dental implants
All-on-4: a full arch of fixed teeth on four implants.
With All-on-4, four angled implant posts support one fixed bridge that stands in for every tooth in the arch — top, bottom, or both. Nothing sits in a cup overnight, nothing relies on adhesive, and there is nothing to lose track of. For most patients it feels less like wearing an appliance and more like having teeth again.
Full-arch implant work in this Fishersville office is led by Dr. Brian Podbesek, and no case moves forward until it has been planned digitally: CBCT imaging maps the available bone, an iTero scan records how your teeth meet, and each post's position is set on screen before the appointment where it is placed. The treatment answers one particular problem — an arch where the teeth are mostly failing or already lost. If that describes your mouth, have this conversation before settling on a conventional denture.
How four posts hold up a full arch
Each post is positioned in the densest bone available, and the two rear implants are tilted to gain extra surface contact. That angling is the reason many patients who once heard they had too little bone for standard implants still qualify for All-on-4. Rather than guessing, Dr. Podbesek measures: your CBCT imaging shows precisely where the bone can hold a post, and you review it with him at the consult.
What you end up with stays in your mouth. It gets brushed where it sits, handles a normal diet, and is checked at routine maintenance visits like natural teeth. At the consult you hear the honest comparison against removable options — and before the final bridge goes home with you, we show you how to keep the underside clean.
The timeline, honestly
Plan on several months from first consult to final bridge, with a provisional set of teeth in between — you're never left without teeth. The exact sequence depends on whether teeth still need to be removed and how your bone heals; you'll see your own timeline in writing before anything starts.
As with any implant treatment in this office, the price is case-specific — which is why this page quotes nothing, and why your consult ends with a written plan covering every component: posts, provisional teeth, and the finished bridge. Insurance benefits, CareCredit financing, and the Virginia Dental Club each play a part, and we go through them with you one by one.
Full-arch care, close to home
Patients come to Medical Park Drive for full-arch work from Staunton, Waynesboro, Stuarts Draft, and across Augusta County — the office sits on the Augusta Health campus, just off I-81 at Exit 222, so the drive is one most families already know. Planning, the provisional, the final bridge, and every maintenance visit afterward happen with the same team.
Questions we hear in the chair
- Is All-on-4 better than dentures?
- They solve the same problem differently. An All-on-4 bridge is anchored to bone rather than sitting on the gums, stays put, and restores much stronger chewing. Up front, a conventional denture is the less expensive route. For a candid side-by-side, read the implants vs. dentures page.
- I wear dentures now — could All-on-4 still work for me?
- In many cases, yes. Years in a denture usually means some bone loss, and the tilted-post technique exists precisely for that situation. A CBCT scan reviewed with Dr. Podbesek replaces guesswork with an actual answer for your jaw.
- Do I go without teeth during treatment?
- No. You wear a provisional set of teeth while the implants integrate, and the permanent bridge takes its place once everything is stable.
- How do I clean an All-on-4 bridge?
- Brush the way you always have, and add a water flosser or floss threaders to reach beneath the bridge. You get a hands-on demonstration before the final bridge is delivered, and the hygienist reviews your technique at each maintenance visit.
- Who does the work?
- Dr. Brian Podbesek plans and leads every full-arch case here. When a step is best handled by an oral surgeon or periodontist we trust in the Shenandoah Valley, we coordinate it — but your plan, your teeth, and your long-term care stay with this office.
Clinical content reviewed by Dr. Brian Podbesek, Lead Dentist.
On Medical Park Drive since 2014. .
