All-on-4 / All-on-X Dental Implants Charlotte NC
A full arch of fixed teeth, designed around you.
Our standard is five or six implants per arch — not four. More support. Built-in redundancy. Backed by the Harrell Confidence Guarantee — in writing.
Strategically placed implants support a complete fixed arch that stays in place, functions like natural teeth, and in many cases can be delivered the same day as your surgery. Every arch is designed, crafted, and refined in our on-site dental lab — The Natural Smile Lab.
The Day You Stop Thinking About Your Teeth
What Are All-on-4 / All-on-X Dental Implants?
All-on-4 is the widely recognized name for a full-arch implant technique — a complete set of fixed teeth supported by implants placed in the jaw. The “4” refers to the minimum number of implants used in the original protocol. At our practice, Dr. Harrell typically places five or six implants per arch — and in some cases more — depending on bone structure and clinical presentation. We call this All-on-X, where the number is tailored to each patient rather than fixed at four.
The additional implants distribute the functional load more evenly, build in clinical redundancy, and are what allow us to back every full-arch case with a written guarantee. The angled placement of the posterior implants maximizes contact with available bone — working with the bone structure you have rather than requiring a separate grafting procedure in advance. Bone graft material, prepared from the patient’s own bone during surgery, is incorporated as part of every procedure.
The result is a full arch of teeth that is fixed in place — it does not come out for cleaning, does not shift while eating, and requires no adhesives. It functions from the inside out the way natural teeth do, and it stimulates the jawbone to slow the bone resorption that accelerates with missing teeth.
Your All-on-4 / All-on-X Process at Harrell Dental Implant Center
From first consultation to final arch delivery, every step is coordinated in-house with one doctor overseeing your care.
Free Consultation and 3D Imaging
Your first appointment is a full clinical evaluation — not a sales meeting. Dr. Harrell takes a CBCT 3D scan to assess bone density, volume, and anatomy. You leave with a clear picture of your options, a realistic timeline, and exact pricing.
Treatment Planning and Lab Preparation
Dr. Harrell and the team at The Natural Smile Lab design your restoration before surgery. A surgical guide is fabricated from the imaging data to control the precise depth and angle of every implant. Because the lab is on-site, this phase is faster and more tightly coordinated.
Implant Surgery and Provisional Arch
The implants are placed using the surgical guide — typically five or six per arch. In most cases, a provisional fixed arch is attached the same day, so you leave with functional teeth. Sedation options are available for a more comfortable experience.
Healing and Osseointegration
Over three to six months, the implants integrate with the jawbone. During this period you wear the provisional arch, which is fully functional for everyday eating and speaking. The clinical team monitors your progress at scheduled check-ins.
Final Arch Delivery
Your final zirconia arch is fabricated in The Natural Smile Lab. Dr. Harrell reviews the restoration for color, shape, and proportion before it leaves the lab. The final arch is placed at your delivery appointment and treatment is complete.
Full-Arch Pricing,
Published in Advance
A fixed full arch at Harrell Dental Implant Center is $23,000 to $28,000 for one arch, and $39,995 for both arches — all in, with anesthesia.
Both prices cover the whole treatment: 3D imaging and virtual surgical planning, five to six implants per arch, same-day provisional teeth, the final zirconia arch made in The Natural Smile Dental Lab on-site, follow-up care through healing, and the Harrell Confidence Guarantee. Where a single-arch case falls in its range depends on bone density, the number of extractions and case complexity, and Dr. Harrell confirms your figure in writing at the free consultation.
When you compare full-arch quotes, compare what is inside them: whether the final teeth are zirconia or acrylic, how many implants support the arch, and whether extractions, sedation and temporary teeth are counted in the number or added later.
Extended payment plans are available with approved credit, and the monthly figure for your case is part of the consultation. See every published price or compare financing options.
Benefits of All-on-X for Charlotte Patients
Fixed and
Non-Removable
No adhesives, no nightly removal. Functions the way natural teeth do.
Same-Day Teeth
in Most Cases
Leave surgery with a provisional arch attached. You do not go home without teeth.
