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All-On-4: A Guide to Receiving “Teeth In a Day”

Mandibular prosthesis All-on-4 system supported by implants. Medically accurate 3D illustration of human teeth and dentures concept

Tooth loss affects over 69% of American adults over the age of 44.

If that number includes you, receiving “teeth in a day” likely sounds like an attractive option. You may be wondering, what are all-on-4 dental implants? Do they really live up to the promise of giving you your smile back in a single day?

If you have questions about all-on-4 dental implants, keep reading. We’ll explain everything you need to know about the procedure, its benefits, and just how it can give you back your smile.

What Are All-on-4 Dental Implants?

Dental implants are a way of permanently replacing your lost tooth.

First, the dental surgeon embeds the implant (a titanium post) into your jaw. This takes the place of your tooth’s root to keep the new tooth stable. After the implant surgery has healed, the dentist can apply an abutment (covering) to the implant, and finally, add a crown (artificial tooth) to complete the procedure. 

Studies have shown that dental implants are extremely successful, leaving over 90% of patients “very satisfied” with the appearance and function of their new teeth. 

However, what if you need more than one tooth replaced?

If you are experiencing major tooth loss, you can still get the permanence and comfort of dental implants without having to insert an implant for every tooth. You can turn to all-on-4 dental implants.

All-on-4 dental implants replace all the decayed or missing teeth in your lower or upper jaw using only 4 implants. This saves you surgery time while restoring your entire smile.

How Do All-on-4 Dental Implants Work?

Instead of inserting an implant (the titanium post that supports the tooth prosthetic) for every tooth, all-on-4 dental surgery only inserts 4 implants. 

These 4 implants support a fixed bridge. This prosthetic supports the whole set of your new teeth, spanning your upper or lower jaw. After the implants and bridge are in place, the dentist attaches the whole set of artificial teeth to the bridge.

The All-on-4 implant technique gives you back your entire upper or lower set of teeth with a minimally invasive yet permanent surgical strategy.

Benefits of All-on-4 Dental Implants

As a total tooth replacement solution, all-on-4 dental implants offer many benefits compared to non-permanent dentures.

  • All-on-4 implants are a permanent solution with proper care
  • More natural-looking than dentures
  • Because they are fixed in place, they will never slip around as dentures are prone to do
  • Easier to clean — they are cleaned with brushing and flossing, just like regular teeth
  • They avoid putting pressure on your gums, which can cause irritation and inflammation
  • They help maintain your jaw bone so that it doesn’t shrink over time

The permanence of dental implants means that you’ll never have to deal with slippage, which can cause difficulty speaking and chewing. 

A Speedy Solution

All-on-4 implants are an even quicker solution than traditional dental implants. While single implants require weeks of recovery time between inserting the posts and applying the artificial tooth, all-on-4 implants complete the whole procedure in a single visit. 

This is one of the most popular benefits of all-on-4 dental implants. The quickness of the procedure is why they are often known as “teeth in a day.”

All-on-4 Dental Implant Procedure

Your all-on-4 dental implant procedure starts with diagnostic x-rays. This allows your dentist to make sure that you have enough bone mass to support the posts and prosthesis.

Once your dentist has confirmed that you are a good candidate for dental implants, you can plan your surgery date.

Consult with your dental surgeon about the type of anesthesia that you will use during your implant surgery. If you will receive general anesthesia, avoid eating or drinking for 8 hours before the surgery. Don’t forget to have another adult present to drive you home after the procedure is over.

All-on-4 Implant Surgery Aftercare

After your surgery, have an adult stay with you for at least 12 hours while you recover. Plan to take at least 3 days off work to stay and home and recover.

Monitor your postoperative pain level. You should be able to keep your discomfort manageable with over-the-counter or prescription pain medication. 

Most dentists recommend a diet of soft foods for up to 3 weeks after your surgery. This allows your implants to heal without stress from chewing. Recommended foods include yogurt, protein shakes, oatmeal, scrambled eggs, pudding, applesauce, and soup.

Lifetime Care of All-on-4 Implants

Once your implants have fully healed, you will take care of them just as you would care for your natural teeth. This includes regular hygiene measures such as:

  • Regular checkups and dental cleaning
  • Brushing as usual
  • Flossing and using mouthwash as recommended

Research shows that with optimal care, all-on-4 dental implants have a greater than 94% success rate after ten years. They should last several decades, or up to a lifetime.

