Same Day Dental Implants, Brandywine

The most life-like way to replace bad or missing teeth with dental implants.

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

What are All-On-4 Implants?

The All-On-4, “Teeth in a Day” procedure allows most patients to have all remaining teeth removed, dental implants placed, and a stunning, permanent, functional smile delivered over the course of a single day! This technique has the ability not only to provide patients with a beautiful smile, but also provide a fresh outlook on life. We see countless patients suffering with extensive decay, failing or old dental work, and fractured teeth. For them, All-On-4, “Teeth in a Day” can be the perfect answer to have a new smile and fix the dental problems of the past.


  • Best aesthetics/looks | Looks and feels the most like your natural smile.
  • Non-removable | Doesn’t come in and out of the mouth like dentures.
  • No extended healing times before you can use your dental implants.
  • Doesn’t cover the roof of the mouth!
  • Best chewing ability of all full mouth/full arch teeth replacement options.
  • Needs the least amount of bone | Fantastic for those who have been told they don’t have enough bone to get implants.
  • Taste your food better!

How All-On-4 Dental Implants Work

The technique includes removing any remaining teeth, placing 4-6 implants per arch, and attaching a low-profile bridge to the implants. The implants are typically added at special angles to avoid the patient’s sinuses. This also eliminates the necessity for expensive bone grafts with lengthy recovery times.

The standard All-On-4 procedure incorporates four implants and acrylic denture teeth overlaid upon a titanium frame. Our doctor has improved this procedure based on knowledge and experience to offer an improved result for our patients. At Brandywine Dentures and Implants, we carefully examine every single case and base the treatment on each individual patient’s anatomy. Our doctor will place between four and six implants per arch and temporary fixed bridges will be used while the implants integrate with the jawbones and your mouth heals. Once the healing is complete, the doctor and lab technician will design your final teeth with zirconia, which is much more stable than the traditional acrylic (plastic) denture teeth used by most other dental implant practices. Zirconia also provides a more realistic, life-like end result and is more hygienic and resistant to staining. This means they will last longer and look better than the acrylic/titanium hybrid bridges you find at other dental implant offices.

Am I a Candidate?

Most people will be a candidate for All-On-4 dental implants. Your doctor will use a combination of angled and straight implants to avoid your sinuses and engage the strongest bone. Applying this technique often removes the need for expensive and lengthy sinus augmentation bone grafts.

Your doctor will perform a thorough assessment during your free consultation to see if All-On-4, “Teeth in a Day” is an option for you.

Life-Changing Results

Same-day smiles from actual patients

All-On-4 Dental Implant Cost

Our pricing includes all extractions, as many implants as are needed, fixed temporary teeth, and fixed permanent teeth.


Our pricing is the best in Brandywine and also offers the best final result. We are able to accomplish this by having an extensively trained dentist who does the full procedure from start to finish along with an experienced in-house dental lab technician. Our team has performed this procedure from beginning to end together many, many times.


For your final teeth, you, your dentist, and our in-house lab technician will work together to design your perfect smile. While other practices still use acrylic denture teeth over titanium bars, we use zirconia which offers the best in durability, appearance, and resistance to staining. Upgrading to zirconia often costs much more at other offices. At Brandywine Dentures and Implants, they’re our standard.

Single Arch

Upper or Lower


Zirconia Final Bridge

Both Arches

Full Mouth


Zirconia Final Bridge

Available Financing & Payment Options

Dental implants are a significant investment in yourself, and having the option to break this investment down into smaller payments can help make these life-changing services more accessible and easier to fit into your budget. We work with multiple financing companies to offer payment plans covering either all or part of your dental implant treatment.

Longer-term options for lower payments (up to 96 months)

Interest-free up to 6 months

Longer-term options for lower payments (up to 60 months)

Option to apply with a co-applicant increases chance of approval

Frequently Asked Questions

Can I eat with my new teeth from day one?

