All-on-4® Implants

Your smile should let you enjoy everything life on Kauai has to offer, from sharing laughs at a family lūʻau to savoring fresh, local food without worry. If missing teeth or uncomfortable dentures have been holding you back, All-on-4® dental implants can help you rediscover comfort, confidence, and joy. 

Our practice is proud to serve the community as a trusted dentist in Lihue, HI, led by Dr. Randall Jaurequi (Dr. J). With a caring approach and advanced dental technology, Dr. J and our friendly team focus on treating every patient like ʻohana. Whether you’re born and raised on Kauai or new to the island, you’ll feel right at home the moment you walk through our doors.

We welcome patients from Kapaa, Koloa, Kalaheo, Waimea, Kekaha, Princeville, Hanalei, and beyond, and we’re honored to care for neighbors from all across the island.

All-on-4 dental implants are a modern, reliable way to replace a full set of missing teeth using just four carefully placed implants. Instead of dealing with loose dentures or multiple surgeries, this approach provides a stable, natural-looking smile designed to feel like your own teeth. 

Two implants are placed toward the front of the jaw, where the bone is naturally stronger, while the remaining two are placed at an angle in the back. This smart design helps maximize existing bone and often allows patients to avoid more complex procedures. In many cases, you can leave our Lihue dental office the same day with a secure set of temporary teeth (often called “Teeth in a Day"). 

What Can I Expect During the All-on-4 Process?

Your journey begins with a relaxed, one-on-one consultation. Dr. J takes time to listen, answer questions, and understand your goals. Using advanced 3-D imaging, we carefully plan every detail of your treatment so there are no surprises. 

Here’s how the process usually works:

• Personalized Planning — We design your new smile specifically based on your unique needs, goals, lifestyle, and comfort. 
• Implant Placement — We gently place the implants in the jaw during a comfortable procedure.
• Same-Day Teeth — In many cases, we can attach a set of temporary teeth so you can smile with confidence.
• Healing and Integration — Over the next few months, the implants naturally bond with the jawbone.
• Final Smile — Finally, we place your custom teeth for a beautiful, long-lasting result.

Throughout the process, our team is right by your side. We're always here to offer reassurance, clear communication, and plenty of aloha.

You may be a good candidate for All-on-4 dental implants if you: 

• Have multiple missing or failing teeth
• Are tired of loose or uncomfortable dentures
• Want a fixed, non-removable smile
• Have experienced bone loss in the jaw
• Are looking for a long-term solution rather than temporary fixes

One of the most reassuring aspects of All-on-4 is that many patients with bone loss still qualify. The unique angled placement of the implants often allows treatment without extensive bone grafting like with traditional implants.

During your consultation, Dr. J will carefully review your medical history, oral health, and lifestyle to determine whether All-on-4 is the best fit for you. 

Will I Need Bone Grafting or a Sinus Lift?

One of the reasons All-on-4 dental implants are so popular is that many patients do not need bone grafting. The angled placement of the implants allows us to use existing bone more effectively, even for patients who have experienced bone loss over time. 

That said, every smile is unique. In some cases:

• We may recommend minor bone grafting for added support. 
• If bone height is limited, we may recommend a sinus lift for upper-jaw implants.  

If these procedures are needed, Dr. J will explain everything clearly and make sure you feel comfortable and informed. Our goal is always to keep treatment as smooth and stress-free as possible.

At Hawaiian Island Dental, we’re honored to help our community smile with confidence again. If you’re considering All-on-4 dental implants in Lihue, HI, we invite you to schedule a consultation with Dr. J.

We understand that dental care is an important investment. If you’re uninsured, we can help you control your dental costs with financing through Cherry. Cherry is fast, easy, and you can start using it the same day you’re approved. Our team is always happy to help you explore options that fit your budget. 

Let us help you enjoy life on Kauai with a smile that feels strong, natural, and truly yours!