Who Is a Candidate For All-on-4 Dental Implants?

All-on-4 dental implants are a good solution for patients who:

  • Need an entire upper or lower set of teeth replaced
  • Want a permanent tooth replacement solution with no slippage or gum damage
  • Have good jaw bone mass to support the dental implants
  • Are concerned about jaw shrinkage due to loss of jaw bone mass
  • Have a fully grown jaw
  • Are committed to maintaining good dental hygiene

However, all-on-4 implants are not the best solution for everyone. You may want to choose another tooth replacement solution if you have one or more contraindication, such as:

  • Being pregnant at the time of the dental implant surgery
  • Smoking
  • Drinking alcohol heavily
  • Having low bone mass in your jaw
  • Receiving radiation treatment

At the Arizona Periodontal Group, we know that every case is unique. If you’re unsure whether all-on-4 dental implants are the right solution for you, Dr. Tujillo will consult with you and help you find the best path forward.

All-on-4 Dental Implants: Right for You? 

All-on-4 dental implants are an excellent and evidence-supported solution for major tooth loss. With this article, you’ll be able to understand what this dental solution entails and be ready to take the next steps.

Are you ready to get your smile back? Request an appointment with Dr. Tujillo today. Our Arizona Periodontal Group team will get you started on the path to your best smile.

Cosmetic Dentistry: Periodontal Procedures for a Better Smile

Woman pointing to her beautiful smile.
Woman Pointing To Her Smile With Perfect White Teeth

If you’re looking to improve your smile, you’re not alone. Nearly 50% of Americans believe they would be more confident if they had a better smile. 

Periodontal disease is one reason why patients avoid any cosmetic dentistry. Otherwise known as gum disease, periodontal disease affects the gums, and though it’s preventable, sometimes it may be advanced and require surgery.

Thankfully, there are periodontal cosmetic procedures available today that aim to restore and revitalize your smile. Here are some procedures you may want to consider, which can be performed by a cosmetic dentist. 

1. Gingivectomy

Gingivectomy or gum contouring is a cosmetic dental procedure in which the dentist aims to create an even gum line. For some patients, their gum lines are uneven, causing teeth to appear too small or too long. Think of it as a gum reshaping that forms your gums to be proportionate to your teeth. 

During a gingivectomy, the dentist scales back your gums to reveal more of your teeth. Another reason why gingivectomies are beneficial is to reduce further damage from gum disease.

Gingivectomy is a surgery performed in the dentist’s office. Dr. Trujilo will review all aspects of the surgery with you before the procedures, so you feel comfortable and confident in understanding. 

2. Dental Implants

Another unfortunate event of gum disease is tooth loss. Sometimes gum disease is too advanced, and you lose a tooth or several teeth. 

Dental implants are one way to replace missing teeth and regain an esthetically pleasing smile. They are permanent crowns that sit on an implant that is embedded into your jawbone. Dental implants look and feel like normal teeth and fit seamlessly into your life. 

For some patients, if periodontal disease has destroyed some of the jawbones, the surgery may not be possible without other procedures. Dr. Trujilo will discuss your options with you. 

3. Gum Graft Surgery

Periodontal disease can cause your gums to recess or pull back from the tooth. Depending on the severity of the disease, the root may be exposed. 

When gum recession happens to the extent of root exposure, you may benefit from gum graft surgery. Gum grafting prevents further decay to your teeth. During this procedure, the dentist takes a small piece of your surrounding gum tissue or the roof of your mouth and attaches it to your receding gums. 

Again, depending on the severity of the case, you may need more than one gum graft.

4. Gum Whitening

Sometimes dark spots may appear on your gums. This could be due to periodontal disease, poor oral health, or smoking. 

Gum whitening or gum bleaching is a cosmetic procedure that corrects those spots and gives you a brighter smile. This type of procedure is also done in the dentist’s office and does not take long. 

However, for patients with periodontal disease, the disease will need to be addressed first, before gum whitening. 

5. Pinhole Surgical Technique

The pinhole surgical technique or PST is a newer technique similar to gum grafting without being as invasive. It has practical application to help protect the teeth and cosmetic benefits.

