Same Day Dental Implants,
St. Louis

The most life-like way to replace bad or missing teeth with dental implants.

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

What are “Teeth in a Day” Implants?

The All-On-4, “Teeth in a Day” procedure allows most patients to get any remaining teeth removed, implants placed, and a gorgeous, permanent, functional smile delivered over the course of a single day! This procedure has the ability to not only provide patients with a stunning smile, but also give them a new outlook on life. We see countless patients suffering with extensive decay, failing or old dental work, or fractured teeth. For them, All-On-4, “Teeth in a Day” can be the perfect solution to obtain a new smile and correct the dental problems that have plagued them for years.


  • Best looks/aesthetics | Looks and feels the most like your natural smile.
  • Non-removable | Doesn’t come in and out of the mouth like a denture.
  • No extended recovery times before you can use your new implants.
  • Doesn’t cover the roof of the mouth!
  • Best chewing capability of all full mouth/full arch teeth replacement options.
  • Needs the least amount of bone | Great for people who have been told they don’t have enough bone for dental implants.
  • Taste your food better!

How Same Day Dental Implants Work

The procedure involves removing all remaining teeth, placing 4-6 implants per arch, and attaching a low-profile bridge to the implants. The implants are typically placed at special angles to avoid the patient’s sinuses. This also removes the necessity for expensive bone grafts with extended healing times.

The classical All-On-4 treatment involves four implants and acrylic denture teeth over a titanium frame. Our doctor has modified this procedure based on knowledge and experience to provide an improved outcome for our patients. At St. Louis Dentures and Implants, we carefully review every single case and base our treatment on the individual patient’s anatomy. Our doctor will place between four and six implants per arch and temporary fixed bridges will be added while the implants integrate with your jawbones and your mouth heals. Once the healing is complete, the doctor and lab technician will design your final teeth with zirconia, which is much more stable than the traditional acrylic (plastic) denture teeth offered at competing dental implant practices. Zirconia also gives a more natural, life-like finished product and is more sanitary and resistant to discoloration. This means they will look better and last longer than the acrylic/titanium hybrid bridges common at competing dental implant offices.

Are Dental Implants Right for Me?

Most patients will be a candidate for All-On-4 dental implants. Your doctor will use a combination of straight and angled implants to avoid the sinuses and use the strongest bone. Using this method typically eliminates the need for expensive and lengthy sinus augmentation bone grafts.

The doctor will perform a detailed evaluation during your free consultation to see if All-On-4, “Teeth in a Day” is the right option for you.

Life-Changing Results

Same-day smiles from actual patients

All-On-4 Cost

Pricing includes all extractions, as many implants as needed, fixed temporary teeth, and fixed final teeth.


This pricing is the best in St. Louis while also providing the best end result. We can accomplish this by having an extensively trained dentist who does the full procedure from beginning to end along with an experienced in-house dental lab technician. They have performed this procedure from beginning to end together many, many times.


For the final teeth, you, your dentist, and our in-house lab technician will design your perfect smile together. While other offices still use acrylic denture teeth over titanium bars, we use zirconia to provide the best in appearance, durability, and resistance to staining. Upgrading to zirconia usually costs much more at other offices. At St. Louis Dentures and Implants, they’re our standard.

Single Arch

Upper or Lower


Zirconia Final Bridge

Both Arches

Full Mouth


Zirconia Final Bridge

Available Financing & Payment Options

Dental implants are a significant investment in yourself, and having the option to break this investment down into monthly payments can help make these life-changing services more obtainable and easier to fit into your budget. We work with multiple financing providers to offer payment plans covering either all or part of the dental implant procedure.

Longer-term options for lower payments (up to 96 months)

Interest-free up to 6 months

Longer-term options for lower payments (up to 60 months)

Option to apply with a co-applicant increases chance of approval

Frequently Asked Questions

Can I eat with my new teeth the same day?

