All-on-4 Dental Implants

Dental implants and restorations are a trusted solution to missing teeth, but people with low bone density may not be good candidates.

The All-on-4® dental implant method can support a full arch denture without the need for bone grafting first.

Dr. Daniel E. Stragier can place your All-on-4 dental implants at his San Diego, CA, office to restore the look and function of your smile.

What Is the All-on-4 Method?

Dental implants are titanium posts that can be surgically placed into the jaw to provide a sturdy base for dental restorations. If you have low bone density, you may not be a candidate for traditional implants.

All-on-4 dental implants provide a solution for people who've experienced bone loss in the jaw. This method uses just four dental implants to hold a full arch denture in place.

Carefully Planned Implant Position

Your dentist can determine which areas of your jaw have the highest bone density and place the four implants in those areas. The posterior implants are placed at an angle to maximize your bone density and lead to a more comfortable fit.

All-on-4 dentures
All-on-4 Can Save Your Oral Health
Prevention of Bone Loss

Your natural tooth roots stimulate your jawbone each time you bite down. When you lose a tooth, those roots are no longer able to aid in that stimulation. Your jawbone begins to atrophy, leading to issues like loose teeth and sunken facial features.

Once implants have been placed, they will fuse with your jawbone over the next three to six months in a process called osseointegration. Osseointegration is key to the success of the All-on-4 procedure.

Your dental implants will mimic the function of natural tooth roots to prevent bone atrophy, promote oral health, and maintain your appearance.

Contact Our San Diego Dental Practice Ready to Smile Confidently?

Missing teeth can impact your self-esteem and oral health, so it can be discouraging to be told you're not a good candidate for dental implants. Fortunately, the All-on-4 method is an effective solution for patients who have low bone density. Request a consultation at our San Diego, CA, dental office today.

5 Stars for Our Clairemont Mesa Dentistry Practice Prioritizing Patient Comfort

"I have been fearful of dentists my entire life. Balboa Dental Care was the most satisfying experience. My past experiences with dentists wer very unpleasant and painful. I recommend them for dental care and I and my family will continue to use them and no others. A well-deserved 5 stars. Thank you, Balboa Dental Care." Timothy Summers

All-on-4 Cost What Is the Price of Treatment?

All-on-4 dental implant costs can vary a little from patient to patient, particularly if extraction or gum disease treatment is required. The best way to learn about the cost of treatment is to get a price quote during a free consultation.

All-on-4 implants are an investment, but patients feel that the amount they pay is justified because the function and aesthetics are similar to natural teeth.

Balboa Dental Care offers financing plans to pay for treatment in installments. In addition, our prices are usually in the 80th percentile when compared to other San Diego area practices, so treatment is reasonably affordable.

Good Candidates for All-on-4 Implants Who Should Consider Treatment?

The All-on-4 technique offers an alternative solution for many San Diego area patients who do not qualify for standard implants; however, there are a few factors that can affect your candidacy. To qualify for All-on-4 implants:
Woman folding hands under chin

You Have Significant Tooth Loss

The All-on-4 method is used to treat patients who are missing most or all of their natural teeth. Alternative dental plans may be recommended for those with less extensive tooth loss.

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You Are in Good Overall Health

To undergo this surgery, candidates must be in good overall and oral health, aside from their missing teeth. Certain conditions like uncontrollable diabetes and periodontal disease will need to be managed before implant surgery. Tooth extraction may be required to remove any unhealthy teeth.

Man splitting cigarette in half

You've Quit Smoking or Intend to Quit

Smoking increases your risk of complications during surgery and your chances of implant failure. Our dentist recommends that you quit smoking well before your implant procedure.

Find Out if You're a Candidate for All-on-4 Set Up a Free Consultation

Balboa Dental Care is passionate about helping patients maintain their oral health and explore solutions to improve functionality. That is why we offer free consultations. It will cost you nothing to see if the All-on-4 method is the right treatment for you.

Dr. Stragier has been practicing dentistry since 1985 and is a member of the San Diego Implant Study Club. With his experience, he can help develop a dental implant treatment plan that meets your oral health needs.

Contact our San Diego, CA, dental practice today to request your free consultation.

(858) 541-1844

Dr. Stragier

We Give Patients All the Information They Need to Make Smart Choices Balboa Dental Care Focuses on Results


John Weber

San Diego, CA


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Terry is fantastic, very flexible, knowledgeable, helpful, and friendly. The support are capable and personable. To top it all off the Dentist is direct, informative in a concise nonpressuring way, and a seasoned professional. No marketing bs, just results.

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Debra Degen

San Diego, CA


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Dr Stragier is the absolute best. He is gentle, honest, experienced, and he KNOWS his stuff. After 10 years of great care, I tried a dentist closer to my home, but I came back, because Dr Stragier is worth the drive. His staff is also amazing. I’d give them 10 stars if I could!

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What You Can Expect Throughout Treatment The All-on-4 Process

Our experienced dentist can effectively place and restore implants for his San Diego patients. For more complex dental cases that require implants, Dr. Stragier works with trusted surgeons to ensure patients receive the best possible care. Your treatment will involve several steps:
The All-on-4 technique can restore your appearance and your oral health.
The All-on-4 technique can restore your appearance and your oral health.