No Separate Graft
Procedure Needed
Bone graft material — prepared from your own bone — is part of every procedure. No separate grafting appointment required in most cases.
Preserves
Remaining Jawbone
Implants stimulate bone the way roots do, slowing resorption and preserving facial structure.
Final Arch
Crafted In-House
Designed and finished in our on-site lab. Dr. Harrell reviews every restoration before placement.
Are You a Candidate for All-on-4 / All-on-X in Charlotte?
The All-on-4 / All-on-X approach was developed specifically to expand who qualifies for full-arch implant treatment. A 3D evaluation is the only reliable way to know for certain, but the threshold for candidacy is lower than most patients expect.
- You are missing all or nearly all teeth on an upper or lower arch
- You are currently wearing a full denture and want a fixed, non-removable alternative
- You have a failing dentition — multiple teeth beyond restoration
- You have moderate bone loss and have been told grafting would be required
- You are in reasonably good general health, or have conditions that are well managed
- You are a non-smoker, or are willing to stop smoking prior to treatment
Even if you have been told you are not a candidate elsewhere, a second opinion here may tell a different story. Advances in 3D imaging and surgical planning have changed who qualifies, and a previous evaluation based on older technology may not reflect what is actually possible.
The Harrell Confidence Guarantee
Every All-on-4 / All-on-X case at Harrell Dental Implant Center is backed by a documented, written guarantee covering three tiers of your treatment.
Surgical Success
If an implant fails to integrate within the first year, Dr. Harrell will replace it and perform the corrective procedure at no additional charge.
Material Warranty
Manufacturer defects in the titanium implant hardware are covered for as long as Dr. Harrell is in practice.
Prosthetic Integrity
Your zirconia arch is backed against chips or fractures for five years from the date of final delivery.
All-on-4 / All-on-X Dental Implants in Charlotte, NC
Yes. A provisional fixed arch is attached to the implants the day of surgery, so you leave the appointment with functional teeth. This provisional arch is replaced with the final zirconia restoration after the healing period. Because the final arch is fabricated in The Natural Smile Lab on-site, Dr. Harrell can review and refine it directly before it is placed.
Treatment is performed with local anesthesia, and sedation options are available for patients who prefer a more relaxed experience. Post-surgical discomfort in the days following the procedure is typical and well-managed with standard post-operative care. Most patients describe the experience as more manageable than they anticipated.
The surgical appointment is a single day. The total treatment timeline from consultation to final arch delivery is typically four to six months, with most of that time being the healing period during which the implants integrate with the bone. Patients with more complex situations may have a different timeline, which Dr. Harrell outlines clearly at the consultation.
Daily care involves brushing twice daily and cleaning beneath the arch with a water flosser or interdental brushes — tools Dr. Harrell’s team will walk you through specifically. Professional cleanings every six months are required both for long-term implant health and to keep the Harrell Confidence Guarantee active. The zirconia arch itself requires no special maintenance beyond standard hygiene.
Possibly, yes. The angled placement technique in All-on-4 is specifically designed to work with patients who have moderate bone loss — avoiding the areas of greatest deficiency by tilting the posterior implants toward denser bone. Bone graft material prepared from the patient’s own bone is incorporated as part of every procedure, which is part of why a separate pre-surgical grafting procedure is rarely necessary. Patients who have been told bone grafting is required should get a 3D evaluation before accepting that as a given.
A fixed full arch is $23,000 to $28,000 for one arch and $39,995 for both arches, all in, with anesthesia. Where a single-arch case falls in that range depends on bone density, the number of extractions and case complexity. Both prices include 3D imaging and virtual surgical planning, our five-to-six implant standard, same-day provisional teeth, the final zirconia arch made in The Natural Smile Dental Lab on-site, follow-up care during healing, and the Harrell Confidence Guarantee — surgical success, hardware integrity, and prosthetic coverage outlined in writing before treatment begins. Your exact figure is confirmed in writing at the free consultation. Financing options, including extended payment plans with approved credit, are available.