If you’ve suffered through dental trauma, advanced tooth decay, or severe malocclusions then you know how it impacts every facet of your life. It causes you to be a bit more reclusive in social situations, makes you feel less sure of yourself, and causes physical health problems.

Missing one or more teeth also comes with undue stigma in society even though it’s a common condition in adults. In fact, the older you get your teeth tend to become a bit more fragile or susceptible to decay. The numbers don’t lie—over 31 million Americans across the country are missing at least a full arch of teeth.

While many people suffering from such a serious tooth loss seek permanent cures, many just accept it. That’s unfortunate that they mistakenly assume that their only option is to deal with it or live with cumbersome dentures.

The fact is, there IS a permanent solution to full arch loss or worse. The All-on-Four method for full mouth reconstruction from Dr. Nahlah is changing lives one smile at a time—permanently. Yes, you read that right—permanently. That means a brand new, perfectly designed smile. No slipping dentures, no trouble speaking, and you can eat whatever you like. All-on-Four from Dr. Nahlah is all about FREEDOM.

What Is All-on-Four?

All-on-Four is the premier method of full mouth reconstruction and utilizes dental implants. Dental implants are titanium posts that are anchored and bonded to your jawbone and support a permanent tooth-like restoration on a fixed bridge.

We understand the aversion to dentures that people have, so All-on-Four is a perfectly superior alternative. With dentures, you aren’t anchored to the jawbone, it’s just messy adhesive on the gum bed. This is a critical difference because with nothing stimulating the jawbone—it deteriorates.

That is why patients with dentures eventually look drastically different as their face begins to take on a sunken look. That is the jawbone eroding which changes facial structure and appearance. It also leads to numerous health problems including malnutrition since dentures limit what you can eat.

The way All-on-Four is different is that while the actual restoration is a full arch bridge, it is permanently attached. Those implants that are bonded to the jawbone and supporting healthy bone growth—are the mounting posts for the restoration.

Additionally, a lot more detail goes into the fixed bridge that is used in All-on-Four—it’s a premium re-creation of your natural smile—perfected. No misshapen teeth, no malocclusions no gaps, just a perfectly white and healthy smile.

The restoration is handcrafted in a lab with advanced substances that come together with artistry to create lifelike teeth. In fact, they are indistinguishable from natural teeth even down to the most intricate nuances. Also, because implants are synthetic, they will never decay, so with proper care they truly are permanent.

What Makes All-on-Four A Game Changer?

While All-on-Four is based on relatively common hardware—modern dental implants, it is the methodology that is revolutionary. Usually, with dental implants, the process takes at least two visits once you complete your first consultation. Your initial post-consult visit is to place the implant in your jawbone. Then you wait through a healing period of about 4-6 weeks minimum depending on your medical condition. Once the wound has healed sufficiently, you go in and have the restoration permanently affixed to the implant.

All-on-Four, due to its unique approach, is often nicknamed “teeth in a day.” This is because the process used—immediate implants are completed in a single day. Also different from traditional implants is that rather than replacing each tooth individually, the process is modular. By that we mean it uses just four dental implants and then a permanent bridge is mounted on top. This is where the “on four” part of the moniker comes from.

Four biocompatible titanium implants are placed in strategic positions into the top and bottom of your jawbone. That’s four on top and four and bottom, assuming you are replacing both arches. As mentioned, the implants bond with your jawbone, reinforcing it and ensuring a natural 1:1 fit for your new teeth. This fixed bridge is then permanently attached to the implants, and you walk out with a new smile and a new outlook on life.

Implants Are Not A Substitute For Dental Care

We must reiterate—your new, lab-created teeth are state-of-the-art and won’t decay. However, that doesn’t mean you can slack on routine oral care. Food particles can still get caught in between the teeth and cause gingivitis. Unchecked gingivitis can lead to a bad infection and could even cause implant failure among other consequences.

Err on the side of caution: treat your new teeth as if they could decay. Make sure you’re still brushing and flossing twice a day, using mouthwash twice a day. Don’t forget to see Dr. Nahlah at least twice a year for routine checkups and cleanings. 

Your implants will last a lifetime, but not if you don’t take good care of them. Be sensible, think about the investment you made and how life was before your smile was restored. That alone should be motivation enough for you to keep your new smile in tip-top shape.

Are You Qualified For All-on-Four?

If you’re suffering from a severely broken smile or missing one or both arches and want a permanent solution, then All-on-Four is what you need. The lifelike feel, form, and function of the implants used in this groundbreaking procedure are a seamless transition. No one will know you have dental implants unless you tell them.

They will feel completely natural to you, and you will not have any trouble speaking, eating, or worrying about dentures falling out. All-on-Four is the perfect solution for most patients suffering from multiple tooth loss.

