How much does All-on-X cost?
Full arch fixed implant treatment, often called All-on-4 or All-on-X, typically costs $25,000 to $35,000 per arch. The figure depends on the number of implants used, whether teeth have to be removed first, the condition of the bone, and the material chosen for the final bridge.
Per arch, and what that means
Full arch treatment is priced one jaw at a time, so a patient treating both jaws is looking at the figure twice. The range here is $25,000 to $35,000 for a single arch, which covers the surgical placement of the implants, the components that connect to them and the fixed bridge that spans them.
All-on-4 and All-on-X describe the same approach. The X is the number of implants, decided by the anatomy rather than by the marketing name, and using more of them raises the cost.
What moves the number
- how many implants the arch needs to be supported safely
- whether teeth have to be extracted before treatment begins
- the volume and quality of the bone, and whether grafting is required
- the material of the definitive bridge, which is the largest single variable
- whether a temporary fixed set of teeth is fitted on the day of surgery
- sedation, if it is used
Material choice deserves particular attention. An acrylic bridge on a metal or fiber frame costs less than a monolithic zirconia bridge and does not wear or hold its appearance in the same way. The two are not equivalents at different prices, and a plan should say which one is being quoted.
The temporary and the definitive teeth
Full arch cases often deliver a temporary fixed bridge shortly after surgery, which is worn while the implants integrate and while the shape, length and position of the teeth are tested. The definitive bridge is made afterwards, once healing has settled. Some advertised prices are for the first stage only. It is a fair question to ask whether a quote runs all the way to the final restoration.
What it costs after the treatment is finished
A fixed full arch bridge is maintained rather than left alone. It is cleaned daily with specific tools, reviewed regularly, and usually designed so it can be unscrewed for inspection and professional cleaning. Teeth on the bridge can chip and be repaired, screws can loosen, and the bridge itself has a service life. None of this is a reason against the treatment, but it belongs in the cost conversation at the start rather than in year five.
Comparing it with the alternatives
A conventional denture is the least expensive option and the least stable. An implant retained overdenture, which clips onto two or more implants and is taken out for cleaning, sits between the two in both cost and function and suits many patients who assume a fixed bridge is the only implant option. Which is appropriate depends on bone, hygiene, budget and what you want the finished arch to do.
These are the figures treatment usually falls between, published so that a range is available before an appointment rather than after one. They are not a quote. What a specific case costs is set by what the examination and imaging find, and by the plan that follows from it. Fees reviewed August 2026.