Same Day Dental Implants, Durham

The most life-like way to replace bad or missing teeth with dental implants.

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

What are All-On-4 Implants?

The “Teeth in a Day,” All-On-4 procedure allows most patients to have all remaining teeth removed, dental implants placed, and a stunning, permanent, functional smile delivered in a single day! This procedure has the ability to not only provide patients with a beautiful smile, but also give them a renewed outlook on life. We see countless patients suffering with extensive decay, old or failing dental work, or broken teeth. For these patients, All-On-4, “Teeth in a Day” is the perfect answer for gaining a new smile and fix the dental problems that have burdened them for years.


  • Best aesthetics/looks | Looks and feels the most like your natural smile.
  • Non-removable | Can’t move in and out of your mouth like a denture.
  • No lengthy recovery times before you can use your new implants.
  • Doesn’t cover the roof of the mouth!
  • Best chewing capability of all full arch/full mouth tooth replacement options.
  • Needs the smallest amount of bone | Fantastic for people who have been told they don’t have enough bone for dental implants.
  • Taste your food better!

How Same Day Dental Implants Work

The procedure involves removing all remaining teeth, adding 4-6 implants per arch, and attaching a low-profile bridge to those implants. The implants are often placed at special angles to avoid the patient’s sinuses. This also eliminates the need for expensive bone grafting with long healing times.

The standard All-On-4 technique involves four implants and acrylic denture teeth over a titanium frame. Our doctor has modified this procedure based on experience and knowledge to provide an improved result for our patients. At Durham Dentures and Implants, we carefully review every single case and base our treatment plan on each individual patient’s anatomy. Your doctor will place between four and six implants per arch and temporary fixed bridges will be added while the implants integrate with the jawbones and your mouth heals. Once your healing is finished, the doctor and lab technician will design your permanent teeth with zirconia, which is much stronger than the conventional acrylic (plastic) denture teeth used by most other dental implant offices. Zirconia also offers a more natural, life-like finished product and is more hygienic and resistant to discoloration. This means they will last longer and look better than the acrylic/titanium hybrid bridges common at other dental implant offices.

Am I a Candidate?

Most patients will be a candidate for All-On-4 dental implants. Your doctor will use a blend of straight and angled implants to avoid the sinuses and use the strongest bone. Utilizing this technique usually eliminates the need for costly and lengthy sinus augmentation bone grafts.

Our doctor will perform a complete evaluation during your free consultation to see if All-On-4, “Teeth in a Day” is the right option for you.

Life-Changing Results

Same-day smiles from actual patients

All-On-4 Cost

Pricing includes all extractions, as many implants as required, fixed temporary teeth, and fixed final teeth.


This pricing is the best in Durham while also offering the best end result. We are able to accomplish this by having a highly trained dentist who does the entire procedure from beginning to end along with an experienced in-house dental lab technician. They have performed this procedure from start to finish together many, many times.


For your final teeth, you, the dentist, and our in-house lab technician will work together to design your perfect smile. While competing practices still use acrylic denture teeth over titanium bars, we use zirconia which offers the best in appearance, durability, and resistance to staining. Upgrading to these materials often costs significantly more at other locations. At Durham Dentures and Implants, they’re our standard.

Single Arch

Upper or Lower


Zirconia Final Bridge

Both Arches

Full Mouth


Zirconia Final Bridge

Available Financing & Payment Options

Dental implants are an important investment in yourself, and being able to divide this investment into monthly payments can help make these life-changing services more obtainable and easier to fit into your budget. We work with multiple financing providers to provide payment plans to cover either all or part of the dental implant procedure.

Longer-term options for lower payments (up to 96 months)

Interest-free up to 6 months

Longer-term options for lower payments (up to 60 months)

Option to apply with a co-applicant increases chance of approval

Frequently Asked Questions

Can I eat with my new teeth from day one?

