

Permanently fixed

Eat your favorite foods

Prevents bone loss

Long-term solution

Dentures

Must be removed daily

Hard to chew & eat with

Accelerates facial collapse

May require adhesives

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Who Is a Good Candidate For All-On-X?

All-on-X may be a good fit if you:

Are missing most or all teeth on one arch

Have loose or uncomfortable dentures

Have failing teeth that cannot be predictably saved

Want fixed teeth instead of removable dentures

Want to eat and speak with more confidence

Are healthy enough for implant surgery

Complete our survey, and find out if you are a candidate

Before

After

Exceptional Care, Beautiful Results

Our patients come to us with real concerns, missing teeth, failing restorations, years of avoiding the dentist. They leave with confidence they didn't expect to have again. These are real results from real Markham patients.

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Dr. Roy Burkhalter crafting a dental restoration in the in-house lab

All Your Care in One Place: Our In-House Lab

Full-arch implants usually mean a chain of offices: one place for the consultation, an oral surgeon for the surgery, a separate provider for sedation, and an outside lab for the teeth. At Markham, all of it happens in one place with one team. Dr. Burkhalter plans the case, places the implants, provides IV sedation, and oversees your teeth, which are designed and crafted right here in our own in-house dental lab. That is rare in western Iowa, and it means nothing is handed off, no referral is needed, and your final teeth are not waiting in a shipping queue to a distant lab.
Everything in one place:

Your free consultation and in-house CBCT 3D scan

The implant surgery, with no referral to an outside oral surgeon

IV sedation, provided here for your comfort

Your temporary and final teeth, crafted in our in-house lab

Every follow-up, adjustment, and healing check

The Dental Implant Process

Dr. Roy Burkhalter examining a custom dental restoration on a model

Free Consultation & 3D Imaging

Your journey starts with a no-pressure consultation with Dr. Burkhalter. Using our in-house CBCT 3D imaging technology, we capture a precise picture of your bone structure, jaw anatomy, and oral health. This lets us plan your implant placement accurately before anything begins, and identify whether any preparatory steps like bone grafting are needed.
This visit is completely free. You will leave with a clear picture of whether All-on-X is right for you and what your personalized treatment looks like.

Implant Placement and Same-Day Temporaries

Dr. Burkhalter places four to six titanium implants directly into your jawbone. IV sedation and local anesthesia are both available — we will not begin until you are fully comfortable.
Once the implants are in, temporary fixed teeth are attached the same day. You walk out of our office with a full smile. Not a gap. Not a plate. Teeth you can use while your implants heal over the following months.

Healing and Osseointegration

Over the next three to six months, your implants fuse with the bone in a process called osseointegration. This is what makes the entire structure permanent. You will return for regular check-ins so Dr. Burkhalter can monitor your progress. During this phase, a soft diet is recommended.
Most patients manage this period with far less difficulty than they expect. The temporary teeth look good and function well enough for everyday life.

Final Permanent Restoration

Once your implants have fully integrated with the bone, your permanent bridge is fitted. It is custom-crafted for your face, your bite, and your natural appearance. We fine-tune the fit and verify your bite before you leave. This is the restoration you will have for decades.

All-on-x cost

One Full Arch

All-in Price

Starting at $13,999

Surgical placement included
Same-day temporary bridge included
Final zirconia bridge included
Free consultation included

Full Mouth, Both Arches

All-in Price

Starting at $24,999

Surgical placement for both arches included
Same-day temporary bridges included
Final zirconia bridges included
Free consultation included

What Are All-on-X Teeth Made Of?

Built to Last

Zirconia resists chips, stains, and the force of a full bite, so it holds up to everyday eating for years.

Zirconia Teeth

Your visible teeth are crafted from solid zirconia, one of the strongest and most natural looking materials in dentistry.

Titanium Implants

The teeth anchor to titanium implants that fuse with your jawbone and work like natural tooth roots.

Made in Our Lab

Your bridge is shaped, shaded, and fine-tuned in our own in-house lab to match your face and smile.

Recovery and Aftercare

Most patients are back to everyday life within a few days, with some soreness and swelling that settle over the first week. Because you leave with fixed temporary teeth, you start on softer foods and ease back to a normal diet as the implants heal over three to six months. We see you for follow-ups during this time, and our team is a phone call away if anything comes up. Simple daily cleaning around the bridge keeps everything healthy.

Book Your All-on-X Consultation

Get clear answers before making a decision.

We will review your smile goals, take 3D imaging, explain your options, and walk you through cost, timing, and next steps.

Request A Consultation

(712) 755-5342

Related Implant & Tooth Replacement Options

All-on-X is one full-arch solution, but it is not the only path.
Some patients need a smaller implant option. Some need extra support because of bone loss. Others want to compare fixed teeth with removable dentures before choosing.

Cross-section illustration of a single upper-jaw implant with a crown being placed onto the abutment

Dental Implants

Best when you need to replace one tooth, several teeth, or smaller gaps instead of a full arch.

Full-Mouth Dental Implants

Helpful when both arches need major restoration or when most of the smile needs to be rebuilt.

3D illustration of a removable lower overdenture fitting over four ball-attachment implants

Implant-Supported Dentures

A more stable option than traditional dentures, but not always as fixed as an All-on-X bridge.

Illustration of angled dental implants anchoring a restoration in the lower jaw, shown in a transparent skull

Zygomatic Implants

May help patients with significant upper-jaw bone loss who were told they were not candidates for traditional implants.

Dentures

A removable option for patients who want a non-surgical or lower-investment tooth replacement path.

Full-Arch Care That Feels Personal From Start to Finish

The Markham Family Dental Associates team posed together outside the office

Dr. Burkhalter has placed implants in Harlan for years and plans every full-arch case around the patient in front of him, not a template.

A Team That Knows Your Story

Meet the Team

Markham team member positioning a patient at the CBCT 3D imaging scanner

In-house CBCT 3D imaging lets us see your bone, nerves, and bite before surgery so the plan you approve is the plan we follow.

Technology That Makes the Plan Clear

Our Technology

Treatment room at Markham Family Dental with a dental chair and X-ray unit

Full-arch implant care performed in Harlan, so you do not have to drive to Omaha or Des Moines for the consultation, surgery, or follow-up visits.

Treatment Close to Home

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Words From Our Patients

Exterior of the Markham Family Dental Associates office at 2105 Pine St, Harlan, Iowa

Prepare for Your Visit

Patient Forms

Download and complete your forms before your appointment to save time when you arrive. Plan to come in 10 to 15 minutes early so we can get you settled.

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Insurance and Financing

We work with many PPO dental insurance plans and can file claims on your behalf when insurance applies. Financing options may be available for patients who need flexible payment options. Ask our front desk what works best for your situation.

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