Yes! However, while your dental implants and new teeth are firmly placed the day of your surgery, we do ask that you maintain a soft diet throughout the four month healing timeframe. What exactly do we mean? A good general rule is that you can eat any food that can be can cut with a plastic fork. We ask this because you are investing into something that can last for many decades, even the rest of your life, and keeping to a softer diet during the healing period will allow the best possible integration of your implants into your bone and help establish a great long-term outcome.

How long has the All-on-4 procedure been around?

This life-changing solution was pioneered by Portuguese dentist Paolo Malo in the 1990s. Since then, it has been safely performed on hundreds of thousands of people and has been improved upon to what we use today.

How do I take care of my All-On-4 teeth?

Caring for your teeth is easy, however consistency is the key. Similar to how we are meant to regularly brush and floss natural teeth, you should do the same with the All-On-4 implants and teeth. Just a few minutes daily is all you will need to keep your dental implants healthy. Brushing your bridges with a soft bristle tooth brush and cleaning under them with a water flosser (WaterPik is a well-known and popular brand) a few times daily is all that's required.

Tobacco can increase the risk of implant complications, so we do not recommend smoking with dental implants. Diabetics should also be aware of an increased risk for complications with dental implants. Keeping diabetes under control is very important for the long-term success of your new implants.

Other than that, simply follow up with your doctor consistently throughout the year for quick evaluations of your new dental implants.

What do the new implant bridges feel like?

The new implant bridges will bring a new sensation and will take several days or sometimes a few weeks to become accustomed to.

Can I expect excessive pain with the procedure?

While there will be moderate pain, it is similar to the pain common with dental extractions. Our team uses a combination of medications to help control your pain and keep you as comfortable as possible.

Is there pain after the procedure?

Though experiences will vary, most patients should expect mild discomfort and possible swelling afterwards. Many patients return the following day for their follow-up examination reporting minimal discomfort. You will be prescribed medication for pain to help reduce any discomfort. Also, if you’re a candidate for it, your doctor will offer a steroid injection which will: help alleviate pain and swelling for the first days of recovery.

What is the recovery time like for All-on-4 dental implants?

This will vary from patient to patient, but, overall, the recovery time is faster and easier with this procedure than other full arch or full mouth replacement options. This is mostly thanks to the bridges being attached directly to the bone via the implants. Traditional dentures and implant dentures both require healing periods during which time the dentures can move and lead to sore spots. The pain should decline mostly within 1-2 weeks, with full healing typically after six months.

What is the difference between Brandywine Dentures and Implants and another local office offering a wide scope of dental services?

Our practice is limited to dental prosthetics and implants. Dental implants, and specifically "teeth-in-a-day," are our passion, and we are constantly working to ensure our patients receive the best possible results. Many practices will often refer you to multiple providers, use outside labs, and have inconsistent pricing. They will take many months or even years to finish your procedure all the while charging you up to double our price. Our doctor performs the complete procedure from surgery to final teeth. We have an on-site dental lab and experienced lab technician, to provide affordable and transparent pricing. By having all this at one location, our office is able to deliver the best service at the best price.

What is the difference between Brandywine Dentures and Implants and national dental implant offices?

At Brandywine Dentures and Implants, we have the same advantages of the corporate implant offices by limiting our practice to dental prosthetics and implants. We have an in-house dental prosthetic lab, very competitive pricing, and same day teeth. The advantage is, we are privately owned, and each and every patient will be seen exclusively by our doctor. We focus on the gratification of our patients instead of shareholders, sales quotas, and cost cutting. At corporate implant centers, there is no guarantee that you will be seen by the same doctor that has the great online reviews or whom your friend recommended you to see. Our doctor oversees your procedure from beginning to end and the team will do everything to be certain you are overjoyed with your new smile and treat you like family.

What about mini dental implants? Or snap in dentures?

Mini dental implants are not related to our All-On-4 "teeth-in-a-day " procedure. Please proceed cautiously at any office that recommends mini dental implants as a permanent restoration solution. This method has a very high complication and failure rate.

