RECONSTRUCTIVE DENTISTRY · NEWTON, MA
Dentures on Implant All-on-X in Newton & Boston
The most complete solution for full-arch tooth loss. All-on-X at Smolyar Dental in Newton, MA permanently replaces a full arch of teeth on strategically placed implants — fixed, non-removable, and the closest thing to natural teeth modern dentistry can deliver. Designed and overseen by Dr. Alex Smolyar, serving greater Boston.
Request ConsultationAbout This Service
What is All-on-X and how is it different from conventional dentures?
All-on-X — also known as All-on-4, All-on-6, implant-supported dentures, or Teeth in a Day — is a full-arch tooth replacement approach that uses a fixed number of strategically placed dental implants to permanently anchor a complete prosthetic arch. Unlike conventional removable dentures, which rest on the gum tissue and can shift during eating and speaking, All-on-X restorations are fixed directly to the implants. They function, feel, and look like a full set of natural teeth — and they do not come out.
The concept uses implants placed at specific angles to maximize contact with available bone, often allowing patients who might not have sufficient bone for straight vertical implants to receive treatment without extensive prior grafting. Typically four to six implants per arch support the full prosthetic bridge. In many cases, a complete provisional prosthesis is placed the same day as surgery — the origin of the term Teeth in a Day — with the final definitive prosthesis delivered after 3 to 6 months of healing.
At Smolyar Dental in Newton, MA, Dr. Alex Smolyar designs and oversees every All-on-X case from initial evaluation through final prosthesis delivery. Surgical placement is performed in-house, meaning Dr. Smolyar coordinates the surgical plan with the restorative design from day one. Patients never need to visit a separate surgical office or manage a referral relationship. One team, one location, one accountable dentist managing the entire process.
“All-on-X is one of the most life-changing procedures we offer. Patients who come to us wearing a loose denture or avoiding meals leave with a fixed, permanent smile they are genuinely proud of. To be the practice that makes that happen — that is an extraordinary privilege.” — Dr. Alex Smolyar, DMD
Candidacy
Who is a candidate for All-on-X?
All-on-X is designed for patients who have lost most or all of their teeth in one or both arches, or who are facing complete tooth loss. A 3D CBCT evaluation at our Newton, MA practice determines precise candidacy and whether any preparatory treatment is needed.
Often a great fit if you have…
-
Are missing all or most of your teeth in one or both arches
-
Have been wearing a removable denture and want a permanent, stable upgrade
-
Have multiple failing teeth that will all require extraction in the near term
-
Are embarrassed to eat or smile confidently because of tooth loss
-
Want the most functional, long-lasting, and natural-feeling tooth replacement available
-
Are in generally good health and committed to long-term maintenance
Alternatives may be better for patients with…
-
Severely compromised bone volume that may require extensive grafting before placement
-
Uncontrolled systemic conditions that significantly affect healing
-
Heavy uncontrolled tobacco use, which substantially increases implant failure risk
-
Only a few missing teeth — individual implants or a bridge may be more appropriate
Find out if All-on-X is right for you.
Schedule a comprehensive evaluation at Smolyar Dental in Newton, MA. Dr. Smolyar will evaluate your bone, your health, and your goals — and give you a detailed, honest picture of what All-on-X treatment looks like in your specific case.
Request ConsultationWhat to Expect
The All-on-X process, step by step
All-on-X at Smolyar Dental is a carefully staged process designed and managed by Dr. Alex Smolyar, with all specialist procedures handled in-house. Here is the typical sequence.
-
Step 01
Comprehensive Evaluation & Digital Planning
1–2 AppointmentsDr. Smolyar conducts a thorough clinical evaluation and orders 3D CBCT imaging to assess bone volume, anatomy, and implant positioning. He and the in-house surgical team collaborate on the surgical and prosthetic plan. Any teeth requiring extraction are identified. A detailed treatment timeline and cost estimate are presented at your Newton, MA consultation before anything begins.
