A Full Arch of Fixed Teeth — Planned and Finished by Dr. Fatima
Replace a full arch of missing teeth with a fixed set anchored to four implants. Dr. Fatima plans your case and crafts your final fixed teeth, working hand-in-hand with a trusted local oral surgeon who places the implants. One coordinated plan, from your first scan to your finished smile.
Led by Dr. Ambereen Fatima, DDS FAAIP — Implant Prosthodontics
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Fixed, Not Removable
A full arch of teeth anchored to implants. No nightly removal, no adhesives, no slipping.
One Coordinated Team
Dr. Fatima plans your case and crafts your final teeth; a trusted local oral surgeon places the implants.
Eat, Speak & Smile Again
Reclaim a confident bite and a smile you do not have to think about.
Continuity of Care
One dentist who knows you, from the first plan to the final fixed teeth and every visit after.
Professional Memberships & Clinical Fellowships






Your care is led by Dr. Ambereen Fatima, D.D.S. — Fellow, ICOI (FICOI) · Fellow, AAIP (FAAIP)
Among a small percentage of U.S. dentists with dual implant fellowships
All-on-4 is a full-arch restoration that replaces a complete set of upper or lower teeth with fixed teeth supported by four dental implants. Unlike a removable denture, the arch is anchored to the implants and stays in place. At Innova Smiles in Marlborough, MA, the case is planned and finished by Dr. Ambereen Fatima, whose fellowship is in implant prosthodontics (FAAIP) — the restorative side that determines how your new teeth look, fit, and function.
Medically reviewed by Dr. Ambereen Fatima, D.D.S. — FICOI · FAAIP · Last reviewed · Meet Our Team
All-on-4 dental implants replace a full arch of missing teeth with a fixed, non-removable set of teeth supported by four implants placed in the jaw. At Innova Smiles in Marlborough, MA, Dr. Fatima plans the case and crafts the final fixed restoration, while a trusted local oral surgeon performs the implant placement — coordinated under one treatment plan.
We are honest about who does what. Your full-arch implant case is a coordinated effort between Dr. Fatima and a trusted local oral surgeon — so you get specialist surgical placement and a restoration crafted by the dentist who planned your case from day one.
Your journey starts with Dr. Fatima. Using 3D CBCT imaging and digital planning, she maps your bone, bite, and the smile you want — then builds a coordinated treatment plan for the whole case.
The surgical placement of the four implants is performed by a trusted local oral surgeon we coordinate with directly. You are referred to a partner who works from the same plan Dr. Fatima designed.
Once healing is complete, you come back to Dr. Fatima. The restorative phase — crafting and placing your final fixed prosthesis — is her expertise, and it is what determines how your new teeth look, fit, and feel.
The implants are the foundation. The fixed teeth attached to them are what you see in the mirror, chew with at dinner, and smile with in photos. Designing and placing that final prosthesis is the restorative phase — and it is Dr. Fatima’s area of fellowship.
Her FAAIP fellowship is in implant prosthodontics — the discipline focused on the look, fit, bite, and function of implant-supported teeth. Because she plans your case at the start and finishes it at the end, the final result is built around the goals you discussed on day one. That is the value of continuity: one dentist who knows your smile from the first scan to the finished arch.
Tooth shape, shade, and proportions are planned to suit your face — using digital smile design at your consultation.
The dentist who planned your case is the one who delivers your final teeth and looks after them long-term. Learn more about full-mouth restoration.

Digital smile design & prosthetic planning
Dr. Fatima plans every full-arch case with 3D imaging before any surgery is scheduled, so the surgeon places implants exactly where the final teeth need them.


From your first scan with Dr. Fatima to the day she places your final fixed teeth, the whole case follows one coordinated plan.
Your journey starts with Dr. Fatima. Using 3D CBCT imaging and digital planning, she maps your bone, bite, and the smile you want — then builds a coordinated treatment plan for the whole case.
The surgical placement of the four implants is performed by a trusted local oral surgeon we coordinate with directly. You are referred to a partner who works from the same plan Dr. Fatima designed.
Once healing is complete, you come back to Dr. Fatima. The restorative phase — crafting and placing your final fixed prosthesis — is her expertise, and it is what determines how your new teeth look, fit, and feel.
Patients tell us the difference shows up in everyday moments — biting into an apple, speaking clearly, and smiling in photos without a second thought.

Steak, apples, corn on the cob — a fixed full arch lets you enjoy the foods you have been avoiding.

Hike, travel, and stay active without worrying about teeth that shift, slip, or click.

Laugh, speak clearly, and smile in every photo with a complete, fixed set of teeth.
Instead of generic stock before-and-after photos, Dr. Fatima reviews your specific case at your consultation — using 3D imaging and digital smile design built around your own anatomy and goals. You leave understanding what is realistic for your smile, not someone else’s.
As we complete full-arch cases, real patient results will be added here with permission.

