How Much Does All-on-4 Cost?
All-on-4 is a full-arch tooth replacement solution, and its cost reflects everything involved: implant placement, extractions (if needed), sedation, and a custom-fitted prosthesis. Because every patient’s treatment plan is different, pricing varies — but understanding what goes into that number can help you plan with confidence.
On average, All-on-4 treatment for a single arch typically ranges from $18,000–$28,000, with full-mouth (both arches) treatment often ranging from $35,000–$55,000. Your exact cost depends on the factors below.
What Affects the Cost of All-on-4?
Number of Arches Treated
Treating one arch (upper or lower) costs less than treating both. Many patients start with the arch causing the most difficulty and add the second later, though treating both at once can sometimes reduce combined costs.
Extractions
If you still have natural teeth that need to be removed before implant placement, extractions are typically an additional cost factored into your treatment plan.
Bone Grafting
While All-on-4 is designed to work with less bone density than traditional implants, some patients with significant bone loss may still need grafting, which adds to overall cost.
Sedation Type
Local anesthesia, IV sedation, and general anesthesia are priced differently. Your surgeon will discuss the best option for your comfort level and case complexity.
Materials Used for the Final Prosthesis
The permanent, custom-fitted arch can be made from different materials (such as zirconia or acrylic hybrid), which vary in cost, durability, and appearance.
Provider Experience & Technology
Practices using advanced imaging (like 3D CT scans) and guided surgical planning may have different pricing than practices using more limited technology — but this technology often improves precision and outcomes.
What's Typically Included in All-on-4 Cost
A comprehensive All-on-4 treatment plan generally includes:
- Initial consultation and imaging (CT scan/X-rays)
- Any necessary extractions
- Implant placement (4 implants per arch)
- Sedation or anesthesia
- Temporary prosthesis (same-day teeth)
- Final, custom permanent prosthesis
- Follow-up appointments during healing
Ask your provider for an itemized breakdown so you know exactly what’s covered before moving forward.
Does Insurance Cover All-on-4?
Traditional dental insurance often provides limited coverage for implant-based procedures, though this varies significantly by plan. Some plans may cover portions of the process, such as extractions or exams, even if implants themselves aren’t fully covered. Our team can help you understand your specific benefits and maximize any coverage available.
Financing Options
Because All-on-4 is a significant investment, most practices — including ours — offer financing options to make treatment more manageable, such as:
- In-house payment plans
- Third-party financing (e.g., CareCredit, Cherry, LendingClub)
- Low or no-interest promotional periods for qualifying patients
Our team can walk you through available options during your consultation so you can choose what fits your budget.
All-on-4 Cost vs. Long-Term Value
While the upfront investment is higher than traditional dentures, All-on-4 is built to last significantly longer with proper care — often 15-20+ years, compared to dentures which typically need replacing every 5-8 years and require ongoing relines and adhesives. When you factor in those recurring costs, All-on-4 often proves more cost-effective over time.
See our full breakdown in All-on-4 vs. Traditional Dentures.
Get a Personalized Cost Estimate
Because pricing depends on your specific case, the most accurate way to know your cost is a consultation with our Dallas oral surgery team. We’ll evaluate your needs, walk you through your options, and provide a clear, itemized estimate — with no pressure and no surprises.
call us today at (214) 206-4646 or reach out online for a swift response.
Frequently Asked Questions All-on-4 Costs in Dallas, TX
Why is All-on-4 more expensive than dentures?
All-on-4 involves surgical implant placement, a custom-fitted prosthesis, and materials designed to last many years, whereas dentures are a removable, non-surgical solution. The higher upfront cost reflects the surgery itself and the long-term durability of the result.
Does the price include the temporary and final prosthesis?
Most comprehensive treatment plans include both the temporary “teeth in a day” prosthesis and the final, custom-fitted permanent prosthesis — but always confirm what’s included in your specific quote, since this can vary by provider.
Will I know the exact cost before starting treatment?
Yes. After your consultation and imaging, your surgeon can provide an itemized treatment plan with a clear cost breakdown, so you know what to expect before moving forward.
What if I only need one arch treated instead of both?
Treating a single arch costs less than treating both upper and lower arches. Your treatment plan and pricing will be based on your specific needs, not a one-size-fits-all package.
Are there payment plans available if I can't pay the full amount upfront?
Yes, most patients use financing options such as in-house payment plans or third-party financing to spread the cost over time, making treatment more manageable.
Schedule an Appointment
Contact our Dallas location today to schedule a consultation and learn more about how All-On-4s can transform your smile. Call at (214) 206-4646!
