Full mouth dental implants are a reliable, well established way to replace an entire arch of teeth, or both arches, with a set that is fixed in place and cared for much like natural teeth. For patients who have lost most of their teeth, or who are living with dentures that no longer fit well, it is among the most transformative treatments in modern dentistry.
At Vestal Dental Associates we have been caring for Southern Tier families since 1955, and full arch treatment is planned and completed here in our own building, by our own team, with our board eligible prosthodontist leading the case.
Rather than placing one implant for every missing tooth, a full arch is supported by four to six implants positioned where your bone is strongest. Those implants act as roots, and a complete set of teeth is secured to them.
Any remaining teeth that cannot be saved are removed at the same appointment, and where bone has been lost over the years, grafting rebuilds enough of the ridge to give the implants a solid foundation. Our bone grafting and socket preservation page explains that step in more detail.
Because implants transmit chewing force through the jawbone the way natural roots do, they also preserve the bone itself. That is what keeps facial shape and support from changing over the years, something a conventional denture cannot offer.
There are two ways to restore a full arch on implants, and part of your consultation is working out which one suits your mouth, your priorities and your budget.
A fixed arch is secured permanently to four or more implants and stays in place at all times. You clean around and beneath it daily. This is the option most people picture, and it includes the All-on-4 technique, which angles the rear implants to make the most of available bone and often avoids the need for grafting.
An implant-supported denture clips securely onto two to four implants and lifts out for cleaning. It holds firmly while you eat and speak, it is simpler to clean thoroughly, and it is a more accessible option for many patients.
Both are excellent treatments with long track records. Your dentist will walk you through how each would work for your particular anatomy, what each involves day to day, and what each would cost, so the choice is an informed one.
Your treatment is planned in three dimensions before your appointment.
Using our Orthophos SL 3D imaging system and computer-guided planning, we position every implant virtually against a model of your own jaw. Your dentist can assess bone quality, locate the sinus and nerve precisely, and rehearse the surgery in advance. The result is a shorter, more predictable appointment and a more comfortable recovery.
A thorough examination and a 3D scan, a review of your medical history, and an unhurried conversation about what you would like to be able to do again. You will leave with a written plan setting out each stage, the timeline and the cost, with nothing agreed on the spot.
Any failing teeth are removed and your implants are placed, usually one arch per appointment. You are fully numbed throughout, and conscious sedation with continuous monitoring is available for patients who would prefer it. Most tell us afterward that the day was considerably easier than they had expected.
You go home with teeth. In most fixed cases a provisional set is attached before you leave, and where that is not appropriate a temporary denture is fitted instead. We will give you clear guidance on eating and caring for them while you heal.
Over the following three to six months the bone grows onto the implant surfaces and locks them in place, a process called osseointegration. There is little for you to do during this stage beyond keeping the area clean and coming in for a few straightforward checks.
Once the implants are fully integrated, your permanent restoration is made. Shade, tooth shape, proportion and lip support are all decided together with you at a try-in appointment, while everything is still adjustable, so you see and approve the result before it is finished.

Imaging, surgical planning, milling and our own ceramic furnace are all under one roof, so the dentist placing your implants and the team designing your teeth are working side by side on the same case.
Led by Dr. Nolan Robinson and Dr. Fritz Zietsman, board eligible prosthodontist. Meet the team.
Chewing comfort is the change most patients notice first. Foods that had quietly disappeared from the menu come back, and eating out stops requiring any forward planning.
Speech settles quickly, usually within a couple of weeks. Where the upper arch can be restored without covering the palate, patients tell us food tastes fuller and warmer almost immediately.
Caring for your new teeth is straightforward once it becomes routine. A fixed arch is brushed as normal and cleaned underneath daily with a water flosser and the small tools we will fit you with and demonstrate. A removable option lifts out for cleaning and its attachments are refreshed at your regular visits. We will see you on a recall schedule set to your case, check the health of the tissue around each implant, and keep everything in good order for the long term.
A prosthodontist on staff. Dr. Fritz Zietsman is board eligible in prosthodontics, the dental specialty dedicated to replacing teeth and rebuilding bites. Full arch treatment sits at the center of that specialty, and having it in house means your case is planned by a specialist without a referral.
Everything in one building. Your imaging, surgical planning, CEREC milling and ceramic finishing all happen here. One team, one set of records, and a plan that stays coherent from first appointment to last.
Seventy years in the Southern Tier. We opened in 1955 and we have looked after four generations of local families. Implant treatment is a long relationship, and we intend to be here for all of it.
Let's find out what's possible for you.
A consultation includes a 3D scan, a clear explanation of your options and a written plan with costs. There is no obligation, and no decision is made on the day.