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All-on-4 / All-on-X full-arch implants

All-on-4 and All-on-X replace a whole arch of missing or failing teeth with one fixed bridge on four to six implants, fixed within 24 hours and never removed at night. Dr. Nabeel Al Nahhas, a consultant prosthodontist in the UAE with more than 28 years in dentistry, plans the bite, smile line and speech first, and uses tilted, pterygoid and zygomatic implants when the bone is thin, with no bone graft. In January 2026 he attended the All on X Global Congress with Dr. Paulo Malo, creator of the All-on-4 concept.

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Dr. Nabeel Safwat Al NahhasDr. Nabeel Safwat Al NahhasConsultant Prosthodontist, ImplantologyMOHAP licence D21482

Who it is for

  • Most or all teeth in one jaw are missing, loose or failing.
  • A removable denture that moves, hurts or makes eating and speaking hard.
  • Patients told their bone is too thin: tilted, pterygoid and zygomatic implants carry a full arch without grafting.
  • Anyone who wants to leave with fixed teeth, not a gap.

How treatment runs

  1. Free consultation and 3D scan

    Digital X-ray, CBCT scan and photographs. You receive your plan and its cost in writing.

  2. Digital planning

    Your new teeth are designed first, and the implant positions and angles are planned around them on your 3D scan.

  3. Surgery and fixed teeth within 24 hours

    The implants are placed and your fixed bridge is attached within 24 hours. You leave with teeth.

  4. Digital records

    The X-GRAM photogrammetry camera records your implant positions without impressions, so your final bridge fits precisely.

  5. Final bridge

    Once the implants have bonded with the bone, your stronger final bridge is fitted, followed by regular check-ups and professional cleaning.

Dr. Paulo Malo, creator of All-on-4, lecturing at the All on X Global Congress, January 2026, where Dr. Nabeel met and was photographed with him
Dr. Paulo Malo, creator of All-on-4, lecturing at the All on X Global Congress, January 2026, where Dr. Nabeel met and was photographed with him

Results

Full-arch restoration: Before
Full-arch restoration: After

Full-arch restoration

Dr. Nabeel replaced worn, broken teeth with a full arch of new teeth.

All-on-X upper arch on six implants
  • All-on-X upper arch on six implants: Verification jigVerification jig

All-on-X upper arch on six implants

A verification jig confirms the fit on six implants, then the screw-retained full-arch bridge is fitted.

See the full case

All results

Fixed bridge or implant-retained denture?

Fixed full-arch bridge (All-on-X)

Screwed onto the implants and removed only by Dr. Nabeel. Feels and works like your own teeth.

Implant-retained denture

Clips onto implants and comes out for cleaning, on fewer implants.

Keeping your new smile for years

  • Every case is planned on a 3D scan, so each implant sits in strong bone at the right angle.
  • Dr. Nabeel designs your smile, your bite and your speech together, as a prosthodontist.
  • Daily cleaning under the bridge and regular reviews keep it healthy for years.
  • You receive clear written aftercare instructions at every stage.

On video

Told your jaw is too weak for implants? That's outdated

Dr. Nabeel on implants without bone grafting: implants placed in specific positions and angles, with teeth fixed within 24 hours.

Read what he says

No, no, no, no, no. Who told you that you're not suitable for dental implants? Dental implants are possible using certain techniques. If they told you that you can't have dental implants because your jaw is weak, that's old talk. Using modern techniques, namely dental implants without bone grafting, by trained dentists experienced in dental implants and prosthodontics, implants can be placed in specific positions, specialised implants at specific angles, and the teeth fixed onto them within 24 hours. This is a modern technique, and all you need to do is turn to specialised, experienced dentists. This is Dr. Nabeel Safwat Al Nahhas, consultant in prosthodontics and dental implants, with more than twenty-eight years of experience in the United Arab Emirates.

Over 40 with bone loss? Implants are still for you

Bone loss is natural and doesn't rule out implants. Dr. Nabeel places implants even with bone loss, using a 3D scan and angled implants.

Read what he says

Are you over forty and have bone loss? Don't rush to judge. Bone loss at this age is normal, it doesn't mean you can't have implants. The truth is, the amount of bone isn't the only thing that matters. What matters most is how we plan the case. And now, thanks to modern techniques and specialised angled implants, we can place implants even with bone loss, and sometimes without a bone graft, without patching, without a long wait. But before any step, I have to do a 3D scan and a thorough examination, so we can choose the best solution for you. This is Dr. Nabeel Safwat Al Nahhas, consultant in prosthodontics and dental implants. Book your consultations at Adamah Center, and don't think it's too late. You're still young at forty!

