Dental emergency? Seen today8175 Custer Rd, Suite A110 · Frisco, TX 75035Frisco, TXOpen today 9–6(469) 262-2111Book an appointmentBook now
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Missing Teeth

All-on-4 Dental Implants in Frisco, TX

All on 4 dental implants carry a whole arch on four to six implants, fixed in place. The biggest treatment in dentistry — which is exactly why this page spends as much time on who it is wrong for.

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4–6 implantscarrying a full fixed arch
Two peopleDr. Louie places, Dr. Peravali restores
IV sedationavailable, with Dr. Louie
Planned from CBCTbone volume and quality decide everything
The process

How full-arch implants are planned and placed

This is a long treatment with a lot of decisions in it. The consultation exists to work through them with you, unhurried.

  1. A 3D scan (CBCT) and an honest assessment

    Bone height, width, density and the position of the nerve and sinus, in three dimensions. This decides whether four implants is realistic, whether six is more appropriate, and whether grafting is needed first. It sometimes also decides whether a different treatment is the better answer for you.

  2. Deciding between full-arch implants and other options

    A fixed full arch is not the only way to solve a failing or missing dentition. A conventional denture, or a denture retained by two implants, solves the same problem at very different cost and complexity. We will lay out all three before recommending one.

  3. Tooth removal, if needed, and the plan for it

    Where teeth are still present and cannot be kept, their removal is planned as part of the case from the start, because how they come out affects the bone that has to hold the implants.

  4. Implant placement by Dr. Louie

    Four to six implants placed into planned positions, usually angled at the back to make use of available bone and reduce the need for grafting. Under local anesthetic, with IV sedation available and commonly chosen for a procedure of this length.

  5. Healing, and what you wear during it

    Bone integrates with the implants over several months. A provisional arch keeps you covered throughout — planned as part of the treatment, with exactly what it will be set out before you start.

  6. The final arch of teeth by Dr. Peravali

    Made from digital scans, tried in and adjusted for fit, bite and appearance before it is finished. The restoration is done here, by your own dentist, in the same building where the surgery was done.

Good to know

How All-on-4 works and where it happens in Frisco

Why four implants can carry a whole arch

The idea behind All-on-4 is angulation. Placing the two back implants at an angle lets them engage bone toward the front of the jaw, where bone is usually better preserved. It also lets them reach further back along the arch than an upright implant could. That does two things. It spreads the load across a wider span. It also frequently avoids the grafting or sinus surgery that upright placement in the back of an atrophic jaw would require. It is a well-established approach and it is why a treatment this large can often skip months of preliminary bone work. Whether four is right for you, or six is more appropriate, is decided by what the scan shows about your bone. It is not decided by the name of the technique.

A monitor showing a three-dimensional upper jaw with four implants, the two at the back set at a forward angle.

Where we are in Frisco, TX

This is a treatment White Lotus offers: Dr. Louie places the implants and Dr. Peravali restores the arch. It is also a treatment we are early in offering it here, and we would rather write that than let you assume otherwise. What carries it is not a case count at this practice — it is the two people doing it. Dr. Louie is a Diplomate of the American Board of Periodontology and a member of the Academy of Osseointegration. His Master of Science research was on titanium implants, presented at that academy's annual meeting, and full-arch surgery is within his routine scope. Dr. Peravali trained in full-arch restoration during her general practice residency and restored a number of cases there. That is where the training and the hands-on experience come from, and it has not been a treatment she has offered in the years since. Both of those sentences are true and we are not going to publish only the first one. If having your case done somewhere with a long local photo gallery matters to you, that is a completely reasonable thing to want. Ask us directly at the consultation and we will answer straight.

Two people seated together at a table, seen from behind, looking at a jaw scan on a wall screen.

All-on-4, All-on-X, permanent dentures: one idea, several names

Patients search for this under many names. All-on-4, All-on-X, full arch implants, full mouth implants and permanent dentures all point to the same idea: a full arch of fixed teeth carried on four to six implants. All-on-4 is the original name and means four implants per arch. All-on-X simply allows five or six when your scan says that suits your bone better. A denture that clips onto two implants and comes out at night is a different, smaller treatment.

