all on x in Southfield, MI

Restore Your Smile with Tooth Replacement

  • You smile, speak, and laugh with renewed confidence
  • They look and feel like your own natural teeth
  • Implants preserve your jawbone and protect facial structure naturally
  • Table of Contents
    Table of Contents

    Common Struggles We Hear From Patients

    When missing teeth or failing dentures affect your daily life, even simple moments become difficult. These are the struggles patients describe before they find a lasting solution.
  • Eating Has Become a Challenge
  • You've Stopped Smiling Freely
  • Dentures Slip at the Worst Times
  • You Avoid Eating With Others
  • The Problem Keeps Getting Worse
  • Favorite Foods Are Off Limits
  • Sound Familiar? You Don't Have to Keep Living This Way.

    What Happens When You Wait?

  • Bone Loss Accelerates

    This affects your facial structure and makes future treatment more complex.

  • Treatment Becomes More Involved

    You'll need bone grafting or additional procedures before implants can be placed.

  • Costs Add Up Over Time

    Temporary fixes and denture adjustments can lead to costs that surpass investing in a lasting solution.

  • Daily Frustrations Compound

    Each month adds missed meals, social discomfort, and energy spent managing a problem instead of solving it.

  • Your Options May Narrow

    Significant bone loss can limit which treatments are available to you.

  • Confidence Keeps Slipping Away

    Every event, photo, and conversation becomes another moment of holding back.

  • The Sooner You Act, the Simpler Your Path to Lasting Results.

    What Are All-on-X Dental Implants?

    All-on-X dental implants (sometimes called full-arch implants) replace an entire upper or lower arch of teeth using just four to six strategically placed titanium posts. These posts are surgically positioned in areas of your jaw with the strongest bone density, creating a secure foundation for a complete set of custom-crafted teeth. The approach we use allows many patients to receive their new teeth in fewer appointments than traditional implant methods require.

    Unlike removable dentures that rest on your gums, All-on-X restorations are permanently fixed to implants that integrate with your jawbone. This means your new teeth function like natural teeth; they stay in place, distribute biting force evenly, and stimulate bone preservation.

  • Typically uses four to six implants per arch depending on bone structure
  • Custom restorations designed to match your natural facial features
  • Titanium posts fuse with jawbone over three to six months
  • Comparing All-On-X Options

    Different All-on-X configurations suit different situations. The number of implants we recommend depends on your bone density, jaw structure, and long-term goals. Both options deliver permanent, stable results; the right choice depends on your unique anatomy.
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    Be our Next Success Story!

    Request an appointment with one of our doctors and start your smile journey today.

    Comparing All-On-X Options

    Different All-on-X configurations suit different situations. The number of implants we recommend depends on your bone density, jaw structure, and long-term goals. Both options deliver permanent, stable results; the right choice depends on your unique anatomy.
    Factor All-On-4 All-On-6
    Number of implants Four per arch Six per arch
    Ideal candidate Patients with adequate bone density Patients needing extra support or with lower density
    Stability level Excellent for most patients Maximum support and load distribution
    Bone grafting likelihood Often avoidable Often avoidable
    Treatment time Single surgical appointment Single surgical appointment
    Long-term durability Decades with proper care Decades with proper care
    Load distribution Concentrated on four points Spread across six points
    Cost consideration Lower initial investment Higher initial investment
    The right option depends on your unique anatomy and goals. We’ll help you determine which approach provides the best foundation for your new smile during your consultation.
    Icon Implants Dental Center Dental Implant NPG Magazine

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    Benefits of All-on-X Dental Implants

    Choosing All-on-X dental implants is about envisioning a different future for yourself. The decision to pursue this treatment starts with a question: how will this improve my everyday experience?
  • Eat Whatever You Want Again
  • Smile Without a Second Thought
  • Speak Clearly and Confidently
  • Stop the Daily Denture Routine
  • Preserve Your Facial Structure
  • Feel Secure in Every Situation
  • See What's Possible for Your Smile

    These aren’t just teeth; they’re life-changing transformations that restore confidence and comfort. Each before-and-after photo represents a patient who trusted us with their smile journey.