Illustrative model — personalized results reviewed at your consultation
Many adults missing most or all of an arch are candidates, but the only way to know is a consultation with a 3D CBCT scan. Dr. Fatima gives you an honest assessment.
Not Ready to Book? Check If You're a Candidate
An honest comparison of full-arch options. For replacing individual teeth, see single dental implants; for removable options, see dentures.
Your free consultation includes 3D imaging, a candidacy assessment, and a written, personalized estimate — with Dr. Fatima planning your case from day one. No obligation.
“Having one dentist plan everything and place my final teeth made the whole process feel coordinated and clear.”
— Innova Smiles patient
All-on-4 typically combines a surgical fee from the oral surgeon with the cost of your restoration, so the right number is the one built for your specific case. You receive a written, personalized estimate at your free consultation — no commitment required. Many patients use financing or our membership plan to make treatment manageable.
0% Financing
Low Monthly Payments
Affordable plans through CareCredit & Cherry, spread your investment over time with 0% interest options.
Insurance
PPO Plans Accepted
We verify and maximize your dental benefits before treatment begins, no billing surprises.
HSA / FSA
Pre-Tax Savings
Use your health savings or flexible spending account to pay with pre-tax dollars.
No Insurance?
Membership Plan
Save 15–20% on all treatments with exams, cleanings, and exclusive discounts included.
We do not publish a single All-on-4 price because every case differs and the surgical fee is separate from the restoration. Your exact, all-in estimate is provided at your free consultation.
Many patients finance their treatment through CareCredit or Cherry, with monthly payments. No insurance? Our in-house membership plan includes exams, cleanings, and treatment discounts.
What All-on-4 is, who does what, candidacy, cost, and what to expect.
Check Your Candidacy
What it is: A full arch of fixed teeth on four implants
Who plans & restores: Dr. Fatima (FAAIP)
Who places implants: A trusted local oral surgeon
Pricing: Written estimate at your free consultation
If you are living with failing teeth or a removable denture that no longer fits, a full arch of fixed teeth on four implants can be a turning point for your daily comfort and confidence. Here is how a coordinated All-on-4 case works at Innova Smiles.
Full-arch implant treatment has two distinct phases: the surgery to place the implants, and the restoration to design and deliver the fixed teeth. At Innova Smiles, Dr. Fatima plans the entire case and crafts your final fixed prosthesis, while the surgical placement is performed by a trusted local oral surgeon. You are not left to coordinate separate offices yourself — everyone works from the same plan, and you return to the dentist who knows your case for the finishing work.
That continuity is the point. The restorative phase determines how your new teeth look and function, and it is handled by the same dentist from start to finish. Compare related options on our dental implants and dentures pages.
Your consultation with Dr. Fatima includes a 3D CBCT scan to assess your bone and anatomy, a candidacy review, and a discussion of what a fixed full arch could look like for you. Because the result is planned digitally around your own anatomy, you get an honest, personalized picture — not a generic before-and-after. You also receive a written estimate that reflects the surgeon’s fee and the restoration, so there are no surprises.
Read our full All-on-4 guide for more detail, or explore comprehensive cases on our full-mouth restoration page.
Schedule your All-on-4 consultation at Innova Smiles, located at 340 Maple St, Suite 100, Marlborough, MA 01752. Call (508) 481-0110 or book online. Serving Marlborough, Hudson, Northborough, Southborough, Westborough, Shrewsbury, and all of MetroWest.
In-depth guides to help you make confident, informed decisions.
Four things we hold ourselves to at every appointment. No exceptions.
Espressos, weighted blankets, noise-canceling headphones, and anesthesia techniques that most patients say they barely felt. Your comfort comes first.
We eliminate guesswork. Using sub-millimeter 3D scanning, we plan every restoration with surgical accuracy for a precise, lasting fit.
You see a line-by-line cost breakdown before any treatment starts. The number we quote is the number you pay.
We follow rigorous protocols. Our studio meets and exceeds American Dental Association and CDC sterilization standards to ensure patient safety.
All-on-4 is a full-arch restoration where a complete set of fixed teeth is supported by four dental implants placed in the jaw. The result is a non-removable arch of teeth that restores chewing function and the appearance of a full smile. It is an option for patients who are missing most or all of the teeth in an arch.
All-on-4 is a coordinated, team-based treatment. Dr. Fatima plans your case using 3D imaging and digital design, then crafts and places your final fixed teeth — the restorative phase that determines how your new smile looks, fits, and functions. The surgical placement of the implants is performed by a trusted local oral surgeon who works from the same plan Dr. Fatima designed. One plan, one coordinated team, start to finish.
The implants are the foundation, but the fixed teeth attached to them are what you see, feel, and use every day. Dr. Fatima holds a fellowship in implant prosthodontics (FAAIP), the discipline focused on designing and placing implant-supported restorations. That restorative expertise is what shapes the bite, the fit, and the final appearance of your new arch.
Step 1: You plan the case with Dr. Fatima, including 3D CBCT imaging and a digital treatment plan.
Step 2: A trusted local oral surgeon surgically places the four implants, working from Dr. Fatima's plan.
Step 3: After healing, you return to Dr. Fatima, who crafts and places your final fixed teeth.
No. An All-on-4 arch is fixed to the implants and is not taken in and out. You care for it much like natural teeth, and only your dental team removes it for periodic maintenance. This is a key difference from a traditional or snap-in removable denture.
Every case is different, and All-on-4 typically involves a surgical fee for the oral surgeon plus the cost of the restoration. Because of that, we do not quote a single number online. You receive a written, personalized estimate at your free consultation, and we can discuss financing and membership options so the investment fits your budget.
Many adults who have lost most or all of the teeth in an arch are candidates, but candidacy depends on your bone, gum health, and overall health. The only way to know is a consultation with Dr. Fatima that includes a 3D CBCT scan. She will give you an honest assessment and explain your options.
Yes. Rather than relying on generic before-and-after photos, we review your specific situation at your consultation using 3D imaging and digital planning, so the result you discuss is based on your own anatomy and goals — not someone else's case.