By the Clinical Team at Smile Dental Center ā Last updated: March 2026
All-on-4 dental implants are one of the most transformative procedures in modern restorative dentistry ā and one of the largest dental investments most patients will ever make. If you’ve lost most or all of your teeth, or you’re currently wearing dentures and want a permanent, fixed solution, All-on-4 could change your quality of life dramatically.
But the cost question is always the first one. And unlike a veneer or a crown, All-on-4 pricing involves multiple components, varies widely by clinic and location, and can be difficult to compare without knowing what’s actually included.
This guide breaks down exactly what you’re paying for ā and where your options are.
- All-on-4 costs $20,000ā$30,000 per arch in the US; $40,000ā$60,000 for a full mouth (both arches).
- The price covers implant posts, abutments, and a full-arch fixed prosthesis ā but bone grafts and extractions are usually separate.
- Most dental insurance plans provide limited or no coverage for All-on-4; medical insurance or HSA/FSA funds may help.
- All-on-4 implants last 20+ years with proper care ā far longer than traditional dentures (5ā8 years).
- Patients seeking lower costs can explore MedellĆn as a dental tourism destination through Smile Dental Center’s dual-location program.
What Is All-on-4?
All-on-4 (also called All-on-X, where X can be 4, 5, or 6 implants depending on bone density and arch requirements) is a full-arch dental implant technique that uses 4 strategically placed titanium posts to support a complete set of fixed teeth.
Unlike traditional implant approaches that require one implant per tooth (up to 14 implants per arch), All-on-4 uses just 4 posts ā two placed vertically at the front of the arch and two placed at an angle toward the back ā to achieve maximum stability with minimal hardware.
The result is a permanent, fixed set of 12ā14 teeth that:
- Never comes out (unlike dentures)
- Stimulates the jawbone to prevent bone loss
- Functions like natural teeth for eating and speaking
- Looks indistinguishable from a natural smile
At Smile Dental Center, our implant team has placed hundreds of All-on-X restorations between our Miami and MedellĆn clinics. We use 3D CBCT imaging for every case to plan implant placement with precision and minimize surgical risk.
All-on-4 Cost Breakdown: What’s Included
Understanding the total cost means understanding what goes into it. A full All-on-4 procedure includes multiple distinct components:
| Component | Description | Typical Cost (Miami) |
|---|---|---|
| Implant Posts (x4) | Titanium screws surgically placed in jawbone | Included in base price |
| Abutments | Connectors between post and prosthesis | Included in base price |
| Temporary Prosthesis | Fixed arch worn during healing period | Usually included |
| Final Prosthesis | Permanent zirconia or acrylic arch (12ā14 teeth) | Included in base price |
| 3D CT Scan | CBCT imaging for surgical planning | $200ā$500 (sometimes included) |
| Extractions | Removal of remaining teeth if present | $150ā$400 per tooth (usually extra) |
| Bone Grafting | Required if insufficient bone density exists | $500ā$3,000+ (usually extra) |
The headline “All-on-4 starts at $X” figure you see advertised is typically the base procedure. Always ask what’s included and get a line-item treatment plan before comparing quotes from different clinics.
All-on-4 Cost by Material: Acrylic vs. Zirconia
The material of the final prosthesis significantly affects both cost and long-term outcomes:
Acrylic (PMMA) Prosthesis
Lower cost, lighter weight, easier to adjust. More prone to chipping and staining over time. Often used as a temporary prosthesis and for patients with tighter budgets. Lifespan: 5ā10 years before repl
acement.
Zirconia Prosthesis
Stronger, more aesthetic, highly resistant to chipping and staining. Feels and looks closest to natural teeth. Higher cost ($2,000ā$5,000 more than acrylic per arch) but significantly longer lifespan: 15ā20+ years.
At Smile Dental Center, we use zirconia for our final All-on-X prosthetics as the standard. The additional durability and aesthetics justify the investment for most patients pursuing a permanent solution.
All-on-4 Pricing: US vs. MedellĆn
According to the ADA Health Policy Institute, dental procedure costs in the US have increased significantly over the last decade. For a procedure as intensive as All-on-4, the cost gap between the US and international destinations is substantial:
| Location | All-on-4 (Single Arch) | Full Mouth (Both Arches) |
|---|---|---|
| Miami, FL (US) | $20,000ā$30,000 | $40,000ā$60,000 |
| US National Average | $20,000ā$28,000 | $40,000ā$56,000 |
| MedellĆn, Colombia (SDC) | Significantly lower ā contact for current pricing | Potential savings of 50ā60% |
For patients weighing the cost difference, our dental tourism in MedellĆn program offers All-on-X at a fraction of US pricing ā using the same implant brands, the same clinical standards, and follow-up care from our Miami team when you
return home.
Does Insurance Cover All-on-4?
