All-on-4 Dental Implants in Houston, TX
A full arch of permanent, fixed teeth supported by just four implants — placed in a single appointment. All-on-4 dental implants at Texas Dental Implant Center are performed by Dr. Michel Azer, a board-certified periodontist, with packages starting at $16,999 per arch.
How All-on-4 Works
All-on-4 is a full mouth dental implant technique that replaces an entire arch of teeth using four strategically placed titanium implants. Two implants go straight into the front of the jaw where bone is naturally thickest. Two more are placed at an angle in the back, maximizing contact with available bone.
That angled placement is what makes All-on-4 different. It often eliminates the need for bone grafting — even in patients who've lost bone density from missing teeth or long-term denture use. For many patients, that means implants are possible when they've been told otherwise.
Once the four implants are placed, a full set of fixed teeth is attached the same day. Not a denture. Not something you take out at night. A permanent, screwed-in arch of teeth that stays in your mouth 24/7.
The procedure was developed over 25 years ago and has one of the longest track records of any full-arch implant approach. Dr. Azer uses 3D imaging and guided surgery planning to position each implant with precision based on your specific jaw anatomy.
All-on-4 vs. Traditional Dentures
If you're currently wearing dentures or considering them, here's the difference:
Traditional Dentures
Stability
Rest on gums, rely on suction or adhesive to stay in place
Eating
Limited to soft foods
Bone Preservation
Sit on top of gum, accelerate jawbone loss over time
Maintenance
Need adhesive, soaking, removal every night
Confidence
Can slip, click, or need removal in front of others
All-on-4 Implants
Stability
Anchored into jawbone — they don't move
Eating
Eat steak, apples, corn — whatever you want
Bone Preservation
Stimulate the bone and prevent further deterioration
Maintenance
Brushed and flossed like natural teeth
Confidence
No slipping, no clicking, no removing
Are You a Candidate for All-on-4?
All-on-4 may be right for you if:
- You're missing all or most of your teeth in one or both arches
- Your remaining teeth are too damaged or decayed to save
- You're wearing dentures and want a permanent alternative
- You've been told you don't have enough bone for traditional implants — All-on-4's angled placement often works with less bone
- You want a fixed solution without multiple surgeries spread over months
The best way to find out is a consultation with Dr. Azer. He takes a 3D cone beam CT scan of your jaw, evaluates your bone structure, and tells you straight whether All-on-4 is the right approach — or if something else makes more sense for your situation.
What Happens on Surgery Day
Before Surgery
Dr. Azer has already mapped every implant position using your 3D scan and guided surgery software. Nothing is improvised.
Extractions
If you have remaining teeth that need to come out, they're removed first.
Implant Placement
Four titanium implants are placed into your jawbone — two straight in front, two angled in back. The entire process typically takes a few hours under local anesthesia or IV sedation.
Same-Day Teeth
A set of temporary fixed teeth is attached to your implants before you leave. You walk out with a full smile.
Healing
Over the next 3-6 months, the implants fuse with your bone (osseointegration). Your temporary teeth are fully functional during this time.
Final Teeth
Once healed, your permanent restoration is fabricated — custom zirconia or high-grade acrylic — and placed. These are your long-term teeth.
Why Your All-on-4 Provider Matters
All-on-4 is a surgical procedure. The implants go into your jawbone. The success of the entire case depends on precise placement in the right bone, at the right angle, at the right depth.
Dr. Azer is a board-certified periodontist — a specialist in the bone and soft tissue that support your teeth. That level of specialized training means precise placement, predictable outcomes, and smoother recovery. It's why general dentists and other specialists across Houston refer their implant cases to Dr. Azer.
Specialist Training
Three years of surgical residency at Boston University beyond dental school, focused on bone and soft tissue.
Board-Certified
Board-certified periodontist — the highest credential in gum and implant surgery.
Faculty & Lecturer
Published researcher, international lecturer, and faculty member who trains other dentists on implant placement.
1,000+ Implants
Over 1,000 implants placed and over 1,000 patients treated.
All-on-4 Cost in Houston
Permanent All-on-4 dental implants at Texas Dental Implant Center start at $16,999 per arch.
| Houston Average | Texas Dental Implant Center | |
|---|---|---|
| Permanent All-on-4 (per arch) | $20,000 - $30,000+ | Starting at $16,999 |
| Both arches | $40,000 - $60,000+ | Starting at $33,998 |
Package includes consultation, 3D scan, surgery, temporary same-day teeth, final restoration, and all follow-ups.
Bone grafting, extractions, and sedation quoted separately if needed.
Frequently Asked Questions About All-on-4
Find Out If All-on-4 Is Right for You
The only way to know for sure is a 3D scan and evaluation with Dr. Azer. The consultation is free.
1811 Bering Dr, Suite 110, Houston, TX 77057
Medically reviewed by Dr. Michel Azer, DDS, CAGS, MSD — Board-Certified Periodontist