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Full-Arch Dental Implant Rehabilitation

Fixed teeth in the upper jaw, the lower jaw, or both, designed, milled and delivered by the same surgical and lab team. Built for patients with failing dentition, denture fatigue, or a prior plan that came up short.

What it actually means

Full-arch rehabilitation, defined.

Full-arch rehabilitation replaces every tooth in an upper or lower jaw with a fixed prosthesis supported by dental implants. It is not a denture. It is not a single tooth scaled up. It is a coordinated surgical and prosthetic plan that delivers a non-removable set of teeth anchored into bone, designed to function like natural dentition for decades.

In our practice, “full-arch” covers four distinct routes: All-on-4, All-on-6 or All-on-X, zygomatic implants for severe bone loss, and implant-supported dentures when removable-but-stable is the better answer for a specific patient. The right route depends on bone, bite, opposing dentition, medical history, and what you want from the next twenty years. A useful consultation looks at all four before recommending one.

We’ve placed thousands of implants over the last 15 years. Full-arch work is what we do. Not a service among many.

Full-arch outcomesFull case gallery
Full-arch implant rehabilitation outcome
Fixed full-arch implant restoration, completed case
Full-arch implant-supported prosthesis outcome
Who comes to us

Patients we see every week.

  • Adults with failing teeth who have decided to start over rather than chase one more crown, root canal, or extraction.
  • Long-time denture wearers tired of the daily compromise: adhesive, sore spots, food avoidance, the way dentures move when speaking.
  • Patients told elsewhere they “aren’t a candidate”, almost always because of bone deficiency, sometimes because of medical complexity.
  • Patients whose previous implant treatment failed and who need revision before they can move forward.
  • Adults who want the work done right the first time, by a focused team, in one building.

We don’t do cleanings, veneers, braces, root canals, or general dentistry. If those are what you need, we’ll help you find a good dental home for them. What we do is implant surgery and full-arch rehabilitation, every day.

Why patients travel for this work

The case for a focused practice.

Surgeon-led, end to end. A single surgeon owns the plan, the surgery, and the prosthetic decision. There is no handoff to a third-party lab or a separate sedation facility. The person who places your implants is the person who designed the treatment and will be in the room when the final teeth go in.

The lab is down the hall. Our prosthetic designers and milling work in the same building as the surgical suite. That’s what makes same-day provisional teeth realistic instead of aspirational, and it’s why the final restoration can be corrected the same day if the bite or contour needs adjusting. See our in-house lab for the workflow detail.

Sedation and anesthesia included. IV sedation and general anesthesia are administered at our facility by anesthesiologists who specialize in outpatient surgical sedation. No separate facility, no anesthesiologist fee on top, no second appointment. See sedation & anesthesia.

Depth. 15+ years and thousands of implant cases. We see complex full-arch work every week, including the cases other offices won’t or can’t take on.

Same-day teeth

What’s actually possible. What isn’t.

Same-day teeth is a real outcome for many full-arch patients, but it’s a clinical decision, not a marketing promise. What “same-day” means in our practice: you arrive with failing or missing teeth, your implants are placed under sedation or general anesthesia, and a provisional fixed prosthesis is delivered the same day from our in-house lab. You leave with teeth in place and a functioning bite.

What it doesn’t mean: the final restoration. Final teeth come three to six months later, once the implants have integrated and the bite and aesthetics have been refined. Provisional teeth are functional and natural-looking, but they’re transitional by design.

Some cases, including extensive grafting, certain medical conditions, and severe parafunctional bite, are not candidates for same-day delivery. We say so at the consultation rather than on the surgical day.

Per arch, all-in
from $24,900
Includes placement, sedation, provisional, in-house lab
Zygomatic full-arch
Case-by-case
Severe upper-jaw bone loss · GA included
Financing
0% intro plans
Pre-qualify in 60 seconds · no credit impact
Not billed separately
Sedation · Lab · Provisional
All in-house, included in every quote

What every full-arch quote includes.

Surgical placement, IV sedation or general anesthesia, the provisional fixed prosthesis, all in-house lab work, and post-operative follow-up through to the final restoration. No separate facility fee, no surprise anesthesiologist invoice, no prosthetic surcharge from a third-party lab.

