For patients living with multiple missing, damaged, or compromised teeth, everyday life can feel like an uphill battle. The cycle of repeat dental work—crowns, fillings, root canals, and infections—can be exhausting, both physically and emotionally. At Melko Dental in Sunnyvale, CA, Dr. Shamiram Melko and her team offer an advanced, proven solution: All-on-X dental implants.
All-on-X treatment is designed to replace a full arch of teeth using a streamlined, minimally invasive approach. The result is a permanent, confident smile and a restored quality of life.
What Is All-on-X?
All-on-X is a full-arch dental implant treatment that replaces all of the upper or lower teeth (or both) using just 4 to 8 strategically placed implants. These implants support a custom full-arch prosthesis that is fixed in place—meaning it does not come out like a traditional denture.
Unlike conventional individual dental implants that replace one tooth at a time, All-on-X is designed to be both efficient and effective for patients with complex dental needs.
According to Dr. Melko, this approach is often the best choice for patients who:
- Are missing many or all of their teeth
- Have multiple failing or damaged teeth
- Have experienced bone loss
- Want a long-lasting alternative to dentures
- Are tired of repeated dental procedures
“If you’re sick and tired of having dental treatment redone because of repeated infections, multiple crowns, or multiple fillings, you might be a good candidate for All-on-X,” says Dr. Melko.
Why All-on-X Is Often Better Than Individual Implants
Many patients assume that the best way to replace missing teeth is to place a separate dental implant for each one. In theory, that might seem ideal—but in reality, it’s rarely practical.
Dr. Melko explains that in cases of bone resorption (a common issue in patients with missing teeth), there simply isn’t enough bone to place an implant for every individual tooth.
“Most of the time, patients who are candidates for All-on-X have damaged teeth and also a lot of resorbed bone. So we really can’t place more than 10 or 11 implants to replace each tooth. Instead, we use 5 to 8 implants per arch. It’s more predictable—and more affordable.”
The All-on-X method not only reduces the number of surgical sites, but also offers a more streamlined design, shorter healing times, and fewer complications. Patients also benefit from a significantly lower cost compared to placing 28 individual implants.
Advanced Technology: 3D Imaging for Surgical Precision
One of the most powerful tools in modern implant dentistry is 3D imaging. At Melko Dental, this technology plays a central role in every All-on-X case.
“3D imaging has made implant treatment more predictable and precise,” says Dr. Melko. “It enables the dentist to plan with more confidence and place implants in the healthiest, most stable areas of bone.”
Using a CBCT scanner, the team creates a digital 3D model of the patient’s mouth. This allows for guided implant placement and digital coordination with the dental lab to fabricate the custom restoration.
This digital workflow not only improves safety and accuracy, but also significantly enhances patient outcomes and long-term implant success.
A New Smile—In Just One Day
A major advantage of the All-on-X process is the ability to deliver a new smile on the same day as surgery.
Thanks to precise digital planning and Melko Dental’s partnership with local high-quality dental labs, many patients can receive their implant-supported restoration immediately after implant placement.
“Our senior lab technicians are often in the surgery with us,” says Dr. Melko. “Once we place the implants, the denture is already prepared and can be fixed onto the implants that same day.”
This immediate-load process gives patients the confidence to smile, eat, and socialize again, without waiting months for traditional healing.
What to Expect During Recovery
For most patients, recovery after All-on-X implant surgery is manageable and relatively quick. Dr. Melko notes that discomfort typically lasts only one to three days and can be easily controlled with over-the-counter or prescribed pain medication.
In some cases, antibiotics are prescribed to prevent infection, especially if the patient has risk factors for complications. Melko Dental also offers PRF (platelet-rich fibrin) therapy, which uses the patient’s own blood to enhance healing, reduce inflammation, and minimize post-operative discomfort.
“PRF has made the post-operative healing process easier, with less pain and faster recovery,” explains Dr. Melko.
Long-Term Care: Maintaining Your Implant-Supported Smile
While All-on-X restorations are fixed in place, good oral hygiene is still essential. Patients cannot floss under the prosthesis like natural teeth, but Melko Dental provides thorough training and recommendations for at-home care.
“Our hygienists offer excellent instructions, including how to use floss threaders and water picks to clean around and beneath the restoration,” says Dr. Melko.
The team also recommends more frequent professional cleanings—typically every 3 to 4 months—so the prosthesis can be removed, cleaned underneath, and reattached the same day.
These routine appointments help ensure the longevity of the implants and the overall health of the mouth.
Real Results: A Patient Story
Dr. Melko recalls one patient who had struggled with dental issues for years. Despite regular care and efforts to maintain his teeth, he continued to experience broken fillings, infections, and tooth loss.
“He came to us and said, ‘I’m so tired of having to repeat dental work. I’m just looking for a new foundation—a new smile. A permanent solution where I don’t have to deal with cavities anymore.’”
This patient was a perfect candidate for All-on-X. With digital planning, close coordination with the lab, and expert surgical care, the team at Melko Dental was able to transform his smile—and his life.
“He was in tears when he saw the result. He sends us photos of himself smiling, eating his favorite steak, and even dancing with his girlfriend. It was a complete lifestyle transformation.”
Why Choose Melko Dental for All-on-X in Sunnyvale, CA?
Not all dental implant providers are the same. At Melko Dental, the All-on-X process is built on surgical excellence, state-of-the-art technology, and a personalized approach to care.
Here’s what patients can expect:
- Expert planning and guided surgery using 3D imaging
- Same-day smile delivery with local lab support
- Customized treatment plans tailored to each patient’s needs
- Ongoing maintenance and hygiene support
- Compassionate care from a highly trained team
Dr. Shamiram Melko is known throughout the Sunnyvale area for her thoughtful, patient-focused care and dedication to long-term results.
Whether a patient is ready for surgery or just beginning to explore their options, the team at Melko Dental is committed to providing honest guidance and expert support at every step.
Is All-on-X the Right Solution?
All-on-X is ideal for patients who:
- Are missing many or all of their teeth
- Are dealing with failing dental work
- Struggle with ill-fitting dentures
- Want a long-term, low-maintenance solution
- Have experienced bone loss
- Are looking for a confident, natural-looking smile
The first step is a thorough consultation and digital assessment with Dr. Melko. During this visit, patients receive a complete overview of their options, a treatment timeline, and expert answers to all their questions.
Schedule a Consultation with Melko Dental
Patients in Sunnyvale and the surrounding areas can schedule a consultation with Dr. Shamiram Melko by calling (408) 720-1123.
Melko Dental is committed to restoring confidence, function, and wellness through advanced implant dentistry. For those ready to move past the cycle of constant dental work, All-on-X may be the permanent solution they’ve been looking for.
To learn more or to request an appointment, contact Melko Dental in Sunnyvale, CA today.