Snap-in implant dentures, on the other hand, are a great option for some patients. Our office also provides this service and have a separate page dedicated to these if you want to learn more. They may be a more economical alternative to All-On-4 "teeth-in-a-day" dental implants.

How frequently should I get my dental implants professionally cleaned?

You should (visit us every 6 months to have your teeth checked and cleaned. Doing this will help ensure the longevity of your new implants and teeth.

Can implants fail?

Although titanium dental implants do have a 95+% rate of success, yes, they can still fail. Some of the things which can cause them to fail:

  • Failure to bond to the bone
  • Smoking
  • Diabetes

If an implant fails within the first year, our dentist will replace it for free.

Why am I salivating (drooling) so much?

This is perfectly normal when you first have an implant placed in your mouth. Your mouth senses it as a foreign object and is trying to “flush” it out. This increased salivation should decrease within 2-3 days.

Can I be put to sleep for the procedure?

Our office does not currently use general anesthesia, however, we do offer both oral & IV conscious sedatives. Click here to learn more about your options. This medication will help to relax you and often makes it so you won't even remember your procedure. For this, we write you a prescription, and you can pick it up at your local pharmacy. NOTE: You MUST have a driver both ways for your procedure, because of the oral sedation pill(s). You MUST NOT operate a motor vehicle or any machinery after taking your medication.

Are All-On-4 bridges always attached to the implants the day of the procedure?

Most cases will be attached immediately. In certain situations, mainly depending on the quality of your bone and quantity, we would not be able to install your bridge(s) the same day and you will need to wear a temporary healing denture while your implants bond to the bone. Our doctor will go over this in-depth at your evaluation.

How long can I expect to bleed after the procedure?

Significant bleeding will have stopped before you leave the clinic, however, expect to have some bleeding (oozing) for a few days after your procedure. In addition, you will most likely see increased salivation when we first put your temporary teeth in. When this extra saliva mixes with a little blood, it can look like more blood than it is. If you experience heavy bleeding, please call the office.

Will I automatically know how to use my prosthetic teeth right away?

Just like you will need practice to get used to functioning with a prosthetic leg, it will need some patience and practice to become accustomed with your prosthetic teeth. All that being said, since they are firmly attached to your jaw, All-On-4 dental implants will be the easiest to get comfortable with of all our full-arch replacement options.

Will I know how to speak with my prosthetic teeth right away?

Again, this will take some time, but with some practice and patience, your mouth and tongue will quickly adjust. "S’s" will be the most difficult to pronounce. Practicing saying words like "sarcastic" and "stupendous" can help you get accustomed to your prosthetic teeth. In a few cases, patients may have a slight lisp long-term with All-On-4 upper teeth.

How long after the procedure should I wait to use a water flosser or Waterpik?

You should wait six weeks after the procedure before beginning to clean your water flosser.

I feel like I’m too young for this procedure?

No, this is not only for seniors. It’s actually quite common for people in their 40s, 30s, even 20s to need to replace their teeth. Replacing bad teeth can be immensely beneficial to your long-term physical health, and being able to speak, smile, and laugh confidently with teeth you can be of can benefit your emotional health.

What should I have ready for after my procedure?

  • Ice packs

  • Wash cloths you wouldn't mind throwing away

  • Comfortable clothes you don’t mind throwing out

  • Soft foods (see list above)

What will my new teeth be made of?

The final bridge is made out of zirconia. Zirconia is a much stronger and more stain resistant material than traditional acrylic All-On-4 teeth that many offices provide. If you choose another office, be certain you know what kind of material they will be using. If you do decide on acrylic prosthetic teeth with a titanium bar at another office, you can expect to have staining surrounding the teeth and to replace them every 5-10 years. Also, make sure you know how much you are going to pay for the surgery, temporary teeth, and final prosthetics. Other providers will charge you a base fee only for you to find you owe an extra five to fifteen thousand dollars for the final product.

How much does the All-On-4 procedure cost?

