Is $45,000 for a Full Set of 4 on 1 Implants Top and Bottom Implants Outrageous?

A common fee for all on four implants is $30,000 per arch, so $45K for two is a great deal. You can die from dental infection, but you won't die from lack of implants. Regular dentures have been around for decades and may be a better fit to your budget.

Many practices use a “team” of specialists to perform the “All-on-4″ procedure, or you are referred to a “team” of  specialists, when this happens every member of the “team” must get paid! This results in higher costs for the Patient.

While the average cost for this procedure in the USA is about $40-50,000, there are many factors that can affect that pricing, introducing thousands in savings. Location is one- as the cost of any surgical procedure will depend on local economic factors (cost of human resources, medical supplies and equipment, real estate, insurance, etc.). As could be expected, it is likely that this procedure in LA or NY will cost more than if it were in Florida or another lower-cost location. Materials is another- whether your dentures will be made of acrylic, zirconia, or combination of materials will affect the cost of the treatment. Approach is another- are you working with a provider that has their own in house lab and can perform the extractions, implants and prosthetic work in one single facility or are you working across providers, using external labs? Certainly the latter will likely drive up costs versus the former. While for some, this implant-supported approach may be out of reach, there are still ways to cure gum disease and restore chewing function including removable dentures or a combination of fixed and removable.

As mentioned by another colleague, prices fluctuate. From practice to practice, region to region, etc. The price you got quoted is probably on the high end for the US and you can definitely find more affordable choices. The 3 main variables usually affecting treatment costs are clinician experience, material quality and location. You should always prioritize the first two but you can definitely find more affordable options if you are open to a change in location. As a reference, an all-on-4 in our office is $6’900 USD. This is why so many people are choosing to travel for care. Being only a 3 and ½ hour flight from Miami, we help people like you every day. We even have a dedicated international patient coordinator to insure patients have not only a successful treatment but an overall great experience.

I understand that one is supposed to take care of teeth and stay healthy. Tip for you and people like you to stay healthy would be to brush twice correctly with vertical strokes and rinse after every meals. But still if someone needs All on 4 on All on 6 implant supported teeth. You have other cheaper fixed options than All on 4 or All on 6 like snap on over dentures. Same All on 4 Nobel implant and prosthesis would cost one third here in India with highly experienced and team of doctors trained from premium institutes of India. 
Also it is important that one should save as much natural teeth as possible and All on 4 or All on 6 should be done only when conventional rehabilitation options would not have been successful. 
Good luck