Most CommonAll-on-4
- Implants per jaw
- 4 per arch
- Bone grafting
- Usually not required
- Best for
- Most patients
- Outcomes / cost
- 94.8% survival at 10 years
The most-studied full-arch protocol. Standard for most patients.
Learn more
Full Mouth Dental Implants · Bonney Lake, WA
Full mouth implants, full-arch implants, All-on-4, different names for one fixed result, planned and performed personally by Dr. Jonathan Volland in Bonney Lake, WA.
What it actually means
Full-arch implants replace all teeth in one or both jaws using four to six titanium implants per arch. The implants integrate with your bone, transmitting chewing forces like natural tooth roots, not sitting on top of the tissue like dentures.
Dentures sit on gum tissue, held by suction and adhesive. Full mouth implants anchor directly in the jawbone, integrating with it over several months, a process called osseointegration.
All-on-4, All-on-6, and zygomatic are protocol variants for reaching the same fixed result. The right one is determined by your bone density and anatomy, not by preference.
The implants do real biomechanical work, distributing bite force, preserving bone. The aesthetic improvement follows from the structural correction, not the other way around.
The protocol
The right protocol depends on your jawbone density, bite forces, and clinical situation, determined at consultation, after 3D imaging. Selection is a clinical decision, never a price-tier upsell: all three are priced identically at Elite.
Most CommonThe most-studied full-arch protocol. Standard for most patients.
Learn more
Higher-ImplantSix implants when biomechanics warrant additional support.
Learn more
SpecialtyFor patients told they're not candidates elsewhere.
Learn moreAfter Treatment
Patients rarely describe the surgery itself as the turning point. It’s the weeks after, the first uninterrupted meal, the first morning without a soak cup, that change how they talk about 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
You’ve worn dentures that never quite fit. Your remaining teeth are failing faster than they can be repaired. Or you’ve just learned that extraction is coming and you don’t want a removable answer. If any of those sound familiar, a conversation is worth having.
Most of these are conditional, not disqualifying. Severe bone loss, in particular, is often still treatable, see the zygomatic protocol below.
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.

Cone Beam CT imaging assesses your bone, sinus position, and overall anatomy. Medical history, sedation evaluation, and a written treatment plan with itemized pricing, before any surgical date is set.
Complimentary · ~60 minutes. Imaging and a written plan provided the same day

Implants placed under IV sedation. Remaining failing teeth removed in the same surgery if needed. A printed PMMA provisional bridge is seated before you leave. You go home that afternoon with a functional smile.
Soft diet for 6–8 weeks. Most patients return to non-strenuous work in 3–5 days.

The provisional is evaluated for bite, speech, and aesthetics. A prototype of your final bridge is tried in. Adjustments are made with your input before zirconia is fabricated, you see and approve the result before anything is permanent.
Non-surgical appointment. ~90 minutes. Bring a second opinion if you’d like.

