Full arch dental implants, Pittsburgh
Permanent teeth,
often in a single visit
All-on-X replaces an entire arch of missing or failing teeth with a fixed, non-removable set anchored directly to your jawbone, no more slipping dentures, no more avoiding your favorite foods.
4-6
1 day
70+
Board-certified
The NPOS Difference
Most oral surgery practices in this market aren't offering this. We are, and we've been refining it.
All-on-X is a precision technique that takes advanced 3D imaging, surgical planning, and hands-on expertise to do well. Under Dr. Singh, North Pittsburgh Oral Surgery has built a dedicated process around it, so patients who’ve been turned away elsewhere for bone loss often still qualify here.
Is All-on-X right for you?
All-on-X is most often recommended for patients who:
- Have lost most or all of their teeth in the upper jaw, lower jaw, or both
- Wear traditional dentures and want a stable, permanent alternative
- Have multiple failing teeth that need extraction and full-arch replacement
- Have bone loss that makes individual implants impractical without extensive grafting
- Want a fixed solution they never have to remove for cleaning or sleeping
We’ll confirm whether it’s the right fit for you using 3D cone beam CT imaging and a full clinical exam, at your consultation, not before.
All-on-X vs. traditional dentures
Traditional dentures
- Sit on top of the gums, held by adhesive or suction
- Can slip while eating or speaking
- Don't stimulate the jawbone, so bone loss continues
- Removed nightly for cleaning
- Need relining or replacement as your jaw changes shape
All-on-X dental implants
- Anchored to the jawbone with four to six implants
- Eat, speak, and smile without worry
- Stimulates the jawbone, helping preserve facial structure
- Fixed in place, cleaned by brushing like natural teeth
- Built as a long-term solution with proper care
What treatment looks like
A planned, five-step process, from your first scan to your final smile.
Step 1:
Consultation & 3D planning
A cone beam CT scan maps your bone density and jaw anatomy so we can plan implant position and angle before we ever pick up a handpiece.
Step 2:
Extractions & implant placement
Remaining teeth are removed and four to six implants are placed at precise angles, often avoiding the need for bone grafting altogether.
Step 3:
Temporary teeth, same day
Most patients leave with a fixed, functional, natural-looking smile the same day as surgery.
Step 4:
Healing (osseointegration)
Over three to six months, your jawbone fuses to the implants while we monitor your progress at follow-up visits.
Step 5:
Final restoration
Your temporary teeth are replaced with a custom, permanent set matched to your shape, shade, and bite.
Led by a board-certified specialist
Dr. Samir Singh
Board-Certified Oral & Maxillofacial Surgeon
Dr. Singh leads All-on-X treatment at North Pittsburgh Oral Surgery, combining advanced 3D surgical planning with hospital-based training to deliver full-arch results that hold up for the long term, not just the first year.
- Fellowship-trained in oral and maxillofacial surgery
- Advanced hospital-based surgical and anesthesia training
- Specialized training in full-arch implant planning and placement
- Performs All-on-X cases other practices refer out
Your comfort is covered
All-on-X is performed under sedation. We’ll determine the right option for you at your consultation.
Local anesthesia
Used in every case to numb the treatment area.
IV sedation
Most patients have little or no memory of the procedure. Learn more.
General anesthesia
Available for longer or more complex cases.
Now Hiring
This is the kind of work that's possible at NPOS.
If a page like this is what made you look twice, we built it for you too. We invest in advanced techniques and the team behind them. See where you’d fit.
Frequently asked questions
How long does the All-on-X procedure take?
The surgical appointment, including any extractions, implant placement, and attachment of temporary teeth, typically takes several hours, depending on the complexity of your case. With IV sedation, most patients are comfortable throughout and have little memory of the procedure.
How long do All-on-X implants last?
With proper oral hygiene, regular dental visits, and appropriate care, the implants themselves can last a lifetime. The prosthetic arch may need maintenance or replacement after 10 to 20 years depending on wear and care.
Will my new teeth look natural?
Yes. Your final prosthesis is custom-designed to match your facial features, desired tooth shade, and natural bite. Most people won’t be able to tell the difference between your All-on-X teeth and natural teeth.
Can I eat normally with All-on-X?
Once fully healed, All-on-X teeth function like natural teeth, including foods that are difficult or impossible with traditional dentures. A soft-food diet is required during the initial healing period.
What if I've been told I don't have enough bone for implants?
All-on-X is specifically designed for patients with reduced bone volume. Angling the implants to engage the densest areas of the jaw often avoids the need for extensive grafting, though some cases may still benefit from it. We’ll discuss this at your consultation.
Is All-on-X covered by insurance?
Coverage varies by plan. Our team will work with your insurance provider to determine your benefits and provide a clear cost estimate during your consultation. We also offer financing options.
Ready to replace your dentures with permanent teeth?
Schedule your All-on-X consultation with Dr. Singh today.