All On 5by Dr Jimenez Book a consultation
01 Full Arch
Reconstruction
All full-arch protocols
02 Cosmetic
Restoration
All cosmetic restoration
Full Arch Reconstruction

All on 5,
Dental Treatment

Surgery performed by:
Dr Jose Jimenez DDSHarvard trained surgeon
Treatment type:
Five implants per arch
Provisional
Screw-Retained
Permanent Bridge
3 Months Later

By Salvador Frutos - Clinically reviewed by Dr. José Jiménez - Last reviewed 18 May 2026

Bridge Material

Types of
Permanent Teeth.

All on 5 is not a cosmetic label. The fifth implant is used when the scan shows that a four-post bridge would leave too little support, especially in an upper arch or a wider smile.

Porcelain full-arch bridge material option.
Cost-control option

Porcelain

Porcelain can keep the quote lower, but on a five-post plan it still needs careful bite control. The extra implant does not make brittle ceramic easier to repair.

Best for
Budget-driven cases where the patient accepts cosmetic and repair limits
Watch
Chipping, shade mismatch, lab delays, reduced warranty on the tooth layer
Provisionals
Screw-retained provisionals included.
Metal type
Titanium bar (lifetime warranty)
Implants
Nobel, Straumann or Hiossen (lifetime warranty)
Zirconia full-arch bridge material option.
Rigid ceramic route

Zirconia

Zirconia may look stronger on paper, but the fifth implant does not fix a weak bonded chimney design. The connection still has to be disclosed before consent.

Best for
Selective five-post cases with enough room and a documented connection design
Watch
Chimney stress, opaque value, torque transfer, difficult chairside repair
Provisionals
Screw-retained provisionals included.
Metal type
Titanium bar (lifetime warranty)
Implants
Nobel, Straumann or Hiossen (lifetime warranty)
All on 5 PMMA screw-retained arch with 5 visible screw access holes.
Serviceable route

PMMA

PMMA is usually the most practical five-post choice because it keeps the bridge lighter while the added implant improves distribution across the arch.

Best for
Upper arches, wider smiles, better load sharing and easier maintenance
Watch
Wear pattern, hygiene space, service visits, planned replacement timing
Provisionals
Screw-retained provisionals included.
Metal type
Titanium bar (lifetime warranty)
Implants
Nobel, Straumann or Hiossen (lifetime warranty)
Porcelain All on 5 bridge material option.
Posts5 Titanium Posts
Bar1 Titanium Bar
TeethPorcelain Teeth
Porcelain All on 5

All-On-5
Porcelain.

On All on 5, porcelain belongs only when the patient understands the compromise. The fifth implant adds support, but porcelain can still fracture or require off-site lab work.

What it solves A lower entry point.

It can reduce the initial fee while still using the five planned implants and titanium bar listed in the treatment plan.

When it fits Low-force, budget-led cases.

It is more acceptable when smile demands are moderate and the patient prefers upfront savings over the easiest service path.

Main concern The repair path is slower.

A chip on a five-post bridge is still a ceramic repair problem. The bridge may need removal and lab time.

Risk check Support is not the same as toughness.

Titanium bar: lifetime warranty.
Implants: lifetime warranty, except smokers and periodontal disease cases.
Porcelain teeth: 5 years.

Treatment cost TBD per arch - dummy fee pending
Payment terms
  • $500 deposit
  • 50% upfront
  • 50% minus deposit paid upon completion
  • All electronic/check payments require a 3.8% surcharge.
Included
  • 5 titanium posts
  • 1 titanium bar
  • Shuttle service
  • Room for 3 days (both trips)
  • 3 meals per day
Clarify before deposit

Cost may vary if the patient requires more than 5 implants, or if an additional trip is required as a result of severe bone loss reconstruction surgery.

Zirconia All on 5

All-On-5
Zirconia.

All on 5 zirconia needs a very clear explanation of the connection. If the ceramic relies on bonded titanium bases, the patient should not be told it is the same as a serviceable screw-retained bridge.

What it solves A rigid ceramic look.

It can create a bright monolithic result when space, bite and access holes are favorable.

When it fits Only after design disclosure.

