In some cases having 6 implants is better than 4.  This depends on the size and shape of the jaw and the location of vital structures like the sinuses and nerves.  For this reason, at our clinic, we do not limit your treatment to  the traditional All-on-4 protocol.  Some of our patients receive 6 implants while other may receive 5 or 4 depending on their particular customized situation.  In short, we place as many implants as necessary tp provide the most successful outcome and  to get the job done well.  After all, it is in our interest to maximize success.  A successful case translates to a happy patient and less complications we have to deal with. There are no additional costs to you as the number of implants increases as we have a fixed All Inclusive fee structure for this procedure.

An “arch” is dental jargon for jaw.  Upper arch means upper jaw  and lower arch means the lower jaw.  A full arch also means that all the teeth are being replaced in one jaw.  Double arch means upper and lower jaw/ teeth replacement.

The full arch dental implant bridge is secure and permanently affixed to the implants.  Unlike dentures or snap on denture, it does not come out every night.  Moreover, the upper bridge does not cover the roof of the mouth.  The teeth are made of zirkonia ceramic material which has the feel and texture of natural teeth.  

Corporate dental centers are usually owned by investment firms and operate on a franchise model.  They employ a dentist, staff, laboratory technician, and contract with an oral surgeon to help with the surgical part of the treatment.  These facilities need to send their work out an outside lab to make the teeth and pay for laboratory services.  Moreover The out-of-state corporate office needs to collect its share of the treatment fees. All these inefficiencies results in higher fees to the patient. 

In contract, our facility is full owned and operated by Dr. Jandali.  Our clinic is custom designed and built for efficient delivery of care.  By having all the needed imaging equipment,  design, and milling capabilities and our in house digital dental lab, we can provide a superior product and control costs.  This results in savings that we pass on to our patients.  

The All-on-4 or full arch treatment is a complex procedure and requires specialized trainings and skills beyond those obtained in ordinary dental school training.  Moreover, there is specialized equipment that is needed for proper diagnosis and planning such as a CT.  Most dentists do not have such training or equipment to handle the entire phase of the treatment under one roof.  For this reason, you may be sent to an imaging center for CT scan, or to another specialists that your dentist can team up with to handle your case.  While this is a possible solution, it is inefficient and can result in extended treatment time, delays, and added costs and inconveniences.

We deploy the latest technology available for planning and executing these cases.  Our 3-d face scanner records 3-d images of your face and this is “merged” with dental scans CT scans to allow realistic visualization of the result in real time. Moreover, during the healing time,  we rely on your feedback from the temporary bridges to make more detailed touch-ups to perfect the result and arrived at the desired outcome.

No.  We document most of our treatments and photos and face scans are a routine part of the treatment process.  However, it is not expected that you appear in public videos or brochures our clinic promotes. 

A good number of our patients need to get this procedure because they avoided routine dental care for years due to fear, anxiety, and frustration.  We are fully aware of this and helped many change their lives over the years.  We offer IV sedation which make the procedure comfortable and worry free.

The treatment timeline is as follows:
-Consultation Day
-Procedure Day (temporary delivery)
-3-4 months of healing time
-1 month to make the permanent set

It is not uncommon for implant treatment to last 12-24 months.  Many times bone grafting procedures and sinus lifts are needed before implant placement. The full arch protocol relies on implant placement in strategic areas of available bone and is therefore considered a graft-less solution.  This saves a considerable amount of time waiting for healing.  Moreover, if the patient has teeth, the implants are inserted the time of extraction thus reducing the healing time needed for the extraction before implants.  

At our clinic, we charge an all-inclusive fee for Full-Arch dental implant procedure.   This includes the  extraction of the teeth (if needed), placement of needed implants whether 4, 5, 6, or more, IV sedation,  bone grafting and management, same-day temporary,  second prototype, and final prmanent bridge made of Prettau® zirkonia material.  Additionally, we offer a free bite guard and first follow up /cleaning visit. When itemized, the cost of this procedure can easily exceed $40,000 per arch.  However, due to our large volume of cases, we purchase out implants and components in bulk and are able to 

The short answer is efficiency and technology.  No middle man, no corporate fees, and no outside lab bills.  We are fully integrated facility with the best available technology in the world which allows us to offer this treatment at very fair and competitive price while maintaining the highest standards of quality and care.

When you come for your consultation you will be presented with your treatment plan and costs.  Our financial coordinators are very knowledgeable and will help you navigate your way to secure the necessary funding for the procedure. Please refer to our financial section pages for more information about different options.

Yes.  The procedure can be paid for using Flexible Spending Account (FSA) or Health Savings Accounts (HSA) funds.  Our financial coordinators will help navigate this process when you come for the consultation.

In some instances, the IRS allows for penalty free IRA hardship  withdrawals for qualified medical expenses that do not exceed 10% of your adjusted gross income.  The full arch dental implant procedure is considered a qualified medical expense. We recommend that you consult with your financial adviser or custodian of your IRA account for definitive answers.

The IRS allows for certain medical procedures to be tax deductible as long as some conditions are met.  In general, the procedure has be a a qualified unreimbursed medical expense and the amount of has to exceed 7.5% of the adjusted gross income (AGI) for the tax year.  The full arch All-on-4 or All-on-X procedure is considered a qualified medical expense.  For example, assuming a treatment cost of $15,000 for the tax year and an adjusted gross income of $70,000, the entire procedure cost can be deducted for the year. We advise that you consult with your accountant or tax advisor for a definitive answer regarding your particular situation as tax rules continue to change.

If you have recent x rays or CT scans we will be happy to evaluate them to determine your candidacy for the procedure.  If we feel that more detailed imaging is needed, you will receive a new 3-D CT scan at your consultation at no additional cost.

We proudly use Prettau® Zirkonia by ZirkonZahn for the final bridge.  Prettau® Zirkonia is the highest quality and most expensive zirkonia material in the world. The material is milled on our M4 5-axsis milling machine in our in-house digital dental laboratory.  This ensures the highest quality standards and control. Some clinics offer an acrylic (plastic) bridge that is reinforced with a titanium bar.  While this was an acceptable approach years ago, the acrylic resin teeth will wear prematurely requiring replacement in the short term.

We do not provide hotel stay.  However, we have negotiated good discounted rates with nearby hotels to accommodate our out-of-town patients. Our office staff can help make arrangements and recommendations on where to stay.

You will need to make your own air travel arrangements including airfare.

If flying commercially, we recommend you book your flights to Detroit Metropolitan Wayne County Airport (DTW).  Private flights can be to either Coleman Young International Airport formerly Detroit City Airport (DET), Oakland/Troy Airport (VLL), or the Oakland County International Airport (PTK)