During the PST, the dentist makes a “pinhole” above the infected gum area. Then using a small instrument, encourages the gums to draw downward, covering the affected area. 

There are many benefits of PST, such as less invasive, quick recovery time, no scalpels or grafts, and you see the results immediately. Talk to Dr. Trujilo today about if you’re a candidate for PST. 

Signs of Periodontal Disease

A healthy mouth is directly linked to a healthy body. Once bacteria are allowed to enter the bloodstream through the gumline, many other physical problems may occur.

Here are some signs of periodontal disease:

If you spot any of these signs of periodontal disease, contact our team today so we can help!

Preventing Periodontal Disease

The above are cosmetic dentistry procedures in line with periodontistry. They are solutions in which you can improve the look, feel, and health of your smile in the wake of periodontal disease. 

Ideally, you want to do everything possible to prevent periodontal disease, so you can avoid procedures if necessary. 

Here are some ways you can take action today and boost your oral health. 

Brushing and Flossing

Brushing and flossing are key to preventing periodontal disease and have a beautiful smile. Plaque build-up produces tartar which eats away at the gum line. Brushing twice a day, or after every meal, and flossing once a day will prevent tartar build-up and encourage healthy teeth. 

Regular Dental Check-Ups

While brushing and flossing and vital, seeing a dentist for check-ups is also an important component of your oral health routine. Twice a year, a dentist will look over your mouth, inspecting for signs of tooth decay or disease, and perform a deep dental cleaning.

When problems like periodontal disease are caught early on, you have a better chance of recovering and saving your teeth. 

Family History

For those with a family history of periodontal disease, you’ll need to ensure that you take extra precautions to protect your teeth. This means maintaining a healthy oral routine and regular check-ups and also familiarizing yourself with your family history. 

People with certain health conditions like diabetes are more susceptible to periodontal disease, so being aware of your health conditions goes a long way. 

Cut Out Smoking

Smoking drastically increases your chances of developing periodontal disease. If you’re a smoker, consider ways to quit to health your teeth and improve your smile. 

Periodontal Cosmetic Procedures for You

These periodontal cosmetic procedures may be helpful for those with periodontal disease and who wish to restore their smile. By discussing with your dentist which procedure may be right for you, you’re taking the next steps to a healthier smile.

Do you wish to speak with our cosmetic dentist Dr. Trujilo today about periodontal disease? Our team can help! Contact us today to request your appointment. 

Answering Your Dental Implant Questions

Woman smiling and pointing to her dental implants
Perfect Smile. Mature woman pointing on her strong healthy teeth and looking at camera while posing over yellow studio background, closeup portrait

You’ve had that sinking feeling. There’s something wrong in your mouth, and you think you know what you need to fix it. Dental implants. That realization has probably unleashed a host of questions, confusion, and stress. 

We’ve put together this guide to give you the answers you’re looking for and walk you through the dental implant process, so let’s get started!

What Are Dental Implants?

3d render of jaw with teeth and dental incisor implant over white background

Contrary to what most patients think, a dental implant doesn’t look like a tooth. Instead, it’s a titanium rod that sits in the jawbone below the gum line. The implant acts like the root of a tooth that Dr. Trujillo can then attach one of the following to: 

The implant itself fuses with your jawbone, which makes it a strong and solid anchor. The crown (or other dental fixtures) attached to the implant won’t move out of place, and it will look and feel like a normal tooth. 

Are Dental Implants Safe?

Yes, dental implants are safe

The advanced technology used for implants makes them one of the most reliable treatments to replace missing teeth, and they have a 98% success rate. As long as you follow Dr. Trujillo’s instructions and take care of your implant properly, you shouldn’t experience any problems during or after the procedure. 

How Much Do Dental Implants Cost?

It’s difficult to put a price tag on dental implants because the treatment looks a little different for each patient. For example, each of these factors can make the dental implant cost go up or down: 

  • Condition of the bone (do you need a bone graft before the implant?)
  • Types of dental implants 
  • How many implants you need
  • The location of the implant (such as the front or back of the mouth)

The only way to get an accurate estimate for the procedure is to talk to Dr. Trujillo about your individual needs. Most dental insurance policies will also make covering the cost much easier. 

How Long Do Dental Implants Last?