Yes! However, even though your implants and teeth are securely in place the day of your surgery, we kindly request that you keep up a soft diet throughout the 4 month healing period. What exactly does that mean? A good general rule is you can eat anything which you can cut with the side of a plastic fork. We ask this because you're investing in something that could last you many decades, even the rest of your life, and keeping to a soft food diet initially will allow the best union your implants into the bone and help ensure a wonderful long-term outcome.

How long has this procedure been around?

This transformative solution was created by Portuguese dentist Paolo Malo in the 1990s. Since that time, this procedure has been safely performed on hundreds of thousands of patients and has been improved upon to the method we use today.

How do I care for my All-On-4 teeth?

Maintaining your implants is simple, however consistency is the most important. Similar to how we are supposed to routinely brush and floss natural teeth, you should do this with your All-On-4 teeth and implants. Just a few minutes daily is all you will need to keep your dental implants healthy. Regularly brushing your bridges with a soft tooth brush and cleaning beneath them with a water flosser (WaterPik is a well-known and popular brand) a few times daily is all that's required.

Tobacco can escalate the possibility of implant problems, so we recommend not using tobacco products with dental implants. Patients with diabetes should also be aware of an increased risk for problems with dental implants. Keeping diabetes under control is paramount for the long-term success of your implants.

Other than that, simply follow up with your doctor consistently during the year for quick evaluations of your new All-on-4 implants.

What will my new implant teeth feel like?

Your new implant teeth will bring a new sensation which will take several days or sometimes several weeks to become accustomed to.

Will there be excessive pain involved in this procedure?

While you can expect moderate pain, it is similar to the pain of teeth extractions. Our team uses a combination of medications to help control pain and keep our patients as comfortable as possible.

Can I expect pain after the procedure?

Though experiences will vary some, most patients should expect mild soreness and possibly swelling after your procedure. Many patients return the next day for their follow-up exam reporting minimal soreness. You will be prescribed medication for pain to help reduce any discomfort. Also, if you’re a good candidate for it, your doctor will provide a steroid injection which will: help reduce swelling and pain for the first few days.

What recovery time can I expect with this procedure?

This will vary from patient to patient, but, generally speaking, the recovery period is shorter and easier with this procedure than other complete teeth replacement alternatives. This is mostly due to the bridges being attached directly to the bone by your implants. Conventional dentures and implant dentures both require adjustment periods during which time they are able to move and lead to sore spots. The pain should decline mostly within one to two, with complete healing usually after 6 months.

What is the difference between St. Louis Dentures and Implants and a general local office offering a wide scope of dental services?

Our practice is limited to dental implants and prosthetics. Dental implants, and specifically "teeth-in-a-day," are our passion, and our team is continually working to ensure our patients receive the best possible results. Many offices will refer you to other providers, use outside labs, and have complicated pricing. They often take several months or even years to complete your procedure all the while charging you up to double our price. Your dental surgeon performs your procedure from surgery to final teeth. We have an in-house prosthetics lab and experienced lab technician, to provide transparent and affordable pricing. By providing all this at one location, our team is able to deliver a premium service at an affordable price.

What is the difference between your practice and corporate implant centers?

At St. Louis Dentures and Implants, we have the same advantages of the national implant practices by focusing our practice on dental implants and prosthetics. We have an in-house dental lab, very competitive pricing, and offer teeth the same day. However, we are privately owned, and each patient will be seen exclusively by our doctor. We focus on the gratification of our patients instead of cost cutting, shareholders, and monthly quotas. With national dental implant centers, there is no guarantee that you will be treated by the same dentist that has the great reviews or whom your friend recommended you to see. Our doctor oversees your complete procedure and our team will do everything to make sure you are thrilled with your new teeth and take care of you like family.

How does this compare to snap in dentures or mini dental implants?

Mini dental implants are not related to the All-On-4 "teeth-in-a-day " procedure. Please proceed with caution at any office recommending mini dental implants as a permanent implant solution. They have a very high failure and complication rate.

Snap-in implant dentures, on the other hand, are a good option for some patients. We also provide this service and have a separate page dedicated to these if you would like to learn more. These may be a more budget-friendly alternative to All-On-4 "teeth-in-a-day" dental implants.