Yes! However, while your implants and new teeth are securely placed from day one, we do ask that you maintain a soft diet during the 4 month healing timeframe. So what do we mean? A good general rule is that you can eat anything that can be can cut with a plastic fork. We ask this because you are investing in a treatment that can last you decades, even the rest of your life, and keeping to this soft diet initially will allow the best possible union your implants into your bone and help establish a great long-term outcome.

For how long has the All-on-4 procedure been around?

This life-changing solution was pioneered by Portuguese dentist Paolo Malo in the 1990s. Since then, it has been safely performed on hundreds of thousands of patients all the while being improved upon to the method we use today.

How do I care for my new teeth?

Maintaining your new teeth is very easy, but staying consistent is key. Just like how we’re supposed to regularly floss and brush natural teeth, you need do the same with the new teeth and implants. Just a few minutes a day is all you will need to keep your dental implants healthy. Regularly brushing your bridges with a soft tooth brush and cleaning beneath them with a water flosser (WaterPik is a well-known and popular brand) a few times daily is all that's required.

Cigarette smoking can escalate the possibility of implant problems, so we recommend not smoking with your dental implants. Diabetics should also be aware of a heightened possibility of complications with dental implants. Keeping diabetes under control is very important for the long-term success of your implants.

Other than that, simply follow up with your doctor consistently during the year for quick evaluations of your new All-on-4 implants.

What will my new dental implants feel like?

Your new implant bridges will be a new sensation which will take several days or sometimes several weeks to become accustomed to.

Will there be a lot of pain involved in the procedure?

While there will be moderate pain, it is similar to the pain of standard teeth extractions. Our team uses a combination of medications to help control the pain and keep you as comfortable as possible.

Is there pain after this procedure?

While experiences will vary, most patients should expect mild discomfort and some swelling afterwards. Many patients come in the next day for their post op examination reporting minimal soreness. You will be prescribed pain medication to help alleviate any discomfort. Also, if you’re a good candidate for it, the doctor will give you a steroid injection which will: help with swelling and discomfort for the first few days.

What is the recovery time like for dental implants?

Experiences will vary from patient to patient, but, overall, the recovery period is faster and easier with this procedure than other complete teeth replacement options. This is mostly due to the bridges being attached directly to your jaws by your implants. Traditional dentures and implant dentures both require healing periods during which time the dentures can move and lead to sore spots. The pain should decline for the most part within one to two, with complete healing typically after six months.

What is the difference between your practice vs. another local practice offering a wide range of dental services?

We limit our practice to dental prosthetics and implants. Dental implants, and especially "teeth-in-a-day," are our passion, and our team is constantly working to ensure our patients receive the best results possible. Other dental practices will often refer you to other providers, use outside labs, and have confusing pricing. They can take several months or even years to finish the procedure all the while charging you up to double our price. Our dental surgeon performs the entire procedure from surgery to final teeth. We have an on-site dental lab and certified lab technician, to provide transparent and affordable pricing. By offering all this at one location, our practice is able to deliver the best service at the best price.

What is the difference between your practice and national implant practices?

Durham Dentures and Implants has the same advantages of the national implant offices by focusing our practice on dental implants and prosthetics. Our practice has an in-house dental prosthetic lab, competitive pricing, and offer teeth the same day. However, our office is privately owned, and every single patient will be seen exclusively by our doctor. Our team focuses on the satisfaction of our patients instead of cost cutting, shareholders, and monthly quotas. With corporate implant centers, there is no guarantee that you will be seen by the same provider who has the great reviews or whom you were recommended to see. Our doctor oversees your procedure from beginning to end and our team will do everything we can to make sure you are overjoyed with your new smile and take care of you like family.

What about snap in dentures or mini dental implants?

Mini dental implants are not related to our All-On-4 "teeth-in-a-day " procedure. Please proceed with caution at any office recommending mini dental implants as a permanent solution. These have a very high complication and failure rate.

Snap-in implant dentures, on the other hand, are a fantastic option for some people. We also provide this service and have an entire page dedicated to snap-in dentures if you want to learn more. They can be a more affordable alternative to the All-On-4 "teeth-in-a-day" dental implant procedure.