Implant-supported dentures
Two lower dentures on a steel tray, one plain and one with two metal retention housings in its underside.

Full-arch implants near Frisco, Prosper and Plano

Full-arch treatment is planned and done in our office at 8175 Custer Rd, Suite A110, Frisco, TX 75035. Dr. Louie places the implants on his scheduled surgical days, and Dr. Peravali makes and fits the final arch, so the whole plan stays under one roof. We are open Monday, Tuesday, Thursday and Friday from 9 AM to 6 PM and Saturday from 9 AM to 3 PM. Wednesday and Sunday we are closed, though the phone is still answered on Wednesday. Patients come from Frisco and from Prosper, Plano, Little Elm, Allen, Celina and McKinney.

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Choosing between options

Fixed full arch, implant-retained or conventional denture compared

They differ enormously in cost, in what they feel like, and in what they ask of you. Anyone offering only one of the three is showing you their menu.

Comparison of Fixed full arch, Implant-retained denture, Conventional denture
FeatureFixed full archImplant-retained dentureConventional denture
Implants needed4–6 per arch2–4 per archNone
Comes outNo — fixedYes, and at nightYes, and at night
Covers the palateNoUsually reducedYes, on the upper
Bite strengthClosest to naturalMuch improvedReduced
SurgeryYes, and the most of the threeYes, smallerNone
CostHighest by a wide marginMiddleLowest
CleaningUnder the arch daily, with specific toolsOut, brushed, as a dentureOut, brushed, as a denture
Usually right whenYou want fixed teeth and the bone supports itA lower denture moves and that is the complaintCost or health rules out surgery
In depth

Four questions to ask anyone offering you full arch (All-on-4) implants

This is the largest treatment in dentistry and the one most heavily marketed. Some of that marketing is from excellent clinicians and some of it is from operations built to sell one procedure. These four questions separate them, and they work anywhere.

1. “What are my other options, and what do they cost?” A fixed arch, a denture retained by implants, and a conventional denture solve the same problem at wildly different prices. A practice that will only quote the largest one is showing you a menu — advice would look different.

2. “Who is placing the implants, who is restoring them, and what are their credentials?” These are two different jobs and they are often done by two different people. You are entitled to know who both are before you commit.

3. “What exactly will I be wearing while it heals, and is that written into the plan?” “Teeth in a day” means different things in different practices. Get the specifics for your own case in writing.

4. “What does maintenance cost, and what do I have to do daily?” A fixed arch has to be cleaned underneath every day and removed professionally for cleaning periodically. Those are ongoing commitments, and they should be part of the conversation before you decide and not after.

If you are still weighing the options, our pages on dental implants, implant-supported dentures and complete dentures set out the alternatives. Bone grafting and sinus lift explains what happens when the scan shows the bone needs help first.

Ask us all four. Then ask whoever else you are considering.

(469) 262-2111

Planning your day

Time in the chair for full-arch implants.

In the chair
3 hr to 5 hr per visit
Appointments
Four visits
Start to finish
3 to 6 months from surgery to final prosthesis
Who does it
Dr. Louie

What moves it: The surgery/delivery-day appointment is long; usually done with sedation.

This is a booked range. It isn't a stopwatch. It covers being seated, numbed where that is needed, and the treatment itself — and we would rather run to the top of the range than rush the end of it.

Cost & insurance

Full-arch implant cost in Frisco: why there is no flat number

Quoted per arch, after the scanThe number of implants, whether grafting is needed, the provisional arch and the material of the final one all move the figure substantially. A price quoted before a CBCT is not an estimate.
This is the largest treatment in dentistryWe are not going to pretend otherwise. It costs several times what an implant-retained denture costs, and for some people that difference buys something worth having and for others it does not.
Insurance contributes littleMost plans that cover implants at all apply an annual maximum that a full arch exhausts immediately. Expect the plan to cover a fraction and plan around that honestly.
Compare against the middle optionBefore committing to a fixed arch, get a figure for a denture retained by implants as well. For a substantial number of people it solves the actual complaint for a fraction of the cost, and you should see both numbers.

CareCredit financing is available. One written figure covers planning, surgery, components, the provisional and the final arch before you decide anything.

