All-on-4 Dental Implants in Agoura Hills, CA

If you're dealing with a full arch of failing, fractured, or missing teeth, All-on-4 is one of the most complete solutions available. Four dental implants anchor a fixed set of teeth directly into your jaw, and a temporary set is placed the same day as surgery. You leave the appointment with teeth you can actually use, without spending months waiting in between.

At Restore Dental Studio, Dr. Castor and Dr. Carson plan every full-arch case together, from 3D imaging and bone assessment to the shape, proportion, and color of your final teeth. The surgical and restorative phases are treated as one unified outcome, not two separate handoffs.

To find out if you're a candidate, call us at (818) 889-0400.

What to Know Before Your Consultation

Dentist explaining dental procedure to patient during consultation
  • Not every practice plans the surgical and restorative phases together. When they don't, the outcome works but often falls short aesthetically. Dr. Castor and Dr. Carson plan both as one case from the start.
  • If another dentist told you there isn't enough bone, that may not be the final word. Angled implant placement is specifically designed for patients with bone loss, and many who were turned away elsewhere are still strong candidates.
  • Plan for about a week of soft foods and a lighter schedule after surgery. The healing that follows over the next few months is mostly passive on your end.
  • Cost depends on your specific case. We go over every line item at your consultation so nothing is a surprise.

Each Step of Your All-on-4 Treatment, Explained

Team member demonstrating dental implant model to patient

1. Planning in Three Dimensions

Before any surgical conversation happens, we build a complete picture of your jaw and bite. That includes 3D imaging of your bone structure, a detailed bite analysis, and an aesthetic evaluation that accounts for your facial proportions, lip line, and the look of your existing teeth. A standard X-ray simply cannot show bone depth the way this can.

2. Surgical Day

Four implants are placed into the jaw at the angles determined during planning, each positioned to anchor into the areas where your bone is densest and most stable.

3. Same-Day Provisional Teeth

Before you leave that appointment, a temporary arch is attached. It is shaped to closely resemble your final result and is fully functional, so you can eat, speak, and step back into your life with a complete set of teeth. This is not the finished restoration, but it is designed to look and work like one.

4. Healing and Integration

Over the following months, the implants fuse with your jawbone. We check in periodically to make sure everything is progressing as expected, but you are not in the chair constantly during this phase.

5. The Final Arch

Once healing is complete, your permanent teeth are crafted and placed. Shape and proportion are matched to your facial structure, surface texture is built to catch light the way natural enamel does, and color is chosen to complement your skin tone and surrounding tissue. The goal is a result that looks and feels like it was always there.

What You Get Back When Your Teeth Are Stable

  • A bite you can trust. The arch is anchored into bone rather than resting on gum tissue, so it won't shift, click, or need adhesive to stay in place.
  • A full diet again. You can chew with real force again, which opens up a far broader range of foods than removable dentures typically allow.
  • Speech that stays steady. Nothing covers the roof of your mouth or slips mid-sentence, so you can speak with confidence.
  • Bone that stays healthy. Implants act like natural tooth roots, signaling the bone to stay strong and slowing the gradual shrinkage that happens under conventional dentures.
  • Facial support restored. A full arch shaped to your proportions gives your lips and lower face the structure that disappears when teeth and bone are lost.
  • A long-term restoration. With consistent home care and regular checkups, the implants are designed to last many years, and the arch can be refinished if needed over time.

Could All-on-4 Work for You?

All-on-4 works with the bone you have, which makes it an option for many people who were told traditional implants were not possible. You may be a strong candidate if you are dealing with one or more of the following:

  • A full arch of teeth that are failing, fractured, or too far gone to reliably restore
  • Dentures or partials that no longer fit securely, affecting how you eat, speak, or feel around other people
  • Significant bone loss, with enough remaining structure to support four angled implants
  • Overall health stable enough to support an oral surgical procedure

Some situations call for a different approach. Active gum disease is treated first with periodontal therapy, because implants placed into inflamed tissue are more likely to fail. Uncontrolled health conditions may mean adjusting the order of treatment or coordinating with your physician. Tobacco use does not automatically rule you out, though it does affect how implants heal, and we will walk through that with you honestly.

How Long Does All-on-4 Actually Take?

