All-on-4 Dental Implants · Bonney Lake, WA
Four implants. One fixed prosthesis, planned and performed personally by oral surgeon Dr. Jonathan Volland. Three appointments. Permanent zirconia in twelve weeks.
What it actually means
All-on-4 replaces a full arch of missing or failing teeth with four surgically placed implants and a single fixed prosthesis, developed by Dr. Paulo Maló in 1998 and studied longer than any other full-arch protocol. Most patients who reach this page recognize themselves in one of three situations.
Tired of adhesive, soaking, and dentures that shift when you laugh or eat. Ready for teeth that stay put.
Years of restorations and root canals catching up at once, extraction is coming, and a removable answer isn’t appealing.
A previous implant failed, or another practice called you a non-candidate. A second opinion with fresh 3D imaging often changes that answer.
How it works
All-on-4 isn’t four implants placed at random. The count and the angle are the engineering.
Placed vertically where jawbone is naturally densest, the most stable anchor points available.
Tilted roughly 30° to reach bone the front implants can’t, while steering clear of the sinus and nerve.
That angle extends the bridge to the molars without adding bone first, why All-on-4 avoids grafting for most patients.
All four implants share the load of one fixed prosthesis, with enough primary stability for a provisional the same day. 
After Treatment
Patients rarely point to surgery day as the turning point. It’s the weeks after, the first uninterrupted meal, the first morning without a soak cup, that change how they describe the decision.
You stop removing your teeth at night
Steak, apples, and corn return to the menu
Speech stabilizes, no more shifting or clicking
Brushing replaces soaking, suction, and adhesive
Candidacy
Most adults missing most or all teeth in an arch are candidates, confirmed at consultation with 3D imaging, not guessed at from a questionnaire.
Most of these are conditional, not disqualifying, a controlled diabetic or a former smoker who has quit can typically proceed.
Treatment Process
Full mouth implant treatment spans approximately 12 weeks from surgery to final restoration. Here's the standard workflow with timing notes for what to expect at each visit.
Speed, at the cost of refinement time, bite and esthetics are locked in before bone has integrated.
A few added weeks for the chance to perfect the design before it’s permanent.
Both approaches end in a permanent zirconia prosthesis. We use the three-visit approach because final loading after osseointegration is what the implant literature, from Brånemark forward, consistently associates with better long-term outcomes.
Materials
The most common upcharge in All-on-4 pricing elsewhere is the move from acrylic to zirconia, typically $3,000–$8,000 per arch. At Elite, it’s the standard.
Expected Outcomes
All-on-4 has been studied longitudinally longer than any other full-arch protocol, the figures below come from the most-cited Maló Clinic studies.
94.8%
Implant survival
At 10 years¹
99.2%
Prosthesis survival
At 10 years¹
93.0%
Implant survival
At 10–18 years²
98.8%
Prosthesis survival
At 10–18 years²
These rates are comparable to, or better than, published survival for natural teeth carrying crowns or root canal therapy.
Patient Reviews
“I really appreciated how attentive and detailed Dr. Volland and his team were when answering questions and sharing what the experience would be like when getting my wisdom teeth removed. I felt very at ease during and after the procedure because of their reassurance despite being uneasy initially.”
“Dr. Volland is amazing! Had a great journey getting my wisdom teeth removed and a bone graft done. All the staff are super nice and make you feel at home. Recovery was quick, and I could tell I was in expert hands.”
“I was very nervous going into the procedure. Dr. Volland was absolutely amazing. He was kind, reassuring, and took the time to make me feel comfortable every step of the way. The procedure was quick, smooth, and much easier than I expected.”
“I cannot say enough about Dr. Volland. He is so thorough and caring. He truly listens to patients, making every visit feel special. Got my all-on-x treatment done, and the results are amazing!”
“The calm atmosphere and confidence of the dr and assistant was reassuring. The extraction was painless and they were attentive to me throughout the procedure. They made the entire experience as comfortable as possible.”
“Dr. Volland was super professional during my consult. Definitely recommend him for anyone in the Sumner area looking for dental implants. Talked through everything in detail. He truly knows his stuff!”
“I really appreciated how attentive and detailed Dr. Volland and his team were when answering questions and sharing what the experience would be like when getting my wisdom teeth removed. I felt very at ease during and after the procedure because of their reassurance despite being uneasy initially.”
“Dr. Volland is amazing! Had a great journey getting my wisdom teeth removed and a bone graft done. All the staff are super nice and make you feel at home. Recovery was quick, and I could tell I was in expert hands.”
“I was very nervous going into the procedure. Dr. Volland was absolutely amazing. He was kind, reassuring, and took the time to make me feel comfortable every step of the way. The procedure was quick, smooth, and much easier than I expected.”
“I cannot say enough about Dr. Volland. He is so thorough and caring. He truly listens to patients, making every visit feel special. Got my all-on-x treatment done, and the results are amazing!”
“The calm atmosphere and confidence of the dr and assistant was reassuring. The extraction was painless and they were attentive to me throughout the procedure. They made the entire experience as comfortable as possible.”