The total cost for the single arch (upper or lower) is $19,900. For both arches, the total cost is $39,000. These prices include the removal of any remaining teeth, placing the implants, same day fixed temporary teeth, and your fixed permanent zirconia teeth. Many offices often charge an operation fee, temporary fee, and then surprise you afterward with another fee for your final teeth. Our pricing is entirely transparent, and we will never surprise you with any additional fees.

How can I get fixed teeth in a single day? I thought dental implants needed time to heal?

The unique thing about this procedure, and what allows us to attach to your dental implants from day one, is that all of the implants will be rigidly splinted together by the new teeth (the implant bridge). This process prevents the micro-movement of the dental implants that can lead to early failure. Basically, your implants and dental bridge all support each other.

The dental implants are made from titanium, the same metal used in replacement hip and knee joints, so your jawbone will naturally grow around and bond with them over time.

What if another provider has said that I am not a great candidate or don't have enough bone for dental implants?

Many patients who have been advised they are not candidates for dental implants are actually fantastic candidates for the All-On-4 procedure. The combination of using angled implants and using the front of the jaw where the bone is more dense allows us to perform the procedure for many patients who thought implants were not right for them. We can typically perform this procedure without needing expensive grafting that delays treatment by months or years. Please visit us for a free consultation to see if you're a candidate.

Will the extractions, implants, and new teeth really be completed in the same day?

Yes! This is our preferred way of performing this procedure to support an ideal outcome. With the leading dental implants and materials available today, there is typically no reason to have to wait months or even years to complete the process like you had to do in the past.

Is the doctor a specialist such as a peridontist, oral surgeon, or prosthodontist?

No, the doctor is a general dentist who limits their practice exclusively to dental implantology and prosthetics. Dental implantology is their passion, and they have more experience placing dental implants than most specialists and other general dentists. In limited select cases, the doctor will collaborate with another dental specialist to ensure that their patients receive the best possible treatment for their situation.

How do you provide the All-On-4, "Teeth in a Day" dental implant procedure for far less than other local offices?

By performing a high number of these procedures and limiting our practice exclusively dental implants, we have advantages that other offices simply do not. We have our in-house lab and lab technician along with a single dentist that performs the entire procedure. These efficiencies allows us to offer these procedures for our patients at the most competitive pricing. Not only do we have the lowest prices, we also use only the finest dental implants and materials.

Are payment plans available?

Yes. We offer a variety of payment plans including third party financing. We work with our patients in any way possible to get them smiling again.

Click here for financing options.

Do you provide warranties or guarantees?

If a dental implant fails to integrate we will replace it at no cost. Our office warranties the final dental bridge for 5 years. To keep this warranty, patients must return to the office every 6 months for maintenance and hygiene of their bridges/implants. The warranty does not apply to patients who continue to use nicotine products or have uncontrolled diabetes or develop other uncontrolled systemic conditions which compromise their implants.

How long does the procedure take?

Usually the surgery is about 1 hour per arch. Then, the lab portion of making the teeth takes about 2 hours. If we begin in the morning, for a single upper or lower arch, patients are usually finished by lunch time. If we are replacing both top and bottom teeth, we typically finish around 2:30 to 3:30 in the afternoon. Most of this time is waiting for the teeth to be created in our lab and trying them in to be certain your smile is exactly how you want it. It is a long day, but will definitely be worth the final product!

What if I don’t like my new teeth?

Our team does everything in our power to ensure you love your new smile. The teeth you get the day of surgery are only a temporary/transitional set. When we fabricate your final teeth, you will have complete control of the design and appearance of your teeth.

What about out of town offices in Florida, Las Vegas, etc. advertising same day final teeth?

While this is a good service for some patients, if there are complications or teeth breaking, it can be very difficult to fix if you traveled thousands of miles away or out of the country. Most local offices will not be willing to repair another office's work. A major advantage of having a temporary set of fixed teeth on the day of your surgery is that you get to test them out and learn what you like/don’t like. For the final zirconia or nano-ceramic teeth, we can do try-ins to ensure that your teeth look exactly the way you want them to look. While it’s great to get your final teeth immediately, it can come with some serious downsides which cannot be ignored.