Now, we say most, because there are some criteria you must meet to be a good candidate for All-on-Four.

The two most critical requirements are that your gums are healthy and with no signs of gum disease, and sufficient jawbone density. If either of those are not cleared, then the implants would likely fail. However, in the case of gum disease, we’d first need to clear that up before evaluating further. In terms of the jawbone density, that’s a little more complex.

The jawbone must be strong so that it can accommodate and bond with the implants. In some cases, we can do a bone graft which delays the process but may make it possible. To avoid that issue, do not hesitate to call Dr. Nahlah once your begin losing your teeth. The longer your jawbone goes without stimulation the more it disintegrates. Quick action is the key to avoiding that issue. 

We will also review your medical history to ensure there are no underlying conditions that might complicate the procedure. Conditions such as diabetes that hamper the body’s ability to heal can often cause problems but isn’t a dealbreaker. It just means you have to be extra diligent about pre-op and post-op care.

If you smoke it is crucial that you stop smoking at least three months before the procedure and do not smoke for at least three months following. Smoking severely inhibits healing and is one of the leading external factors of implant failure.

If You Need All-on-Four — Call Dr. Nahlah

Dr. Nahlah is hands down, the best prosthodontist in the area for All-on-Four. His informational approach to the procedure ensures you are knowledgeable about your procedure. He believes that an educated patient is best because they know the full value of their restoration and will care for their implants accordingly.

Don’t wait for another second suffering with a broken smile. Contact us today and Dr. Nahlah will give you a free consultation for the All-on-Four procedure.

Benefits And How Is All-on-Four Different From Dentures?

Don’t wait for another second suffering with a broken smile. Contact us today and Dr. Nahlah will give you a free consultation for the All-on-Four procedure Dentures cause more trouble than you ask for. Amongst the complains about dentures are ones about them slipping in and out at the most inopportune times, as well as making eating and chewing more difficult, it can also deteriorate the jawbone. That is why patients with dentures eventually look drastically different as their face begins to take on a sunken look. Different from dentures, with All-on-Four you don’t have to take it in and out, there’s no need for adhesives, you can eat any kind of food you like, All-on-Four prevents bone deterioration, last a lifetime, and restore facial features, often, changing the shape of your teeth can invigorate your jawline for a younger, stronger, healthier appearance.

What Is The Process Like?

With All-on-Four, at first, Dr.Nahlah will review your medical history, existing conditions, what your facial structure needs are, and any other factors that may come into play when placing your dental implants. Then, he creates your personalized plan, always listening to your concerns and desired outcomes. Dr.Nahlah, will customize the size, shape, color, and length of your new teeth to fit your features.
Next step is the oral surgery. A surgical guide is produced prior to the insertion of the dental implants, allowing Dr. Nahlah to accurately place the implants with minimal incisions. The procedure is done in our office, it takes a few hours and can be under local or general anesthesia. You will be able to leave the office with a new set of teeth that looks and feels natural.


How Do I Know Dr. Nahlah Is The Best Option?

Dr. Esam Nahlah has been practicing aesthetic dentistry, implant dentistry and prosthodontics for over 20 years, and restored over 5000 arches in his career, he is one of the two board-certified prosthodontist in Virginia. Dr.Nahlah utilizes the latest technological innovations in dentistry such as immediate placement and restoration of implants, computer-guided surgery, and digital impressions. Dr.Nahlah is hands down, the best prosthodontist in the area for All-on-Four. The American Board of Prosthodontics awarded Dr.Nahlah the most prestigious award in the field: "Diplomate of American Board of Prosthodontics. He strives at treating every patient as family, contacting them personally to make sure his patients are comfortable and happy with their results.

Financing Options

We provide an exceptional dental implant solution and affordable price, and financing options. Our price includes the full treatment, from start to finish, with no surprises, we also provide you with a warranty of 10 years. All-on-Four has the fastest treatment time and is much more affordable in comparison to conventional dental implants if done individually.
However, if the cost of All-on-Four seems out of budget, we have adjustable payment options that will save you time and money. At our office we work with third-party financing options that can help, based on your needs and budget to achieve the smile you’ve always wanted. In fact, you can apply online in a matter of minutes without impacting your credit score. Our financing plans enables patients to cover entire treatment costs in a series of monthly payments, and if you need help navigating through the process, our team will be available to help you with the application. We want you to leave our office confident and proud of your new smile and oral health.

What To Expect Next


  • Full set of teeth in 1 visit
  • Minimal downtime
  • Affordability with healthcare financing options

Improved Quality of Life

  • Live pain-free
  • Talk freely and simply
  • Renewed self-confidence
  • Maximum function and aesthetics


  • General or local anesthesia
  • Compassionate staff
  • Luxury environment

Peace of Mind

  • Custom Smile Design
  • State-of-the-art-technology
  • 10-year warranty