Implant options: single tooth, implant denture, full fixed arch

An animated guide to the three ways implants replace teeth: a single tooth, a denture that snaps onto implants, and a full fixed arch.

Read the narration

A single tooth implant can be inserted in a simple procedure that doesn't affect any of the other teeth. An implant-retained denture works by securing two to four implants and then using a denture to snap into place. The full fixed arch is the most secure option for the full set of upper or lower teeth that is permanently implanted. Dental implants might be the answer to a healthier, happier smile. From a single tooth implant to an implant-retained denture or a full fixed arch, dental implants have many options that fit a variety of needs. Fill out our 20-second eligibility quiz to see if dental implants are right for you, because bigger smiles make for a brighter future.

Patient stories

2:03All teeth replaced with implants, upper and lower, the same dayEnglishFrenchArabic

All patient stories

Technology he uses

NewTom GiANO HR 3D CBCT
A low-dose 3D scan of your bone, nerves and sinus, so every implant is planned on real measurements.
X-GRAM iGrapher
Full-arch records without impressions: a camera reads the exact position of every implant in seconds, so your fixed bridge fits precisely.
Digital Smile Design (DSD)
You see your new smile on your own face, in the shade you choose, before any tooth is touched.
ClaroNav Navident EVO
Real-time navigation: the implant goes exactly where it was planned on your 3D scan.
Evertis Luna S · S-Mono · S-Guide · UV Booster
Implants backed by long-term university studies, placed on plan with the S-Guide kit, with the surface activated by UV Booster right before placement.
TRI matrix
Swiss implants with one connection across every size, built for a fully digital workflow from scan to final tooth.

All his technology

Common questions

Will I leave with teeth?

Yes. Your fixed bridge is attached within 24 hours of the implants being placed.

Is All-on-X treatment painful?

No. Samir had both jaws done in one day and says it in his video: no pain. The area is fully numbed, and Dr. Nabeel places every implant with Navident navigation, so the procedure is precise and short.

I was told I don't have enough bone. Can I have All-on-X?

Yes. Dr. Nabeel uses tilted, pterygoid and zygomatic implants that anchor in strong existing bone, with no bone graft.

How much does All-on-X cost?

The consultation is free and includes a digital X-ray, and Dr. Nabeel gives you your plan and its cost in writing.

Can I send my X-ray before the consultation?

Yes. Send your panoramic X-ray on WhatsApp and Dr. Nabeel reviews it before your free consultation.

How long does All-on-4 treatment take?

Your fixed bridge is attached within 24 hours of the implants being placed. Once the implants have bonded with the bone, your stronger final bridge is fitted, and your written plan gives your exact timeline.

All-on-4 or All-on-6?

Both carry one fixed bridge for a whole arch; the difference is four or six implants. Dr. Nabeel plans the implant positions and angles on your 3D scan and chooses the number your jaw needs.

How long does an All-on-4 bridge last?

Daily cleaning under the bridge and regular reviews keep it healthy for years, and you receive clear written aftercare instructions at every stage.

Can I eat normally with All-on-X?

Yes. Your All-on-X bridge is fixed on the implants and never taken out at night, so you bite, chew and smile like you do with your own teeth. Dr. Nabeel plans your bite as a prosthodontist, so chewing forces are shared evenly across the implants. Samir, who had both jaws done the same day, says it in his video: no pain, and no change in his life, his food or his style.

Do All-on-X teeth look natural?

Yes. Dr. Nabeel designs your new teeth first, around your face, your lips and your smile line, before the implants are planned. Your bridge is made from digital records, so the teeth look like your own in the mirror and in photos.

Is All-on-X safe?

Yes. All-on-4 is the established full-arch concept created by Dr. Paulo Malo, and in January 2026 Dr. Nabeel attended the All on X Global Congress with Dr. Malo. Dr. Nabeel plans every case on a 3D CBCT scan and guides the implants with Navident navigation, so each one sits in strong bone at the right angle, and he holds an implantology privilege from the UAE Ministry of Health and Prevention.

Related treatments

A full arch of fixed teeth within 24 hours

Send your panoramic X-ray on WhatsApp. The consultation and digital X-ray are free. Patients from Dubai, Sharjah, Abu Dhabi and across the UAE message him here.

Message on WhatsAppCall: +971 56 355 3326