All-on-Four Dental Implants in Winston-Salem, NC

If you’re missing all of your upper or lower teeth — or struggling with loose dentures — All-on-Four dental implants offer a secure, natural-looking alternative that restores your entire smile with just four implants per arch.

At Trenton B. Bottoms, DDS, we provide All-on-Four dental implants in Winston-Salem with complete in-house care. From 3D diagnostics to guided surgery and custom prosthetics, Dr. Bottoms brings advanced training and a patient-first approach to every step of the process — so you can eat, speak, and smile with confidence again.

What Is the All-on-Four System?

All-on-Four is a full-arch dental implant system that replaces all missing teeth in the upper or lower jaw using just four strategically placed dental implants. These implants anchor a fixed, non-removable prosthetic arch that looks, feels, and functions like natural teeth.

It’s one of the most efficient and stable ways to restore a full smile — without individual implants for each missing tooth.

Benefits of All-on-Four Implants

• Secure, non-removable teeth — no slipping or adhesives
  
• Restore an entire arch with just 4 implants
  
• Can often be placed in one day
  
• Improved chewing strength and clarity of speech
  
• Preserves jawbone and facial structure
  
• More affordable than replacing each tooth individually
  
• Suitable for patients with some bone loss
  
• Immediate function and aesthetics in many cases
  

If you’re looking for a dentist near me who offers full-arch restoration in-house, Dr. Bottoms provides a streamlined experience and long-term results — all under one roof.

Who Is a Candidate for All-on-Four?

You may be a great candidate if you:

• Are missing most or all teeth in an upper or lower arch
  
• Are tired of uncomfortable or loose dentures
  
• Want a permanent, fixed alternative
  
• Have some bone loss but want to avoid bone grafting
  
• Prefer fewer surgical appointments and faster results
  

We’ll perform a full evaluation, including CBCT 3D imaging, to confirm your eligibility and plan the most efficient treatment path.

What to Expect from the All-on-Four Process

1. Comprehensive Consultation & Imaging

We start with digital imaging, a thorough oral evaluation, and a discussion about your goals and lifestyle. We use CBCT scans to plan implant placement with precision.

2. Treatment Planning

Your customized treatment plan includes implant positioning, prosthetic design, and restorative options tailored to your needs.

3. Implant Placement

Using guided surgery, Dr. Bottoms places four implants into the jawbone — typically two vertical in the front and two angled in the back for maximum stability.

4. Immediate Provisional (Same-Day Teeth)

In many cases, a temporary fixed arch is placed the same day, so you leave with a new smile immediately.

5. Final Prosthetic Restoration

After healing (3–6 months), we replace the provisional with a permanent, custom-designed prosthetic that matches your facial structure and bite.

All-on-Four vs. Traditional Dentures: What’s the Difference?

Fixed vs. Removable:
All-on-Four restorations are fixed in place — they do not need to be removed. Traditional dentures are removable and must be taken out daily for cleaning.

Bone Preservation:
Dental implants stimulate the jawbone and help prevent bone loss. Traditional dentures do not, which may lead to gradual bone shrinkage over time.

Chewing Efficiency:
All-on-Four implants offer strong, stable chewing power similar to natural teeth. Traditional dentures often reduce chewing efficiency and may limit food choices.

Aesthetic Appeal:
Implant-supported prosthetics are slimmer, more natural-looking, and tailored to your facial structure. Dentures can sometimes appear bulky or artificial.

Daily Maintenance:
All-on-Four prosthetics are brushed like natural teeth. Traditional dentures require removal and soaking overnight.

Long-Term Stability:
All-on-Four implants stay securely in place without adhesives. Traditional dentures may loosen or shift over time.

Why Choose Dr. Bottoms for All-on-Four Implants?

• Advanced Training in Full-Arch Implants
  Dr. Bottoms has completed postdoctoral training in implant surgery, prosthetics, and bone preservation.
  
• In-House Planning & Placement
  From consultation to restoration, your care happens under one roof — with no outside referrals required.
  
• 3D Guided Surgery
  We use CBCT imaging and planning software for safe, precise placement and predictable outcomes.
  
• Patient-Centered, Conservative Approach
  We guide you through every step and only recommend All-on-Four when it’s the right solution for your long-term health.
  
• Custom Smile Design
  Your final prosthetic is crafted to match your facial features, speech, and bite for optimal function and aesthetics.