Why All-on-4 Is Changing Life for Sacramento Patients With Dentures

Removable dentures are a compromise most patients accept because they don’t know they have another option. The adhesive, the limited diet, the moment of self-consciousness when eating something crunchy at a restaurant, the minor social anxiety around removing them — all of this becomes so normalized that patients stop framing it as a problem. It’s just the way things are.

All-on-4 implant-supported dentures change the framing completely. And for patients throughout the Sacramento region who have been managing with conventional dentures — or who have been putting off tooth replacement because full dentures feel like the only affordable path forward — understanding what All-on-4 actually is may change the calculation.

At 1899 Dental Implant in Elk Grove, the team has built its entire model around making implant dentistry accessible to the patients who most need it. Founded on the conviction that quality and affordability don’t have to be in conflict, the practice offers complete single-tooth implants (including the implant, abutment, and crown — everything) for a flat, transparent fee of $1,899 with no hidden costs. The same philosophy of accessible, high-quality implant care applies to full-arch restoration — and Dr. Devan Dalla brings an exceptional level of training to every case. A graduate of New York University College of Dentistry with Honors in Implantology and recipient of the Dr. Bernard E. Rudner Memorial Award for superior clinical performance, Dr. Dalla has built 1899 Dental Implant into the highest-rated implant provider in the Sacramento region, recognized as a 2026 Top Patient Rated Provider by Find Local Doctors.

What All-on-4 Actually Is

All-on-4 is a full-arch tooth replacement system: a complete fixed set of prosthetic teeth — upper arch, lower arch, or both — supported on just four strategically placed dental implants.

The four in the name reflects a specific surgical design. Rather than requiring one implant per tooth (which would mean 10 to 14 implants per arch and would require more bone volume than many patients with long-term tooth loss still have), the All-on-4 system uses two implants placed vertically in the front of the arch and two implants placed at an angle in the back — the angled placement maximizing the contact with available bone and allowing the system to work even in patients who have experienced some bone loss from years of missing teeth.

The result is a fixed, full arch of prosthetic teeth that:

• Doesn’t come out: All-on-4 restorations are screwed into the implants. They’re not removed at night, not soaked in a cup, not held in place by adhesive. They function like natural teeth.
• Allows normal eating: The stability that direct implant attachment provides means patients can eat foods that removable dentures make impractical — apples, steak, corn on the cob, hard vegetables, nuts. The dietary restrictions most denture patients have adapted to simply disappear.
• Preserves jawbone: Because the implants transmit chewing forces directly into the bone, the bone loss that progresses under conventional dentures — and that makes them fit progressively worse over time — is arrested.
• Looks and feels natural: All-on-4 prosthetics are designed to replicate the appearance of natural teeth, including the visible gum tissue, in a fixed restoration that doesn’t have the bulkiness of a conventional denture.

Who Is a Candidate

All-on-4 was specifically designed for patients who may not have sufficient bone for full conventional implant placement — which makes it appropriate for many patients who have been told they’re not implant candidates.

The angled posterior implants take advantage of the denser bone in the front of the jaw that remains even in patients with significant posterior bone loss. Most patients with enough natural dentition left to have been wearing dentures are candidates for evaluation.

Candidacy assessment at 1899 Dental Implant includes a comprehensive consultation and a 3D CT scan (provided at no charge) that maps the available bone in three dimensions — giving Dr. Dalla the precise information needed to plan implant placement, identify any grafting needs, and provide an accurate treatment plan before any commitment is made.

For patients with more severe bone loss who need additional preparation, bone grafting is available at the practice. Dr. Dalla’s training in advanced implant procedures means the full range of preparatory and restorative services are available under one roof, without referrals between providers.

The 1899 Difference for Full-Arch Cases

The mission at 1899 Dental Implant — quality and affordability in the same place — extends to full-arch restoration. The transparent pricing model and interest-free financing options that have made single-tooth implants accessible to Sacramento patients who’d been told implants weren’t within reach extend to All-on-4 cases. Free consultations, no-charge 3D CT scanning, and comprehensive treatment planning put the full picture on the table before any financial commitment is required.

The in-house dental lab and advanced digital planning tools mean prosthetics are fabricated with the same attention to quality that defines the practice’s single-tooth work. And with extended hours Monday through Saturday at the Elk Grove location, scheduling the series of appointments that All-on-4 requires doesn’t mean disrupting a working patient’s entire calendar.

The Timeline and What to Expect

All-on-4 treatment is typically completed in a series of phases, though the exact sequence depends on each patient’s starting anatomy and whether any preparatory procedures are needed.

For most patients, the sequence involves an initial consultation and imaging appointment, followed by the surgical placement of the four implants. In many cases, a temporary restoration can be attached at the time of surgery — allowing the patient to leave with teeth in place rather than waiting through the full osseointegration period. The final restoration is placed once the implants have fully integrated with the jawbone, typically three to six months after placement.

During the integration period, patients follow a modified diet that avoids excessive forces on the healing implants. This isn’t the same dietary restriction as conventional dentures — it’s a temporary healing protocol that most patients find entirely manageable.

Schedule Your All-on-4 Consultation at 1899 Dental Implant

1899 Dental Implant is located at 2733 Elk Grove Boulevard, Suite 160, in Elk Grove, California, serving patients throughout the Sacramento region — including Folsom, Roseville, Davis, Stockton, Lodi, Vacaville, Vallejo, and the greater Napa Valley area. Call (877) 468-1899 to schedule your complimentary consultation and 3D CT scan. If you’ve been living around the limitations of removable dentures and assuming that a fixed alternative is out of reach — this is the conversation worth having.