Most full-arch cases move through four milestones. The exact timing depends on your body and how you heal, but the general timeline stays consistent.

  • Consultation and Imaging: One visit where we review your bone structure and bite and build a plan specific to you.
  • Surgical Day: Implants are placed and your temporary arch is attached before you go home.
  • Healing and Integration: Over several months, the implants fuse with your jawbone. We check in periodically to confirm everything is progressing as expected.
  • Final Delivery: A short series of appointments to fit, refine, and place your permanent arch.

The first week after surgery brings some swelling and a soft-food diet. Discomfort is real but manageable with the medication we prescribe, and most people are back to their normal routine within about a week. We don't rush the timeline, because the quality of the outcome depends on it.

Your Role Before Surgery and in the Months That Follow

Before surgery, we'll review your medications and health history, confirm your sedation plan, and ask you to arrange a ride home. Plan to have soft foods on hand, clear a few days on your calendar, and fill any prescriptions in advance. If you use tobacco, pausing before and during healing gives the implants a better chance to bond with your jaw.

Afterward, most patients find the recovery routine more manageable than they expected. Keep the treated areas clean using the rinses and gentle technique we walk you through, take prescribed medications as directed, and ease back into exercise once the initial swelling has settled. Long term, your fixed arch still needs daily cleaning underneath and around the implants, and we'll show you the tools that make it straightforward. Regular checkups keep your gums healthy and let us catch small issues early.

Two Doctors, One Fully Planned Outcome

Restore Dental Studio team posing together at office entrance

At many implant centers, the surgical and restorative phases are handled separately, and the result often shows it. Here, both doctors plan every full-arch case together from the start, so proportion, fit, and function are decided as one outcome rather than pieced together after the fact.

  • Dr. Justine Castor, DDS graduated with honors from the University of the Pacific, Arthur A. Dugoni School of Dentistry and received the Group Practice Award for Clinical Excellence. She specializes in advanced restorative and implant dentistry and is a member of the AACD, ADA, and AGD.
  • Dr. Kathleen Carson, DDS brings airway-focused and TMJ expertise along with a whole-body perspective on oral health. How you breathe, how your jaw joints function, and how your bite distributes force all shape how well a restoration holds up over time.

Our Agoura Road studio serves Agoura Hills and the surrounding communities, designed to feel like a wellness retreat rather than a clinical office, so you can feel at ease through every stage of treatment.

Questions Patients Ask Before Saying Yes

Will I Really Have Teeth the Same Day as Surgery?

Yes, in most cases. Once the implants are placed, a temporary arch is secured to them before you leave. You go home with teeth that are functional and natural-looking, not a gap or a removable placeholder.

My Dentist Said I Don't Have Enough Bone. Now What?

All-on-4 was specifically developed for patients with bone loss. By angling the back implants, they reach denser areas of the jaw that standard implant placement cannot access. Many patients who were turned away elsewhere are still strong candidates.

How Long Do All-on-4 Implants Actually Last?

The implants themselves are designed to last many years with consistent home care and regular checkups. The replacement arch is durable but may need refinishing over time depending on wear and how your bite shifts. It is built to last, with occasional maintenance as needed over the years.

Why Not Just Get Dentures Instead?

Dentures rest on gum tissue, which means they can shift, require adhesive, and do nothing to prevent the bone loss that continues after teeth are gone. All-on-4 implants are anchored directly into the jaw, so there is no movement, no adhesive, and chewing feels far closer to natural teeth.

Does It Feel Like Having Real Teeth Again?

Most patients describe it as the closest thing to natural teeth they have experienced. The arch is fixed, thin, and stable, with no palate coverage and no sensation of something sitting on your gums. It is shaped to fit your face, so it looks and feels natural when you are talking, eating, or just at rest.

Start with a Consultation, Not a Commitment

Your first visit is a planning conversation, not a sales pitch. We review your jaw and bone structure, tell you honestly whether you're a good candidate, and walk you through the timeline and cost specific to your case. Nothing is scheduled until you've seen the full picture and decided it feels right for you.

Want to learn more before coming in? You can explore our approach and the studio, meet Dr. Castor and Dr. Carson, or browse the full range of services we offer. We are at 30200 Agoura Rd., Suite 270, Agoura Hills, CA 91301. When you are ready, call (818) 889-0400.