-
Step 02
Extractions & Implant Placement Surgery
1 Surgical DayAny necessary extractions and the implant placements are performed in a single surgical appointment at our Newton, MA practice, under local anesthesia with sedation options available. In cases where bone volume and implant stability allow, a provisional fixed prosthesis is placed the same day — giving the patient functional teeth immediately. Osseointegration proceeds over 3 to 6 months.
-
Step 03
Healing & Monitoring
3–6 MonthsThe implants integrate with the jawbone during the healing period. Patients wear their provisional prosthesis, eating and speaking normally. Dr. Smolyar monitors healing at follow-up appointments at our Newton, MA office and makes any adjustments to the provisional as needed throughout this phase.
-
Step 04
Final Prosthesis Design & Delivery
2–3 AppointmentsOnce osseointegration is confirmed, Dr. Smolyar takes precise impressions and bite records. The final prosthesis — a full-arch bridge fabricated from high-quality ceramic or hybrid materials — is designed and made by a premier dental laboratory to Dr. Smolyar’s exact specifications. At delivery, it is secured to the implants and your permanent smile is complete.
Why Choose Dr. Smolyar
Why choose Smolyar Dental for All-on-X?
All-on-X is one of the most technically demanding procedures in reconstructive dentistry. The outcome depends on the quality of planning, surgical precision, and the coordination between surgical and restorative care. Here is what sets Smolyar Dental apart.
-
25+ Years of Reconstructive Excellence
Dr. Smolyar earned his DMD from Tufts University School of Dental Medicine in 1998, graduating with honors, and completed Pankey Institute training in advanced and comprehensive dentistry. More than 25 years of practice in Newton, MA has given him the depth of reconstructive experience to manage cases ranging from single-tooth restorations to the most complex full-arch rehabilitations — overseeing every phase from planning through final delivery.
-
Specialist Resources In-House — No Referrals Required
Dr. Smolyar built his Newton, MA practice around a simple principle: patients should never need to leave to access specialist care. When surgical procedures are part of a treatment plan, in-house oral surgeon Dr. Jeffrey Reitzel handles them — working in direct coordination with Dr. Smolyar from day one. When endodontic treatment is needed, in-house endodontist Dr. Ronit Smolyar manages it. Patients stay with the team they trust, and Dr. Smolyar remains the accountable center of their care throughout.
-
One Coordinated Plan — Surgical & Restorative from Day One
The most common source of All-on-X complications is misalignment between where implants are placed and where the final prosthesis needs them to be. At Smolyar Dental, Dr. Smolyar designs the prosthetic outcome first and the surgical plan is built around it — not the other way around. Because the surgical team works in the same practice as the restorative dentist, this coordination happens in real time, producing an implant position that supports a precise, natural-looking final result.
Patient Reviews
-
Dr. Alex Smolyar is the best dentist in the world. He is so talented and professional but above all he is an amazing human being. I have been his patient since 2015 and he does a phenomenal job. I appreciate everything he does.
Comprehensive Dental Care · Google Review -
Dr. Smolyar was tremendous. He, Ronit, and his whole team completely exceeded my expectations. Alex is a skilled and meticulous professional. In every sense, a great experience.
General Dental Care · Google Review -
Dr. Smolyar is an Einstein in the field of dentistry. After suffering for years with chronic migraines and visiting multiple specialists, Dr. Smolyar diagnosed and treated my migraines without medication. No more pain.
TMJ & Headache Dentistry · Facebook Review
Frequently Asked Questions
Questions worth asking.
The questions patients ask most before beginning All-on-X treatment at Smolyar Dental in Newton, MA.
Ask Dr. Smolyar-
All-on-X investment varies based on the number of implants per arch, whether extractions or bone management are required, and the prosthesis material. At Smolyar Dental in Newton, MA, Dr. Smolyar provides a comprehensive, itemized cost estimate at your consultation.
