All-on-X
Medically reviewed by Dr. Florin Cofar · last reviewed 17 October 2026
Fixed teeth that look like your own
All-on-X replaces all the teeth in one jaw with a fixed bridge on implants, for people who have lost most of their teeth or whose teeth can no longer be saved. Wherever bone and gum allow, the new teeth rise straight from the gum, with small points of gum between them, like natural teeth. This page follows one patient's treatment.
Treated byDr. Florin Cofar + 3 more
01 / 06
Your face and mouth, recorded
Photos and videos of your face, close-ups of your teeth and gums, 3D X-rays and scans show how your smile moves and how much bone and gum there is. On them we design the final teeth on your face, and you see them before surgery (smile design).
02 / 06
Implants planned from the final design
Each implant is planned from the final teeth, where it supports them well and its screw opening can sit behind the teeth, while respecting the bone, gum, sinuses and nerves. When bone or gum is missing, the plan says how to rebuild it.
03 / 06
Gentle extractions
Teeth that cannot be saved are removed gently, to protect the bone and gum that will frame the new teeth.
04 / 06
Guided implants, provisional teeth
The implants go in through a 3D-printed guide made from the design. In many cases a fixed provisional bridge is placed the same day, shaped like the final teeth, so the gum heals around the form it will keep.
05 / 06
Made in our lab
Our technicians plan with your dentists and make the guide, the provisional and the final bridge in our lab, from one design. The bridge is milled from a solid block, then finished by hand, each tooth with its own shape, texture and translucency.
06 / 06
The final bridge
After a few months of healing, the final bridge is made from the same design as the provisional, so it keeps what you approved and the gum shape that formed around it. Speaking and chewing usually feel natural again within a few weeks.
When implant teeth look natural
Implant work can look very natural. Much of it depends on how the gum settles around the new teeth, and that comes from surgery and prosthetics together: how well they are planned as one, and how carefully each step is carried out by the people doing both.
Risks and limitations
Every treatment has possible side effects. Here is what you should know before deciding. We go through your own risks at the consultation.
Possible risks and side effects
- Same risks as single implants, over a whole arch: swelling, discomfort, infection
- Fractures of the provisional bridge during healing (repaired in the lab)
- Speech and chewing need a few weeks to adapt
- Peri-implantitis without regular hygiene sessions
When it may not be suitable, or needs extra care
- Uncontrolled diabetes, heavy smoking or recent radiotherapy
- Patients who cannot attend regular maintenance visits
This is general information; your diagnosis comes from an examination. Your doctor will explain the risks that apply to you before you agree to any treatment.
Maintenance helps this treatment last longer. Long-term care programme →
What it costs
| Single implant (Neodent)Surgical placement. Crown not included | €650 |
| Single implant (Straumann)Surgical placement. Crown not included | €900 |
| Abutment / components (Neodent)Custom abutment or screw-retained system | €200 |
| Abutment / components (Straumann)Custom abutment or screw-retained system | €300 |
| Ceramic unit (veneer or crown)Digitally designed, monolithic milled, finished by hand in our lab | €700per unit |
| Bone graft (situational)Bone added to support the implant; the membrane is added separately | €200 |
| Integrated planning and designFor larger treatments, an integrated 3D design of your end result, with a photo or video preview of your new smile and the written treatment plan | €150 |
Conscious sedation
Intravenous sedation, provided and monitored throughout by the anaesthesia and intensive care doctors of our partner clinic, Medical Town
Sedation dentistry →€600
Other prices in this field
| Implant surgical guideA guide printed from the digital plan that places the implant exactly where it was planned | €200 |
| External sinus lift (situational)Lifting the sinus through a side window, when the upper jaw lacks height | €600 |
| Internal sinus liftLifting the sinus through the implant site | €400each |
| MembranePart of the bone graft | €200each |
| Membrane with pinsPart of the bone graft, fixed with pins | €300each |
| PRF (add-on)Platelet-rich fibrin from your own blood, for healing | €200 |
| Tooth extractionRemoving a tooth that can't be saved, under local anaesthesia | €60 |
| Wisdom tooth extraction (erupted)Partly erupted and impacted wisdom teeth are in the full list below | €80 |
| Wisdom tooth extraction (partly erupted) | €130per tooth |
| Wisdom tooth extraction (impacted) | €200per tooth |
| Impacted canine extraction | €200per tooth |
| OperculectomyRemoving the gum flap over an erupting wisdom tooth | €50per tooth |
| Cyst removal | €100each |
| Implant removalRemoving an implant that can no longer be kept | €100each |
Indicative prices, in euro. After your consultation you get your exact plan, in writing, before any treatment starts.
All-on-X: frequently asked questions
What is All-on-X?+
A fixed bridge on several implants that replaces all the teeth in the upper or lower jaw. The number of implants depends on your bone and on the design, usually between 4 and 8 per arch, sometimes more.
Will my new teeth look like natural teeth?+
When enough bone and gum remain, the teeth can rise from the gum with small points of gum between them, like natural teeth. When bone has been lost, the bridge includes some artificial gum, designed so it blends with yours when you smile. We tell you which applies to you after the diagnosis.
Is All-on-X suitable for me?+
It depends on your bone, your general health and the state of your mouth. Uncontrolled diabetes, heavy smoking or recent radiotherapy can rule it out, and so can being unable to attend regular maintenance.
Will I leave without teeth?+
In many cases you leave with fixed provisional teeth on the day of surgery. When the implants need to heal first, you wear a temporary solution in the meantime.
How long does the treatment take?+
Usually 3–6 months from surgery to the final bridge, depending on healing.
Are the teeth removable?+
No. The bridge is fixed and only your dentist can remove it.
How do I look after my All-on-X bridge?+
With daily hygiene, regular check-ups and professional cleaning sessions. Without them, the gum around the implants can become inflamed (peri-implantitis). Check-ups are usually every 3–4 months with implants.
How much does All-on-X cost?+
It depends on the number of implants, any bone grafting and the final bridge, so it is planned case by case. As a guide, each implant costs €650 (Neodent) or €900 (Straumann), plus components (€200 Neodent, €300 Straumann); the consultation is €50 and the planning and design €150. After that you get a written plan with the exact total. See the prices.
Our cases
See 1 case →
Start with a consultation
A dentist looks at your teeth and gums, listens to what you want and explains your options. You get a plan and a total price before any treatment starts.