You get the figure in writing before treatment starts. We accept all major PPO plans and file the claim for you, our membership plan takes a percentage off treatment, and CareCredit financing is available.

Using your insurance

How plans usually cover full-arch implants.

Major — Class III on most plans

What plans pay
Commonly around 50% once the deductible is met, which means full-arch implants is the kind of treatment where the plan covers about half and the annual maximum decides the rest.
Deductible
Usually applies, and for major work it is rarely waived.

What catches people out

  • Waiting periods. Six or twelve months of holding the policy before major work is covered is common, and it catches people who have just changed employer.
  • The annual maximum. At around 50%, one major procedure can consume most of a $1,000 to $2,000 benefit by itself — which is why the order treatment is done in matters.
  • Frequency limits by tooth. "Once every five years" or "once every seven years" is standard wording, and it counts from the date of the last one wherever it was done.
  • The missing tooth clause. Many plans refuse to pay to replace a tooth that was already missing before the policy began — even years later, and even where implants and bridges are otherwise covered. It surprises people more than any other clause, and we check for it before anything is planned.
  • A full-arch case exceeds any annual maximum on its own, several times over. The benefit is a small amount toward it — far short of a meaningful share — and sequencing across plan years is worth discussing openly.

These are how dental plans usually classify this treatment — not a statement about your own plan. Yours is the one that governs, plans differ more than people expect, and the only reliable answer comes from reading your specific benefits, which we always do ahead of treatment and give you in writing.

And what changes out-of-network

What it costs here

$18,000 to $24,000 per arch

Our own fee range, published because no plan pays toward full-arch implants and there is therefore no payer figure to quote instead. Where you land in it depends on the case, and you get one written figure before anything starts.

A dentist who is in-network has signed a contract fixing what may be charged for each procedure and cannot bill you the difference. One who is out-of-network has signed nothing, so the full fee stands.

So the first difference is the price itself — the same treatment is simply allowed to cost more out-of-network, before anyone's plan is considered.

What you personally pay out of that depends on your own deductible and coinsurance, which is why there is no percentage here: it is not a property of the treatment, it is a property of your plan, and we verify yours before you commit. But two things follow for everybody. Your share is a share of a bigger number. And your annual maximum is spent by what the plan pays toward that bigger number, so the same treatment eats more of your benefit out-of-network.

Check the going rate yourself

FAIR Health's dental cost lookup is free, needs no account, and is not ours — it reports what a procedure typically costs in your area. It does not know your plan, so treat it as a ballpark figure — not a final answer.

Ask us for the number first

We verify your specific plan before your appointment and give you a written estimate: what the plan is expected to pay, and what you pay. If we get it wrong we tell you why.

Bring an Explanation of Benefits

Treated somewhere else? Your EOB shows exactly what the plan paid and what it counted against your maximum. Bring one in and we will read it with you — whether or not you become a patient here.

None of this says out-of-network dentists are worse dentists. Plenty are excellent, plenty are out-of-network for sound reasons, and people choose a dentist for who that person is. What we think you are owed is the information, so that whatever you choose, you chose it knowingly. The whole thing, explained properly, or call (469) 262-2111 and ask.

What happens next

Full-arch implant timeline: several months, stage by stage

  1. ConsultationScan, options, and a written plan

    All three routes costed where they genuinely apply. Nothing is scheduled at this appointment.

  2. Surgery dayExtractions and placement

    A long appointment, commonly under IV sedation. Someone drives you home and stays with you.

  3. Weeks 1–2Soft diet and healing

    Swelling peaks around forty-eight hours. No smoking — it is the single largest risk to implants integrating.

  4. Months 3–6Implants bond with the bone (integration)

    Bone locks onto the implants. This is the part that cannot be hurried, and nothing is asked of you except patience and careful hygiene.

  5. The final archMaking, trying in and fitting your new arch

    Digital scans, a try-in, and adjustment for fit, bite and appearance before it is finished.

  6. Every year, permanentlyWhy full-arch checkups and cleanings matter

    The arch is removed by us periodically for cleaning underneath, and the gum and bone around each implant are checked. Implants do not decay; the bone around them can be lost to the same bacteria that cause gum disease.