If you take care of your dental implant properly, such as brushing and flossing every day, they can last for the rest of your life. This isn’t always possible, especially if you have poor oral habits or preexisting health conditions. However, in most cases, you won’t have to worry about replacing your dental implant. 

How Long Does It Take to Get a Dental Implant?

Again, the answer to this question depends on your exact treatment plan. 

The entire process can take between three to nine months and include multiple different appointments. For example, after you get the implant, you’ll need to wait for the incision to heal before adding the abutment and crown. The process will also take longer if you need a bone graft to improve the condition of the jawbone before inserting the implant. 

Dr. Trujillo will be able to give you a more specific timeline after assessing your individual needs. 

Are Dental Implants Painful?

Dental implants aren’t pain-free, but the pain is very manageable. 

During the procedure, you will receive anesthesia, so you shouldn’t feel any pain as Dr. Trujillo inserts the implant. After that, you might feel mild discomfort throughout the healing process, depending on your pain tolerance. 

Dr. Trujillo will likely prescribe you some medication to help relieve any pain. You can also take over-the-counter pain meds as time goes on to help manage the symptoms.  

How Long Does It Take a Dental Implant to Heal?

Since dental implant procedures require multiple steps, you will go through several different rounds of healing. For example, you’ll need to let your implant heal before you can attach an abutment. You may then also need to let the abutment heal before putting a crown on top. 

The healing time varies depending on your personal health and what stage of the process you’re in; however, you should expect between three to six weeks for each one. 

Who Is a Good Candidate for Dental Implants?

As long as you’re in good health, both orally and generally, you should be a good candidate for a dental implant. You may not be a good candidate if you:

  • Don’t have enough jawbone left to support the implant 
  • Have a chronic health condition, such as diabetes or heart disease
  • Smoke heavily 
  • Are going through radiation therapy 

If you fit into one of these categories, don’t count yourself out just yet. These conditions must be evaluated on a case-by-case basis. Depending on your situation, you may still be able to benefit from this treatment. 

What Is the Downside to Dental Implants?

While getting a dental implant involves minimal risk, it is still a medical procedure. Because of this, there are a few side effects that can happen during the healing process. 

Some of them include: 

  • Pain 
  • Inflammation 
  • Swelling of the gums or face 
  • Bleeding 
  • Infection 

These are rare, though. If you do experience them, they should be minor, and you should recover quickly. You can talk to Dr. Trujillo about any concerns, and they will be able to help you resolve any problems. 

Are There Alternatives to Dental Implants?


If you don’t want to get an implant (or if it isn’t the best choice for you), there are many other options you can choose from. For example, you can get removable dentures instead, and you may even be able to get a mini dental implant, which is much smaller and less invasive than a traditional one. 

Talk to Dr. Trujillo about the options. They will help you pick the best option for your health. 

Taking the First Step Toward Your Dental Implant 

Do you think you might be a good candidate for dental implants?

Don’t hesitate to schedule a consultation with Dr. Trujillo at Arizona Periodontal Group. He will give you a detailed examination and help you set up a treatment plan that works for your health (and your budget!). 

Arizona Periodontist in Phoenix, AZ

If you’re looking for periodontists in Phoenix Arizona, you should visit Arizona Periodontal Group. We offer a wide range of services and have many happy patients who routinely emphasize the high level of treatment, care, and professionalism they experienced when they visit us. 

Want to know more about who we are, our periodontal clinic, and the services that we provide? We don’t often like to talk about ourselves, but we do some great things for our clients and we think it’s worth your time to give us a look. 

Meet Dr. Trujillo

Dr. Trujillo - Periodontist in Phoenix, AZ
Dr. Trujillo – Phoenix, AZ, Periodontist

Dr. Trujillo has been practicing dentistry since 1997. Having earned his Doctorate of Dental Medicine at the Boston University School of Dental Medicine, he set up his own periodontal clinic in the city. This is where he worked until 2004 when he moved to Phoenix Arizona.

What drove him there? The temperate climate? If you’ve experienced a Boston winter before, then you’ll be inclined to say yes.

Dr. Trujillo has been recognized by his peers in the periodontal industry with the honor of Diplomate of the American Board of Periodontology. This accolade is only given to people who go above and beyond in their profession.

Dr. Trujillo has received plenty of other accolades over the years, including Top Dentist by Phoenix Magazine and Top Doctor by North Valley Magazine.