Full ranges and financing options are on the cost & financing page. Pre-qualification takes about a minute and won’t affect your credit.

Full-arch questions we hear most often

I was told I don't have enough bone for implants. Is full-arch still possible for me?

Most of the time, yes. Bone deficiency is the single most common reason patients are told they aren't candidates elsewhere, and it's also the most common reason they end up here. Depending on the pattern of bone loss we see on a CBCT scan, the answer is usually one of three: place implants at strategic angles to use the bone that's there (the principle behind All-on-4 and All-on-X), build bone with grafting before placement, or, for severe upper-jaw loss, use zygomatic implants that anchor into the cheekbone instead of the upper jaw. We'll tell you which route fits your case at the consultation, with the imaging in front of us.

How long does the surgery take, and will I be awake?

A full-arch case typically runs three to six hours depending on grafting, extractions, and the number of implants placed. You won't be awake for it. IV sedation or general anesthesia is administered at our facility by anesthesiologists who specialize in outpatient surgical sedation: no separate facility, no separate fee, no separate appointment. Most patients describe the experience as sleeping through it and waking up with teeth.

Will I leave with teeth on the same day?

Usually yes. Provisional teeth, not the final restoration. "Same-day teeth" means you arrive with failing or missing dentition, your implants are placed under sedation, and a fixed provisional prosthesis is delivered the same day from our in-house lab. You leave with teeth in place and a functioning bite. The final prosthesis is delivered three to six months later, after the implants have integrated and we've refined the bite, contour, and aesthetics. A small number of cases, including extensive grafting, certain medical conditions, and severe parafunctional bite, are not candidates for same-day delivery, and we'll tell you that before surgery, not on the day of.

How long do full-arch implants last?

The implants themselves, the titanium fixtures that integrate with bone, are designed to last for decades. Published long-term data on properly placed and maintained implants shows survival rates above 95% at 10–20 years. The prosthetic teeth attached to the implants are a separate question. Provisional teeth are transitional; the final prosthesis (zirconia or hybrid) typically lasts 10–15 years before any meaningful refurbishment is needed, and longer with good hygiene. What matters most for longevity is the surgeon's planning, the patient's bone health, and ongoing maintenance. That's why we offer a monthly hygienist program for our full-arch patients.

Why is full-arch implant work more expensive at some practices than others?

The honest answer: most of the visible price difference is about what's included. A quoted "per implant" price often excludes sedation, the prosthetic from the lab, provisional teeth, follow-up, and any required grafting. By the time everything's added, two quotes that looked different end up close. The real questions to ask are whether the lab is in-house or outsourced, whether sedation is in-house or billed separately, and whether the prosthetic is included in the quote. Our published full-arch range, from $24,900 per arch, includes all of it.

Can I eat normally with implant-supported teeth?

Fixed full-arch teeth restore most normal eating function. After the initial healing period (soft diet for 6–8 weeks), patients eat steak, apples, raw vegetables, things that aren't realistic with conventional dentures. The prosthetic is screwed into your implants, not held in place by suction or adhesive. The bite force returned to a patient with a fixed full-arch is meaningfully closer to natural dentition than to dentures.

Do I need a referral from another dentist?

No. Patients book directly with us. Many of our cases come from referrals, and we work closely with referring dentists, but we don't require one. If you're considering full-arch work, you can call us or book a consultation through this site. We'll review your imaging and give you a real plan.

What if I've had a previous implant treatment that didn't work?

Revision work is a meaningful part of our practice. Failed implants, ill-fitting prostheses, prior surgical plans that came up short. Those cases are usually more involved than starting fresh, but they're not unusual for us. The first step is the same: imaging, an honest assessment of what's salvageable, and a written plan for what comes next.

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Bring us the case
everyone else said no to.

Most of our consultations come from patients who have been told they can't have implants. We see those cases every week. Book a private consultation with Dr. Metwally. We'll review your imaging and give you a real plan.

Address2804 Victoria Park Ave #14
North York, ON M2J 4A8
HoursMon – Fri · 8:00 AM – 6:00 PM
Phone(416) 499-7878