The plan should show where the screw channels sit and how the titanium bases are retained inside the zirconia.

Main concern The fifth post does not protect chimneys.

Extra support helps distribution, but screw paths cut through brittle ceramic remain stress points.

Risk check Know what is covered.

Titanium bar: lifetime warranty.
Implants: lifetime warranty, except smokers and periodontal disease cases.
Zirconia teeth: 10 years.

Treatment cost TBD per arch - dummy fee pending
Payment terms
  • $500 deposit
  • 50% upfront
  • 50% minus deposit paid upon completion
  • All electronic/check payments require a 3.8% surcharge.
Included
  • 5 titanium posts
  • 1 titanium bar
  • Shuttle service
  • Room for 3 days (both trips)
  • 3 meals per day
Clarify before deposit

Cost may vary if the patient requires more than 5 implants, or if an additional trip is required as a result of severe bone loss reconstruction surgery.

Zirconia All on 5 bridge material option.
LookHigh-value ceramic
FeelRigid bite response
AccessConnection must be clear
PMMA screw-retained upper arch bridge for All on 5 with 5 visible screw access holes.
Support5 planned implants
MaterialServiceable PMMA
AccessScrew-retained bridge
PMMA All on 5

All-On-5
PMMA.

All on 5 PMMA is for patients who need a little more support than a four-implant plan without turning the case into a larger reconstruction. It is lighter, serviceable and easier to adjust.

What it solves The middle support gap.

The fifth implant can shorten the unsupported span and improve how the bridge responds under function.

Why patients choose it Natural look with backup support.

PMMA can be shaped and repaired more easily while the five-post foundation improves load sharing.

Why it is practical Maintenance stays straightforward.

A screw-retained PMMA bridge can be removed for hygiene, repair and bite corrections without treating every problem like a fracture.

Risk check Service still matters.

Titanium bar: lifetime warranty.
Implants: lifetime warranty, except smokers and periodontal disease cases.
PMMA screw-retained teeth: 15 years.

Treatment cost TBD per arch - dummy fee pending
Payment terms
  • $500 deposit
  • 50% upfront
  • 50% minus deposit paid upon completion
  • All electronic/check payments require a 3.8% surcharge.
Included
  • 5 titanium posts
  • 1 titanium bar
  • Shuttle service
  • Room for 3 days (both trips)
  • 3 meals per day
Clarify before deposit

Cost may vary if the patient requires more than 5 implants, or if an additional trip is required as a result of severe bone loss reconstruction surgery.

Fixed Provisional Teeth

Your
Provisionals.

Your first-visit provisional is built around the five planned implant positions, but it is loaded only if the surgical stability is safe.

PMMA screw-retained provisional arch for All on 5 with 5 visible screw access holes.
01 / Fifth post Support is spread wider.

The extra implant can reduce flex in the provisional, especially when the upper arch needs more support than a four-post layout.

02 / Stability first The scan does not load the bridge.

Immediate loading depends on insertion torque, bone quality and infection control at surgery.

03 / First weeks Soft diet is part of the treatment.

The fifth post is not permission to chew hard foods during healing. It protects the plan only when the patient protects the provisional.

04 / Final bridge Records are refined after healing.

Tissue changes, bite settling and implant response are checked before the permanent bridge is finalized.

If immediate loading is not safe

If the fifth implant cannot reach safe stability, the provisional plan may change before the patient travels home.

Bone And Gumline

Fifth-post planning
vs Jawbone.

Full arch bridge with stronger jawbone ridge support and less visible prosthetic gumline bulk Stronger ridge support
Full arch bridge with jawbone ridge height loss requiring more visible prosthetic gumline bulk Ridge height loss
Why five helps It shortens the span.

A fifth implant can add support where a four-post bridge would stretch too far across the arch.

When it does not The site still needs bone.

If the planned fifth position has weak bone or poor access, forcing it can create more risk than benefit.

What we verify Smile line and cleaning room.

The bridge still needs enough space for hygiene, gumline design and a maintainable screw path.

Treatment Process

Treatment Process

Two 3-day trips, planned around fifth-site stability.

