For patients who have lost most or all of their teeth, the prospect of rebuilding a full smile can feel overwhelming. Conventional dentures offer a workaround, but they often shift, limit what you can eat, and gradually accelerate bone loss in the jaw, leaving many patients searching for something more permanent, more comfortable, and more like the teeth they used to have.
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Dr. Mohamed El-Ounsi performs All-on-X dental implant procedures for patients across Long Island who are ready for a lasting solution to full-arch tooth loss. Dr. El-Ounsi is a Board Certified Oral and Maxillofacial Surgeon and a Diplomate of the American Board of Oral and Maxillofacial Surgeons, trained at NYU Langone and Bellevue Hospital, one of the most rigorous OMS programs in the country, where he served as Chief Resident. His full-arch rehabilitation approach combines surgical precision with a patient-first philosophy that guides every step of the process.
What Is All-on-X?
All-on-X is a full-arch implant treatment in which a complete set of upper or lower teeth is anchored to as few as four to six strategically placed dental implants. The “X” in the name reflects the flexibility of the concept: the number of implants used is determined by the patient’s anatomy, bone density, and clinical goals, rather than a fixed protocol.
How the Implants Are Placed
The implants are inserted into the jawbone at precise angles designed to take advantage of whatever bone volume is available. This angled placement is especially useful for patients who have experienced some degree of bone loss after years of tooth loss or denture wear. In many cases, this approach reduces or eliminates the need for additional bone augmentation before treatment can begin.
The Prosthesis
Once the implants are placed, a full-arch prosthesis is attached. This prosthesis is fixed in the mouth, meaning it does not come out for cleaning the way a denture would. Patients leave with a functional set of teeth on the same day as their implant surgery, which is part of why this treatment is sometimes called “teeth in a day.” Long-term outcomes with this approach have been supported by clinical research: a study published in the Journal of Clinical Medicine documented high implant survival and low marginal bone loss at 10-year follow-up for patients treated with the All-on-4 concept.
Who Is a Candidate for All-on-X?
All-on-X is designed for patients who are missing all or most of their teeth in one or both arches and are looking for a fixed, implant-supported option rather than removable dentures. Good candidates are in reasonably stable overall health, are committed to their oral hygiene and follow-up care, and ideally have enough bone to support implant placement.
Patients who have experienced significant bone loss are not automatically disqualified. Depending on the clinical picture, options may include angled implant placement to reach denser areas of bone, bone grafting to restore volume before or alongside implant placement, or other advanced approaches that allow treatment where conventional implants would not be possible. The right path forward is determined during a detailed consultation and evaluation.
Some of the patients who benefit most from All-on-X include:
- Long-term denture wearers who are experiencing fit problems, discomfort, or continued bone loss
- Patients with failing dentition who are ready to move to a permanent, implant-supported solution
- Patients who have avoided treatment due to cost, fear, or previous consultations where they were told they were not candidates
Every treatment plan at Precision OMF Surgery is built around the individual. Dr. El-Ounsi takes a highly personalized approach to sourcing materials and selecting techniques, which is why patients with complex clinical presentations often find options here that were not available to them elsewhere.
What to Expect During Treatment
A full-arch implant procedure begins with a thorough consultation, imaging, and treatment planning. For patients with dental anxiety or concerns about surgical discomfort, IV sedation is available to ensure a comfortable experience throughout the procedure.
Same-Day Consultations and Procedures
Dr. El-Ounsi offers same-day consultations and, in qualifying cases, same-day procedures. This means patients do not have to wait weeks between their first visit and the start of treatment. The practice also provides urgent same-day care for dental emergencies, so patients dealing with failing teeth do not have to delay the evaluation process.
Immediate Implant Placement
For patients having teeth extracted as part of their treatment plan, immediate implant placement may be an option. This approach allows the implant to be placed into the extraction socket on the same day as the tooth removal, reducing the total number of procedures and shortening the treatment timeline.
Making All-on-X Accessible
One of the most common questions patients have about All-on-X treatment is how to manage the cost. Precision OMF Surgery offers a range of payment and financing options, including CareCredit, Cherry, Alphaeon, Proceed, and HFD. HSA and FSA funds are also accepted. The practice takes a transparent approach to treatment costs, providing clear information upfront so patients can plan accordingly without surprises.
Start Your Consultation at Precision OMF Surgery
Dr. El-Ounsi brings the training of a Chief Resident from one of New York’s top oral surgery programs, board certification through ABOMS, and a commitment to individualized care that extends from the first consultation through the final restoration. At Precision OMF Surgery, full-arch implant treatment is performed by a surgeon with the credentials and clinical depth to handle even the most complex cases and with the transparency to make sure every patient knows exactly what to expect at every step.
If you are ready to learn whether All-on-X is the right option for you, contact our office to schedule your consultation today.