Dr. Trujillo retains a commitment to learning and improving himself. He was even a Clinical Instructor in the Department of Periodontics at Boston University School of Dental Medicine, one of the most respected dental schools in the country.

Meet the Team

Dr. Trujillo wouldn’t be able to do what he does without an excellent team supporting him and elevating the standards of the periodontal clinic. The clinic’s dental hygienist is Sharon Sanders, who has worked in the dental business for more than thirty years. More than half that time has been at Arizona Periodontal Group. As well as being excellent at her job, what sets her apart, and keeps patients coming back, is her dedication to building relationships and creating a positive atmosphere. Some people are afraid of the dentist, but there’s no need to be when you’re in Sharon’s care.

The front desk manager is Jessica Zumwalt, who is the first person you’ll meet when you enter the clinic. Jessica will help you get a great start with us. She’s been with us since 1999, so she knows absolutely everything about what to expect, the treatments, payment options. In short, if you’ve got a question, she’ll be on hand to answer it. While she primarily works in an admin capacity, she’s just as passionate about oral hygiene as the rest of the team. 

Abraham Garcia is the clinic’s dental surgical assistant. He’s the one responsible for all the essential tasks centered around treatment. If you need an x-ray or impressions taken, it is Abraham who does it. He’s got plenty of qualifications that make him perfect for the role, including a degree in Dental Assisting.

On reception, you’ll find Yanet Alcantra, who’s in charge of, well, just about everything. A multitasking wizard, she’ll help you make appointments, check you in and out, and ensure that the payment process runs smoothly. She’s equally as passionate about dental care as anyone else on the team and continues to further her education in the field. 

About Our Practice 

It’s not just the credentials of the staff that makes for a great dental experience. The practice and the warm welcome that you receive when you visit us also counts for a lot. Let’s not forget that some people have a fear of dentists. But the best AZ perio will ensure that there’s nothing to be afraid of. We have a state-of-the-art periodontal clinic that reflects the professionalism and expertise of our team.

Our facility is fitted with the latest and best periodontal tools and instruments. Whatever the issue, have peace of mind that you’ve got one of the best teams in modern periodontistry caring for you. We also go above and beyond to make sure that everyone feels comfortable, including offering bilingual services. 

Periodontal Services We Offer

So now that you know about Dr. Trujillo, his team, and the clinic, you might be curious about the periodontal services we offer. In short, we can do everything. We understand that dental care is wide-ranging, sometimes complicated, and always individual, and we have a range of services that reflect these facts. 

If you’re just looking for a regular checkup, we’ve got you covered. You can come in for an appointment simply to maintain your dental health. If there’s anything in any way concerning, we’ll offer some treatment solutions. But hopefully, that won’t be the case. You can come in, we’ll give you the all-clear, and offer advice on how you can keep your teeth healthy, and that’ll be it.

We can also help with more serious periodontal services. If you have gum disease, we can provide treatment and advice on lifestyle and consumption habits that’ll help to take control of the issues. We offer a host of other services related to the gums because that’s what we do. 

If you’re missing teeth, dental implants are the ideal solution for most patients to restore your smile to its former glory. We’re also experts at cosmetic dentistry procedures. If you’re not happy with your teeth in any way, come in for a consultation. There’s always a solution that will give you a winning smile! 

Contact Us for Periodontal Services 

Now that you know a little more about us, schedule an appointment online or call the number at the top of the page. One of our helpful team members would love to help you schedule a consultation with Dr. Trujillo. We look forward to meeting you!

Gingivectomy: What It Is, Procedure, Aftercare

Woman smiling after gum contouring treatment

Periodontal disease (more commonly referred to as gum disease), affects many people living in America today. When it becomes too advanced for common dental procedures, including scaling and root planing, another treatment option is gingivectomy.  This is one of the treatments that counter the effects of gum disease and is recommended for many of our patients.

This procedure is also used for cosmetic reasons, such as to fix a “gummy smile” to have less gum covering the teeth. In this post, we will be focusing more on gum disease, although the procedure is the same for cosmetic reasons.

To learn more about gingivectomy, read our short guide below. 

What Is Gingivectomy?