Do All-On-4 teeth move (front to back, side to side)?

No, these are firmly attached to your dental implants, which are rigidly anchored in your jaw. If your new teeth begin rocking for any reason, call us so we can schedule an exam.

Why do you call this procedure "teeth in a day" when I don’t get my permanent teeth until 4-6 months after my surgery?

It is referred to as "teeth in a day" because you are receiving a set of implant-supported functional prosthetic temporary teeth the same day. Since there can often major changes in your mouth during the healing and implant integration phase, it is best to start with a temporary set of teeth. This helps ensure the best long-term outcome with your final teeth.

Can the temporary teeth get damaged?

Yes, the temporary teeth are made of acrylic and can crack, chip, and sometimes break. This is very common. The good thing about the acrylic temporary is that it can be easily repaired. If you have any issues with your temporary, just give us a call and we’ll get you fixed up right away.

Can the permanent teeth be damaged?

While it is possible for nano-ceramic and zirconia to get damaged, it’s very rare. Zirconia and nano-ceramic are among the most durable and strongest substances available in dentistry.

I already have an implant (or implants), can they be used for All-On-4?

Unfortunately, no. Since your current dental implants will not be the correct position required by this procedure, and since bone reduction will need to be performed, we cannot use your existing implants and they will most likely need to be removed.

Are my All-On-4 bridges removable?

No, you cannot remove the prosthetics yourself. Only the dentist is able to remove them. Prosthetic teeth are secured to your dental implants.

Can food get under my All-On-4 bridge(s)?

Yes, any prosthetic in the mouth can get some amount of food under it. You can rinse with water to get food out from under your bridge(s), and cleaning every day with a water flosser will be part of your long-term hygiene routine.

How long should I take off work for recovery after surgery?

Of all the complete teeth replacement options, All-On-4 often has the shortest time required to recover. Typically 4-7 days is sufficient. With that said, since there is always the chance of bruising and swelling, and you will need to get used to speaking and eating with your new teeth, the more time you can take off, the better.

“Teeth-in-a-Day” Procedure 


The procedure itself typically takes 4-6 hours depending if you are having a single arch treated (upper or lower) or both arches (full mouth). When you leave our office, the temporary bridge(s) will be securely attached to the new implants. You will wear the temporary bridge(s) for 4 months to allow time for the implants to fuse with your bone and for your jaws and gums to heal into a strong, long-term position before we make your final bridge(s). Having this recovery time ensures the closest possible fit for your final bridge(s). After the healing time, we will begin producing your final bridge(s). This involves a few appointments over a 5-6 week period, during which time you’ll help us design the smile you want for your permanent teeth.


Mouth Impressions

The lab uses these to make your temporary implant bridge(s). Possible wax try-in – if you are missing all or most of the teeth in the arch that we will be treating, the doctor may suggest a wax try-in. This is a mock up of what your temporary implant bridge and will be used to check bite position, aesthetics, etc.



Remove any teeth (if applicable), place implants, place temporary implant bridge(s). The procedure typically takes anywhere from 4-7 hours.


Post Op #1

Day after procedure | Check healing and answer any questions you may have.


Post Op #2

3 weeks after procedure | Remove sutures, check healing, patient typically cleared to begin using water flosser/WaterPik at this appointment.


Impressions for Final Teeth

4 months after procedure


Try In

5-10 Days After Impressions | We will try in a mock-up of your final teeth. Multiple wax try-ins are needed in some cases. We have to make sure you are completely happy with your wax try-ins before processing them. Once they are processed, we are unable to make changes to them. If you wish to make changes to your bridge(s) after you have approved them and they have been fabricated, there will be a full-cost remake charge.


Seat Final Teeth

After you approve your wax try-in(s), it typically takes 4-6 weeks before your bridge or bridges are ready to seat.

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