Question 1

What is All-on-4?

Accepted Answer

A full row of fixed teeth for one jaw, held by four dental implants. Two implants go near the front, straight up and down. Two go further back, tilted at up to 45 degrees, so they can use the bone you already have. The bridge is screwed on and only the dentist can remove it. Many clinics fit a temporary bridge on the day of surgery, which dentists call immediate loading. Full guide: What is All-on-4?

Question 2

Do I really get teeth the same day?

Accepted Answer

Often a temporary set, yes. Immediate loading means a temporary bridge goes on the same day or soon after surgery. The final bridge comes after the implants have fused to the bone, which Cleveland Clinic puts at three to six months, sometimes longer. So "teeth in a day" means temporary teeth in a day and final teeth on a second trip. Ask whether the temporary is in the price and what happens if it breaks.

Question 3

How many trips does All-on-4 take?

Accepted Answer

No source gives a number, so it follows from the healing. Trip one is the scan, extractions, surgery and the temporary bridge. Trip two, months later, is impressions and the final bridge, because it cannot be made until the implants have fused. If your scan shows you need a bone graft or sinus lift first, that can add a trip before surgery. Get the number of trips and days per trip in writing.

Question 4

How long does All-on-4 last?

Accepted Answer

Across 25 studies, implant survival with All-on-4 was 94% to 98% at six to eleven years. In a study that followed 561 jaws for 3 to 17 years, survival per implant was 97.4% in the upper jaw and 98.9% in the lower, and smoking lowered survival. The bridge itself is the weaker part. Fracture of an acrylic bridge was the main complication, mostly in people who grind.

Question 5

Acrylic or zirconia for the final bridge?

Accepted Answer

They are priced differently, so the quote should say which. A review of 12 studies found zirconia bridges had less wear and fewer lost bridges than acrylic, but the authors rated the evidence moderate to very low. Acrylic fractured most often in people who grind. If you clench or grind, tell the clinic and ask about a night guard. Ask what each material costs before you compare two clinics' All-on-4 prices.

Question 6

What does All-on-4 cost abroad?

Accepted Answer

Ask whether the price includes the CBCT scan, extractions, grafts, sedation, the temporary bridge, the final bridge and its material, and follow-up visits. See the All-on-4 guide for the full list of extras.

Where	Price	vs US	Clinics
United States typical	$15,000-$25,000
Ciudad Juárez Mexico	$6,298	58-75% less	3
San Luis Río Colorado Mexico	$8,650	42-65% less	4
Los Algodones Mexico	$8,900	41-64% less	18
Escazú Costa Rica	$8,950	40-64% less	4
Medellín Colombia	$8,972	40-64% less	4
Tijuana Mexico	$9,500	37-62% less	31
Puerto Vallarta Mexico	$9,615	36-62% less	5
Cancún Mexico	$9,692	35-61% less	13
Playa del Carmen Mexico	$10,900	27-56% less	4
Mexico City Mexico	$11,557	23-54% less	3
San José Costa Rica	$11,705	22-53% less	4

City	Price	vs US	Clinics
United States typical	$15,000-$25,000
Ciudad Juárez Mexico	$6,298	58-75% less	3
San Luis Río Colorado Mexico	$8,650	42-65% less	4
Los Algodones Mexico	$8,900	41-64% less	18
Escazú Costa Rica	$8,950	40-64% less	4
Medellín Colombia	$8,972	40-64% less	4
Tijuana Mexico	$9,500	37-62% less	31
Puerto Vallarta Mexico	$9,615	36-62% less	5
Cancún Mexico	$9,692	35-61% less	13
Playa del Carmen Mexico	$10,900	27-56% less	4
Mexico City Mexico	$11,557	23-54% less	3
San José Costa Rica	$11,705	22-53% less	4

All-on-4, one arch prices, by city

Questions about all-on-4, one arch