How frequently should I get my dental implants cleaned professionally?

Plan to (visit us every six months to have your teeth examined and cleaned. This will help ensure the longevity of your new teeth and implants.

Can implants fail?

Although titanium implants do have a 95+% rate of success, yes, they can still fail. Some of the things which can cause them to fail:

  • Failure to bond to the bone
  • Tobacco use
  • Diabetes

If your implant fails within the first year, your dentist will replace it for free.

Why am I salivating (drooling) so much?

This is completely normal when you first have a prosthesis placed in your mouth. Your body senses it as a foreign object and is working to “flush” it out. The increased salivation should decrease within 2-3 days.

Can I be put to sleep for my procedure?

We do not currently use general anesthesia, however, we do provide both oral & IV conscious sedation. Click here to learn more about your options. The medication will help relax you and typically makes it so you don’t even remember the procedure. For this, we write you a prescription, and you can fill it at your local pharmacy. NOTE: You MUST have someone driving you both ways for your procedure, due to the sedation medication. You MUST NOT operate a motor vehicle or any machinery after taking your medication.

Are All-On-4 bridges always attached to the implants the same day as the procedure?

Most cases will be attached immediately. In certain cases, mostly dependent on the quality of your bone and quantity, we would not be able to install your dental bridge(s) during your procedure and you'll need to wear a temporary healing denture while your implants fuse to your bone. Our doctor will go over this in-depth during your examination.

How long will I bleed after surgery?

Substantial bleeding will have stopped before you leave our office, however, you can expect to have slight bleeding (oozing) for 1-3 days after the procedure. Additionally, you'll most likely have increased salivation when we first place your temporary teeth. When this increased saliva mixes with a small amount of blood, it can look like a lot of blood. If heavy bleeding continues, please call the office.

Will I automatically know how to use my new teeth right away?

Just as you will need practice in order to get used to walking with a prosthetic leg, it will need some practice and patience to get used to your prosthetic teeth. With that being said, since these are firmly anchored to your jaw, All-On-4 dental implants will be the easiest to get used to of all our full-arch implant options.

Will I automatically know how to talk with my new teeth right away?

Again, this will take some time, but with some patience and practice, your tongue and mouth will quickly adjust. "S’s" will be the toughest to pronounce. Practicing saying words like "stupendous" and "Mississippi" can help you get used to your new teeth. In some cases, patients may experience a slight lisp long-term with All-On-4 upper teeth.

How long after my procedure do I need to wait to use a Waterpik or water flosser?

Patients should wait six weeks after the procedure before you begin cleaning with a water flosser.

I feel like I’m too young for the dental implants?

No, this is not just a procedure for seniors. It’s actually quite common for people in their 40s, 30s, and 20s to need their teeth replaced. Replacing bad teeth can be very beneficial to your long-term physical health, and being able to smile, laugh, and converse confidently with teeth you can be of can benefit your psychological health.

What would be helpful to have ready for after the procedure?

  • Ice packs

  • Wash cloths you wouldn't mind throwing out

  • Comfortable clothes you wouldn't mind throwing out

  • Soft foods (see list above)

What will my final teeth be made of?

The final bridge is made from zirconia. Zirconia is a much stronger and more stain resistant material than conventional acrylic All-On-4 teeth that many offices provide. If you choose another office, make sure you know what kind of material they will be using. If you do get acrylic denture teeth with a titanium bar at a different office, expect to see staining around your teeth and to replace them every 5-10 years. Also, make sure you understand the total price you are going to pay for the operation, temporary teeth, and final teeth. Some practices will charge you a surgery/temporary fee only for you to find out you owe another five to fifteen thousand dollars for your final teeth.

How much can I expect to pay for the "Teeth in a Day" procedure?

The total cost for a single arch (upper or lower) is $19,900. For both arches, the total cost is $39,000. These prices include the removal of any remaining teeth, placing your implants, same day fixed temporary teeth, and the fixed permanent zirconia teeth. Many practices will charge a surgery fee, temporary teeth fee, and then surprise you at the end with another fee for your permanent teeth. Our pricing is fully transparent, and we will not surprise you with any extra fees.

