How Much Do All-on-4 Dental Implants Cost?
Insurance coverage
If they're worth it
The average cost of All-on-4 dental implants is $30,450, but prices can range from $12,900 to $50,000, according to hundreds of patient reviews on RealSelf.
That’s significantly more than the traditional dental implants cost of $19,615, on average.
Unlike traditional dental implants, which require a single implant screw for each tooth, the All-on-4 system can replace a full mouth of teeth using only four implant screws (hence the name: All-on-4). This makes it an especially good option for patients who need to replace most or all of their natural teeth.
All-on-4 implants are available through both private dental practices and ClearChoice dental implant centers, which claim to have no hidden costs or surprise fees. This dental implant treatment replaces one full arch of upper or lower missing teeth with fixed prosthetic teeth.
After a free consultation, dental exam, and 3D CT scan (or X-rays), the price they quote you should include:
- Implant surgery and placement of temporary teeth
- Creation of custom prosthetic teeth
- Fitting your permanent custom teeth
- Anesthesia
- Follow-up care
Read on to learn why All-on-4 implant costs vary, whether dental insurance covers it, and whether real patients say their results were worth the investment.
Related: Everything You Need to Know About All-on-4 Dental Implants
What affects the cost of All-on-4 dental implants?
The price you'll pay for All-on-4 dental implants will depend on:
1) The number of arches you need.
All-on-4 dental implants can replace one full arch (or fixed bridge) of upper or lower teeth, so much of your cost will depend on whether you get prosthetic teeth for one or both arches. The more natural teeth you replace, the higher your total bill.
RealSelf Tip: Some reviewers on RealSelf say that ClearChoice Center sales representatives tried to upsell them on more implants than they actually needed.
If you go in to have just a few teeth replaced and they recommend All-on-4 implants, get a second opinion from a prosthodontist or cosmetic dentist who's not affiliated with ClearChoice, so you can compare treatment plans and price quotes.
2) The type of All-on-4 implants you choose.
The replacement teeth in All-on-4 dentures can be made with titanium (often covered with acrylic), zirconia, porcelain, ceramic, or resin.
Porcelain is significantly more natural-looking and easier to fix if a tooth chips or cracks. This makes it a more expensive material to use for your new teeth.
Many dentists say that zirconia or hybrid-acrylic/titanium materials are the most durable and last longer than porcelain, so they can be a better value over time.
To help determine which option will be the best one for you, explain your aesthetic and budget concerns during your initial consultation.
3) Additional dental procedures you may need to make you a good candidate.
Your All-on-4 price quote should cover the placement of the abutments (the tiny screws that will hold the implants), the implant frames, and the standard prosthetic teeth (without any upgraded materials).
However, patients often need additional dental procedures prior to this procedure, which can make it more expensive.
For example, to be a good candidate for All-on-4 dental implants, it’s important to have good oral health, including healthy gums and sufficient jawbone quantity and quality (or density) to support the implants.
To prepare for surgery, some patients will first need bone grafting, a sinus lift, the removal of infected gum tissue, and/or gum grafts.
These additional dental treatments may be necessary for a good outcome, but they can significantly increase your overall cost, so make sure you understand in advance how they’ll impact your final bill.
4) The complexity of your All-on-4 dental implant procedure.
Most dentists perform the implantation and prosthesis placement in a single day of surgery. Commonly called the teeth-in-a-day option, this treatment plan can be more cost-effective.
Sometimes it's necessary to complete the procedure over several appointments, especially if you need a dental bone graft first or are getting a full mouth of All-on-4, to replace both arches. More appointments will take more time—and cost more money.
5) Your provider’s credentials and years of experience.
Oral surgeons, periodontists, and prosthodontists are all qualified to handle All-on-4 dental implant procedures. Some have even undergone specialized implant dentistry training.
If your provider is more skilled and experienced in implant placement, they're likely to charge more than other doctors.
If you go through a ClearChoice dental implant center, your treatment team will include a restorative dentist and an oral and maxillofacial surgeon, focused exclusively on dental implants. You may find that it's worth it to have consultations and get price quotes from more than one qualified provider, just to compare their rates.
6) Where your procedure is performed.
Prices are relatively consistent if you go to a ClearChoice center, but you may pay more at a dental office in a city or area where the cost of living and demand for dental implants is high. Sometimes it comes down to whether the practice is an upscale neighborhood or a more modest area, with lower overhead costs.
7) The type of anesthesia you have during your procedure.
Local anesthesia (novocaine injections) is typically included in the base price for All-on-4. If you desire or require more advanced forms of anesthesia, this will increase your total tab.
Some patients prefer general anesthesia for their All-on-4 procedure, which is the most expensive option because it's administered by an anesthesiologist.
If you opt for local anesthesia with oral sedation and/or nitrous oxide (aka laughing gas), you could save thousands of dollars. Have a frank conversation with your provider about the extent of your procedure and how to balance your comfort with budget concerns.
Are All-on-4 dental implants covered by insurance?
Your dental insurance plan may cover a portion of the cost of your teeth implants, especially if you have documented medical complications as a result of tooth loss.
Even if your dental insurance classifies dental implants as a cosmetic procedure and not as medically necessary dental surgery, you may still be able to get reimbursed for the teeth extractions. After you get your price quote, check with your dental insurance company to see what it will cover.
ClearChoice Dental Implant Centers don’t accept dental insurance, so you’d have to pay out-of-pocket and then work directly with your insurance company to get reimbursed. However, they do offer payment plans and financing options, which they will walk you through during your consultation.
Are All-on-4 dental implants worth the cost?
All-on-4 dental implants have a 88% Worth It Rating, based on recent patient reviews on RealSelf, so a solid majority think their results were worth the sizable investment.
There's no question that this treatment option is expensive, especially if you’re paying without insurance. However, getting All-on-4 dental implants can prevent more serious (and costly) oral health problems from occurring down the road, like additional tooth loss, tooth decay, and gum disease.
These implants are nearly permanent teeth, lasting about 20 years on average. How long you’ll keep yours (and avoid additional costly replacements) depends on the longevity of their material, your oral hygiene, and how well you care for your dental implants (wearing a mouthguard at night helps).
If you’re missing only a few teeth and otherwise have many healthy ones, your provider may recommend less costly tooth replacement options, such as a few traditional implants or removable dentures.
An experienced provider who offers a range of solutions can help you make an informed decision about your dental care.