All-on-4 Dental Implants in Palm Beach Gardens
Permanent teeth in 24 hours. The Gardens Protocol places four titanium implants and a fixed bridge in a single day, performed by a three-specialist team led by Dr. Hans Almanzar (ICOI Master), with Dr. Jesse Lemoine (Periodontist) and Dr. Sujit Shakya (Practice Owner).
You walk in with failing teeth or unstable dentures. You walk out the same day with a fixed full-arch bridge anchored to four precision-placed implants — no removable appliance, no waiting months for healing. The final zirconia restoration is delivered three to six months later.
Permanent Teeth in 24 Hours, Delivered by One Surgeon in One Place.
The All-on-4 procedure is a sequence of four steps. At Gardens, every step happens under one roof, with one surgeon, in one continuous treatment plan. No referrals, no handoffs, no gaps in accountability.
3D CBCT Consultation
Free 3D scan of your jaw on our in-office CBCT scanner. Dr. Almanzar and Dr. Lemoine review your bone density, sinus position, nerve location, and confirm candidacy in real time.
Surgical Placement
Under IV sedation, four titanium implants are placed using a 3D-guided protocol. Two anterior, two posterior tilted to maximize bone engagement.
Same-Day Bridge
A fixed temporary bridge is attached to the implants before you leave. You walk out with a full set of teeth — never a removable denture.
Final Zirconia
Three to six months later, after full osseointegration, your final monolithic zirconia bridge is delivered. Made in the USA, rated for 15 to 20 years.
All-on-4 starts at $24,000 per arch.
Total investment ranges $24,000 to $32,000 per arch depending on the complexity of your case (number of remaining teeth requiring extraction, bone density, sedation level). The fee includes the surgical placement, the same-day fixed temporary bridge, and the final zirconia full-arch prosthesis.
Six reasons Palm Beach Gardens patients choose Gardens for All-on-4.
Permanent teeth in 24 hours
You leave Gardens with a fixed bridge attached to four titanium implants — never a removable denture during healing.
Master ICOI implant credential
Dr. Almanzar holds the Master of the International Congress of Oral Implantologists and Fellow of the American Academy of Implant Prosthodontics, the two highest non-board credentials in implant dentistry.
On-site 3D CBCT scanner
Your candidacy decision uses a 3D scan taken in-office, not a flat panoramic x-ray. We see exactly where each implant lands before surgery.
Three specialists, one chair
Surgery, periodontal preparation, prosthetics, and follow-up all happen at our Palm Beach Gardens office with Dr. Almanzar, Dr. Lemoine, and Dr. Shakya. No referrals, no handoffs, no gaps in accountability.
Zirconia full-arch bridges
Your final restoration is monolithic zirconia, the strongest and most lifelike material available for full-arch prosthetics.
Financing approved on the spot
CareCredit and Sunbit pre-approval is run during your consultation so you walk out knowing exactly what your monthly payment looks like.
Three specialists. One surgical team.
Most All-on-4 practices use one dentist for everything. At Gardens, three specialists with distinct expertise handle their part of your case under one roof — implant surgery, periodontal preparation, and comprehensive care planning.
Dr. Hans Almanzar
Lead implant surgeon for every Gardens All-on-4 case. ICOI Master and FAAIP Fellow are the two highest non-board credentials in implant dentistry. Designs and oversees the final zirconia restoration to ensure natural shade and bite alignment.
Dr. Jesse Lemoine
Board-eligible periodontist. Performs the periodontal evaluation, bone density assessment, soft tissue grafting, and surgical site preparation that make 24-hour fixed teeth possible.
Dr. Sujit Shakya
Founded Gardens Implant & Cosmetic Dentistry in Palm Beach Gardens. Oversees comprehensive treatment planning and ensures every All-on-4 case fits the patient's full oral health picture.
All-on-4 vs dentures vs All-on-6.
From sedation at 8 AM to permanent teeth at 3 PM.
Real Palm Beach Gardens patients. Real results.
Cases performed and photographed at Gardens. Patient consent on file.
"I sat in my truck and just kept opening my mouth in the rear-view."
"I hadn't smiled in photos for fifteen years. The morning after surgery I sat in my truck and just kept opening my mouth in the rear-view to look at my new teeth. Best decision I ever made."
"Dr. Almanzar walked me through the 3D scan and showed me exactly where every implant was going. Dr. Lemoine did the periodontal work, and Dr. Shakya kept the whole picture straight. I knew the price, I knew the timeline, I knew what could go wrong. No surprises. That's what made me say yes."
"I drove down from Jupiter for the consultation and stayed for the surgery the same week. Two weeks later I ate a steak. Two weeks. After three years of bottom dentures that never fit right."
Everything you want to know before you book.
Ready for permanent teeth in 24 hours?
Schedule your free 3D CBCT scan with Dr. Shakya. We'll review your candidacy, walk you through pricing, and run financing pre-approval — all in a single visit.
Other ways Gardens can rebuild your smile.
Dental Implants
Single-tooth and multi-implant solutions for tooth loss.
Zygomatic Dental Implants
Full-arch restoration for severe bone loss patients.
Cosmetic Dentistry
Veneers, smile makeovers, and full-mouth restoration.
Meet Dr. Almanzar
ICOI Master, FAAIP Fellow, lead All-on-4 implant surgeon.
Meet Dr. Lemoine
Periodontist, DDS NYU, MSD Periodontics Boston University.
Meet Dr. Shakya
Practice owner, MFGDP Royal College of Surgeons, AEGD.