All-on-4 Full-Arch Implants in Chinatown, NYC — Care in Your Language

Yes. Dr. John Shi is fluent in Mandarin, and our team includes Cantonese and English speakers, so your consultation, your CBCT scan review, and your cost estimate all happen in the language you're most comfortable in. This is the surgeon himself explaining your case — not a translated pamphlet and not a rushed interpreter. You're encouraged to bring a family member and to keep asking until everything is clear. Our office is at 139 Centre Street, a few minutes from Canal Street and the center of Chinatown.

All-on-4 replaces a whole upper or lower arch of failing or missing teeth with a fixed set of new teeth, supported by as few as four to six implants anchored in your jawbone. Two implants go in vertically at the front, and the back implants are angled to reach denser bone — which often avoids the need for bone grafting. Because the teeth are fixed to the implants rather than resting on your gums like a denture, they don't slip or click, and you never take them out. In many cases a fixed temporary arch is attached the same day as surgery.

The treatment is the same high standard — same surgeon, same 3D-guided technique. This page exists for Chinatown and Chinese-speaking patients who want the whole process explained in Mandarin, Cantonese, or English, close to home at 139 Centre Street. For the deepest clinical detail — 10-year survival data, prosthesis materials, All-on-4 versus All-on-6 bone mechanics — see our full All-on-X / full-arch page. If you'd rather talk it through in your own language first, start here.

That's decided by your bone, not by a sales target. Your CBCT scan measures bone density and volume, and Dr. Shi recommends four or six implants based on what will carry the arch reliably against your bite forces. Softer posterior bone or heavy grinding may call for six; adequate dense bone may need only four. At Centre Dental the price is flat per arch either way, so the recommendation is a purely clinical judgment. You'll see the bone data behind it, explained in your language, before anything is decided.

We quote one flat price per arch, and you'll receive a written, phase-by-phase estimate — the surgical phase and the final zirconia prosthesis broken out separately — before treatment begins. Most dental plans don't cover full-arch treatment in full, though some contribute toward extractions or specific components; we're a non-participating provider with most PPO plans. We'll review honestly what your insurance may cover and what financing can spread over time. The one thing we won't do is quote low for four implants and add cost when your scan shows you need six — the price per arch is set before you commit.

Usually, yes. A fixed temporary arch can be attached on surgery day when the implants reach a minimum stability of about 35 Ncm of placement torque. When your bone is softer and that threshold isn't met, we don't force it — a short healing period comes first, because loading unstable implants raises the risk of failure. Dr. Shi decides this from your scan and from the actual stability measured during surgery, always choosing the result that lasts over the result that's fastest. Either way, you won't be left with an obvious gap.

Age itself is rarely the barrier — bone health and general medical health matter far more, and both are reviewed carefully before treatment. The implants are placed under local anaesthesia, so there's pressure and movement rather than pain, and nitrous oxide is available for anxious patients. Because Dr. Shi speaks Mandarin and the team speaks Cantonese, your parent hears every reassurance and instruction directly. You're welcome to sit in on the consultation so the whole family understands the plan together. Most patients tell us the day was far easier than they feared.

A fixed arch is cleaned with a soft toothbrush, a water flosser, and interdental brushes that fit underneath where the arch meets the gum — regular floss doesn't reach under a fixed arch. Keeping that area clean daily is what prevents inflammation around the implants over the years. You'll also come in for professional maintenance cleanings every three to six months, using instruments safe for implant and zirconia surfaces. We'll show you exactly how to do the home care, in your language, before you leave with your final teeth.

The implants themselves show 10-year survival of roughly 94.8–98.2% in the published literature. The visible arch is full-contour zirconia, chosen for durability under heavy bite forces, and typically serves for many years with proper care. Longevity comes down to three things we manage together: precise placement, a well-balanced bite, and consistent daily cleaning plus regular maintenance visits. If you grind your teeth, a night guard protects the arch. We'll give you an honest picture of long-term care — including that the prosthesis, like anything you use every day, needs upkeep over a lifetime.