How often should I have my dental implants professionally cleaned?

Plan to (visit us every 6 months to have your teeth checked and cleaned. Doing this will help ensure the longevity of your new teeth and implants.

Can dental implants fail?

While titanium implants do have a 95+% success rate, yes, they can still fail. Some of the things that may cause them to fail:

  • Failure to bond to the bone
  • Tobacco use
  • Diabetes

If your implant fails during the first year, our doctor will replace it for free.

Why am I salivating (drooling) so much?

Excess saliva is completely normal when you first have an implant placed in your mouth. Your mouth senses it as foreign material and is trying to “flush” it out. This increased salivation should decrease within a few days.

Can I be put under for my procedure?

We do not currently put patients to sleep, we do, however, provide both IV and oral conscious sedation. To learn more about your options click here. This medicine will help to relax you and often makes it so you won't even remember your procedure. For this, we write you a prescription, and you can fill it at your pharmacy of choice. NOTE: You MUST have someone driving you to and from for this procedure, due to the oral sedation pill(s). You MUST NOT operate a motor vehicle or any machinery after taking your medication.

Are All-On-4 bridges always attached to the dental implants the day of the procedure?

Most cases will be attached immediately. In certain cases, mostly depending on your bone quality and volume, we will not be able to install your bridge(s) the same day and you will need to wear an interim healing denture while your implants integrate into the bone. Our doctor will review this thoroughly during your exam.

How long can I expect to bleed after the procedure?

Substantial bleeding will have stopped before you leave the clinic, however, you can expect to have some slight bleeding (oozing) for a few days after your procedure. In addition, you will most likely notice increased salivation when we first place your temporary teeth. When this increased saliva mixes with a little blood, it can look like more blood than it is. If heavy bleeding continues, please call our office.

Will I know how to use my prosthetic teeth immediately?

Just like you will need practice to get used to walking with a prosthetic leg, it will need some patience and practice to become accustomed with your prosthetic teeth. With that being said, since they are rigidly attached to your jaw, All-On-4 dental implants will be the easiest to get used to of all our full-arch replacement options.

Will I know how to talk with my prosthetic teeth right away?

Again, this will take a little time, but with a little patience and practice, your mouth and tongue will adjust quickly. "S’s" will be the trickiest to pronounce. Practicing words like "sarcastic" and "stupendous" will help you get used to your prosthetic teeth. In some cases, patients may experience a slight lisp long-term with All-On-4 upper teeth.

How long after my procedure do I need to wait to use a Waterpik or water flosser?

Patients should wait six weeks after the procedure before beginning to clean a water flosser.

I feel like I’m too young for this procedure?

No, this is not only for the elderly. It’s actually quite common for people in their 40s, 30s, and 20s to need their teeth replaced. Replacing bad teeth can be quite beneficial to your long-term physical health, and being able to laugh, converse, and smile confidently with teeth you can be of can benefit your emotional health.

What should I have ready ahead of my procedure?

  • Ice packs

  • Wash cloths you wouldn't mind throwing away

  • Comfortable clothes you don’t mind throwing away

  • Soft foods (see list above)

What will my replacement teeth be made from?

The final bridge is made out of zirconia. Zirconia is much stronger and more resistant to staining and wear than conventional acrylic All-On-4 implants that other providers offer. If you choose a competing provider, be certain you know what kind of material they will be using. If you do get acrylic denture teeth with a titanium bar at another office, you can expect to have staining surrounding your teeth and to have them replaced every 5-10 years. Also, make sure you understand how much you're going to pay for the procedure, temporaries, and final prosthetics. Many providers will charge you a base fee only for you to find you owe another five to fifteen thousand dollars for the final product.

How much does the "Teeth in a Day" procedure cost?

