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All-on-4® Dental Implants by Nobel Biocare™ in Pasadena, CA

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For patients suffering from missing teeth or challenging tooth problems, the professionals at The Pacific Coast Center for Oral, Facial & Cosmetic Surgery have the answer for those seeking long-term results and a beautiful, natural-looking smile. All-on-4 dental implants offer our patients nonremovable replacement teeth by placing a complete arch of prosthetic teeth on just four dental implants. They are surgically set in at angles and use the best available bone for support. Since the All-on-4 technique is designed to place only four implants, which do not typically require bone grafts, they are an ideal choice for patients with low bone density. The implants are comfortable and secure, and patients enjoy a fast recovery.

Dental implants by All-on-4 may be utilized to substitute the upper and/or lower dental arches with dental implants attached to dentures made custom for you. You might be an good candidate for All-on-4 implant dentures if you prefer the advantages of implant-supported dentures over traditional, removable dentures, including few or no dietary limitations, no messy glues, and no special cleaning. You will need to have good bone and gum density to get implants, as the screws rely upon your gums and bone to maintain them in place. If needed, gum and/or bone grafts might be performed before the implants can be placed. Dr. Elias can determine if this process is ideal for you in your initial consultation and can help discuss all of your choices.

Implants by All-on-4 may be used to substitute the lower and/or upper dental arches together with dental implants attached to dentures made custom for you. You will need to have good gum and bone density to get implants since the screws will rely on your gums and bone to keep them in place. If necessary, gum and/or bone grafts might be performed before the implants can be placed. Dr. Elias can determine if this process is appropriate for you during your consultation and can help discuss all your choices.

First, we will take digital scans and x-rays of your teeth. Dr. Elias will develop your unique treatment plan and go over your choices for sedation throughout the process. During your first appointment, the dental implants will be set in your mouth. Dr. Elias will place a temporary denture over the dental implants while your mouth heals and your dentures are made. After several months, you should come back to get your custom dentures attached and possibly adjusted for a more comfortable fit.

You might feel some pain and discomfort in your gums after implant surgery. While you are using temporary dentures, there will be some dietary limitations and cleaning directions to follow. You'll also visit for regular follow-ups throughout the recovery period so Dr. Elias can assess your progress and make sure the implants are healing into your bone socket and gums as they should be. As soon as your custom dentures have been placed, you should clean them just like normal teeth with daily brushing and flossing. You should continue to visit The Pacific Coast Center for Oral, Facial & Cosmetic Surgery for annual exams and biannual professional cleanings to maintain your dentures and so Dr. Elias can track the health of your mouth.

I was recommend by a friend who got her breast and BBL done by Dr. Elias and I’m so glad I found him! Dr. Elias did such an amazing job with my lip fillers giving me natural results I wanted. I was debating getting them done for over a year because it was hard to find a trusting doctor and a great price. From the moment I walked through the door the staff was very kind and did not feel pressure at all to make any decisions. They took their time explaining to me my different options and made sure all my questions were answered. But not only is he the best cosmetic surgeon, he’s an oral surgeon as well which is perfect because my wisdom teeth need to be removed! We all want the natural results and if your looking for a Doctor who can do that for you, look no further Dr. Elias is the one!

J.L. Yelp

Dr. Husam Elias is magic! Not only is he exceptional at his craft, but his gracious character is unmatched. It is a big act of vulnerability for one to go under the knife, and I think it’s absolutely vital to find a doctor that cares about YOU and what YOU want.From his superb team to the soft details of which words he chooses to speak to you with, Dr. Husam Elias created the safest environment for me to feel listened to, supported, and best of all- EXCITED! His artistry speaks for itself, and he did a beautiful job on me.It is almost 4 months, and even with his booming business, I have never once felt dismissed when reaching out to him, or his lovely team, about anything big or small. I will forever remain grateful for my results.

B.T. Yelp

My first procedure was Facetite with Dr. Elias. I was able to do the procedure awake on a Friday & was back to work on Monday! I was still swollen but not in pain at all. It’s a minimum invasive procedure to tighten the skin & gets rid of the fat. The staff was really friendly and was able to answer all my questions. I’ve been back many more times for Botox & fillers. Dr. Elias is such a perfectionist and that is exactly what I’m looking for in a Cosmetic Surgeon!

L.E. Google

My first procedure was Facetite with Dr. Elias. I was able to do the procedure awake on a Friday & was back to work on Monday! I was still swollen but not in pain at all. It’s a minimum invasive procedure to tighten the skin & gets rid of the fat. The staff was really friendly and was able to answer all my questions. I’ve been back many more times for Botox & fillers. Dr. Elias is such a perfectionist and that is exactly what I’m looking for in a Cosmetic Surgeon!

L.E. Yelp

Excellent team,facilities, and service!

D.M. Google

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The unique All-on-4 system makes it possible to totally restore your teeth with fewer implants and custom dentures. The technology used enables you to prevent the clutter and constraints that come with removable dentures for a result that looks and feels natural. Dr. Elias will describe the advantages of All-on-4 and help you decide if you are a good candidate. Contact The Pacific Coast Center for Oral, Facial & Cosmetic Surgery in Pasadena, CA to make an appointment.

About Us
Does getting All-on-4 dental implants hurt?

No, most patients do not find the All-on-4 dental implant process painful. Dr. Elias pairs powerful local anesthetics to completely numb the treatment area with several sedation options to ensure you're comfortable throughout the entire procedure. During recovery, you may experience mild soreness and discomfort as your gums heal, but ice packs and over-the-counter pain relievers are typically enough to keep you comfortable. If pain is a concern, please talk to Dr. Elias during your consultation so he can create the right treatment plan for you.

How long does it take to get All-on-4 dental implants?

The process to get All-on-4 dental implants is a two-step process that takes about 4 – 6 months. During your first appointment, Dr. Elias takes digital scans and x-rays of your teeth and then installs the anchoring implants. While your gums heal over the next 4 – 6 months, you will wear a temporary denture. In the second visit, your permanent denture will be affixed to the implants and you'll have a strong, beautiful new set of teeth.

Can anyone get All-on-4 dental implants?

While people with lower jawbone density often require bone grafts to be eligible for traditional dental implants, All-on-4 implants use an innovative angled implant placing. This placement allows more patients to be eligible for this restorative procedure, often without a bone grafting procedure. However, some patients with a history of poor oral health, periodontitis, or certain health conditions may not be candidates. During your consultation, Dr. Elias will review your medical history and use diagnostic imaging to ensure that you're a great All-on-4 candidate.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.