All-on-4 replaces every tooth in an arch with a single fixed bridge carried on four posts — usually with a temporary set fitted the same afternoon. It is the difference between paying per tooth and paying per arch. Here are the ten closest providers.
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Typical cost per arch
$18,500 – $28,000
Implants per arch
4 posts
Time to provisional teeth
Same day
Final bridge fitted
4 – 6 months
Same-day teethprovisional bridge fitted the day of surgery
Step 1 — your location
Ten All-on-4 providers near you, ranked in about four seconds.
Full-arch work is the deep end of implant dentistry. We only rank practices that do it routinely, run their own CBCT, and will hand you a per-arch fee in writing before you commit.
Your location is used to sort results and is never sold or shared with third parties.
Showing 10 All-on-4 providers near Austin, TXRanked by distance, review quality and published pricing
The two back posts are placed at an angle, which lets them anchor into the denser bone at the front of the jaw and skip the thin, hollow bone at the back. That angling is the whole trick: it usually removes the need for a sinus lift or a graft, spreads the load across a wider footprint, and means four posts can support a bridge of ten to fourteen teeth.
It suits you if most or all teeth in an arch are failing, or you already wear a denture and are tired of it moving.
It often avoids grafting because the angled posts use bone you already have — one of the main reasons people choose it over individual implants.
You must be able to keep it clean. The bridge does not come out at home, so you will use a water flosser under it daily and see a hygienist a few times a year.
It is not automatically the answer. If only four or five teeth are missing, individual implants or a bridge will usually cost less and be easier to repair.
One long surgical day, then four to six months of settling.
The day itself is the big one — expect to be in the chair for several hours and to need someone to drive you home. Everything after that is refinement.
01
Consult, CBCT & records
A full scan, photographs and a bite record. You leave with a per-arch fee, a surgical date and a written list of what is and is not included.
Day 1 · 90 min
02
Extractions & placement
Any remaining teeth come out and four posts go in, usually under IV sedation. Most practices schedule three to five hours.
Surgery day · 3–5 hr
03
Provisional bridge fitted
A temporary fixed bridge is attached the same afternoon. You leave with teeth — softer diet for eight weeks.
Same day
04
Healing & review
Bone integrates around the posts. Two or three short reviews, and the provisional gets adjusted as the gum settles.
4 – 6 months
05
Final bridge
Once everything is stable, a definitive zirconia or acrylic-titanium bridge is made to your approved shape and shade.
3 visits · 4 weeks
Before & after
Full-arch cases from providers on this list.
Submitted by listed practices, with the patient's written release and the fee they actually charged.
BeforeAfter
Failing upper arch, fixed in a day
Eleven remaining upper teeth removed, four posts placed, provisional bridge fitted the same afternoon. Final zirconia at month five.
Duration
5 months
Fee charged
$22,900
BeforeAfter
Upper arch after 12 years in a denture
Bone had receded under a long-worn upper denture. Angled posts avoided a sinus lift entirely.
Duration
6 months
Fee charged
$24,600
BeforeAfter
Both arches, staged six months apart
Upper arch first, lower the following spring, so the cost fell across two insurance years.
Duration
14 months
Fee charged
$41,800 total
Individual results vary with your diagnosis, anatomy and healing. Fees shown are what those specific patients paid at those specific practices and are not a quote. Photography on this page is licensed stock imagery, not photographs of the patients described.
Cost & insurance
What All-on-4 costs per arch in 2026.
Ranges below are the 25th–75th percentile of fees published by listed practices. Any dentist we match you with has agreed to give you a written quote before treatment.
Treatment
Typical range
With 0% plan
All-on-4, one archSurgery + provisional + final bridge
$18,500 – $28,000
$389/mo60 months
Both archesUpper and lower, fixed
$34,000 – $52,000
$729/mo60 months
IV sedationFor the surgical appointment
$500 – $1,100
Bundled
Extractions on the dayPer tooth, if teeth remain
$180 – $400
Bundled
Zirconia upgradeOver acrylic-titanium final bridge
$2,500 – $6,000
Add-on
Night guardProtects the bridge from grinding
$350 – $700
Often included
Per-arch pricing varies more than any other implant treatment because the final bridge material is the single biggest line item. Always confirm in writing which material your quote assumes, and whether the price includes the final bridge or only the provisional — that one ambiguity accounts for most of the sticker shock patients report to us.
What insurance usually covers
Most PPO plans treat this as two claims — the surgical placement and the prosthesis — and usually pay toward the second.
Your annual maximum will not stretch to a full arch, so splitting upper and lower across two calendar years is common and legitimate.
Extractions are frequently covered at basic-service rates even when the implants are not.
Medical insurance sometimes contributes if tooth loss followed an accident or cancer treatment — worth a call before you assume it does not.
FSA and HSA funds cover this in full — it is a qualified medical expense.
In-house 0% plans at 6–24 months, offered by roughly two-thirds of listed practices.
Third-party financing at 24–72 months, typically 9.9%–17.9% APR once the promotional window ends.
Dental school clinics run 40–60% below private fees, with longer timelines and supervised residents.
Get it itemised, in writing — every time
Every component on a separate line. It is the only way two quotes ever become comparable, and every practice on this list has agreed to give you one before you pay a deposit.
Payment calculator
Work out the monthly number before you walk in.
