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Full-Arch Implants

All-on-4 Implants in San Rafael

A full set of fixed teeth anchored on implants, so you can eat, laugh, and speak without a denture that slips, planned carefully by a restorative-focused dentist.

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Medically reviewed by Dr. Steve Truman, DDS · September 2026

A Full Set of Teeth, Anchored for Good

Yes, we offer All-on-4 full-arch implant treatment at D Street Dental Group in San Rafael, planned by Dr. Steve Truman, DDS. All-on-4 replaces a whole arch of missing or failing teeth with a fixed set of teeth anchored on four dental implants. Unlike a denture you take out at night, these stay put, and you brush them like natural teeth.

When most or all of the teeth on the top or bottom are gone or failing, the usual choices are a removable denture or a set of teeth held by implants. All-on-4 uses four implant posts placed at angles that grab the strongest bone you have, giving a stable base for a full arch, often without the bone grafting older methods required. The payoff is bigger than a better smile. It is eating the foods you gave up, and dropping the daily worry that your teeth might shift when you talk or laugh.

Who All-on-4 Is Right For

Full-arch implants are worth considering if you are:

It is not the right answer for everyone, and Dr. Steve will tell you if a simpler option fits you better. The only way to know is an evaluation.

What to Expect

  1. Consultation & 3D planning We review your teeth, gums, and bone with digital imaging and map the whole plan before anything begins.
  2. Placing the implants The four implants are placed in one surgical visit, with local anesthetic and comfort options if you want them.
  3. Your fixed teeth In many cases a temporary fixed set of teeth goes on within the same short window, so you are not left without teeth.
  4. Healing & your final arch Your jaw heals and fuses with the implants over several weeks to months, then your final set of teeth is attached.

Why D Street Dental Group

Dr. Steve Truman

Restorative Dentist · Owner

Dr. Steve earned his DDS from the University of the Pacific Arthur A. Dugoni School of Dentistry and served as a clinical instructor training first-year dental students. Restorative work, implants, and full-mouth rebuilds are the core of what he does. A full-arch case is a big decision, so he plans it precisely, explains every step with photos and 3D imaging, and makes sure you understand the whole path before you commit to it.

Cost & Membership

All-on-4 cost depends on whether you are treating one arch or both, the condition of your teeth and bone, and the materials in your final teeth. Because it is a bigger case, we plan it carefully and give you a clear, itemized estimate before anything begins. No surprises.

We're out of network for all dental insurance, but our in-house "D is for Dental" membership takes 20% off restorative & major work, with flexible in-office payment plans available to make a case like this manageable. See membership plans →

All-on-4 Questions

How much do All-on-4 implants cost in San Rafael?

Cost depends on whether you are treating one arch or both, the condition of your remaining teeth and bone, and the materials in your final teeth. Because it is a bigger case, we plan it carefully and give you a clear, itemized estimate before anything begins. Members of our in-house "D is for Dental" plan receive 20% off restorative & major work, and flexible in-office payment plans are available. Call (415) 453-0744 for a consultation.

Is All-on-4 better than dentures?

It depends on what you want. All-on-4 teeth are fixed in place, so they do not slip, need adhesive, or come out at night, and most people can eat a much wider range of foods. A traditional denture costs less up front and is removable. Dr. Steve will walk you through the honest trade-offs so you choose the option that fits your life and budget, not just the biggest one.

Does the All-on-4 procedure hurt?

The procedure is done with anesthetic, and we offer a full comfort menu for anxiety. Most people describe the recovery as soreness and swelling for a few days that is manageable with the guidance we give you, rather than the ordeal they feared. We stay in close contact through healing.

Am I a candidate if I've been told I don't have enough bone?

Possibly. One reason All-on-4 exists is that the four implants are angled to grab the strongest bone you have, which often avoids the extensive grafting older methods needed. Even if you were turned down elsewhere, it is worth an evaluation. Dr. Steve reviews your bone with 3D planning and tells you honestly what is possible.

How long does All-on-4 treatment take?

The implants are placed in a single surgical visit, and in many cases a temporary fixed set of teeth goes on within the same short window. Your jaw then heals over several weeks to months before the final teeth are attached. Dr. Steve maps out your full timeline at the consultation so you know each step.

What can I eat after All-on-4 surgery?

A soft diet for the first several weeks, because the temporary teeth sit on implants that are still fusing with the bone. Eggs, fish, pasta, soft cooked vegetables, yogurt, and smoothies without a straw all work. Avoid biting into anything hard or chewy with the front teeth, and no crusty bread, nuts, or tough meat until Dr. Steve Truman, DDS, clears you. Once the final teeth are attached at D Street Dental Group, most people eat what they want.

Does dental insurance cover All-on-4?

Rarely more than a small part. Most PPO plans treat full-arch implants as a major service and cap what they pay at the plan's annual maximum, well below a case this size. D Street Dental Group is out of network with all dental PPOs, and we bill your plan directly so any benefit you have gets used. Dr. Steve Truman, DDS, gives you a written estimate showing the plan's likely share, your share, and the in-office payment plan options. Members of the D is for Dental plan receive 20% off restorative & major work.

How long do All-on-4 teeth last?

The implants are designed to last for many years once they have fused with your bone and you keep the gums around them healthy. The set of teeth attached to them is the part that wears: it can be polished, repaired, or replaced without touching the implants underneath. At D Street Dental Group, Dr. Steve Truman, DDS, checks the implants and the fit of your teeth at every visit so small problems are caught before they cost you an arch.

How do I clean All-on-4 teeth?

Twice a day, and the key spot is under the bridge where food collects against the gum. Brush the teeth as usual, then clean under the arch with a water flosser or floss threaders, and rinse. Bring the teeth to every hygiene visit at D Street Dental Group. We clean around each implant and, when needed, take the bridge off to clean it and check the gums underneath. If you clench or grind, Dr. Steve Truman, DDS, will make a night guard, because that force is one of the main things that wears the teeth down.

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