If you’re considering full-arch dental implants, understanding what happens during the All-on-4 procedure can help ease any anxiety and prepare you for your transformation. At Signature Dental in Casper, WY, Dr. Adam Milmont has helped countless patients regain their confidence with this life-changing treatment. Let’s walk through the full-arch implant process so you know exactly what to expect.
Initial Consultation and Treatment Planning
Your journey begins with a comprehensive evaluation at our Casper office. During this visit, Dr. Milmont will take detailed 3D scans and X-rays of your jaw to assess bone density and structure. We’ll discuss your medical history, review your goals, and create a customized treatment plan. This is also the perfect time to ask questions about what to expect from All-on-4 surgery and discuss sedation options that will keep you comfortable throughout the procedure.
Preparation on Surgery Day
When you arrive for your All-on-4 procedure, our team will ensure you’re completely comfortable. We’ll administer your chosen sedation, whether that’s local anesthesia, oral sedation, or IV sedation. Once you’re relaxed and numb, Dr. Milmont will begin the procedure. If you still have any remaining teeth that need removal in the treatment area, this happens first to create a clean foundation for your new smile.
Precise Implant Placement
The hallmark of the full-arch implant process is the strategic placement of four dental implants. Dr. Milmont positions the two front implants vertically, while the two back implants are angled at approximately 45 degrees. This unique angulation is what makes All-on-4 so effective; it maximizes contact with existing bone and often eliminates the need for bone grafting procedures. Each implant is carefully placed at predetermined locations identified during your planning phase.
Attaching the Abutments
Once all four implants are securely positioned in your jawbone, Dr. Milmont attaches small connector pieces called abutments to each implant. These abutments serve as the foundation that will hold your new prosthetic arch. The precision of this step is crucial for ensuring your final restoration fits perfectly and functions naturally.
Immediate Temporary Restoration
One of the biggest advantages of the All-on-4 procedure is that you leave our office the same day with a full set of functional teeth. Dr. Milmont will attach a beautiful temporary prosthetic arch to your abutments. While this isn’t your permanent restoration, it’s fully functional and aesthetically pleasing, allowing you to eat, speak, and smile confidently while your implants heal.
The Healing Period
Over the next three to six months, your implants will undergo a process called osseointegration, where they fuse with your jawbone. During this time, you’ll visit Signature Dental for follow-up appointments so Dr. Milmont can monitor your healing progress. You’ll maintain your temporary teeth while following specific care instructions to ensure optimal results.
Final Restoration Placement
Once your implants have fully integrated with your bone, you’ll return to our Casper office for your permanent prosthetic arch. Dr. Milmont will remove your temporary teeth and attach your custom-designed, permanent restoration. This final arch is crafted from durable, natural-looking materials designed to last for many years with proper care.
Understanding what to expect from All-on-4 surgery helps you approach your treatment with confidence. If you’re ready to explore whether full-arch implants are right for you, call Signature Dental at (307) 234-3890 to schedule your consultation with Dr. Adam Milmont today.