The full cost for a single arch (upper or lower) is $19,900. For both arches, the total cost is $39,000. Both prices include removing any remaining teeth, placing your implants, same day fixed temporary teeth, and the fixed permanent zirconia teeth. Other offices may charge an operation fee, temporary teeth fee, and then surprise you afterward with yet another fee for your final teeth. Our pricing is fully transparent, and we will never surprise you with any additional fees.

How can I get new teeth in a single day? I thought dental implants needed to heal?

What is unique about this procedure, and what allows us to attach teeth your metal implants immediately, is that all of the implants will be rigidly splinted together by the new teeth (the implant bridge). Splinting them together prevents the micro-movement of the dental implants that can lead to failure early on. Essentially, your implants and bridge all support each other.

The dental implants are made from titanium, the same metal used in artificial hip and knee joints, so your bone will naturally grow around and attach to them over time.


What if a different dentist has said that I am not a great candidate or do not have enough bone for implants?

Many patients that have been advised they are not candidates for dental implants are actually fantastic candidates for our "Teeth in a Day" procedure. The combination of utilizing angled implants and using the front of the jaw where the bone is denser lets us perform the procedure for many patients that thought implants were not right for them. We can typically perform the procedure without the need for expensive grafting that delays treatment by months or years. Please visit us for a complimentary consultation to see if you're a candidate.

Will the extractions, implants, and new teeth really be completed in just one day?

Yes! Completing all steps in the same day is our preferred method of doing this procedure with the best outcome. With the advanced dental implants and materials available today, there is usually no reason to have to wait months or even years to go through the process like you had to do in the past.

Is the doctor a specialist such as an oral surgeon, periodontist, or prosthodontist?

No, the doctor is a general dentist that limits their practice exclusively to prosthetics and dental implantology. Dental implantology is their passion, and they have placed more dental implants than most specialists and other general dentists. In limited select cases, the doctor will collaborate with other dental specialists to ensure that our patients receive the best possible treatment for their specific situation.

How can you offer the All-On-4, "Teeth in a Day" dental implant procedure for so much less than other local dental practices?

By performing a high number of these procedures and limiting our practice exclusively dental implants, we have advantages that other practices simply do not. Our office has in-house lab and lab technician along with a single dentist that performs the procedure start to finish. Because of these efficiencies, we are able to offer All-on-4 "Teeth in a Day" procedures for our patients at the most competitive pricing available. Not only do we have the best prices, we also use the best quality dental implants and materials.

Do you have payment plans?

Yes. Our practice offers multiple payment options including third party financing. We work with our patients in any way possible to get them smiling again.

Click here for financing options.

Does your practice provide guarantees or warranties?

If a dental implant fails to integrate we will replace it at no cost. We warranty the final bridge for 5 years. To keep this warranty, our patients must return every 6 months for maintenance and hygiene of their bridges/implants. The warranty does not apply to patients that continue to use nicotine products or have uncontrolled diabetes or develop other uncontrolled systemic conditions which compromise their implants.

How long will this procedure take?

Typically the surgery is about 1 hour per arch. Then, the lab portion of making the teeth takes about 2 hours. If we start in the morning, for a single upper or lower arch, patients are usually done around lunch time. If we are replacing both top and bottom teeth, we typically finish around 2:30 to 3:30 in the afternoon. Much of this time is waiting for the teeth to be made in our lab and trying them in to ensure your smile is just right. It is a long day, but will definitely be worth it in the end!

What if I don’t like my new teeth?

Our team does everything possible to ensure you love your new teeth. The teeth you receive the same day of surgery are only a temporary/transitional set. When we fabricate your final teeth, you will have complete control of the design and appearance of your teeth.

What about out of town dentists in Florida, Las Vegas, etc. advertising same day final teeth?

While this is a good service for some patients, in the rare case of complications or teeth breaking, it can be very difficult to repair if you traveled thousands of miles away or out of the country. Most local dentists will not be willing to repair another office's work. A major advantage of having a temporary set of fixed teeth on the day of your procedure is that you get to test them out and learn what you like/don’t like. For the final zirconia or nano-ceramic teeth, we can provide try-ins to ensure that your teeth look exactly the way you want them to look. While it’s exciting to get your final teeth immediately, doing this does come with some serious drawbacks that cannot be overlooked.

