All-on-X Dental Implants

TOOTH REPLACEMENT

All-on-X Dental Implants

Full-arch restoration replacing all upper or lower teeth with a fixed, implant-supported prosthetic bridge.

✦ Clinically reviewed by Dr Desmond Ng, BDSc (Hons) University of Queensland | Principal Dentist, Dentists @ Canning Vale Last reviewed: July 2026

What Is All-on-X?

All-on-X is a full arch dental implant solution that uses a small number of strategically positioned implants, typically four to six, to support a complete set of fixed replacement teeth for an entire upper or lower jaw.

Unlike traditional dentures that rest on the gums and can slip or require adhesives, an All-on-X restoration is anchored directly to the jawbone. The result is a fixed implant-supported restoration designed to replace missing teeth and assist with oral function.

At Dentists @ Canning Vale, Dr. Desmond Ng provides personalised All-on-X treatment plans using 3D imaging where clinically indicated to assist with implant planning for patients with significant tooth loss.

🧑‍⚕️ Who May Be Suitable for All-on-X?

  • Missing most or all teeth in an upper or lower arch
  • Multiple failing, severely damaged, or decayed teeth
  • Wearing full dentures and wanting a fixed, non-removable solution
  • Sufficient suitable bone for implant placement, with bone grafting considered where clinically indicated.
  • General health and medical history suitable for the proposed treatment.
  • Committed to ongoing dental maintenance and care

Potential Benefits of All-on-X Dental Implants.

🔒 Fixed Implant-Supported Restoration

The restoration is fixed to dental implants and is not removed by the patient for everyday cleaning.

🍽️ Chewing Function

A fixed implant-supported restoration may assist with chewing function. Individual outcomes vary.

👨‍🎤 Customised Appearance

Custom-designed to suit your facial features, skin tone, and smile, the restoration is designed with consideration of your facial features, tooth shape, colour and overall appearance.

🦴 Implant Support Within the Jawbone

Dental implants are placed within the jawbone to provide support for the restoration.

🚫 Fixed Without Denture Adhesives

Because your restoration is anchored to implants, there are no denture adhesives, removable plates, or palate covers to deal with.

❤️ Fixed Tooth-Replacement Option

For suitable patients, All-on-X provides a fixed option for replacing an arch of missing or failing teeth.

Your All-on-X Treatment Journey

1

Comprehensive Consultation & Imaging

We perform a detailed oral examination and capture digital X-rays and 3D CBCT scans to assess your jawbone volume, density, and overall oral health. This information assists with assessment and treatment planning.
2

Personalised Treatment Planning

Dr. Desmond Ng develops an implant treatment plan, including the proposed number, position and angulation of implants based on your individual clinical circumstances. for your new arch while working with your existing bone structure.
3

Implant Placement

Your implants are surgically placed into the jawbone under local anaesthesia, with sedation options discussed where clinically appropriate. Teeth requiring extraction may be removed at the same appointment where clinically appropriate.
4

Temporary Teeth (Same Day)

For suitable patients, a temporary fixed restoration may be attached to the implants on the same day as surgery. while the implants integrate with the bone over the coming months.
5

Final Restoration

Once appropriate healing and implant stability have been confirmed., your final custom-made arch. is fabricated and fitted, checked for fit, function, and aesthetics before being secured to the implants, with ongoing professional maintenance required.

All-on-X vs Traditional Dentures

Traditional Dentures

Rests on gums

  • Can slip while eating and speaking
  • Requires adhesives for retention
  • Covers the palate, reduces taste sensation
  • Does not provide implant support within the jawbone.
  • Needs regular adjustment as jaw shape changes
  • Removed nightly for cleaning

All-on-X Implant Restoration

Anchored to implants

  • Fixed to dental implants and not removed by the patient.
  • No adhesives required
  • May be designed without palatal coverage, depending on the restoration.
  • Implants provide support within the jawbone.
  • Provides a fixed implant-supported restoration.
  • Requires daily cleaning around and beneath the restoration and ongoing professional maintenance.

🧼 Caring for Your All-on-X Restoration

  • Brush your restoration twice daily with a soft-bristled brush, follow the cleaning techniques recommended by your dental team.
  • Use a water flosser or interdental brushes to clean beneath the arch and around implant sites
  • Attend routine professional dental cleans, typically every 3–6 months
  • Keep all scheduled implant maintenance appointments with our team
  • Report any unusual looseness, discomfort, or changes in bite immediately
  • The longevity of implants and implant-supported restorations varies between patients and depends on factors including oral health, general health, maintenance and individual clinical circumstances.

Frequently Asked Questions

How long does All-on-X treatment take from start to finish?
The total treatment timeline varies depending on your oral health and healing. In many cases, temporary fixed teeth are placed the same day as your implants. The final restoration is generally fitted after appropriate healing and implant stability have been confirmed. Healing time varies between individuals and may take several months. Dr. Desmond Ng will outline your expected timeline during the consultation.
Is All-on-X painful?
The procedure is performed under local anaesthesia, with sedation options may be discussed where clinically appropriate. Our team will provide detailed aftercare guidance and prescribe appropriate pain relief where needed.
How will my All-on-X teeth look?
The restoration is custom-designed with consideration of factors including tooth shape, colour, facial features and overall appearance.
What if I don’t have enough jawbone for implants?
Insufficient bone is common in patients who have experienced long-term tooth loss. Bone grafting may be considered where additional bone volume is required for the proposed implant treatment. The position and angulation of implants may be planned to utilise available bone where clinically appropriate. Whether bone grafting is required depends on individual anatomy and treatment requirements. Dr. Desmond Ng will assess your bone levels with 3D imaging and discuss treatment options that may be appropriate for your circumstances.

Considering a Fixed Option to Replace Missing Teeth?

Book a consultation with Dr. Desmond Ng and find out whether All-on-X dental implant treatment may be appropriate for your individual circumstances and treatment goals.

Important Information

This page provides general information only and is not a substitute for professional dental advice. Treatment suitability, results and costs vary between patients.

Dental procedures, including surgical procedures, have potential risks and limitations. Your dentist will discuss those relevant to your proposed treatment.

A consultation with one of our dentists is required to assess whether this treatment is appropriate for you. Book a consultation or call 08 9256 2588.

References & Further Reading

This page is based on current clinical literature and guidelines from recognised Australian and international dental and health authorities.

  • Australian Dental Association. ada.org.au
  • Dental Board of Australia (AHPRA). dentalboard.gov.au
  • Australian Society of Implant Dentistry (ASID). asid.com.au
  • Therapeutic Goods Administration (TGA) - Medical Devices. tga.gov.au
  • Australian Periodontology - ADA Oral Health Topics. ada.org.au/Dental-Professionals/Publications/Oral-Health-Topics
  • Australian and New Zealand Association of Oral and Maxillofacial Surgeons. anzaoms.org

Content reviewed by Dr Desmond Ng, BDSc (Hons) University of Queensland | Principal Dentist, Dentists at Canning Vale. Last reviewed July 2026.

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