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

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

All-on-4 dental implant protocol is developed by Nobel Biocare Implants from Sweden. Using the same implants this procedure can be completed at best dental implant clinics in India with one third the costthan the western countries. The cost of All-on-4 dental implants with a final Nobel Procera Hybrid prosthesis is 6500 USD /jaw. Cost of ALL-on_4 dental implants with Nobel Procera Titanium framework with Zirconium crowns is 9400 USD/jaw.
The best dental implant clinics in India has in-house CAD-CAM dental laboratory to deliver this work in shorter time with highest precision. Dental surgeons with 25 years experience in practice are involved in this advanced implant surgeries.

Greetings, your best option is to come to the Dominican Republic, the treatment of all on Four by arcade would go out in 4,500 dollars + the prosthesis in porcelain 6,000 dollars, first you pay for the surgery and in a second trip you pay for the prosthesis Hybrid porcelain fixed on dental implants.
It will be a pleasure to receive you in my dental office. 

The price you quoted for both arches is actually close to the average of what most patients will pay. Typically, per arch, this procedure will cost around $25,000+. The main reason for this is that it requires a team of doctors to complete this procedure, with higher lab fees as well. There are options that are considerably less costly than this that are better than just having a removable denture. One option, is to have what we call an "implant supported overdenture" which is a denture that snaps into strategically placed implants. This requires fewer implants, reducing the cost significantly. The main difference is that the overdenture must be removed before bed, while the all-on-four prosthesis is screwed in and not removable. The overdenture is about half the cost of having the all-on-four and is a much more stable option than just having regular dentures.

It is true that these treatments are prohibitively expensive for most people. I went into dentistry because I wanted to help people, and when I first started doing this treatment, I just didn't feel right about charging $30k per arch. I felt bad for my patients who desperately wanted/needed something like this but there was no way for them to afford it. 
Being located in the 'lower income' city of Stockton, California, I have to consider costs to my patients very carefully. I don't want to only offer treatments for the super wealthy. I want to provide a good service to the average joe who is in a tough situation. 
That said, this treatment requires expensive parts and is very time intensive. I spend many hours studying the case, taking super accurate records, and carefully crafting and adjusting the prosthesis. I have to charge a price that takes all those things into consideration. However, I have lowered my price to be much less than most other providers. (Under $20,000) And I sometimes have special offers that further reduce the price. I can do this because I have streamlined the process and made it very efficient. 
Keep in mind that nobody "has" to have this treatment done. There are many other treatment options available which can definitely be more affordable. The All-on-4 procedure is only one of the most popular options. Don't be discouraged. See a prosthodontist who can help you go over all of your options. 
Best, 
Ivan

Hi SM,
The cost to get All on four dental implants is certainly a factor in deciding to go with this procedure or not, however you have to understand the value of the procedure you are getting. Having done numerous of same day teeth/all on 4 cases, I can tell you that the procedure costs as much as it does because it is very expensive to do for the doctors, and the dental technicians involved to make sure your procedure goes smoothly. After factoring the cost of the surgery, anesthesia, the actual dental implants, the parts (abutments) and the lab cost to make the prosthesis  there is not that much markup after all those bills are paid. I certainly do understand  your concern about the cost. At my practice I always offer alternative options with much less cost (such as a removable prosthesis, or doing all on four on one arch only and removable on the other) until the patient is ready to make the investment. In Scottsdale we charge a little less than what you were quoted, and we help our patients with financing. 

No doubt about it $45,000 is a lot of money. However the All on Four reduces the time and costs to restore all of your teeth with permanent implants.  Replacing teeth a few at a time with implants would dramatically raise the costs and time necessary.

You should ask you dentist about other options if this procedure is out of your budget.