All-on-4 Dental Implants

If you are missing most or all of your teeth, dental implants are an amazing treatment option to restore your smile. 

However, patients with jawbone deterioration may not initially qualify without bone grafting. 

Learn how Dr. Thiago Morelli in Raleigh, NC, can place implants without bone grafting using the All-on-4® method. Request a consultation today.

What is All-on-4?

Traditional implant dentures require six to eight dental implants per arch, and many patients will not qualify for treatment without preparatory bone grafting to build up the jawbone.

All-on-4 is a method of implant placement that needs fewer implants, and less bone tissue. With All-on-4, your dentist will strategically place four implants along a single arch. Two of these implants are inserted at an angle to maximize your existing jawbone. A set of dentures is then attached to restore the function and appearance of your smile.

See How All-on-4 Dental Implants Work

Your dentist surgically inserts four implants directly into the jaw. Two of these are placed at a strategic angle. In most cases, a temporary denture is then attached to the implant posts on the day of implant placement.

Benefits of All-on-4 Dental Implants

Same-Day Restoration

All-on-4 typically places a temporary denture on the same day as dental implant surgery, meaning you don't need to go without a smile while your implants heal. 

Restored Function

For patients missing most or all of their natural teeth, All-on-4 dental implants paired with a custom denture can restore the function of their smile. 

Restored Appearance

Patients with missing teeth often report feeling self-conscious about their smile. Implant-supported dentures can give you the smile you've been dreaming of.

Maximum Stability

Traditional dentures rely on suction and denture adhesive and can slip when you eat or speak. Implant-supported dentures are secured to the implants for maximum stability.

No Preparatory Bone Grafting

The All-on-4 method can help patients with mild-to-moderate jawbone loss qualify for dental implants without preparatory bone grafting. 

Jawbone Health

Dental implants are the only restorative dentistry procedure that can stop and prevent jawbone atrophy that can occur after tooth loss. 

A New Start for Your Smile Book a Consultation in Raleigh, NC

All-on-4 offers you the chance the enjoy a complete and fully functional smile once again, even if you've been told dental implants aren't for you. Because two of the implants are strategically angled to make maximum contact with the jawbone, many patients can qualify without invasive preparatory bone grafting.

You'll be amazed what a difference implants can make for your dental health, day-to-day life, and self-confidence. Our dentists would love to help you explore what's possible. Book your initial consultation by contacting us online or calling us in Raleigh:

(919) 510-8888

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5-Star Reviews From Raleigh Patients "Very happy to have my smile back."


Jeff Futch


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Very friendly and caring staff. Best decision I've made concerning my teeth. Was nervous and scared at first. The whole team took time to walk me through the process. Definitely was less painful than I thought it would be. Dr. Morelli did an awesome job on my top and bottom implants. Very happy to have my smile back. I strongly recommend.

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Danielle Donathan


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Dr. Morelli and his team are amazing! My fiance' had implants from other periodontists and they did not even compare to Dr. Morelli's work and expertise! North Carolina Implants and Periodontics has a very friendly staff, amazing bed side manner, they care about their patients and it is very apparent they care about you and your individual smile! We can't recommend Dr. Morelli and his team enough! 

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Advanced Care Using Advanced Technology

At our periodontist's office in Raleigh, NC, we use state-of-the-art dental technology for better patient care and comfort.

Our technology includes 3D cone beam scanning and 3D printers for precise treatment.

We also use advanced premium materials, like Nobel Biocare® and Straumann® dental implants.

All-on-4 Candidacy

You may be a candidate for All-on-4 dental implants if you:

Have Extensive Tooth Loss

This method is used to restore an entire arch of missing teeth. Patients only missing one tooth or even a few teeth should instead consider an implant-supported crown or bridge.

Have Sufficient Jawbone

Patients with severe jawbone deterioration may still require bone grafting, as dental implants need sufficient bone material to graft to. Our Raleigh, NC, office offers bone grafting to help patients qualify for implant placement.

Are in Good Oral Health

If you have oral health concerns such as tooth decay or gum disease, they must be addressed before implant placement to ensure a healthy foundation. We offer periodontal therapy to help those with periodontal concerns. 

A Same-Day Transformation


All-on-4 implants allow for a lifelike temporary denture to be placed immediately after surgery. This means you can leave our Raleigh office with a beautiful smile on the same day you receive your dental implants.

Discomfort Is Not An Issue At Our Raleigh Office

You may feel nervous about experiencing some pain when receiving your All-on-4 dental implants. Our team is pleased to put your fears to rest with calming sedation dentistry options. We offer two types of dental sedation: oral conscious sedation and intravenous (IV) sedation. 

Oral Conscious Sedation

shaking sedation pills from bottle into hand

Oral conscious sedation is administered in the form of a pill that's taken about an hour before your appointment. A friend or relative will have to drive you to our office, as it will start to take effect before you arrive. During the procedure, you'll be aware of what's happening and able to respond to your dentist, but feel calm and relaxed. You'll need a ride home after your appointment.

