How Much Does a Full-Arch Dental Implant Cost?

My all-inclusive full-arch pricing starts at $20,000 per arch, and both arches together are $40,000. That single number covers the consult, the 3D CBCT scan, the surgical guide, six implants, IV sedation, your same-day temporary bridge, every post-op visit, the final zirconia bridge, and any bone graft your case needs. No surprise line items mid-treatment. This page is the full-arch deep-dive; if you're still pricing the whole picture — one tooth versus a whole jaw — start with what a dental implant costs, case by case.

People search for "All-on-4" because that's the name that stuck, so let me be plain: I place six implants per arch, not four. The analogy I use in the chair is a table — on four legs it tips the moment one slips; on six it holds. Lose one of four and the whole bridge is at risk; lose one of six and it still stands on five while we repair the site. Six also gives more bone-to-implant contact, which spreads bite force across a wider area. That's why I don't do four — and it's the reasoning behind what All-on-4 really costs once it's done right. Everything below applies to All-on-6 and the All-on-X variants I do in Downey; if you're still weighing your options, start with full-mouth dental implants.

Everything, for one price that's the same for everyone. My $20,000 starting number already buys six implants over a titanium bar, IV sedation, the same-day temporary, the final monolithic zirconia bridge, and any bone graft you need. I price the finished result up front, and the written quote I hand you at the consult is your final price — it locks for six months.

I do it this way on purpose. The number-one complaint I hear about high-volume operations is price-creep: an advertised "$22,000" case quietly becomes $28,000+ once grafts and sinus lifts get itemized at the surgical visit. My $20,000 is the ceiling for a standard arch, not the floor. If you've been handed a quote elsewhere, bring it — I'll read it line by line against your CBCT so you can see exactly what is and isn't in it.

No — if your case needs a bone graft to seat the implants properly, it's already in the $20,000 starting price, not an upcharge at the surgical visit. Many offices bill grafting separately, and per the ADA Health Policy Institute's national dental fee survey a single bone-graft site commonly runs several hundred to a couple thousand dollars on its own.

That's exactly the kind of add-on I fold in instead of tacking on. Bone is the part of this you can't un-spend — once it's gone, sometimes it's gone for good — so I'd rather plan the graft into the case from day one than surprise you with it on surgery day.

Full-arch implant restoration commonly runs roughly $20,000 to $38,000 per arch nationally, depending on geography and provider type — fee bands consistent with the ADA Health Policy Institute's survey of dental fees. High-volume corporate franchises typically sit at the top of that range; standalone implant-focused practices in major metros land in the middle. My starting price is at the bottom of it, on purpose.

Here's the honest version. The experienced surgeons I trained with charge about $34,000 an arch in other states, often with a six-month wait. I'm newer and building volume, so you get the same care for less, and faster — which is also why my price won't stay this low as we grow. We own our surgical suite, our CT scanner, and our zirconia mill in-house, so there's no middle layer between me and the lab.

And the ad you'll see for "$10,000 an arch" is, frankly, impossible done properly. The UV-activated implants I use cost me about $400 apiece before a single other thing — surgery, sedation, the bone work, the titanium bar, the final teeth. To reach $10,000, an office uses roughly $100 implants, skips the bar, and skips real aesthetics. With implants you get what you pay for.

Component by component: my $20,000 arch includes sedation, bone graft if needed, and a final zirconia bridge, where chains and discount clinics tend to itemize those back to you. Here's the line-by-line.

Discount clinic pricing often excludes sedation, surgical guide, and the final zirconia bridge — see the "What gets cut at $14,000" section below for details.

Only a few things, and you'll see every one of them in writing before you decide. A standard arch is the $20,000 number; these are the case-specific items that can sit on top of it.

Tooth extractions. If you still have failing teeth that need to come out, $150–$300 per extraction goes on the plan. Usually done at the same surgery, no extra anesthesia fee.

Sinus lift. Upper-arch placement sometimes needs the sinus floor lifted when bone height is severely compromised. Disclosed in writing at the consult if your case calls for one.

Material upgrades. The standard final bridge is monolithic zirconia. Some patients elect a higher-translucency ceramic for the smile-line teeth — your choice, priced at the consult.

Most PPO dental plans cover 30–50% of the implant, abutment, and crown portion — usually capped at your annual maximum, which the federal marketplace guidance on dental benefits notes is commonly in the $1,500–$3,000 range per year. That helps, but it doesn't dramatically change the math on a $20,000 case.

Medical plans increasingly cover implants when tooth loss is documented as due to trauma, cancer surgery, or congenital absence. We bill medical when it applies, which can sometimes cover a meaningful share of the surgical fees. We verify your benefits at the consult and tell you your exact reimbursement before treatment — no guesswork, no after-the-fact surprise.

For qualified patients, yes — financing is an option, not a guarantee, and what you qualify for is decided when you apply. We offer 0% APR plans up to $60,000 over 60 months through banking partners; on a $20,000 case at 60 months that's roughly a $400 monthly payment, less than many car payments. Our full guide to dental implant financing walks through every option before your visit.

There's also a quieter lever I help with. For patients who have home equity, stocks, or a 401k, we can arrange low- or no-interest financing secured against those assets through a partner bank — we work with a CFA partner who reaches banking relationships most practices can't. On a large case that can roughly halve the monthly cost, because you're paying closer to principal. Longer-term plans are usually available too; we go over specific terms at the consult.

When a full arch is advertised around $14,000, something is being left out of the room — and the written quote is where you find what. Usually it's the temporary bridge (you go home in a denture), the IV sedation (oral sedation only), the surgical guide (free-hand placement), the final bridge material (acrylic instead of zirconia), or the bone graft (a separate four-figure bill at the surgical visit).

Acrylic bridges look fine at year one, then stain, wear, and break — many need replacing within a handful of years. Monolithic zirconia is far more durable; it's the same material family used in industrial cutting tools, and barring a freak accident it doesn't wear the way acrylic does.

So read the fine print before you sign. At my $20,000 price everything is in: six implants, IV sedation, the surgical guide, the final zirconia bridge, and any bone graft your case requires. The cheaper a full-arch number looks up front, the more often it works out more expensive once the case is actually finished.