all-on-4
All-on-4 is a full-arch protocol that places four implants—two anterior, two distal-tilted posterior—to support a fixed bridge. RealDentalCosts lists acrylic at $15,000-$25,000 per arch and zirconia at $25,000-$38,000. Decisions in Dentistry lists 94.8% to 96.4% long-term success and 99.2% to 100% prosthetic survival with up to 10-years follow up.
Last updated: August 25, 2026
Protocol versus more fixtures
| Check | All-on-4 | Ask the office |
|---|---|---|
| Fixture count | Four per arch | Why not six if bone allows |
| Posterior implants | Tilted to reduce cantilever | What angulation is planned |
| Same-day teeth | Common temporary acrylic | Is the quoted fee temporary or final |
| Published survival | 94.8% to 96.4% long-term success | How that office defines success |
Cost breakdown: all-on-4 cost. Miami full-arch hire page: best all-on-4 dental implants in Miami Florida. AAOMS guide: dental implant surgery PDF.
| Claim | URL | Listed |
|---|---|---|
| All-on-4 acrylic/PMMA per arch $15,000-$25,000 | realdentalcosts.com/en/all-on-4/ | $15,000-$25,000 per arch acrylic |
| All-on-4 zirconia per arch $25,000-$38,000 | realdentalcosts.com/en/all-on-4/ | $25,000-$38,000 zirconia |
| Headline All-on-4 starting figure $9,995 | realdentalcosts.com/en/all-on-4/ | $9,995 per arch |
| Both arches All-on-4 $30,000-$70,000+ | realdentalcosts.com/en/all-on-4/ | $30,000-$70,000+ |
| Published 94.8% long-term success (up to 10 years) | decisionsindentistry.com/article/implant-treatment-planning-hybrid-prostheses/ | 94.8% to 96.4% |
| Published 99.2% prosthetic survival (up to 10 years) | decisionsindentistry.com/article/implant-treatment-planning-hybrid-prostheses/ | 99.2% to 100% |
| Malo 2011 implant-related success 94.8 percent | eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=21357865&retmode=xml&rettype=abstract | 94.8 percent |
| Malo 2011 prostheses survival 99.2 percent | eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=21357865&retmode=xml&rettype=abstract | 99.2 percent |
| Mandible cumulative survival 93% at 18 years | pmc.ncbi.nlm.nih.gov/articles/PMC12693154/ | cumulative survival rate of 93% in the mandible at 18 years |
Frequently Asked Questions
What is all-on-4 as a protocol?
All-on-4 places four implants in one arch: two anterior implants and two distal-tilted posterior implants, then attaches a fixed prosthesis. Decisions in Dentistry describes angled posterior implants that reduce cantilever and often avoid grafting. Same-day temporary teeth are common. Confirm whether your quote is temporary acrylic or the final bridge.
What survival figures are listed for all-on-4?
Decisions in Dentistry lists long-term success at 94.8% to 96.4% and prosthetic survival at 99.2% to 100% with up to 10-years follow up. PubMed PMID 21357865 lists 94.8 percent implant-related success and 99.2 percent prostheses survival with up to 10 years of follow-up. PMC12693154 lists 93% mandible cumulative survival at 18 years.
How does all-on-4 differ from a traditional full-arch implant plan?
All-on-4 uses four implants per arch. Traditional full-arch plans often place more fixtures and graft more often. Fewer implants is not automatically cheaper until the office lists an itemized total. Compare fixture count, graft line items, temporary teeth, and final material before you pick a protocol.
Who typically plans an all-on-4 case?
Look for an oral and maxillofacial surgeon or periodontist on the surgical side and a prosthodontist or restoring dentist on the bridge. AAOMS publishes a patient implant-surgery guide. Ask who places, who restores, and who owns the warranty if a fixture fails.