IV Sedation

doctor adjusting IV bag

IV sedation is administered through an intravenous line. It takes effect quickly and puts you in a sort of "twilight sleep" where you may have some awareness of your surroundings, but it will be minimal. Most IV sedation patients have little to no memory of the procedure. As with oral conscious sedation, you'll need a loved one to drive you home after the appointment.

The All-on-4 Timeline

Dr. Morelli takes the time needed during consultations with Raleigh patients. They make sure every need and concern is heard and addressed so that treatment can be planned as precisely as possible.
Dr. Morelli takes the time needed during consultations with Raleigh patients. They make sure every need and concern is heard and addressed so that treatment can be planned as precisely as possible.

Initial Consultation

You'll meet with Dr. Morelli at our office in Raleigh. They'll examine your gums, jawbone, and any remaining natural teeth to determine whether All-on-4 dental implants or another dental solution is right for you.

Calming Sedation

On the day of your All-on-4 surgery, we'll thoroughly numb the treatment area with local anesthesia to block any pain. Because we offer sedation dentistry, we can also incorporate a calming sedative into your treatment plan, if you so choose.

Implant Placement

Your dentist will place four implants at strategically chosen points along the jawbone. They'll serve as your new artificial tooth roots.

Temporary Denture

We'll have a temporary denture ready to secure to your dental implants immediately after they're placed. This temporary will be made to look and feel real, so you can enjoy the benefits of a complete smile right away.

Healing Period

The dental implants will fuse to your jawbone over the course of four to six months. This process is known as osseointegration.

Permanent Denture

Once osseointegration is complete, you'll return to our Raleigh office so your dentist can remove the temporary denture and secure your permanent restoration in place. After some checks and adjustments to ensure an ideal fit, your treatment will be complete.

"One-of-a-kind service"


Lindsay Hornthal


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I chose Dr Morelli and his team, because of the excellent reviews his office has received. All reviews were spot on! Lovely office, friendly and caring staff and Dr. Morelli is a very impressive periodontist.

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Don Bruton


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From the moment I walked in the door… Very professional, super friendly, one-of-a-kind service… Made me feel like I was a family member… Everyone greets with a smile, and honestly made me forget that I was there for dental work if I could give everybody a five star review from this office, I would… I wish this type of service was more common. Keep up the great work.

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What Will My Denture Be Made Of?


Our practice makes implant-supported dentures from zirconia, one of the strongest and most lifelike materials in dentistry. Zirconia is denser than porcelain when layered, so it's better able to withstand the full force of your bite without chipping or cracking. This material is also easily color-matched to your natural tooth shade. The end result is a restoration that looks and functions just like the real thing.

What Is the Cost For All-on-4 Dental Implants?

The total cost for All-on-4 is usually around $27,000 at our Raleigh practice. This includes dental sedation.

This may feel like a steep price to pay for dentistry, but your All-on-4 treatment is an investment in your health and well-being. Think back on the struggles you've faced due to tooth loss—difficulty chewing, hesitancy smiling, diminished self-confidence—and imagine how those situations would have been different with a complete smile.

Many of our All-on-4 patients go on to see new success in their personal, professional, and romantic lives. Each one tells us that the benefits of their treatment have turned out to be priceless.

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Solutions That Work for You

Request a Consultation to Explore Your Options

If you're dealing with missing teeth, but not to the degree that qualifies you for All-on-4, know that our Raleigh dentists offer several other tooth replacement options using dental implants.

  • Patients missing a single tooth can benefit from an implant-supported crown.
  • An implant-supported bridge may be right for those missing up to four teeth in a row.
  • If you are missing more than four teeth but less than a full arch, you can explore treatment with a partial implant denture.

All of our implant-supported options are made from top-of-the-line materials, and each treatment is meticulously planned, no matter the scope of care. Even if your situation is unique or complex, we assure you that we can develop a treatment plan that leaves you smiling bigger than ever. To learn more, send us a message or call:

(919) 510-8888


How Long Does All-on-4 Last?


Implant dentures usually last around 10–15 years with good dental hygiene habits and regular visits to the dentist. Because your denture will be made of zirconia, a premium material, it may last even longer. While you will eventually need to have your denture repaired or replaced, the dental implants that support it will last a lifetime.

Hear Why Raleigh Choose Us


Denise B


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I just couldn’t get over how nice and friendly everyone was. The practice must really treat their employees well. Everyone was very happy and helpful. What a nice experience. Thank you!

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linda barber


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Nicest and friendliest office people ever! Very easy access to all your information and service needs (even after hours). Accomodating, caring, and professional. The skilled staff is directed by a very talented periodontist (Dr. T. Morelli, DDS).

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North Carolina Implants and Periodontics

North Carolina Implants and Periodontics

Established in 2018, our practice is led by Thiago Morelli, DDS, MS. His professional affiliations and distinctions include:

AAP: American Academy of Periodontology

ADA: American Dental Association

Diplomate - American Board of Periodontology

Fellow - International Team for Implantology

Please request an appointment by contacting us online or by calling us at: (919) 510-8888

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