“Dr. Volland was super professional during my consult. Definitely recommend him for anyone in the Sumner area looking for dental implants. Talked through everything in detail. He truly knows his stuff!”
“Dr. Volland did an amazing job! The procedure was quick, completely painless, and I was in and out in no time. My recovery was also very fast and pain-free. Highly recommend!”
“Dr. Volland is as professional as he is kind. His extractions are quick and easy, implants are successful and look great, and IV sedation makes the whole process go off without a hitch.”
“Dr. Volland was so gentle and made sure I was comfortable during my implant surgery. He's the only Dr I'll trust with my oral surgery needs!”
“I went in for a dental implant under sedation and it was absolutely painless! It was so easy and smooth. I can't thank him enough!”
“Our family had an excellent experience with Dr. Volland and his team. Dr. Volland personally took a call from me when we got home and answered my questions. His commitment to patient care is outstanding.”
“Dr. Volland did an amazing job! The procedure was quick, completely painless, and I was in and out in no time. My recovery was also very fast and pain-free. Highly recommend!”
“Dr. Volland is as professional as he is kind. His extractions are quick and easy, implants are successful and look great, and IV sedation makes the whole process go off without a hitch.”
“Dr. Volland was so gentle and made sure I was comfortable during my implant surgery. He's the only Dr I'll trust with my oral surgery needs!”
“I went in for a dental implant under sedation and it was absolutely painless! It was so easy and smooth. I can't thank him enough!”
“Our family had an excellent experience with Dr. Volland and his team. Dr. Volland personally took a call from me when we got home and answered my questions. His commitment to patient care is outstanding.”
Pricing
Most full mouth implant practices in the Pacific Northwest charge $25,000–$50,000 per arch, often itemized separately for sedation, materials, and the final bridge. At Elite, the number below is the whole story.
All-Inclusive · Per Arch
$15,000
All-Inclusive · Per Arch · All-on-4 or All-on-6, same price
3D Cone Beam CT imaging & surgical planning
Surgical placement of 4–6 implants per arch
In-house IV sedation by an oral surgeon
Same-day printed provisional bridge
8-week printed prototype try-in
Final zirconia bridge with titanium framework
All follow-up visits for 12 months
Bone grafting if needed and sinus lifts are included in the $15,000-per-arch full-arch offer, along with extractions, IV sedation and final zirconia teeth.
Financing Available
Five lending partners. Decisions in minutes. HSA/FSA eligible. Payment plans structured around your budget.
Founder Pricing
Reserved for patients who join the opening list. Applied at consultation, no commitment required to secure your place.
Common Questions
Both protocols end in a permanent zirconia prosthesis. Nuvia mills and seats the final bridge within 24–48 hours of surgery. Elite places a same-day provisional, then refines bite and esthetics at an 8-week prototype try-in before delivering final zirconia at week 10–12, after bone integration is well underway.
Three structural differences: Dr. Volland personally performs and follows up on every case, rather than a rotating surgeon partner. Elite’s $15,000 includes zirconia standard, versus ClearChoice’s typical $20,000–$35,000 with zirconia as a premium upgrade. And Elite is independently owned, while ClearChoice is managed by a private-equity-controlled parent.
Most adults missing most or all teeth in an arch are candidates, including long-term denture wearers, patients facing full extractions, and patients with a previous implant failure. Candidacy is confirmed at consultation with 3D imaging and a medical history review.
Published Maló Clinic data shows 93–95% implant survival at 10–18 years. Long-term success depends meaningfully on oral hygiene, six-month maintenance visits, and behavioral factors like smoking and glycemic control.
All-on-4’s angled posterior placement is specifically designed to avoid grafting for most patients. When significant bone loss is present, a sinus lift, additional grafting, or a zygomatic protocol may be recommended, determined and quoted in writing at consultation, never in the chair on surgery day.
Surgery itself is performed under in-house IV sedation, so you’re not aware of it. The first 48–72 hours after are the most uncomfortable, swelling peaks around day 3–4, and most patients return to non-strenuous work by day 5–7. A soft diet is required for 6–8 weeks.
All-on-6 adds two implants for greater load distribution, a clinical decision based on bone density, bite force, and bruxism history, not a price-tier upsell. Pricing is identical either way.
For Pacific Northwest patients
Dedicated guides for patients researching All-on-4 from specific South Sound and Puget Sound cities, local pricing context, drive logistics, and what to expect making the trip to Bonney Lake.
30-45 min south • via i-5
Comparison to Seattle ClearChoice and Nuvia locations, plus overnight-stay options for surgery day.
16 min east • via SR-167
Comparison to Tacoma multi-provider and chain implant centers, plus surgery-day logistics for Tacoma neighborhoods.
25 min southeast · via SR-18/167/410
Comparison to King County chain centers, with the most direct route in from Federal Way.
Opening January 2027
Leave your details and we'll reach out as soon as consultations are available. No obligation, no marketing. Just a note when the door opens.
9907 205th Ave E · Bonney Lake, WA 98391
(206) 738-2503