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Estimates only. Actual approval, APR and term depend on the practice, the lender and your credit. Promotional 0% offers are usually deferred-interest products — if the balance is not cleared inside the promotional window, interest may be charged retroactively from the purchase date. Always read the credit agreement.
Compare your options
All-on-4, All-on-6, or a denture?
The three realistic routes when a whole arch is failing. Bone volume usually decides between the first two; budget usually decides the third.
Ask to see every option planned. A dentist who only ever recommends one route, regardless of the scan, is worth a second opinion.
All-on-4
All-on-6
Implant-retained denture
Cost per arch
$18,500 – $28,000
$24,000 – $36,000
$6,900 – $13,500
Implants placed
4
6
2 – 4
Teeth same day
Usually
Usually
No, healing first
Comes out at home
No — fixed
No — fixed
Yes, nightly
Usually avoids grafting
Yes, angled posts
Sometimes needs it
Yes
If one implant fails
Whole arch affected
Spare capacity in the remaining five
Usually repairable
Chewing force
Close to natural
Closest to natural
Much improved on a plain denture
Best when
Bone is limited and you want fixed teeth without grafting
You have good bone and want the most robust fixed option
Budget is the constraint but you want stability
How to judge a practice
Four things that separate a good practice from an average one.
None of this is marketing gloss — each one measurably changes how predictable your result is. Ask the practices you shortlist which of the four they actually have.
Imaging
They show you the images
A practice that turns the monitor towards you and walks through what it is actually seeing is a practice that expects to be questioned.
Ask to see your own scan
Pricing
A written, itemised quote
Every fee on its own line, handed over before you pay a deposit. Every practice we list has agreed to provide one.
Non-negotiable on this list
Volume
They do this often
Skill compounds with repetition. Each listing shows how many cases of this type the practice has completed in the last two years.
Case counts shown on every card
Aftercare
Someone answers afterwards
A named contact for the week after treatment, and a written policy on what a redo costs if something is not right.
Checked at every renewal
Inside the network
What a listed practice looks like.
We visit or video-audit every practice before it goes on the list — the operatory, the sterilisation room, the imaging suite and the front desk that will handle your insurance claim.
The operatoryChair, imaging and delivery unitSecond surgerySo urgent cases aren't bumpedSterile protocolAudited at every renewalThe front deskFiles your claim, not youStreet levelParking and access checked
Free consultation
Tell us the situation. We'll do the calling around.
Send this once and up to three matched full-arch providers near you come back with a per-arch estimate that states the final bridge material, their next surgical date and what your insurance would actually pay.
Our Austin care team — 11 people, none on commission
1. You send the details
Ninety seconds. Your ZIP, what you need, and your insurance if you have it.
2. We shortlist and forward
We pick the three strongest matches on distance, case volume and price transparency — then send them your case.
3. You compare in writing
Three written estimates in your inbox within two business days. Pick one, or none.
Care team hours (Eastern Time)
Monday – Friday7:00 AM – 11:00 PM
Saturday8:00 AM – 9:00 PM
Sunday9:00 AM – 8:00 PM
Open now — median callback time 41 minutes
Get up to 3 written estimates
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FAQ
All-on-4 questions, answered straight.
Reviewed by our clinical advisory panel in January 2026. General information, not a diagnosis.
Still deciding?
Talk it through with a care coordinator before you book anything. They don't work on commission and they can tell you when this is the wrong call.
Usually, yes — but they are provisional teeth, not the final ones. The temporary bridge is fitted the afternoon of surgery so you never leave without teeth, and it is deliberately made slightly softer and flatter so it does not overload the healing implants. The definitive bridge comes four to six months later once the bone has integrated and your gums have finished settling into their final shape.
Almost always the final bridge material and whether it is included at all. An acrylic-on-titanium bridge and a solid zirconia bridge can differ by $6,000 per arch. Some practices quote the surgery and provisional only, then bill the definitive bridge separately. Ask one question of every practice: "Does this number include the final bridge, and in what material?"
Neither is universally better. Four angled posts are enough for most people and usually avoid grafting, which is why the technique exists. Six posts give more redundancy — if one fails you still have five — and slightly better load distribution, but they need more bone and cost more. Your CBCT decides this, not a preference.
With four posts, losing one is significant: the bridge is designed around four points of support, so it normally has to come off while the site heals and a replacement post integrates. Most practices carry a written warranty on the implants for five to ten years — ask what it covers and, more importantly, what it excludes. Smoking is the most common exclusion.
A water flosser aimed along the join, every day, plus a hygienist visit three to four times a year where the bridge may be unscrewed and cleaned properly. This is the part people underestimate. Peri-implantitis — gum infection around the posts — is the main long-term threat, and it is almost entirely preventable with that routine.
You can, but success rates drop measurably and most practices will ask you to stop for at least two weeks before and eight weeks after surgery. Some will decline the case outright, and others will place it but exclude smoking-related failure from their warranty. It is worth asking about that exclusion before you pay a deposit rather than after.
A well-maintained zirconia bridge on integrated implants commonly runs 15–20 years or more. Acrylic-on-titanium is less expensive up front but the acrylic teeth wear and chip, so budget for a refurbishment somewhere around year seven to ten. The implants themselves usually outlive whatever is bolted to them.
Closer than anything removable, and most people adapt within a few weeks. Two honest differences: implants have no periodontal ligament, so you sense pressure rather than fine texture, and the bridge covers a little of your palate ridge, which changes some sounds for the first fortnight. Both settle.
Imaging
Pricing
Volume
Aftercare
