All-on-4 Dental Implants Cost Breakdown: What You Will Pay

All-on-4 Dental Implants Cost Breakdown: What You Will Pay

All-on-4 dental implants typically cost $15,000 to $30,000 per arch, covering the surgical placement of four implants and a full-arch prosthesis. The total includes consultation, imaging, surgery, temporary teeth, and the final prosthesis. This guide breaks down each cost component so you know exactly what to expect.

3 min readMedically reviewed contentLast updated March 26, 2026

Key Takeaways

  • All-on-4 dental implants cost $15,000 to $30,000 per arch (upper or lower jaw).
  • Both arches together typically cost $25,000 to $55,000, with some savings on shared surgical costs.
  • The cost includes four implant posts, the surgical procedure, a temporary prosthesis, and the final prosthesis.
  • The final prosthesis material (acrylic, zirconia, or hybrid) significantly affects the total price.
  • Additional costs may include extractions, bone grafting, and sedation or anesthesia.
  • Most All-on-4 providers offer financing plans, and some insurance plans cover a portion of the cost.

What the Total Cost Includes

The All-on-4 treatment price typically includes the initial consultation and treatment planning, diagnostic imaging (CBCT scan and panoramic X-ray), surgical placement of four implant posts, a temporary (immediate-load) prosthesis placed on the day of surgery, healing period follow-up visits, and the final permanent prosthesis. Some practices bundle all of these into a single fee, while others bill components separately.

When comparing quotes from different providers, ask for a detailed breakdown of what is included. A lower total price may exclude items like imaging, sedation, or the temporary prosthesis that other providers include in their quote.

Final Prosthesis Options and Costs

The final prosthesis is the largest single cost component and varies significantly by material. An acrylic prosthesis costs $3,000 to $6,000 per arch. It is the most affordable option but may need replacement every 5 to 10 years. A hybrid prosthesis (acrylic teeth on a metal framework) costs $5,000 to $10,000 per arch and offers improved durability. A full zirconia prosthesis costs $8,000 to $15,000 per arch and is the most durable and natural-looking option, potentially lasting 20 years or more.

The prosthesis material affects both the upfront cost and the long-term value. A zirconia prosthesis costs more initially but may save money over time by avoiding the replacement costs of less durable materials.

Additional Costs Beyond the Base Price

Several additional procedures may add to your total cost. Extraction of remaining teeth costs $75 to $300 per tooth (or $1,000 to $3,000 for a full mouth of extractions). Bone grafting, if needed, adds $500 to $3,000 per site. IV sedation or general anesthesia adds $500 to $2,000. The temporary prosthesis (if not included in the base price) costs $1,500 to $3,000.

Most All-on-4 patients need extractions. Whether bone grafting is required depends on your bone volume, which is one of the advantages of the All-on-4 technique: the angled implants often work with existing bone and reduce the need for grafting.

Financing All-on-4 Implants

Given the significant cost, most All-on-4 providers offer financing options. In-office payment plans may spread the cost over 12 to 60 months. Third-party financing through CareCredit or similar companies offers promotional 0% interest periods. Some practices partner with specific lenders for extended payment terms.

Insurance may cover a portion of the cost. While most plans do not cover implants, they may cover the extraction of failing teeth, diagnostic imaging, and a portion of the prosthesis (classified as a denture). This can offset $1,000 to $3,000 of the total cost. Ask your provider's billing department to submit a pre-authorization to your insurance.

Find an All-on-4 Specialist

All-on-4 treatment is typically performed by oral surgeons or periodontists (implant placement) working with prosthodontists (prosthesis design). Search by location on My Specialty Dentist to find qualified specialists near you.

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Frequently Asked Questions

How much do All-on-4 implants cost for both arches?

Both arches together typically cost $25,000 to $55,000. Some providers offer a package discount for treating both arches at the same time, reducing the total by $2,000 to $5,000 compared to treating each arch separately.

Why do All-on-4 prices vary so much?

The biggest price variable is the prosthesis material. Acrylic prostheses are the most affordable, while zirconia is the most expensive. Geographic location, provider experience, included services (sedation, imaging, extractions), and the specific implant system used also affect the price.

Is All-on-4 cheaper than individual implants?

Yes, for patients replacing a full arch of teeth. All-on-4 uses four implants to support 10 to 14 teeth. Individual implants for the same number of teeth would require 6 to 8 implants and 10 to 14 individual crowns, costing $40,000 to $80,000 or more per arch.

Does insurance cover any part of All-on-4?

Most dental insurance plans do not cover implants directly. However, they may cover related components like tooth extractions, diagnostic imaging, and a portion of the prosthesis (classified as a denture). This coverage can offset $1,000 to $3,000 of the total cost. Medical insurance may cover the surgical component if the tooth loss is due to cancer, trauma, or a congenital condition.

What is the cheapest All-on-4 material?

Acrylic prostheses are the least expensive at $3,000 to $6,000 per arch for the prosthesis component. However, acrylic may need replacement every 5 to 10 years. A zirconia prosthesis costs more upfront but can last 20 years or more, making it potentially more cost-effective long-term.

Can I get All-on-4 at a dental school?

Some dental schools with oral surgery and prosthodontic residency programs offer All-on-4 treatment at reduced rates. The availability is limited, and wait times can be long. Contact dental schools in your area to ask about their implant programs and pricing.

Sources

  1. 1.American College of Prosthodontists. Full-Arch Implant Solutions.
  2. 2.Malo P, et al. All-on-4 immediate-function concept with Nobel Biocare implants: a retrospective clinical study. Clinical Implant Dentistry and Related Research. 2003;5(Suppl 1):2-9.
  3. 3.American Dental Association. Dental Implants.
  4. 4.Ayna M, et al. All-on-4 Treatment Concept: A Comprehensive Review. Dentistry Journal. 2021;9(10):118.
  5. 5.National Institute of Dental and Craniofacial Research. Dental Implants.

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