    Before
    After
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    Before
    After
    Before
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    Before
    After

    Be our Next Success Story!

    Request an appointment with one of our doctors and start your smile journey today.

    Are All-On-X Right for You?

    One of the most common questions we hear is “Am I a candidate for All-On-X?” The good news is that this procedure is suitable for a wide range of patients; including many who have been told they’re not candidates for traditional implants.
  • Are missing most or all of your teeth on one or both arches
  • Have teeth that are failing and need to be extracted
  • Currently wear dentures and want a permanent, more comfortable solution
  • Have been told you don't have enough bone
  • Want to avoid the hassle of removable dentures
  • Not Sure If You Qualify? Not Sure If You Qualify?

    One of the most common questions we hear is “Am I a candidate for All-On-X?” ThOne of the most common questions we hear is “Am I a candidate for All-On-X?” Th

    The All-On-X Procedure: What to Expect

    The idea of implant surgery can feel overwhelming, but our patients consistently tell us the process was more comfortable than they anticipated. We’ve designed every step around your ease and peace of mind.
    1

    Initial Consultation & Comprehensive Assessment

    Your treatment begins with a thorough evaluation including 3-D CBCT imaging. This advanced scan shows us exactly what's happening beneath your gums, including bone density, nerve locations, and optimal implant placement sites. We'll discuss your goals, answer every question, and create a detailed treatment plan customized to your anatomy.

    2

    Preparing for Your New Smile

    If any remaining teeth need extraction, we coordinate this with your implant procedure so everything happens efficiently. We'll review your sedation options, including nitrous oxide and oral sedation, to ensure you feel completely comfortable. You'll know exactly what to expect before your treatment day arrives.

    3

    Implant Placement

    On treatment day, we ensure you're relaxed and comfortable before beginning. Using your 3-D treatment plan as a guide, we place four to six titanium implants in precisely mapped positions. Most patients are surprised by how smooth this appointment feels. You'll leave with a temporary restoration so you're never without teeth.

    4

    Healing and Integration

    On treatment day, we ensure you're relaxed and comfortable before beginning. Using your 3-D treatment plan as a guide, we place four to six titanium implants in precisely mapped positions. Most patients are surprised by how smooth this appointment feels. You'll leave with a temporary restoration so you're never without teeth.

    5

    Your Permanent Restoration

    Once integration is complete, we replace your temporary teeth with your final custom-crafted restoration. This is designed to match your facial features, desired tooth shade, and natural bite alignment. You'll leave with a complete, permanent smile.

    Ready to get started?

    Post-Procedure Recovery and Aftercare

    Recovery from All-on-X treatment is more manageable than most patients expect. You’ll have a temporary restoration immediately, so you’re never without teeth, and our team is available to support you throughout the healing process.

    First 24 to 48 Hours

    Some swelling and mild discomfort are normal during this time. Most patients manage comfortably with prescribed medication or over-the-counter pain relief. Applying ice to your cheeks in 20-minute intervals helps reduce swelling. Rest is important; plan to take it easy and avoid strenuous activity.

    First One to Two Weeks

    Swelling gradually decreases and any bruising fades. You'll eat a soft food diet during this period to protect your implant sites while initial healing occurs. Most patients return to normal daily activities within a few days, though you should avoid hard, crunchy, or chewy foods until we clear you at your follow-up appointment.

    Long-Term Healing

    Over the next three to six months, your implants integrate with your jawbone. This happens gradually beneath the surface while you go about your normal life. We'll schedule periodic check-ins to monitor your progress and ensure everything is healing properly before placing your final restoration.

    Disclaimer about each case is different and clinic provide after care proper plan

    Questions About Recovery? We're Here to Help.

