How to Choose All-on-4 Implants in Fayetteville: 7 Questions That Matter Most
Fayetteville, United States – September 8, 2025 / The Teeth Doctors™ /
If you’re considering All-on-Four implants in Fayetteville, you’re looking at a treatment that can completely transform your smile in just one day. But here’s the thing – this is a significant decision that affects not just your teeth, but your overall health, lifestyle, and finances for years to come.
Research shows these implants have cumulative success rates between 93.8% and 98.1% with up to 10 years of follow-up, which sounds great on paper. But what questions should you actually be asking to ensure you’re making the right choice? Let’s walk through the seven most critical questions that can make or break your All-on-Four experience.
1. “How Many All-on-Four Procedures Have You Personally Completed?”
This might feel awkward to ask, but it’s arguably the most important question on this list. The experience of the surgeon performing the All-on-4 procedure is most important for long or short-term success. You want specific numbers here, not vague answers.
A surgeon who’s completed hundreds of these procedures will have encountered and solved virtually every complication that could arise. They’ll know exactly how to angle those implants for maximum stability, especially in cases where bone density isn’t ideal. Ask to see before-and-after photos of their actual patients (with permission, of course) and request references from recent All-on-Four patients.
Dr. Jeremiah Davis at The Teeth Doctors™ puts it this way: “Experience isn’t just about technical skill – it’s about having seen enough cases to know when to adjust the treatment plan mid-procedure for optimal results. Every jaw is different, and that adaptability comes from years of hands-on experience.”
2. “What Specific Materials Will You Use for My Implants and Final Teeth?”
Not all implants and prosthetics are created equal. Grade 23 titanium alloy made in America or in Europe tends to be more durable than softer grade 4 implants often used in cheaper alternatives. The difference matters because softer, grade 4 conical implants are more prone to fracture, especially in Asian brands of dental implants.
For the teeth themselves, you’ll typically choose between:
- Acrylic/hybrid materials (lighter, easier to repair, but may wear faster)
- Zirconia (stronger, more natural-looking, but heavier and harder to adjust)
- Porcelain-fused options (good balance of aesthetics and function)
Ask about the specific brands and manufacturers they use. Quality materials from reputable companies might cost more upfront but can save you from complications and replacements down the road.
3. “What Happens If an Implant Fails – What’s Your Policy?”
While multiple clinical studies show survival rates consistently exceeding 95% over 5-13 years of follow-up, failures can still happen. You need to know exactly what you’re signing up for financially if something goes wrong.
Some practices offer warranties or guarantees on their work, while others don’t. Ask specifically about:
- Coverage period for implant failure
- Whether the warranty covers just the implant or includes the prosthetic teeth
- If there are any conditions that void the warranty (like smoking or poor oral hygiene)
- Whether revision surgeries are included or come at additional cost
Understanding these policies upfront can save you from unexpected expenses and stress if complications arise. The Teeth Doctors™ believes in standing behind their work, which is part of their “Worry Free From A-to-Z™” philosophy.
4. “Do I Need Bone Grafting, and How Will That Affect My Timeline?”
It usually takes 4 months for the grafted bone to fuse with your jaw or maxillary bone if bone grafting is needed. This significantly extends your treatment timeline and adds to the overall cost.
During your consultation, your surgeon should use 3D imaging to evaluate your bone density. If you’ve been missing teeth for a while, especially in the upper jaw, you might need grafting or even sinus lift procedures. Ask for a realistic timeline that includes:
- Any preparatory procedures needed
- Healing time between stages
- When you’ll get your temporary teeth
- When your final teeth will be placed
Some patients in Fayetteville who come to us expecting same-day teeth are disappointed to learn they need months of preparation first. Being realistic about timelines helps set proper expectations.
5. “What Are the Most Common Complications You’ve Seen, and How Do You Handle Them?”