Getting here

Booking all-on-4 dental implants in Frisco

If you are researching this because your teeth are failing and you are frightened about it, say that when you call. It is the most common reason people arrive at this page, and it is a better starting point for a conversation than a procedure name.

Hours
Weekdays 9–6
Saturdays 9–3
Languages
English, Telugu, Hindi, Urdu
Arabic with Saba, our hygienist, Tuesdays, Thursdays and Fridays
Vietnamese with Anh, our hygienist, Saturdays
Cantonese and Mandarin with Dr. Louie, our periodontist, on his scheduled days, by internal referral
Also serving
McKinneyPlanoProsperLittle ElmAllenCelina
Before you call

Questions Frisco patients ask about All-on-4 and full-arch implants

Grouped so you can go straight to the one you came for.

All-on-4 Dental Implants — common questions

What is All-on-4?
A full arch of fixed teeth carried on four implants, with the back two placed at an angle. The angle lets them use better-preserved bone toward the front of the jaw and often avoids grafting. Some cases suit five or six implants instead, which your 3D X-ray scan decides.
Does White Lotus Dental do All-on-4 full-arch implants in Frisco?
Yes. Dr. Louie places the implants and Dr. Peravali restores the arch. We are early in offering it at this practice and would rather say so than let you assume a long local case history. Dr. Louie is a Diplomate of the American Board of Periodontology and a member of the Academy of Osseointegration. His master's research was on titanium implants, presented at that academy's annual meeting, and full-arch surgery is routine scope for him. Dr. Peravali trained in full-arch restoration during her general practice residency and restored a number of cases there. She has not offered the treatment in the years since. If that matters to you — and it is reasonable if it does — ask us at the consultation and we will answer straight.
All-on-4 vs All-on-6: which is right for me?
All-on-4 uses four implants per arch, with the back two angled. All-on-6 uses six, which spreads the bite across more support and can suit softer bone or a stronger bite. Neither is better in general. Dr. Louie decides from your 3D X-ray scan, and we explain why.
Do I get teeth the same day with All-on-4?
You will have teeth the whole time. Exactly what you wear during healing is planned and written down before treatment starts and not decided on the day. What is realistic depends on how solid the implants are at placement, which is assessed at the time. We would rather set that expectation precisely for your case than repeat a general promise.
How much do All-on-4 implants cost in Frisco?
We quote per arch, in writing, after a 3D X-ray scan. The number of implants, any grafting, extractions, sedation, the temporary teeth and the final material all move the figure. Insurance usually adds little, so we show the cost of a denture on implants beside it. CareCredit financing is available.
What are the downsides of All-on-4?
It is a major surgery with a long healing period and a cost well above a denture. Cleaning underneath is a daily job for life. Some people lack enough bone and need grafting first, and a few are better served by a simpler option. We cover these before you decide anything.
What is recovery like, and what can I eat?
Swelling and soreness usually peak around the second day, then ease over a week or two. You eat soft foods at first and widen your diet as the bone heals over several months. Your dentist confirms what is safe at each visit, since healing varies from person to person.
Are All-on-4 implants better than dentures?
For some people, decisively. It is fixed, it does not cover the palate, and the bite is closer to natural teeth. For others it is a lot of money spent on a problem two implants under a denture would solve. We will show you both figures, the smaller one included.
Does it hurt?
The surgery is done under local anesthetic and IV sedation is available and commonly chosen, given the length of the appointment. Afterwards expect swelling and soreness peaking at around forty-eight hours, managed with prescribed and over-the-counter medication. Most patients describe it as more manageable than they expected for the size of the procedure.
How do I clean a fixed full arch?
Daily, underneath, with a water flosser and interdental brushes made for the purpose. You cannot take the arch out, so this is on you every day, and it decides how long the arch lasts. We teach it properly at the fitting and remove the arch periodically to clean under it.
Does food get under All-on-4 teeth?
Some can, because a small space is left under the arch so you can clean it. A water flosser and interdental brushes clear it each day. We check the gum and bone around every implant at your cleaning visits, and the arch is removed periodically for a deeper clean.
When is a lower denture on implants enough?
Often, if the complaint is a lower denture that moves. Two implants can clip it firmly in place for far less than a fixed arch. A fixed arch makes sense when you want teeth that never come out. We show you both options and their costs before you choose.
How long does a full arch last?
With daily cleaning and regular checkups, many full arches last for years, and the implants often outlast the teeth attached to them. Parts such as the teeth or screws can wear and need replacing. Your dentist gives a realistic outlook for your case after an exam.
Am I a candidate if I have been in dentures for years?
Often, though years in dentures mean the bone has been shrinking, so the scan matters more than usual. Grafting is sometimes needed first. Occasionally the honest answer is that a fixed arch is not realistic and an implant-retained denture is better. Have that answered properly, not assumed either way.
What if I smoke?
We will be blunt, because the money involved deserves it. Smoking substantially raises the risk of implants failing to integrate and of losing bone later. It is not an automatic refusal, but you are entitled to know the odds, and stopping, even for the healing period, genuinely changes them.
What should I expect two months after All-on-4 surgery?
By about two months, the early swelling and soreness have long eased and most people are eating a widening range of food, while the bone keeps healing for several months. Your dentist confirms what is safe at each visit, since healing varies from person to person. Tell us promptly if anything feels wrong.
Where can I get All-on-4 implants near me in Frisco?
Visit us at 8175 Custer Rd, Suite A110, Frisco, TX 75035 on Custer Road in east Frisco. All-on-4 full-arch implants are planned and placed here. Our team sees patients Saturday from 9 AM to 3 PM and weekdays except Wednesday from 9 AM to 6 PM. Phones are answered on Wednesday too: (469) 262-2111.
Dental emergency?