-
The implants supporting an All-on-X restoration can last a lifetime with proper care. The prosthetic arch typically lasts 10 to 20 years before refinishing or replacement may be needed due to normal wear. Regular professional maintenance at Smolyar Dental in Newton, MA is essential to the longevity of any full-arch implant restoration.
-
Yes — and this is one of the most significant advantages over conventional dentures. Because the restoration is anchored to implants, it does not move during chewing. Most patients can eat a full, normal diet. Initial dietary restrictions apply in the weeks after surgery, but the final prosthesis supports normal function.
-
Teeth in a Day refers to placing a provisional prosthesis on the implants the same day as surgery. Not all All-on-X cases qualify for same-day loading — it depends on bone quality and implant stability. Dr. Smolyar will advise at your Newton, MA evaluation whether same-day provisionalization is appropriate in your case.
-
All-on-4 uses four implants per arch, with the two posterior implants angled to maximize bone contact. All-on-6 uses six implants, providing additional support and potentially greater long-term stability. The choice depends on bone volume, arch span, and the type of prosthesis planned. Dr. Smolyar determines the optimal number at your Newton, MA consultation.
-
Specialized interdental brushes, a water flosser, and a non-abrasive dentifrice are used to clean around the implants and under the prosthesis. The bridge is periodically removable by the dentist for professional cleaning, though not removable by the patient day-to-day. Regular professional maintenance appointments at Smolyar Dental are essential for long-term implant health.
-
In most All-on-X cases, a provisional prosthesis is placed the same day as surgery, so you are not without teeth at any point. During healing, the temporary prosthesis is functional and aesthetic. The final definitive prosthesis is typically delivered at 3 to 6 months post-surgery. Dr. Smolyar walks you through what to expect at every stage at your Newton, MA consultation.
Serving Newton & Greater Boston
All-on-X dentist near you.
Smolyar Dental is located at 71 Needham Street in Newton, MA, minutes from Newton Centre, Chestnut Hill, and Route 9. Patients seeking All-on-X or implant-supported dentures in the Boston area choose Smolyar Dental because Dr. Smolyar manages the entire process — surgical coordination, provisional delivery, and final prosthesis — at a single Newton, MA location, without referrals or fragmented care.
We serve patients from Newton, Brookline, Chestnut Hill, Needham, Wellesley, West Newton, Waltham, Weston, Natick, and across the greater Boston metro area. On-site parking is available and the practice is accessible from the Newton Highlands MBTA Green Line D stop.
- Phone
- (617) 712-2770
- Hours
- Mon–Thu: 9am to 4pm · Friday: 9am to 2pm · Saturday & Sunday: Closed
71 Needham Street, Newton, MA 02461
Route 9, Route 128/95, and the Mass Pike. Most patients within 20 min.
Get DirectionsMore Services You May Like
-
Dental Implants
The gold standard for replacing missing teeth. Dental implants at Smolyar Dental in Newton, MA permanently restore the look, feel, and function of natural…
-
Dentures
Custom full and partial dentures at Smolyar Dental in Newton, MA. Modern dentures are nothing like the ill-fitting, uncomfortable prosthetics of previous generations —…
-
Full Mouth Reconstruction
When multiple teeth need restoring, a full mouth reconstruction at Smolyar Dental delivers a comprehensive, coordinated solution. Dr. Alex Smolyar and his Newton, MA…
Request a Consultation
Ready for a smile you’re proud of?
Your consultation with Dr. Smolyar begins with a conversation. He listens, he evaluates, and he tells you honestly what your situation requires and what to expect at every stage. There is no pressure and no obligation — just the clarity and confidence you need to move forward.
- Dr. Smolyar personally conducts every consultation and oversees your complete care
- Specialist services coordinated in-house — no referrals, no gaps in care
- Newton, MA office — serving Boston, Brookline, Chestnut Hill, Wellesley and beyond
Request a Consultation
Fill out the form below and a member of our Newton, MA team will be in touch within one business day.