    All-on-X vs Other Tooth Replacement Options

    Understanding how All-on-X compares to other solutions helps you make an informed decision. Each option has its place, and the right choice depends on your priorities, lifestyle, and long-term goals.
    Factor All-on-X Implants Implant-Supported Dentures Traditional Dentures
    Attachment type Permanently fixed Removable, snaps onto implants Removable, rests on gums
    Stability Maximum; never moves Very good; secure when attached Variable; may slip
    Bone preservation Stimulates jawbone, prevents loss Stimulates jawbone, prevents loss No stimulation; bone loss continues
    Chewing ability Full natural function Near-natural function Limited; soft foods easier
    Daily maintenance Brush and floss in place Remove nightly for cleaning Remove for cleaning and soaking
    Longevity Decades to lifetime Decades for implants; denture replacement needed Replacement every 5-7 years
    Adjacent teeth impact None; independent structure None; independent structure May cause gum irritation
    Initial investment Highest Moderate Lowest
    All-on-X provides the most stable, permanent solution with the lowest long-term maintenance. However, implant-supported dentures offer a middle ground for patients who prefer a removable option with implant stability. Traditional dentures remain appropriate for patients who aren’t candidates for implants or prefer the lowest upfront cost.

    Flexible Payment Plans for Your Smile

    We believe everyone deserves quality dental care, regardless of budget. Our flexible financing options and in-house payment plans help you get the treatment you need with comfortable monthly payments that work for your situation.
    Cherry Payment Plans 1
    Cherry makes dental financing accessible with approvals up to $50,000, true 0% APR options, and an 80% approval rate.

    NO Credit Score Impact Until Plan Selected.

    Proceed Finance 1
    Proceed Finance specializes in extended dental financing up to 144 months, making even major treatments affordable with low monthly payments.

    NO Credit Score Impact Until Plan Selected.

    LendingClub
    LendingClub provides personal loans from $500 to $65,000 for dental procedures, offering competitive rates and flexible repayment terms.

    NO Credit Score Impact Until Plan Selected.

    Don't Wait to Smile. Check out Our Payment Options.

    Common All-On-X Questions

    We know you have questions, and getting clear answers helps you make a confident decision. Here are the questions our patients ask most often. If you don’t see yours here, please reach out; we’re happy to discuss anything on your mind.

    How long do All-on-X dental implants last?

    The titanium implant posts are designed to last a lifetime with proper care and regular dental checkups. Your custom restoration may need maintenance or replacement after 15 to 20 years depending on wear, but the foundation remains permanently in place.
    Often, yes. All-on-X was specifically designed to work with available bone by placing implants at strategic angles. This approach frequently eliminates the need for bone grafting that traditional implant methods require.
    You’ll receive temporary teeth immediately, allowing you to eat soft foods right away. Most patients return to a more varied diet within two weeks. Once your permanent restoration is placed after full healing, you can enjoy virtually any food.
    Both use the same approach; the difference is the number of implants supporting your restoration. All-on-6 provides additional support points and is often recommended for patients who need extra stability or have specific bone considerations.
    Care is similar to natural teeth: brush twice daily, floss underneath the restoration using special threaders or a water flosser, and visit us for regular checkups and professional cleanings. No adhesives, soaking, or removal required.
    Age alone doesn’t disqualify you. Overall health and bone quality matter more than your birthdate. Many of our implant patients are in their 70s and 80s and enjoy excellent results.
    From initial consultation to final restoration, expect approximately four to six months. This allows time for your implants to fully integrate with your jawbone. You’ll have functional temporary teeth throughout this period.
    From initial consultation to final restoration, expect approximately four to six months. This allows time for your implants to fully integrate with your jawbone. You’ll have functional temporary teeth throughout this period.
    Implant failure is uncommon, occurring in less than 5% of cases. If it happens, we can often place a replacement implant after healing. Your restoration can usually be modified to accommodate the change without starting over.
    Yes. We offer in-house payment plans and work with financing companies to help you fit treatment into your budget. Our team will discuss all available options during your consultation.
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    Still Have Questions?​

    Can't find what you're looking for? Don't worry, we are here to help! Reach out to us and we would love to assist you personally.