Will All-On-4 teeth move (front to back, side to side)?

No, these are rigidly attached to your dental implants, which are firmly anchored to your jaw. If your new teeth begin rocking for any reason, call us so we can bring you in for an evaluation.

Why do you call this procedure "teeth in a day" when I don’t receive my final teeth until 4-6 months after my surgery?

This is referred to as "teeth in a day" because you are receiving a set of implant-supported working prosthetic temporary teeth the same day. Since there are often significant changes to your mouth during the implant integration and healing phase, it is best to begin with a temporary set of teeth. This ensures the best long-term outcome with your permanent teeth.

Can my temporary teeth get damaged?

Yes, your temporary teeth are made from acrylic and can crack, chip, and sometimes break. This is very common. The best thing about the acrylic temporary is that it can be easily repaired. If you have any issues with your temporary, just call our office and we’ll get you fixed up right away.

Can the final teeth be damaged?

While it is possible for nano-ceramic and zirconia to be damaged, it’s extremely rare. Zirconia and nano-ceramic are among the most durable and strongest substances available in dentistry.

I already have a dental implant (or implants), can they be used for All-On-4?

Unfortunately, no. Since your current dental implants will not be the proper position required by this procedure, and as bone reduction will be necessary, we cannot use your current implants and they will most likely need to be removed.

Are my All-On-4 bridges removable?

No, you cannot remove the prosthetics yourself. Only the dentist is able to remove them. They are secured to your dental implants.

Can food get under my All-On-4 bridge(s)?

Yes, any dental prosthetic will get some amount of food under it. You can rinse with water to get food out from under your bridge(s), and cleaning daily with a water flosser will be part of your long-term hygiene routine.

How long should I take off work for recovery after my procedure?

Of all the full arch replacement options, All-On-4 often has the shortest time required to recover. Typically 4-7 days is enough. With that said, as there is always a chance of bruising and swelling, and you’ll need to become accustomed to eating and speaking with your new teeth, the longer you can take off, the better.

All-On-4 Procedure


The procedure itself typically takes between four and six hours depending if you are having a single arch completed (upper or lower) or both arches (full mouth). When you leave our office, your temporary teeth will be securely attached to your new implants. You will wear your temporary bridge(s) for 4 months to allow time for the implants to fuse with your bone and for the jaws and gums to heal into a stable, long-term position before we fabricate your permanent bridge(s). Having this recovery time ensures the best possible fit for your permanent teeth. After this recovery time, we will begin producing the final bridge(s). This involves a few appointments over a 5-6 week period, during which time you’ll help our team design the smile you want for your permanent teeth.


Mouth Impressions

The lab uses these to make your temporary implant bridge(s). Possible wax try-in – if you are missing all or most of the teeth in the arch that we will be treating, the doctor may suggest a wax try-in. This is a mock up of what your temporary implant bridge and will be used to check bite position, aesthetics, etc.



Remove any teeth (if applicable), place implants, place temporary implant bridge(s). The procedure typically takes anywhere from 4-7 hours.


Post Op #1

Day after procedure | Check healing and answer any questions you may have.


Post Op #2

3 weeks after procedure | Remove sutures, check healing, patient typically cleared to begin using water flosser/WaterPik at this appointment.


Impressions for Final Teeth

4 months after procedure


Try In

5-10 Days After Impressions | We will try in a mock-up of your final teeth. Multiple wax try-ins are needed in some cases. We have to make sure you are completely happy with your wax try-ins before processing them. Once they are processed, we are unable to make changes to them. If you wish to make changes to your bridge(s) after you have approved them and they have been fabricated, there will be a full-cost remake charge.


Seat Final Teeth

After you approve your wax try-in(s), it typically takes 4-6 weeks before your bridge or bridges are ready to seat.

3955 Bayless Ave STE #100, St. Louis, MO 63125


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