Board-certified oral and maxillofacial surgeon David Salehani, DDS, MD, combines CBCT-based digital planning with X-Guide live navigation for patients replacing a full arch of missing or failing teeth with All-on-X dental implants at Sunset Oral and Facial Surgery. The approach offers patients who wear dentures, or who have been told they lack the bone for implants, a fixed full-arch option planned around their own anatomy.

WEST HOLLYWOOD, Calif., Oct. 30, 2026 /PRNewswire/ -- Sunset Oral and Facial Surgery, the practice of board-certified oral and maxillofacial surgeon David Salehani, DDS, MD, is using live 3D navigation to guide All-on-X full-arch dental implant treatment for patients throughout Los Angeles, including West Hollywood and Beverly Hills. By pairing a detailed cone beam CT (CBCT) scan and digital treatment planning with the X-Guide dynamic navigation system during surgery, Dr. Salehani maps out the position, angle and depth of each implant before the procedure and tracks the drill against that plan in real time as the implants are placed.

All-on-X is a general term for full-arch restorations that replace an entire upper or lower row of teeth with a fixed bridge anchored to a small number of implants, typically four to six per arch. The best-known version, the All-on-4® treatment concept, uses two implants placed upright in the front of the jaw and two placed at an angle toward the back. Angling the rear implants allows them to engage the denser bone toward the front of the jaw, which lets many patients with reduced bone volume proceed without a separate bone grafting procedure. In most cases, a temporary fixed set of teeth is attached on the day of surgery, and the permanent prosthesis is placed several months later once the implants have integrated with the bone.

Those angled implants are where planning and precision matter most. The back of the upper jaw sits beneath the maxillary sinus, and the lower jaw carries the inferior alveolar nerve, which provides sensation to the lip and chin. Each implant also has to sit in the correct relationship to the others so the final full-arch bridge fits and functions as intended. With live navigation implant surgery, the CBCT-based plan is displayed during the procedure alongside a live view of the drill's position, much like a GPS route, allowing Dr. Salehani to follow the planned trajectory and make adjustments as he works.

Full-arch treatment is designed for adults who have lost most or all of their teeth in one or both arches, whose remaining teeth are failing, or who are frustrated with removable dentures that slip, rub or require adhesive. It is also an option to explore for patients who have been told elsewhere that they do not have enough bone for implants. Candidacy is determined at consultation, where Dr. Salehani reviews the CBCT scan, bone volume, sinus anatomy, bite and overall medical health. Some patients are better served by individual implants, by bone grafting before implant placement or by a different number of implants per arch, and those options are discussed as part of the evaluation.

Dr. Salehani's training spans both dentistry and medicine. As an oral and maxillofacial surgeon who holds dental and medical degrees and completed a general surgery internship, he performs full-arch implant surgery under IV sedation or general anesthesia and reviews each patient's medical history as part of surgical planning. His practice also includes bone grafting, sinus lift procedures, corrective jaw surgery and facial reconstruction, which allows him to consider the jaw as a whole when planning a full-arch case.

"Most of my full-arch patients have spent years dealing with failing teeth or dentures they don't trust, and many of them have been told they don't have enough bone for implants," said Dr. Salehani. "The plan starts with the CBCT scan, because that shows exactly how much bone we have to work with and where the sinus and the nerve are. Navigation lets me carry that plan into surgery and confirm where each implant is going as I place it. Not every patient is a candidate for All-on-X, and part of every consultation is an honest conversation about whether this is the right approach or whether something else will serve them better."

Individual results vary by patient. Anyone considering full-arch dental implants is encouraged to consult with a qualified oral and maxillofacial surgeon to discuss whether the treatment is appropriate for them.

More About Sunset Oral and Facial Surgery

Sunset Oral and Facial Surgery is an oral and maxillofacial surgery practice in West Hollywood, California, led by David Salehani, DDS, MD, a board-certified oral and maxillofacial surgeon. Dr. Salehani earned his undergraduate degree in biochemistry with honors and his dental degree with honors from the State University of New York at Stony Brook. He completed his oral and maxillofacial surgery training at Long Island Jewish Medical Center, earned his medical degree from Stony Brook School of Medicine, and completed an internship in general surgery at Stony Brook University Hospital.

Dr. Salehani practices the full scope of oral and maxillofacial surgery, including dental implants, All-on-X full-arch implants, live navigation implant surgery, bone grafting, wisdom teeth removal, orthognathic (corrective jaw) surgery, facial trauma and reconstruction, cleft lip and palate, TMJ surgery and oral pathology, along with facial cosmetic procedures such as facial implants, genioplasty, FaceTite, AccuTite, Morpheus8 and injectables. He participates as a faculty member in resident and student education at UCLA Medical Center and holds hospital privileges at UCLA Medical Center and Long Beach Memorial Medical Center and Children's Hospital (courtesy staff). He serves as a peer review oral surgeon consultant for the Los Angeles Dental Society and is a past president of the Beverly Hills Academy of Dentistry. He is a member of the American Association of Oral and Maxillofacial Surgeons, the California Association of Oral and Maxillofacial Surgeons, the American Dental Association, the California Dental Association, the New York State Society of Oral and Maxillofacial Surgeons and the Omicron Kappa Upsilon Dental Honor Society.

Sunset Oral and Facial Surgery is located at 9201 W. Sunset Blvd., Suite 502, West Hollywood, CA 90069. For more information or to schedule a consultation, please call (310) 275-3635 or visit www.sunsetoralsurgery.com.

Media Contact
Dr. David Salehani
Sunset Oral and Facial Surgery
9201 W. Sunset Blvd., Suite 502, West Hollywood, CA 90069
(310) 275-3635
https://www.sunsetoralsurgery.com

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