Toothache at 7am? You'll be seen today.

Same-day and Saturday appointments for toothaches, broken teeth, knocked-out teeth and lost crowns. Call us and we'll tell you what to do first, while you're still at home.

Other treatments

Everything else under this roof.

White Lotus Dental offers nine dental specialties inside one calm office on Custer Road. Having general dentists and an in-house periodontist on staff means your entire family can receive preventive, restorative, and surgical treatments in one familiar place.

IPreventive dentistry and cleanings in Frisco

Preventive Dentistry

Regular dental checkups, professional cleanings, night guards, and jaw-pain care. Every routine exam includes an oral cancer screening to protect your long-term health.

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IIChildren's dentist in Frisco, TX

Children's Dentistry

Gentle first dental visits, protective sealants, fluoride applications, and space maintainers. We accept Children's Medicaid and CHIP, and every young patient receives a toy-machine token at the end of their visit.

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IIIOrthodontics and Invisalign in Frisco, TX

Orthodontics

Clear aligners with Invisalign® and comprehensive traditional braces. Your treatment is fitted, monitored, and adjusted in-house by your trusted dentist.

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IVDental implants, bridges and dentures in Frisco, TX

Missing Teeth

Permanent dental implants, dental bridges, and customized dentures planned using 3-D CBCT scans. Because our team includes a board-certified periodontist, your implant surgery, placement, and final crown are completed in the same building.

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VCosmetic dentistry in Frisco, TX — whitening and bonding

Cosmetic Dentistry

Professional Zoom whitening, custom take-home whitening trays, and composite tooth bonding designed to brighten and refine your natural smile.

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VIPeriodontist in Frisco, TX — laser gum disease treatment

Periodontics & Oral Surgery

Specialized gum disease therapy, scaling and root planing (deep cleanings), frenectomies, and periodontal surgery performed by our board-certified periodontist.

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VIICrowns, bridges and fillings in Frisco, TX

Restorative Dentistry

Custom porcelain crowns, bridges, tooth-colored fillings, and full-mouth restorations crafted to match the natural look, feel, and function of your teeth.

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VIIISedation dentistry in Frisco, TX

Sedation Dentistry

Relaxing dental care tailored to your comfort level. We offer nitrous oxide (laughing gas) for any routine clinic visit, as well as oral and IV sedation planned ahead with our periodontist.

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IXEmergency dentist in Frisco, TX — same-day appointments

Emergency Dentistry

Toothaches, broken teeth, knocked-out teeth and lost crowns — seen the same day, Saturdays included.

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