    Meet Our Doctors

    Specialists Committed to Your Comfort and Confidence

    Our team brings together specialized expertise in implant dentistry and oral surgery. You receive care from doctors who prioritize precision, honest communication, and treatment plans designed around your individual needs.
    • Dr. Elrefai completed advanced prosthodontic residency training at the Dental College of Georgia, with extensive training in full mouth reconstruction, full arch implant restorations, bone grafting, and esthetic restorative dentistry. He founded Icon Implant and Dental Center to bring a higher level of implant focused care to Michigan. From detailed planning to final results, he guides every case from start to finish.
    • Dr. Abdelrahman delivers surgical care with thoughtful planning and precision. His training in dentoalveolar surgery, facial trauma, and reconstructive techniques means you’re in experienced hands for any procedure. He values evidence-based practice and takes time to ensure you feel confident about your care.
    • Dr. Radwa brings warmth and attention to detail to every appointment. She focuses on building genuine relationships with patients while delivering comprehensive care. Outside the office, she enjoys spending time with family and staying active in the Southfield community.


    Be our Next Success Story!

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    What Patients Say

    Real Stories From Patients Who Found Their Confidence Again

    Our patients share how we’ve helped them regain confidence, comfort, and the freedom to smile again. With hundreds of five-star reviews, their stories reflect the personalized care and lasting results you can expect.
    Dr. Rami Elrefai is a brilliant and experienced prosthodontist and also an amazing educator! You can easily trust his exceptional capabilities in cosmetic dentistry and full mouth rehabilitations. Highly recommended!
    Hasanain Alani
    4 weeks ago
    The absolute best! Dr. Rami is amazing, highly detailed and exceptionally knowledgeable. The office is clean, the entire staff is welcoming and caring . I love my new smile! Highly recommend! ⭐️⭐️⭐️⭐️⭐️
    H H
    4 weeks ago
    As soon as you walk in you feel very welcomed and comfortable. The staff is friendly and they took their time to explain to me what the best treatment for me is. Dr. Elrefai is very knowledgeable, trustworthy, and skilled, I am finally comfortable with my smile due to the amazing work he did. Thank you very much and I will continue to come here even after I move to a different city.
    Iz Abbas
    4 weeks ago
    Amazing experience with icon Implant. They did my Veneer. They truly changed my smile and boosted my confidence. The team was professional, caring, and the results were beyond my expectations. Can’t wait to see the new renovated office in Southfield!
    Ahmed Salah
    2 months ago
    Had an amazing experience at Icon Implant & Dental Center. The staff was welcoming, professional, and made the entire process smooth from start to finish. I came in for veneers and could not be happier with the results. They took the time to explain everything, paid close attention to detail, and made sure my smile looked natural and exactly how I wanted. The office is clean, modern, and everyone genuinely cares about patient comfort. Highly recommend this place to anyone considering veneers or cosmetic dental work. I also can’t wait to see the new renovation in July.
    Medo Gabr
    2 months ago
    Dr. Rami is absolutely top notch
    Dr. Tom Najjar
    4 months ago

    Join the Patients Who Smile with Confidence Every Day

    Experience personalized dental care designed to help you achieve your dream smile.

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    World-Class Dental Care in Your Southfield Community

    We’re conveniently located on Northwestern Highway, making it easy for patients across the Metro Detroit area to reach us. Whether you’re nearby or driving in from a surrounding community, getting here is simple.

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    A Stronger Smile Starts Here

    Take the Next Step Toward All-on-x Dental Implants with Confidence

  • Eat comfortably without loose dentures
  • Smile with natural-looking full-arch teeth
  • Restore function with one trusted team
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