How can I get permanent teeth in one day? I thought the implants needed time to heal?

The unique thing about this procedure, and what allows us to attach teeth your metal implants immediately, is that all of the implants will be rigidly held in place by the new teeth (the implant bridge). Splinting them together prevents the micro-movement of the implants that can lead to early failure. Basically, your implants and dental bridge support one another.

Your dental implants will be made of titanium, the same material used in replacement hip and knee joints, so your jawbone will naturally grow around and attach to them over time.

What if a different provider has said that I'm not a great candidate or don't have enough bone for implants?

The majority of patients that have been advised they aren't candidates for dental implants are actually wonderful candidates for our All-On-4 "Teeth in a Day" procedure. The combination of using angled implants and using the front of the jaw where the bone is denser allows us to perform this procedure for many patients who thought this was not an option for them. We can typically perform this procedure without needing expensive grafting that delays treatment by months or years. Please visit us for a complimentary implant exam to see if you're a candidate.

Can the extractions, implants, and fixed teeth really be completed in the same day?

Yes! Completing all steps in the same day is our preferred method of doing this procedure to support the best final result. With the state-of-the-art implants and materials that we have available today, there is often no reason to have to wait months or even years to go through the process like you had to do in the past.

Is your doctor a specialist such as a peridontist, oral surgeon, or prosthodontist?

No, the doctor is a general dentist that limits their practice exclusively to dental implantology and prosthetics. Dental implantology is their passion, and they have more experience placing dental implants than most specialists and other general dentists. In very select cases, they will collaborate with other dental specialists to ensure that our patients get the best possible treatment for their situation.

How do we provide the All-On-4, "Teeth in a Day" dental implant procedure for so much less than other offices in the area?

Because of the high number of these procedures we perform and limiting our practice exclusively very specific procedures, we have advantages that other offices simply do not. Our office has in-house lab and lab technician and a single dentist who performs the entire procedure. These efficiencies allows us to offer advanced dental implant procedures for our patients at the most competitive pricing available. Not only do we have the lowest prices, we also use only the finest dental implants and zirconia teeth.

Are payment plans available?

Yes. Our practice offers multiple payment options including third party financing. We work with our patients in any way possible to get them smiling again.

Click here for financing options.

Do you provide guarantees or warranties?

If a dental implant fails to integrate we will replace it at no cost to you. Our office warranties the final dental bridge for 5 years. To keep this warranty, our patients must return every 6 months for hygiene and maintenance of their bridges/implants. The warranty does not apply to patients who continue to use nicotine products or have uncontrolled diabetes or develop other uncontrolled systemic conditions which compromise their implants.

How long does the All-on-4 procedure take?

Typically the surgery takes about 1 hour per arch. Then, the lab portion of making your teeth takes another 2 hours. If we start in the morning, for a single upper or lower arch, patients are usually finished around lunch time. If we are replacing both top and bottom teeth, we typically finish around 2:30 to 3:30 in the afternoon. Most of this time is waiting for your teeth to be produced in our lab and trying them in to be certain your smile is just right. It is a long day, but will definitely be worth it in the end!

What if I'm not happy with my new teeth?

Our team does everything in our power to ensure you're thrilled with your new smile. The teeth you receive the same day of the procedure are only a temporary/transitional set. When we fabricate your final teeth, you will have full control of the design and appearance of your smile.

What about some of these out of town offices in Florida, Las Vegas, etc. offering same day final teeth?

While this is a good fit for many patients, in the rare case of complications or broken teeth, it is very difficult to deal with if you traveled thousands of miles away or out of the country. Most local dentists will not be willing to repair another dentist's work. A major advantage of having a temporary set of fixed teeth on the day of your surgery is that you get to test them out and see what you like/don’t like. For the final zirconia or nano-ceramic teeth, we can provide try-ins to ensure that your teeth look exactly like you want them to look. While it’s great to get your final teeth immediately, doing this does come with some significant downsides that cannot be ignored.

