A treatment room at the Alexandria office with a gold and cream dental chair beside the window
HomeImplantsAll-on-4 · Alexandria

All-on-4 Dental Implants in Alexandria, VA

Four implants, a new arch, in Alexandria.

At 2855 Duke Street, Dr. Esam Nahlah replaces a failing or missing arch with a fixed bridge on four implants. The rear two are angled into denser bone, so bone loss often does not rule you out, and most patients go home with provisional teeth.

Book in AlexandriaSee arches
4 postsUnder each arch
Same dayA fixed provisional, in most cases
3–4 moBefore the zirconia arch
(571) 617-7245Alexandria, new patients
Duke Street

The rooms behind your new arch.

A treatment room at Dr. Nahlah's Alexandria office, with a cream dental chair and a wall-mounted screenA consultation room at the Alexandria office, with a white desk, upholstered chairs and a marble feature wallThe lounge at Dr. Nahlah's Alexandria office, with a marble counter, gold-trimmed panels and bar stoolsA room at the Alexandria office with a 3D printer and a photography setup for recording smilesA treatment room at the Alexandria office with a gold and cream dental chair beside the window
A patient greeting a team member in the practice lounge
Fixed, Not Removable

An arch you never take out.

A denture sits on the gum and shifts when you eat. An All-on-4 arch is screwed onto implants, so it stays put, and the implants keep loading the jaw.

  • Stays in when you eat, talk and sleep
  • No adhesive, and no rubbing on the gums
  • The jawbone keeps a load, which slows its loss
  • Brushed and flossed in place, like teeth
  • Fewer relines and repairs over the years
The Four Visits

Your All-on-4 in Alexandria, visit by visit.

A clinician showing a patient a dental model during a consultation01

First visit

Dr. Nahlah examines you and takes a cone-beam scan, then goes through candidacy, cost and timing with you.

A stereo microscope over the bench in the practice's in-house laboratory02

Surgery day

Under local anesthetic with nitrous oxide or oral sedation, the four implants are placed and, in most cases, your provisional teeth are fitted the same visit.

An intraoral scanner beside the digital model of a patient’s arch03

Reviews

Over three to four months the implants fuse, and short reviews check integration and adjust the provisional teeth.

Dental technician in black gloves working at a precision milling instrument in a dental lab04

Final teeth

The definitive zirconia arch is fitted. From then on it is cleaned like natural teeth, with a professional cleaning every six months.

Real Cases

Two arches from this practice.

Case 33, double-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaCase 33, double-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaBeforeAfter
Upper and lower on implants · case 33
Case 27, double-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaCase 27, double-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaBeforeAfter
Upper and lower on implants · case 27

All cases in the gallery

Questions

All-on-4 in Alexandria: questions.

What does All-on-4 cost in Alexandria?
Your price is set after the scan, once it is clear whether one or both arches need restoring and whether any grafting comes first. Most PPO plans are accepted with claims filed for you, and financing reaches $60,000 over terms of up to 96 months.Cost and financing →
What if I have bone loss?
Bone loss is often why All-on-4 is chosen: tilting the rear implants reaches bone that straight ones would miss. Some mouths still need grafting first, and the scan shows which.
How long until the final teeth?
About three to four months after surgery, and then the gum takes another two to four months to settle around the zirconia arch.
Which number should Alexandria patients call?
(571) 617-7245 if you are new to the practice, and (703) 940-5410 if you are already a patient.
Is All-on-4 done the same way in McLean?
Yes. The same specialist and the same team work at both offices, each with a laboratory in the building.All-on-4 in McLean →

Where to go next.

See whether All-on-4 suits you, in Alexandria.

A cone-beam scan at Duke Street, then a clear answer on candidacy, cost and timing.