An honest surgeon won’t pretend complications never happen. Issues with All-on-4 dental implants may arise if the implants extend into the sinus cavity, potentially leading to sinus inflammation in upper jaw cases. Mechanical complications occurred in 29.5% of provisional and 36.7% of final prostheses over long-term follow-up, though many of these were minor issues like loose screws.
Common complications include:
- Peri-implantitis (gum infection around implants)
- Prosthetic fractures or chips
- Screw loosening
- Difficulty with speech adaptation
- Sinus issues (upper jaw only)
Ask how they prevent these issues and what protocols they have in place if they occur. A practice that’s upfront about potential problems and has clear solutions is one you can trust.
6. “Can I See Your In-House Lab, or Which Lab Do You Use?”
The laboratory making the bridge can literally make or break the success or failure, as well. The quality of your final teeth depends heavily on the skill of the lab technicians creating them.
Top-tier practices either have in-house labs where you can meet the technicians making your teeth, or they work with highly reputable external labs. Ask about:
- Where your teeth will be made
- The technicians’ experience with All-on-Four cases
- Turnaround times for adjustments
- Whether they use digital or traditional impression techniques
If they’re sending work to an unknown lab overseas to cut costs, that’s a red flag. Your final teeth need to be precisely crafted to fit your bite and facial structure.
7. “What Does My Long-Term Maintenance Look Like?”
All-on-Four implants aren’t a “set it and forget it” solution. Regular visits to the dentist allow for early intervention, which can prevent minor issues from affecting the survival rate. You’ll need professional cleanings and check-ups specifically designed for implant-supported teeth.
Ask about:
- Recommended cleaning schedule (usually every 3-4 months initially)
- Special tools or products you’ll need at home
- Signs of problems to watch for
- Annual maintenance costs
- Whether they offer maintenance plans or packages
Some patients are surprised to learn they can’t just treat these like natural teeth. The cleaning process is different, and neglecting maintenance can lead to costly problems.
Making Your Decision with Confidence
These seven questions will reveal a lot about both the practice and the long-term success of your All-on-Four treatment. A quality provider like The Teeth Doctors™ welcomes these questions because they demonstrate you’re taking this decision seriously.
Remember, the cheapest option rarely provides the best long-term value. When you consider that properly maintained All-on-4 dental implants showed predictable outcomes over up to 18 years of follow-up, investing in quality care from experienced professionals makes financial sense.
North Carolina’s mild climate means you won’t deal with extreme temperature sensitivities that can affect some dental work, but you still want materials and techniques that will stand up to BBQ season at Fort Liberty or sweet tea on Southern Pines’ golf courses for decades to come.
Frequently Asked Questions
How painful is the All-on-Four procedure?
Most patients report less discomfort than expected. With modern anesthesia and sedation options (which The Teeth Doctors™ offers), the procedure itself is comfortable. Post-surgery discomfort is typically managed with over-the-counter pain relievers for a few days.
Can All-on-Four implants be done in one day?
If you don’t need bone grafting or tooth extractions, yes – you can receive temporary teeth the same day as implant placement. However, final teeth are placed after 3-6 months of healing.
What’s the average cost of All-on-Four in Fayetteville?
Costs typically range from $15,000-$25,000 per arch, depending on materials used and any preparatory procedures needed. Many practices offer financing options.
How long do All-on-Four implants last?
Studies show excellent long-term success rates, with many implants lasting 15-18 years or more with proper care. The prosthetic teeth may need replacement after 10-15 years.
Can I eat normally with All-on-Four implants?
After healing, yes. You’ll need to stick to soft foods initially, but once fully healed, you can enjoy all your favorite foods, including corn on the cob and crusty bread.
What if I’m a smoker?
Smokers have a 57% increased risk of biological complications compared to nonsmokers. Many surgeons recommend quitting before the procedure for better outcomes.
Contact Information:
The Teeth Doctors™
6402 Yadkin Rd.
Fayetteville, NC 28303
United States
Dr. Jeremiah Davis
(910) 864-4646
https://theteethdoctors.com