Most traditional dental insurance plans classify All-on-4 as a major restorative procedure and cover a portion ā typically 50% of the cost up to the annual maximum, which is often only $1,000ā$2,000 per year. That means insurance may cover $1,000ā$2,000 of a $20,000+ procedure.
Some options worth exploring:
- Medical insurance: If tooth loss is due to an accident or medical condition, some medical plans may cover a portion.
- FSA/HSA funds: All-on-4 qualifies as a medical expense for tax-advantaged spending accounts.
- In-house financing: Many implant clinics offer payment plans. Ask about CareCredit, Sunbit, or in-house installment options.
- Dental discount plans: Not insurance, but can reduce fees 15ā40% at participating practices.
The All-on-4 Treatment Timeline
All-on-4 is not a one-appointment procedure. Understanding the timeline helps set expectations:
- Consultation + 3D Imaging (Day 1): CBCT scan, treatment planning, bone density assessment.
- Extractions + Implant Placement (Day 1ā2): Any remaining teeth are extracted, implants are placed, and a temporary fixed prosthesis is attached the same day.
- Osseointegration Healing (3ā6 months): The
Confident smile after all on 4 dental implants cost treatment at Smile Dental Center implant posts fuse with the jawbone. You wear the temporary prosthesis during this period ā it’s fixed, not removable.
- Final Prosthesis Placement: Once integration is confirmed, the permanent zirconia prosthesis is fitted and attached.
Most patients are pleasantly surprised that they leave with a fixed set of teeth on day one ā not a gap. The “healing phase” doesn’t mean going without teeth.
Am I a Candidate for All-on-4?
Most healthy adults are candidates for All-on-4, including many patients who have been told they need extensive bone grafting for traditional implants. The angled placement of the posterior implants in All-on-4 is specifically designed to maximize use of available bone, making it suitable for patients with moderate bone loss.
Factors that affect candidacy:
- Overall health and healing ability
- Current bone density (assessed by CBCT scan)
- Gum disease status
- Smoking (affects healing significantly)
- Uncontrolled systemic conditions (diabetes, bleeding disorders)
To find out if you’re a candidate for dental implants in Miami, schedule a consultation with our team. We’ll provide a clear assessment and a line-item cost estimate at no obligation.
All-on-4 vs. All-on-6: Is More Always Better?
All-on-6 uses 6 implant posts instead of 4, distributing bite force across more anchor points. For patients with strong bone density, it can provide additional stability and may extend prosthesis longevity. However, it’s not universally necessary and increases cost by approximately $2,000ā$6,000 per arch. Your 3D imaging will determine which configuration is appropriate for your bone structure.
Frequently Asked Questions
1. How much do All-on-4 dental implants cost?
In the US, All-on-4 dental implants cost $20,000ā$30,000 per arch in 2026. A full mouth replacement (both upper and lower arches) runs $40,000ā$60,000. The price includes implant posts, abutments, and the fixed full-arch prosthesis. Extractions and bone grafting, if needed, are typically priced separately. MedellĆn offers significantly lower pricing for dental tourism patients.
2. What is included in the All-on-4 price?
A standard All-on-4 quote includes 4 titanium implant posts, abutment connectors, a temporary fixed prosthesis placed same-day, and the final permanent prosthesis (acrylic or zirconia). What’s often not included: the initial 3D CT scan, tooth extractions, bone grafting if required, and follow-up X-rays. Always request a line-item treatment plan before committing.
3. Does insurance cover All-on-4?
Most dental insurance plans offer limited coverage ā typically 50% up to the annual maximum of $1,000ā$2,000, which covers a small fraction of the total cost. FSA and HSA funds can be applied. Some patients may have partial medical insurance coverage if tooth loss is linked to an accident or medical condition. Financing plans (CareCredit, Sunbit) are widely available.
4. How long do All-on-4 implants last?
The titanium implant posts in All-on-4 can last a lifetime with proper care and maintenance. The prosthesis (the teeth themselves) typically lasts 15ā20+ years for zirconia and 5ā10 years for acrylic before needing replacement. Regular dental check-ups and proper oral hygiene significantly extend prosthesis lifespan. Overall, All-on-4 far outlasts traditional dentures (5ā8 years).
5. What is the difference between All-on-4 and All-on-6?
All-on-4 uses 4 implant posts per arch; All-on-6 uses 6. The additional 2 posts in All-on-6 distribute bite forces more broadly and may improve stability and prosthesis longevity in patients with strong bone density. All-on-6 costs approximately $2,000ā$6,000 more per arch. For most patients, All-on-4 is sufficient. Your 3D CBCT imaging will determine which is optimal for your bone structure.
Ready to find out if All-on-4 is right for you? Our Miami implant team provides 3D CBCT evaluations and transparent, line-item cost estimates. Message us on WhatsApp: +1 (786) 560-7567 to schedule your consultation.
