ROCS All-on-4®

Richmond Oral and Cosmetic Surgeons

Dr John Bloom, DDS

Dr Thomas Padgett, DMD


To learn more about the oral surgery procedures that we provide, please select a procedure from the menu below:

  • All-on-4® Treatment
  • Bone Grafting
  • Facial Trauma
  • Oral Pathology
  • TMJ Disorders
  • Orthognathic Surgery
  • Wisdom Teeth
  • Dental Implants

All-on-4® Treatment Concept

What is the All-on-4® Treatment Concept?

The All-on-4® treatment concept is a cost-efficient, graftless solution that provides patients with a fixed full-arch prosthesis on the day of surgery. Characteristics include:

  • Full-arch rehabilitation with only four implants. Two straight anterior implants and two implants tilted up to 45º in the posterior.
  • Immediate Function (fixed provisional bridge). For patients meeting criteria for immediate loading of implants Graftless procedure Bone grafting is avoided by tilting the posterior implants, utilizing available bone.

All-on-4® treatment concept Dental Implants and Teeth Restorations

We provide a revolutionary and contemporary treatment plan of replacing your teeth with a full, permanent dental bridge anchored on 4 – 6 implants. If you have no teeth, or few teeth, then the All-on-4® treatment concept will give you the ability to chew and smile normally. Both treatment time and costs are reduced with this treatment plan compared to traditional methods. This concept has been scientifically proven and documented with favorable results in a multitude of clinical studies.

Typically in one surgery, failing teeth are removed, dental implants are placed and a temporary set of teeth can be delivered on the same day. The temporary teeth allow you to lead a normal life immediately after surgery. After a healing period, your dentist will placed the final bridge. Your quality of life is improved, and you can start enjoying your favorite foods again with renewed confidence.

Denture Options for Missing Teeth | Implant Supported Dentures

The Better Solution for Missing Teeth

If you have lost most or all of your teeth, a modern dental solution supported by dental implants is the best alternative to ill-fitting dentures.

Depending on your specific dental situation, as few as two to four dental implants can make a big difference in stabilizing your denture and giving you a full set of fixed teeth.

Dental implants give your new restoration the much-needed stability in your jawbone that has been missing during all your years of denture wearing.

Initial Consultation

At this visit, your doctor will assess you needs and desires and discuss various treatment options. He will also review your expectations and the probable outcome of treatment. You may be shown several before and after photographs, but remember, results vary with individuals. Your doctor will provide literature for you to review at home and request you return at a later date to finalize the type of procedure you desire and schedule the surgery. At this time, before and after photographs may be taken of the area to document your results. For smaller procedures, a surgery date may be made at the initial visit.

Please assist us by providing the following information at the time of your consultation:

  • Your surgical referral slip and any x-rays if applicable.
  • A list of medications you are presently taking.
  • If you have medical insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.

IMPORTANT: A parent or guardian must accompany all patients under 18 at the consultation visit.

A pre-operative consultation is mandatory for patients undergoing IV anesthesia for surgery. Please have nothing to eat or drink 6 hours prior to your surgery. You will also need an adult to drive you home.

Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.)


If your physician or dentist has taken X-Rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.

Copyright 2019, Richmond Oral and Cosmetic Surgeons

Specialists in Dental Implants, Wisdom Teeth, and Sedation