Implants · All-on-4 Dental Implants · National Cost

How much do All-on-4 dental implants cost?

Average All-on-4 Dental Implants cost in the US: $14,720-$38,610

🏥 Based on ADA fee survey data
📊 Population-weighted national average
🔄 Updated May 2026
✓ Reviewed by Pearl clinical team
$14720 – $38610

Typical All-on-4 Dental Implants range across the United States

📍 All 50 states covered 🏥 PPO typically covers up to ortho max

National average

$22590

All-on-4 Dental Implants · D6114

What is this procedure?

About this procedure

All-on-4 is a full-arch dental implant treatment that replaces all the teeth in the upper or lower jaw with a fixed bridge supported by four strategically placed implants per arch. The procedure uses two implants placed straight at the front of the jaw and two angled posteriorly to take advantage of denser bone, often avoiding the need for bone grafting in patients who have suffered significant bone loss.

The procedure is typically completed in two stages: implant placement with a temporary prosthesis on the same day, followed by the permanent fixed bridge 3-6 months later after the implants have fully integrated with the jawbone. Total treatment time is 4-9 months from start to permanent restoration. All-on-4 offers a major advantage over traditional dentures — the prosthesis is fixed (not removable), feels more like natural teeth, and preserves the jawbone better than removable dentures.

Price factors

What affects this cost?

  • Number of arches: Single arch (upper OR lower) is roughly half the cost of full mouth (both upper AND lower).
  • Material of the prosthesis: Acrylic prosthesis is least expensive; zirconia or porcelain-fused-to-metal bridges are more durable and aesthetic but cost significantly more.
  • Bone grafting: All-on-4 is designed to avoid bone grafts, but severe bone loss may still require sinus lifts or block grafts, adding $1,500-$5,000+ per site.
  • Surgical complexity: Tooth extractions performed at the same time as implant placement, IV sedation, and complex anatomy add to the cost.
  • Provider experience: All-on-4 specialists and prosthodontists charge premium fees compared to general dentists offering the procedure.
  • Geography: Major metro areas (NYC, LA, Miami) often cost 40-80% more than smaller markets. Dental tourism to Mexico, Costa Rica, or Hungary can cut costs by 50-70% but introduces other risks.
  • Brand of implants: Premium implant brands (Nobel Biocare, Straumann) cost more than mid-tier brands but have longer track records.

By state

Where does this cost the most and least?

Pearl tracks pricing across all 50 states. Below are the highest and lowest cost markets — click any state for a full state-level cost breakdown across covered cities.

Highest cost states

Lowest cost states

Quote checker

What should your quote include?

Different providers bundle costs differently. Here's what a complete quote typically covers — and what's often left out.

USUALLY INCLUDED IN THE QUOTED PRICE

  • 3D CBCT scan and surgical planning
  • Tooth extractions (if needed)
  • Surgical placement of 4 implants per arch
  • Temporary same-day prosthesis (often called "Teeth in a Day")
  • IV sedation or general anesthesia
  • Multiple post-op follow-ups
  • Final permanent bridge after 3-6 months of healing

OFTEN BILLED SEPARATELY — ASK BEFORE YOU AGREE

  • Bone grafting if severe bone loss requires it
  • Sinus lift surgery if upper jaw bone is insufficient
  • Replacement of broken or worn prosthesis after the warranty period
  • Repair of failed implants (rare but possible)
  • Ongoing maintenance — annual hygiene visits and periodic prosthesis cleaning
  • Specialized cleaning tools (water flossers, super floss)

Health stakes

What happens if you delay treatment?

  • Severe tooth loss continues to cause facial bone resorption, which makes future implant treatment more difficult and expensive
  • Bone loss combined with ill-fitting dentures accelerates jaw atrophy
  • Loss of chewing function leads to dietary changes and nutritional impact
  • Speech difficulties and self-confidence issues increase as more teeth are lost
  • The longer you wait, the more likely you'll need additional bone grafting before implants are possible

Before you agree

Questions to ask your provider

  • How many implants do you place, and is it always exactly four?
  • What brand of implants do you use, and why?
  • Will I need any bone grafting or sinus lifts before placement?
  • What material will the final prosthesis be made of?
  • How is the same-day temporary different from the final prosthesis?
  • What is your warranty on the implants and the prosthesis?
  • What's the failure rate, and what happens if an implant fails to integrate?

Common questions

Frequently asked questions

Traditional dentures are removable and rest on the gums. All-on-4 is a fixed bridge anchored to 4 dental implants per arch — it doesn't come out, feels much more like natural teeth, and preserves the jawbone (which removable dentures actually accelerate the loss of). The cost difference is substantial: traditional dentures run $2,000-$8,000, while All-on-4 typically runs $20,000-$30,000 per arch.
Most dental insurance treats All-on-4 as a major restorative procedure but with significant limitations. Many plans cover some portion of the extractions and basic prosthesis ($1,500-$2,000), but the implants themselves are often partially or fully excluded. Medical insurance may cover some costs if tooth loss is due to disease or accident. Always get a pre-treatment estimate from your provider.
The implants themselves have a 95%+ success rate at 10 years and many last 20+ years. The prosthesis (the visible "teeth" portion) typically needs replacement every 10-15 years due to wear, even with proper care. Acrylic prostheses wear faster than zirconia.
Most adults with significant tooth loss in the upper or lower jaw are candidates, including patients with current dentures, severe periodontal disease, or extensive decay across most teeth. Patients with very severe bone loss may need bone grafting first or may benefit from All-on-6 (six implants per arch instead of four). Heavy smokers, uncontrolled diabetics, and patients on certain bone medications (bisphosphonates) need careful evaluation.
Same-day implant placement with temporary prosthesis allows patients to eat soft foods that day. Significant discomfort for 3-7 days managed with prescription pain medication. Soft-food diet for 3 months while implants integrate. Final permanent prosthesis placed at 3-6 months. Most patients return to work in 2-3 days.

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Compare what this costs in your city.

Pearl's cost data covers 485 U.S. cities. Search by procedure and zip — get a localized fee range and what to expect from your insurance.

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