All-on-4 places four implants in one jaw to hold a fixed full arch of teeth, often with temporary teeth the same day. It typically costs about $11,600–$27,500 per arch in 2026, and the final teeth are usually fitted after a healing period of several months.
Key takeaways
- The back two implants are often angled to use the bone that is available, which can reduce the need for grafting.
- Most patients receive temporary fixed teeth soon after surgery, with final teeth made after healing.
- It needs enough healthy bone and gums, and a dentist’s 3D scan decides whether you qualify.
- Cost depends on extractions, grafting, sedation and the material of the final teeth.
💡 Planning your dental budget? Use our free Dental Implants Cost Calculator to estimate your out-of-pocket costs by state in under a minute.
How does All-on-4 work?
All-on-4 anchors a full-arch bridge to four implants per jaw. The front two implants go in upright, and the back two are tilted, so they can make good contact with bone while avoiding structures such as the sinus. The bridge replaces all the teeth in that arch and does not come out for cleaning at home, unlike a removable denture.
Because four implants share the chewing load, the design suits people who have lost most or all of the teeth in an arch. Variations that use more implants, such as 3-on-6 or All-on-6, are compared in our guide to All-on-4 vs All-on-6.
What happens during the procedure?
| Stage | What happens | Typical timing |
|---|---|---|
| 1. Consultation and imaging | Exam, 3D scan, bone and gum assessment, treatment plan | One or two visits |
| 2. Extractions, if needed | Remaining damaged teeth are removed | Often the same day as surgery |
| 3. Implant surgery | Four implants are placed, two of them angled | One appointment |
| 4. Temporary teeth | A fixed temporary bridge is attached when conditions allow | Same day or soon after |
| 5. Healing | Implants bond with the jawbone | Commonly 3–6 months |
| 6. Final teeth | A custom bridge replaces the temporary one | After healing |
Timelines vary by case, and some patients need grafting or a staged approach first. Your surgeon will confirm the plan after reviewing your scan.
What are the benefits?
- Fixed teeth: a bridge that stays in place, with no adhesive.
- Fewer implants: four per arch, which is why it is often the lowest-cost fixed full-arch option.
- Less grafting in many cases: angled back implants can use existing bone.
- Teeth soon after surgery: temporary teeth are often placed quickly.
- Chewing support: implants stimulate the jawbone in a way dentures do not.
Who is a candidate for All-on-4?
Good candidates usually have enough jawbone, healthy gums and no uncontrolled medical conditions that interfere with healing. Smoking, uncontrolled diabetes and active gum disease raise the risk of failure and may need to be addressed first. If there is significant bone loss, you may need grafting or a different design. Learn more in how many dental implants you need.
What are recovery and risks like?
Expect swelling, soreness and a soft-food diet for a period after surgery, followed by gradual return to normal eating as your dentist advises. Risks include infection, implant failure to bond, gum problems around implants and, for the bridge, chipping or loosening. Keep follow-up appointments, clean around the bridge as instructed and wear a night guard if you grind your teeth.
Call your dentist promptly for fever, worsening swelling, heavy bleeding, severe pain or a loose bridge.
How much do All-on-4 implants cost?
Published 2026 data puts All-on-4 at about $11,600–$27,500 per arch, with some clinic price lists at $20,000–$30,000 including the final teeth. Extractions, grafting and sedation can add to the total. Our guide to All-on-4 dental implant cost breaks down each line item, and full-mouth costs without insurance covers both arches.
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What is All-on-4?
All-on-4 is a treatment that supports a fixed full arch of teeth on four dental implants, with the back two often angled to use available bone. It replaces all the teeth in one jaw with a bridge that is not removed at home.
Is the All-on-4 procedure painful?
Surgery is done under local anesthesia, often with sedation, so it is usually comfortable. Soreness and swelling are common for several days afterward and are managed with the medications your surgeon recommends.
How long does All-on-4 take?
Surgery is commonly completed in one appointment, with temporary teeth placed the same day or soon after. The implants then heal for about 3–6 months before final teeth are made, though timelines vary by case.
Who is a good candidate for All-on-4?
People who are missing most teeth in an arch or have failing teeth, with enough healthy bone and gums, are usually candidates. A 3D scan and exam decide, and smoking or uncontrolled diabetes may need to be addressed first.
How long do All-on-4 implants last?
The implants can last many years with good care, while the bridge may need repair or replacement sooner because of wear. Cleaning, regular checkups and a night guard if you grind your teeth help protect the result.
How much does All-on-4 cost?
All-on-4 typically costs about $11,600–$27,500 per arch in 2026, and roughly $24,000–$55,000 for both arches in published data. Extractions, bone grafting, sedation and the final teeth material affect the total.
Keep reading
Sources and how we calculated these numbers
Cost ranges come from published 2026 US benchmarks, rounded for planning. The procedure description is general and your treatment may differ. Last reviewed October 21, 2026. See our methodology.