All-on-x implant treatment begins with thorough screening. It is vital to ensure that the patient does not have any underlying health problems that can complicate the surgical procedure and to clear them of any medical treatment that can cause changes in the bone. It is also essential to ensure that the patient can maintain good oral hygiene to prevent any oral infection that increases the risk of implant failure. Once the dentist determines that the patient is a good candidate for implants, x-rays, CT scans, and an impression will be taken for thorough examination and treatment planning. Upon approval of the personalized treatment plan, the patient can now undergo implant placement. The surgical placement of implants will begin with anesthetizing the entire jaw where the implant will be placed. Once the area is numb, the dentist will incise the gums and drill four holes in the jawbone – two in front and two at the back. This is where the implants will be inserted. The two front implants will be drilled 90 degrees to the bone, while the other remaining implants will be inserted 35-45 degrees. The slanted position of the back implants enhances the implant-to-bone contact. This results in a firmer attachment of the implant to the bone, which translates into a more stable denture anchorage. After implant placement, the gums will be sutured, and a temporary acrylic implant bridge will be immediately attached to the implants. After implant placement, the bone and the gums are given time to heal. Sufficient time must be given for the bone to grow around the embedded implants to have a strong bond between the bone and the implant. This process is called osseointegration, and it can last up to 3-6 months. After this healing period, you will be asked to return to the clinic, and once the dentist confirms stable attachment of the implant to the bone, the fabrication of the final denture can begin.