Free Consultation

During your consultation at our San Diego, CA, dental office, Dr. Stragier will evaluate your oral health to determine if All-on-4 implants are your best treatment option. We'll also create digital impressions of your mouth.

Planning Treatment

After any preparatory treatment like tooth extractions, our dentist will use your X-rays to determine the best areas to surgically insert your dental implants. Areas of the jaw with higher bone density will be used to ensure each implant has a sturdy foundation.


Before we begin your procedure, we will administer a local anesthetic to ensure your comfort. If you have dental anxiety or trouble sitting still for long periods, sedation can also be used to keep you relaxed.

Implant Placement

Our dentist will make four small incisions in the gums along your dental arch to access your jawbone and place your implants.

Osseointegration and Temporary Denture

Once your implants have been securely placed, our dentist will attach a temporary denture so you can have normal oral function until we can place your permanent denture. Over the next three to six months, your implants will fuse with your jawbone through osseointegration.

Attaching the Permanent Denture

After your dental implants have fused to your jaw and your gums have fully healed, our dentist can attach your permanent denture. With proper care, your denture should last for more than a decade, but your implants can last a lifetime.

Are There Any Risks
After Implant Placement?


Though it's normal to experience mild bleeding, swelling, and soreness following implant surgery, your risk of infection is low when you choose an experienced and skilled dental surgeon like Dr. Stragier. Be sure to follow all post-operative instructions to prevent infection, as this can lead to implant failure or your implants not fusing to the bone.

Recovery Advice After the All-on-4 Procedure Tips for All-on-4 Healing

While the All-on-4 method is less invasive than traditional implant surgery, there are some simple things you can do to make your recovery easier.

Get Some Rest

Dr. Stragier recommends that you take about a week off work following your procedure. You should take this time to rest and avoid any strenuous exercise or physical activity.

Use Medication

Inflammation and discomfort around the surgical site are normal following surgery. Any pain can be managed with over-the-counter medication, and you can apply ice to minimize swelling.

Brush Gently

You should still maintain good oral hygiene while you heal from your procedure. This will help prevent infection and other complications. Be sure to brush gently around the surgical site as instructed.

Eat Soft Foods

Your diet should consist of only soft foods until your dentist says you can reintroduce solids. Hard or crunchy food like nuts, chips, and apples should be avoided until your implants have fully fused to the bone and your gums have healed.

Visit Our Office

You will need to come into our San Diego, CA, office several times following your surgery so Dr. Stragier can ensure you are healing properly and that there are no signs of infection.

Following Dr. Stragier's post-operative instructions will help ensure a fast and successful recovery.

Interested in Long-Lasting Tooth Replacement? Contact Our Dental Office for All-on-4

If you'd like to learn more about this bone graft-less solution to missing teeth, we encourage you to visit Balboa Dental Care in Clairemont Mesa. We can provide a full rundown of the procedure, including candidacy, treatment timeline, out-of-pocket costs, and payment plans.

Find out why San Diego County has trusted Dr. Daniel E. Stragier with their oral health for decades. To discuss your teeth replacement options, contact Balboa Dental Care today.

(858) 541-1844

Balboa Dental Care Helps Clairemont Mesa Smile Another Patient Weighs In

"I’m biased, I admit. I’ve been coming here before Dr. D had gray hair... If you want first-class dental care with a personal touch. Look no further. 9 out of 10 Tooth Fairies recommend Balboa Dental!" Deron Lintzen
How to Make Your Results Last
All-on-4 Aftercare

With proper aftercare, your dental implants should last a lifetime. However, your custom-made denture will last about 10-15 years. Here's how you can prolong the benefits of All-on-4 treatment.

Good Oral Hygiene

Make sure to brush your full arch denture at least twice a day. Use super floss to clean around the dental implants and under the denture at least once a day.

You can also use a water flossing system to help clean under the full arch prosthesis.

Regular Check-ups

Visit our Clairemont Mesa dentistry office twice a year for routine cleanings and dental exams. We can monitor your oral health and let you know if you require further treatment.

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donna guhl

San Diego, CA


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I come down from Northern Idaho and still see Dr Stragier and his wonderful staff. It’s because I trust him and love talking to his staff.

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Bobbie Keeling

San Diego, CA


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I have never loved a dentist office more! Everyone is soooooo nice! Kelsey is the best hygienist I have ever had. You don’t even know the Doctor is working on you he is so gentle! Terri is the fabulous office manager and takes care of everything !

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Dr. Daniel Stragier

Balboa Dental Care

Dr. Daniel Stragier at Balboa Dental Care has provided patients with comprehensive, personalized service since 1985. Our office uses state-of-the-art technology, and Dr. Stragier holds membership in:

  • Academy of General Dentistry
  • San Diego Implant Study Club

To request an appointment, fill out our contact form or call our Clairemont Mesa dental office at (858) 541-1844.

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