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Estero · Bonita Springs, FL
Estero Bay Dental has proudly served the Estero and Bonita Springs community for over 10 years, with Dr. Ivan Vigoa creating personalized All-on-X implant treatment plans designed around your needs and smile goals.
Losing several teeth or wearing a loose, uncomfortable denture can make everyday moments, from laughing with grandchildren to biting into a fresh piece of fruit, feel like something to think twice about. According to the CDC, about 1 in 10 adults aged 65 to 74 have lost all their teeth, and that number climbs to roughly 1 in 5 for adults 75 and older, meaning many people in our own community are quietly living with this exact challenge.
At Estero Bay Dental, we help patients throughout Estero and Bonita Springs move past that stage with All-on-X implant treatment, a full-arch solution that replaces an entire row of missing or failing teeth using just a handful of strategically placed dental implants. Instead of relying on a removable denture that shifts while you eat or talk, All-on-X anchors a complete, natural-looking arch of teeth directly to your jawbone, giving you a stable bite and a smile you can trust again.
All-on-X treatment starts with a thorough evaluation of your jawbone, bite, and any remaining teeth that may need to be removed. Once we confirm you are a good candidate, four to six implants are positioned in the areas of your jaw with the strongest bone, often allowing us to avoid the bone grafting that traditional implant placement sometimes requires. A custom-designed arch of replacement teeth is then attached to those implants, creating a fixed, full-mouth restoration in far fewer appointments than placing an implant for every missing tooth.
Because the implants are angled to make the most of your existing bone, many patients may be able to leave with a temporary full arch on the same day their implants are placed. This means you are not left without teeth during the healing process, which typically takes a few months while the implants fully integrate with your jawbone before your final, permanent arch is secured in place.
| Option | How It Is Held In Place | What To Know |
|---|---|---|
| All-on-X | A fixed arch anchored to a handful of implants | Not removed for cleaning at home, and does not rest on the gums. |
| Implant-Supported Denture | Snaps onto implants placed in the jawbone | More stable than a traditional denture, and removable. |
| Traditional Denture | Rests on the gums | Removable, and may shift while you eat or speak. |
| Single Implants | One implant per missing tooth | Often needs more implants than All-on-X for a full arch. |
All-on-X was designed for people who are missing most or all of their teeth in an arch, whether from years of decay, gum disease, or a denture that no longer fits comfortably. It can also be a strong option for patients who are tired of the maintenance that comes with traditional dentures and want a solution that feels and functions closer to natural teeth.
Patients considering this treatment often want to know what makes it different from other tooth replacement options. A few advantages tend to stand out during consultations:
Every mouth is different, so we always walk through these factors individually before recommending a treatment plan, especially for patients who may be better suited to implant-supported dentures or a more staged approach through full mouth reconstruction.
| Stage | What Happens |
|---|---|
| Evaluation | We review your jawbone, bite, and health history, using 3D CBCT imaging. |
| Implant Placement | Implants are positioned in the areas of your jaw with the strongest bone. |
| Temporary Arch | Many patients may be able to receive a temporary arch the same day. |
| Healing | The implants integrate with your jawbone over a few months. |
| Final Arch | Your permanent restoration is secured in place. |
Recovery after All-on-X surgery varies from person to person, but most patients manage swelling and tenderness with over-the-counter pain relief and a soft food diet for the first several days. We schedule follow-up visits to monitor healing and make sure your temporary arch continues to fit comfortably as any swelling subsides.
Good oral hygiene becomes especially important during this stage, since keeping the implant sites clean supports proper healing and long-term implant success. We provide specific instructions for cleaning around your new arch, and our team stays available if anything feels off along the way. Once healing is complete, the transition to your final, permanent restoration is typically straightforward and involves little to no additional discomfort.
All-on-X is a significant investment, and it is fair to want clarity on cost before committing to treatment. Because the procedure replaces an entire arch using several implants and a custom-designed restoration, pricing varies more than it would for a single tooth replacement, depending on how many implants you need and whether any preparatory work is required first.
We accept CareCredit and work with several financing partners, including Cherry Financing, to provide flexible options for paying the cost of treatment over time rather than paying everything upfront. Our financial information page outlines these options in more detail, and we always walk through the full cost picture during your consultation so there are no surprises once treatment begins.
All-on-X is not automatically the best solution for every patient missing several teeth, and part of a thorough consultation involves ruling out situations where a different approach makes more sense. Patients with limited jawbone density may need bone grafting first, or may be better served by a staged treatment plan rather than immediate implant placement.
Some patients are also better candidates for implant-supported dentures, particularly if they are missing fewer teeth or prefer a removable option over a fixed arch. Certain medical conditions and medications can also affect healing after implant surgery, which is why a full health history review is part of every evaluation before we recommend All-on-X specifically.
Our Estero office at 21740 S Tamiami Trail #111 welcomes patients from Estero, Bonita Springs, and nearby neighborhoods such as Pelican Landing, Pelican Sound, and Coconut Point. We accept PPO plans, and our team can review your benefits on our insurance page. Patients without insurance can ask about our Smile Program, a discount program. We are open Monday through Thursday from 8 am to 5 pm and Friday from 8 am to 1 pm, and our team speaks both English and Spanish.
Here are answers to questions we hear often about All-on-X.
All-on-X is a full-arch solution that replaces an entire row of missing or failing teeth using a handful of strategically placed dental implants. At Estero Bay Dental, Dr. Vigoa creates a plan around your needs and smile goals.
Four to six implants are positioned in the areas of your jaw with the strongest bone. The exact number depends on your evaluation, which our Estero, FL team completes before recommending a plan.
Many patients may be able to leave with a temporary full arch on the same day their implants are placed. Healing typically takes a few months before your final arch is secured.
No. Patients with limited jawbone density may need bone grafting first, and certain medical conditions can affect healing. A full evaluation at Estero Bay Dental helps us recommend the right approach for you.
All-on-X is a fixed arch that is not removed for cleaning at home, while implant-supported dentures snap onto implants and can be removed. We can review both options with you during a consultation.
Most patients manage swelling and tenderness with over-the-counter pain relief and a soft food diet for the first several days. We schedule follow-up visits to monitor healing and check your temporary arch.
Yes. We offer a free consultation for implant treatment, so you can review your options and ask questions before committing to a plan at our Estero office.
Yes. We accept CareCredit and work with several financing partners, including Cherry Financing, to provide flexible options for paying the cost of treatment over time. We also accept PPO plans and can review your benefits with you.
Estero Bay Dental has built our practice around treating patients like people, not just another set of teeth. We take the time to walk you through every option, including the pros and cons of each, so you always understand your treatment plan before moving forward. Our team is especially comfortable working with patients who feel anxious about extensive dental work or who have put off treatment out of embarrassment about the condition of their teeth, and we never pressure anyone into more treatment than they actually need.
If you are ready to explore whether All-on-X implants are the right fit for your smile, our dentists would be glad to walk you through your options in a comfortable, judgment-free setting. Reach out through our contact form to schedule a consultation and take the next step toward a smile you feel good about again.
You can also request an appointment online.
Dr. Vigoa holds a Doctor of Dental Surgery degree along with licensure as a Registered Dental Hygienist and a Registered Nurse, and completed a two-year Advanced Education in General Dentistry residency at NYU Langone. Originally from Cuba, he is fully fluent in Spanish and welcomes patients from all cultural backgrounds.
Meet the Dentist