Dental Implants
ALL-ON-4 DENTAL IMPLANTS COST
Huntersville (Charlotte Metro), NC
A full-arch price breakdown covering the standard package, porcelain upgrades, and what actually drives the cost up or down.
A full-arch price breakdown covering the standard package, porcelain upgrades, and what actually drives the cost up or down.
All-on-4 dental implants cost about $20,000 to $50,000 per arch, depending on the materials used and how much preparation the jaw needs. At Lake Norman Oral and Facial Surgery, our average complete case runs around $23,000 for a single arch using the standard acrylic prosthesis. Upgrading to porcelain adds cost. Treating both the upper and lower arch roughly doubles the investment, though many patients only need to replace one arch.
The all-inclusive fee at most practices, including ours, covers more than just the four implants themselves. It typically includes:
Extras like additional bone grafting, sedation beyond local anesthesia, or a more complex extraction pattern can move the price outside the typical range in either direction.
The standard all-on-4 uses four titanium implants topped with an acrylic or nano-composite denture built on a titanium frame. This version costs about $20,000 to $26,000 when the entire process happens at one practice. If your case requires two separate doctors, one for the surgical placement and one for the restorative work, expect closer to $30,000 since the fee gets split across two offices. This is the option most patients choose, and it holds up well for years of normal use.
Porcelain teeth built onto a single frame add roughly $5,000 per jaw over the acrylic option. Porcelain looks more like natural enamel and tends to last longer under normal wear. The tradeoff shows up if something breaks. Because the piece is fabricated as one unit, a crack or chip usually means remaking the entire denture rather than repairing a single tooth, which can run $15,000 or more depending on where the damage occurs.
The highest tier uses a metal frame with individual porcelain crowns placed on top, built the same way a standard dental crown is made. This option costs $30,000 to $35,000. The advantage is repairability. If one tooth chips or breaks, it can be repaired or replaced the same way a single crown would be, without remaking the whole prosthesis. For patients who want the most natural-looking and easiest-to-maintain result long term, this tier is usually worth the added cost.
The wide range in all-on-4 pricing comes down to how much extra work the jaw needs before implants can be placed. Patients with significant bone loss may need bone grafting to create a stable foundation, which adds to both the surgical time and the fee. Multiple extractions, treatment of active infection, and placement of extra implants as insurance against future failure all add cost as well. A thorough exam and imaging before surgery is the only reliable way to know where your case will fall in the range.
Some practices split all-on-4 treatment between a surgeon who places the implants and a separate dentist who builds the final restoration. This model tends to cost more overall because two offices are billing for their portion of the process, and it adds coordination time between visits. Practices that handle the surgical and restorative sides under one roof, as we do, typically keep the total cost lower and the timeline shorter.
Many patients searching for all-on-4 pricing are only dealing with failing or missing teeth in one arch, usually the lower jaw. Treating a single arch keeps the cost in the $20,000 to $35,000 range described above. Patients who need both arches replaced should expect the cost to roughly double, though some practices offer a modest discount for treating both at once since the surgical visit and healing timeline overlap.
Standard dental insurance rarely covers a meaningful portion of all-on-4 treatment, since most plans cap annual benefits well below the total cost. Some plans contribute toward the extraction or bone grafting portion. Financing is the more common path, and many patients use a payment plan to spread the cost over months or years rather than paying in full upfront. Our page on dental implants with low monthly payments covers the financing options available.
All-on-4 uses just four implants angled to maximize contact with available bone, which is why it often costs less than traditional implant-supported denture approaches that use six or more implants and sometimes require bone grafting to place them. The tradeoff is case dependent. Patients with more severe bone loss sometimes still need a higher implant count regardless of the technique chosen, which is something we assess during the consultation rather than assume in advance.
The implants themselves are titanium and, with normal care, can last decades. The denture on top has a shorter lifespan and normal wear and tear means most patients replace or reline the prosthesis after 10 to 15 years. Keeping up with regular checkups and cleanings extends the life of both the implants and the denture, which makes the upfront cost a better long-term value.
The only way to know your actual cost is a consultation with imaging, since bone volume, remaining teeth, and your material preference all factor into the final number. Dr. Raymond J. Haigney II, FACS and our team in Huntersville will walk you through every option and give you a clear, itemized quote before you commit to treatment. Call (704) 987-3132 or request an appointment online to get started.
Related Article: All-on-4 vs All-on-6 Dental Implants
Words cannot express enough, how wonderful, caring and professional Dr. Haigney and his staff are! After being rushed to the Huntersville hospital with an orbital fracture, broken nose and other facial damage, Dr. Haigney rushed me into surgery (on his day off I must add) and corrected all my problems. I only wish all doctors cared as much about their patients and their recovery as Dr. Haigney and his staff did. Thank you so much for everything! Your attention and compassion has helped me make my recovery as comfortable as possible. 5 star service!
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