All-on-X dental implant therapy has emerged as a predictable and efficient solution for the full-arch rehabilitation of edentulous patients. The concept allows for the placement of a minimum of four implants (All-on-4), with the option of additional implants (All-on-5, All-on-6, or more) depending on bone quality, anatomy, and prosthetic planning. Surgically, treatment may involve immediate implant placement following extraction, guided or freehand implant positioning, tilted distal implants to maximize available bone,. Prosthetically, options include immediate loading with a provisional fixed prosthesis, conversion of an existing denture, or staged loading protocols. Definitive prosthetic designs range from screw-retained acrylic hybrid prostheses to monolithic zirconia or metal-ceramic restorations, selected according to esthetic demands, functional needs, and cost considerations. Collectively, the surgical and prosthetic versatility of the All-on-X concept enables clinicians to provide patients with a fixed, functional, and esthetically pleasing rehabilitation, while minimizing the need for extensive grafting procedures and reducing treatment time.

Objectives: To explore and describe the surgical and prosthetic protocols, and clinical benefits of All-on-X dental implant therapy as a solution for full-arch rehabilitation in edentulous patients.