Your permanent zirconia bridge with titanium framework is seated by Dr. Volland. Fracture-resistant, stain-resistant, biocompatible. The bridge is screw-retained, not cemented, meaning it can be serviced if ever needed, but never removed by you.
Full diet typically resumes within 1–2 weeks. Speech adapts within days.
Materials
The most common upcharge in full-arch pricing elsewhere is the upgrade from acrylic to zirconia, typically $3,000–$8,000 per arch extra. Zirconia is our standard because it's the right long-term material.
Expected Outcomes
Full mouth implant therapy isn’t new or experimental, it’s the most studied tooth-replacement protocol in implant dentistry.
94.8%
Implant survival
At 10 years
99.2%
Prosthesis survival
At 10 years
93.0%
Implant survival
At 10–18 years
98.8%
Prosthesis survival
At 10–18 years
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–$45,000 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
Multiple 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
"Full mouth dental implants" is the broad consumer term for replacing all teeth in a jaw with implants. "All-on-X" is a generic clinical term covering the family of protocols (All-on-4, All-on-5, All-on-6, etc.). "All-on-4" is the most-common specific protocol, four implants per jaw supporting a complete bridge. They all describe the same general concept; the differences are in implant count and clinical indication.
For patients researching options, the terminology can be confusing. The key distinction: "all-on-X" terms refer to specific protocols; "full mouth implants" is the broader category. We use the term that matches what each patient is researching.
Surgery day takes approximately 4-6 hours total at our office, including IV sedation setup, surgical procedure, and same-day provisional placement. The actual surgical procedure is typically 3-5 hours depending on whether teeth need to be extracted, whether one or both jaws are being treated, and the specific protocol selected.
You arrive in the morning under IV sedation, sleep through the procedure, and are typically discharged by mid-afternoon. You'll need a driver to take you home. IV sedation requires a sober adult driver regardless of distance.
Same-day provisional teeth are placed at the surgical visit. You leave with teeth, not without them. The final, permanent zirconia bridge is fabricated and placed 10 to 12 weeks after surgery, once the implants have integrated with bone (osseointegration).
The provisional teeth are functional and aesthetic, and most patients are surprised at how natural they look. The transition from provisional to final happens at week 10 to 12, after a try-in at week 8 to verify fit and bite.
Some chain implant centers market "permanent teeth in 24 hours." That framing is misleading, because osseointegration takes months regardless of which prosthesis is delivered on day one. The biology doesn't change based on the marketing language used. Honest workflows describe same-day provisional teeth at surgery and final restoration at week 10 to 12.
The procedure itself is performed under IV sedation. You'll be asleep and won't remember it. Local anesthesia is administered after sedation begins, so the surgical site is fully numbed before any work starts.
Post-operative discomfort is real but manageable. Most patients describe the recovery as easier than they expected: mild to moderate swelling and tenderness for 3 to 7 days, managed with prescribed pain medication and over-the-counter options. Most patients return to normal activities within 5 to 7 days. Soft food diet for the first week.
The implants themselves typically last 20 to 30 years or more with appropriate maintenance. Published clinical data shows 94.8% implant survival at 10 years and 93.0% at 10 to 18 years for All-on-4 cases. The zirconia bridge on top of the implants typically lasts 20 years or more before any maintenance is needed.
Maintenance involves regular hygiene at home, professional cleanings every six months, and avoiding behaviors that compromise implants, such as heavy smoking or untreated grinding. For most patients the practical benefit is straightforward: the ability to eat normally again, without the limitations dentures impose.
For most patients facing full-mouth tooth loss, yes, meaningfully. Dentures are removable and don’t preserve jawbone; full mouth implants are fixed, function like natural teeth, and stimulate the bone underneath. Dentures remain a legitimate choice for patients who can’t or don’t want surgery.
Many patients turned away elsewhere as "non-candidates" are candidates here. The zygomatic protocol anchors implants in the cheekbone rather than the resorbed upper jaw, bypassing the bone loss entirely. A second opinion, with fresh 3D imaging, is often worth getting.
We verify your specific dental insurance coverage before treatment and provide a written estimate of patient responsibility. For full mouth cases, dental insurance typically provides limited coverage, though medical insurance may cover meaningful portions when the case qualifies as medically necessary.
Financing is available through several partners (Cherry, Proceed, Sunbit, LendingClub, CareCredit). See our financing page for partner options, terms, and the payment calculator. HSA and FSA funds are eligible for all our procedures.
For Pacific Northwest patients
Dedicated guides for patients researching from specific South Sound and Puget Sound cities, local pricing context, drive logistics, and what to expect making the trip to Bonney Lake.
16 min east • via SR-167
Pricing comparison to Tacoma multi-provider practices and surgery-day logistics for Tacoma neighborhoods.
30-45 min south • via i-5
Comparison to Seattle chains and multi-provider practices, plus overnight-stay options for surgery day.
25 min southeast • via SR-18/167/410
Pricing comparison for Federal Way and King County patients, with the most direct route in.
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