Visit 1 / Five-site surgery + fixed provisional

First 3-day visit

  1. Day 1 Map the fifth implant site

    CBCT, photos, bite records and medical review confirm whether the fifth support point is usable before surgery.

  2. Day 2 Surgery and five-post placement

    Extractions if needed, implant placement, multi-unit abutments and provisional records are completed in one coordinated visit.

  3. Day 3 Load check before travel

    The provisional is fitted only if stability allows it; bite, hygiene and soft-food rules are reviewed before departure.

Visit 2 / Final bridge on five supports

Second 3-day visit

  1. Day 1 Integration and tissue review

    The team checks the five implant sites, soft tissue shape, bite record and final material selection.

  2. Day 2 Try-in and support verification

    Smile line, speech, contacts and screw-access positions are tested against the five-post layout.

  3. Day 3 Final bridge delivery

    The permanent bridge is torqued, sealed, balanced and documented for future maintenance.

Quote Decoder

The fifth implant must earn its place.

A useful All on 5 quote explains why the fifth support is planned, not just that it costs more.

Estimate map per arch
Fifth-site reason
upper arch / span / bite
Implant positions
shown on scan
Extractions
case dependent
Surgery
five sites listed
Fixed provisional
load only if stable
Final bridge
material named
Hotel and shuttle
included items clear
Maintenance
future service path

The fee should make the fifth implant understandable before the deposit, including what changes if the site is not usable.

Decision Gates

Your diagnosis decides if five supports make sense.

01Fifth-site bone

Enough volume where the added implant is planned.

02Upper arch demand

A wider or softer upper arch may need the added support.

03Bite direction

Forces must land where the five-post layout can control them.

04Provisional safety

Immediate loading depends on real surgical stability.

05Cleanable design

Five implants still need a bridge the patient can maintain.

Proof Slots

Proof for All on 5
should show the fifth site.

Scan view
Show where the fifth implant is planned.
Support spread
Compare the four-post span to the five-post plan.
Provisional fit
Document how the first bridge is loaded.
Final bridge
Show the material and screw-access locations.
Maintenance plan
Explain how hygiene visits protect five supports.
Quick Answers

Five-post answers.
No generic pitch.

01Why use five implants instead of four?

Because the scan may show that a four-post bridge leaves too much span or too little support, especially in the upper arch.

02Does the fifth implant guarantee same-day teeth?

No. The provisional is loaded only when the implants reach safe stability during surgery.

03Is All on 5 always better than All on 4?

No. It is better only when the added site improves support without creating a cleaning or surgical problem.

04What should the quote prove?

It should show the reason for the fifth implant, the included services, the final bridge material and what changes if the site is not usable.

05Can the final bridge still be removed?

Yes. The bridge is fixed for the patient but screw-retained for professional maintenance.

Authorship & Editorial Review - 05

Who wrote this,
and who checked it.

This All on 5 guide focuses on when a fifth implant changes the plan, how the added support affects the provisional bridge, and what patients should see before comparing quotes. Credential details should be verified before indexing.

First published 18 May 2026
Last reviewed 18 May 2026
Next scheduled review May 2027
Authored by Salvador
Frutos Responsible for explaining fifth-site planning, quote clarity and patient-facing treatment structure.
Clinically reviewed by Dr. José
Jiménez Specialist in Oral Surgery & Implantology. Clinical reviewer for fifth-site indications, immediate loading limits and implant-risk language. Dental licence: pending verification Specialty record: pending verification Registration jurisdiction: Baja California, Mexico
Responsible clinic record for All on 5 All On 5
by Dr Jimenez
Clinic C. Alamo 303, 21970 Vicente Guerrero, B.C., Mexico
Legal entity All On 5 by Dr Jimenez
Clinic record pending verification
Registration Clinic record: pending verification
Health authority: pending verification
Contact WhatsApp: 928 450 0370
928 450 0370
Next Step

Send the scan.
Check the fifth site.
Then compare the quote.

An All on 5 consultation should show why the fifth implant is being planned, whether it can be loaded safely, and how the final bridge will be maintained. The quote remains provisional until records and consent are complete.

Request a consultation Return to treatments