It is a procedure whereby a portion of the gums are removed from in and around a tooth or teeth. This is to treat gum disease or to lengthen the height and width of one or more of the patient’s teeth. It is performed by a periodontist with training in periodontal surgery. At Arizona Periodontal Group, this is Dr. Ariel Trujillo.

Who Is A Candidate For Gingivectomy?

If you have gum disease, Dr. Trujillo may recommend the procedure to prevent further damage. 

Signs of gum disease include:

Another sign of gum disease is gingivitis, which is inflammation of the gums. This condition, often caused by poor oral hygiene, can also result from abrasive brushing and the natural effects of aging. If untreated, gingivitis can develop into periodontitis exposing the root of your tooth (or teeth) and this can result in sensitivity and pain. It can also result in tooth loss.

If Dr. Trujillo spots any signs of these issues in your mouth, he might recommend a gingivectomy to you. This will prevent the risk of any further problems associated with gum disease. Such problems can include damage to your jaw, tooth loss, and further risks associated with your overall health and wellbeing. 

How Gingivectomy Is Performed

The procedure takes between 30-60 minutes to perform, depending on how much of the gum tissue needs to be removed. A minor procedure involving one or several teeth will usually take a single session. Where major gum removal or reshaping is needed, several visits will be recommended, as healing will need to take place before the procedure continues.

Many patients are worried about pain and discomfort during the procedure, but there is no need to fear. Local anesthetic and other sedation are options by Dr. Trujillo and his team, so you will be kept as comfortable as possible.

Before the procedure, Dr. Trujillo will determine how much tissue will need to be removed or added during the operation. He will show you what he plans to do before beginning the procedure to ensure you are happy with the results. If you have any questions beforehand, please feel free to ask. 

Gingivectomy procedure 3D illustration
Gingivectomy surgery with laser using. Medically accurate tooth 3D illustration

The procedure

Dr. Trujillo will explain more about the procedure during your appointment. However, here is a short guide on what to expect. 

  • You will receive a local anesthetic to numb the gums in the affected area.
  • Dr. Trujillo will use a surgical tool to trim and remove pieces of the gum tissue.
  • During the procedure, a suction tool will remove any excess saliva.
  • Once the tissue has been removed, Dr. Trujillo will use a surgical tool to vaporize any remaining tissue and reshape the gum line.
  • The remaining gums will be reattached in and around the tooth using stitches. 
  • The affected area will be cleaned with saline and special rinses. 

After the procedure is complete, Dr. Trujillo will place a surgical dressing in and around the teeth and gums. This should be left in place for about a week to aid the healing process. You may need to replace it at home, but don’t worry, instructions will be given.  

Recovery And Aftercare

After the procedure, you will likely experience some swelling and bleeding. This is perfectly normal, but Dr. Trujillo will give you advice on how to hurry along the healing process. After a few hours, you will also feel a little pain after the anesthetic has worn off. Again, this is normal, and over-the-counter medication will help ease the pain.

You should be able to go home right away, as only local anesthesia will have been used. However, if you need to rest after surgery or require assistance getting home, please let our team know.

As suggested, you will need to change your bandages and dressings yourself, but Dr. Trujillo and his team will explain how to do this before you leave for home.  If you’re still unsure about the instructions you have been given, call the practice for further help.

For the first 24 hours after the procedure, avoid brushing, flossing, and rinsing your mouth. After this initial period, you may resume your normal dental routine in the areas of your mouth unaffected by the gingivectomy. After 48 hours, saltwater rinse to keep your gums clean and to help them heal faster. 

During the first week of recovery, avoid touching the affected area. This means no touching with your fingers or tongue, and no straining your mouth open to have a look at it. 

Dr. Trujillo will check on your progress with further dental appointments. These will likely be every 3 months or so, and then a twice-yearly health visit to check and clean around the surgical site. 

Get In Touch

Have you spotted the signs of gum disease or would simply like to remove extra gums to improve your smile? If so, contact Dr. Trujillo and his team today. In the case of gum disease, before the problem can get worse, a gingivectomy is a possible recommendation to treat infected areas. Get in touch to schedule an appointment, and let us know if you have any further questions about the procedure.

Start your day with a beautiful smile.

When you visit our office, your oral health is our top priority. Dr. Trujillo and his entire team is dedicated to providing you with the personalized, gentle care that you deserve.