Will All-On-4 teeth move (side to side, front to back)?

No, they are rigidly attached to your implants, which are rigidly anchored in your jaw. If your All-On-4 teeth begin moving for any reason, call our office so we can bring you in for an exam.

Why do you call this procedure "teeth in a day" when I don’t get my final teeth until 4-6 months after my surgery?

It is referred to as "teeth in a day" because you will receive a set of implant-supported working prosthetic temporary teeth in one day. As there can often significant changes to your mouth during the implant integration and healing phase, it is best to start with a temporary set of teeth. This ensures the best long-term outcome with your permanent teeth.

Can the temporary teeth be damaged?

Yes, your temporary teeth are made of acrylic and can crack, chip, and sometimes break. This can be quite common. The good thing about the acrylic temporary is that it can be easily repaired. If you have any issues with the temporary, just give us a call and we’ll get you fixed up right away.

Can the permanent teeth get damaged?

While it is possible for nano-ceramic and zirconia to get damaged, it’s very uncommon. These materials are among the strongest and most durable substances available in dentistry.

I already have a dental implant (or implants), can they be used for All-On-4?

Unfortunately, not. Since your current implants will not be the correct position that this procedure requires, and since bone reduction will need to be performed, we cannot use your existing implants and they will most likely need to be removed.

Can I remove my All-On-4 teeth?

No, you cannot remove the prosthetics yourself. Only the dentist is able to remove them. They are secured to your dental implants.

Can food get under my All-On-4 bridge(s)?

Yes, any prosthetic in the mouth will get some amount of food under it. You can rinse with water to remove food from under your bridge(s), and cleaning daily with a water flosser will be part of your long-term hygiene routine.

How long should I take off work to recover after surgery?

Of all the complete teeth replacement options, All-On-4 tends to have the shortest time required to recover. Usually 4-7 days is enough. With that said, as there is always a chance of bruising and swelling, and you’ll need to get used to speaking and eating with your new teeth, the longer you can take off, the better.

All-On-4 Procedure


The actual procedure usually takes between four and six hours depending if you are getting a single arch treated (upper or lower) or both arches (full mouth). When you leave our office, your temporary teeth will be securely attached to the new implants. You will wear the temporary bridge(s) for 4 months which provides time for the dental implants to integrate with your bone and for your jaws and gums to heal into a strong, long-term position before we fabricate your final bridge(s). Having this recovery time ensures the closest possible fit for your permanent teeth. After the healing time, we will begin producing the permanent teeth. This involves multiple appointments over a five to six week period, during which time you’ll help us design the smile you want for your permanent teeth.


Mouth Impressions

The lab uses these to make your temporary implant bridge(s). Possible wax try-in – if you are missing all or most of the teeth in the arch that we will be treating, the doctor may suggest a wax try-in. This is a mock up of what your temporary implant bridge and will be used to check bite position, aesthetics, etc.



Remove any teeth (if applicable), place implants, place temporary implant bridge(s). The procedure typically takes anywhere from 4-7 hours.


Post Op #1

Day after procedure | Check healing and answer any questions you may have.


Post Op #2

3 weeks after procedure | Remove sutures, check healing, patient typically cleared to begin using water flosser/WaterPik at this appointment.


Impressions for Final Teeth

4 months after procedure


Try In

5-10 Days After Impressions | We will try in a mock-up of your final teeth. Multiple wax try-ins are needed in some cases. We have to make sure you are completely happy with your wax try-ins before processing them. Once they are processed, we are unable to make changes to them. If you wish to make changes to your bridge(s) after you have approved them and they have been fabricated, there will be a full-cost remake charge.


Seat Final Teeth

After you approve your wax try-in(s), it typically takes 4-6 weeks before your bridge or bridges are ready to seat.

3600 North Duke Street Suite 28, Durham, NC 27704


8am - 4pm
8am - 4pm
8am - 4pm
8am - 4pm
Copyright © 2024 Durham Dentures and Implants, LLC | Privacy Policy | Cookie Policy