If you’re missing most or all of your teeth and want a long-term solution that looks, feels, and functions like the real thing, All-on-4 dental implants might be the answer. However, one of the most common questions patients have is: How much does it cost?
The short answer? It depends. But don’t worry—we’re going to break it down clearly so you know what to expect.
Here’s what goes into the cost of All-on-4 dental implants, what affects pricing, and why they’re often worth every dollar.
Related Article: What Are All-on-4 Denture Implants?
What Are All-on-4 Dental Implants?
All-on-4 is a full-mouth restoration technique that uses four strategically placed dental implants to support a full arch of replacement teeth—either on the upper jaw, lower jaw, or both.
Unlike traditional dentures, All-on-4 implants are permanently fixed in your mouth. They don’t move, don’t require adhesives, and don’t come out at night. You can eat, talk, and smile with total confidence.
It’s called “All-on-4” because four implants are used to support all the teeth in one arch, making it more efficient and cost-effective than replacing each tooth individually.
Average Cost of All-on-4 Dental Implants in Ontario
In Ontario, the cost of an All-on-4 dental implant procedure typically ranges from:
- $20,000 to $30,000 per arch
- $40,000 to $60,000 for both upper and lower arches
This includes everything from the initial consultation and scans to the surgery, temporary teeth, final prosthetic arch, and follow-up visits.
Keep in mind that every case is different. Your specific needs—bone structure, oral health, sedation preferences, and customization—can affect the final price.
What’s Included in the Price?
A full All-on-4 treatment plan typically includes:
- Initial consultation and diagnostic imaging (X-rays or CBCT scans)
- Treatment planning and implant positioning strategy
- Sedation or anaesthesia
- Tooth extractions, if necessary
- Implant placement surgery
- Temporary teeth placed the same day
- Healing period and monitoring
- Permanent custom-made prosthetic arch (usually after 3–6 months)
- Follow-up care and bite adjustments
Related Article: What Is the Cost of a 3-Tooth Bridge?
What Affects the Cost?
Several factors can influence the total cost of your All-on-4 procedure:
- Number of Arches Treated: Treating one arch is obviously less expensive than doing both, though many patients opt for a full-mouth restoration for better aesthetics and function.
- Bone Grafting or Sinus Lifts: Some patients need additional procedures before implant placement, such as bone grafting or sinus lifts, if there isn’t enough bone to support the implants.
- Materials Used: The final prosthetic arch can be made from different materials: Acrylic (on a titanium frame): More affordable; Zirconia or porcelain: More durable and natural-looking, but also more expensive
- In-House vs. Referred Specialists: Some dental offices refer you to external specialists for parts of the process, which can add extra coordination and costs.
- Sedation Options: General anaesthesia or IV sedation adds to the cost but can make the experience far more comfortable, especially for those with dental anxiety.
Related Article: Complete Teeth Replacement Cost in GTA 2025
Is All-on-4 Covered by Insurance?
Most basic dental insurance plans do not cover the full cost of All-on-4 implants. However, some plans may cover parts of the process, like extractions, consultations, or diagnostic imaging.
We recommend checking with your provider and bringing your policy information to your consultation. At Marketplace Dentistry, we can help you review your benefits and determine what’s eligible for coverage.
Why All-on-4 Implants Are Worth the Investment
Yes, All-on-4 is a significant financial investment—but for many patients, it’s life-changing.
Here’s what you’re getting:
- Permanent teeth that don’t shift, fall out, or require adhesives
- A natural-looking smile with improved facial structure
- Full chewing ability—eat steak, apples, and crunchy foods again
- Better speech and confidence
- No more removable dentures or constant adjustments
- Long-term durability—implants can last decades with proper care
Unlike dentures, which need to be replaced every 5–7 years, All-on-4 is designed to be a long-term or even lifelong solution.
What to Expect During the All-on-4 Process
Understanding the treatment timeline can help you feel more prepared for the journey. While every case is personalized, most All-on-4 procedures follow a similar structure:
1. Consultation and Assessment
It all starts with a comprehensive consultation. At Marketplace Dentistry, we’ll take detailed scans (such as a CBCT scan), evaluate your jawbone, review your medical history, and discuss your goals. This helps us determine if All-on-4 is the right fit or if another solution might suit you better.
2. Treatment Planning
Once we confirm you’re a good candidate, we map out your procedure. This includes selecting the implant placement locations, determining whether extractions or bone grafting are needed, and choosing the material for your final prosthetic arch. You’ll also have a chance to discuss sedation preferences and review financing options.
3. Implant Surgery and Temporary Teeth
On the day of surgery, the four implants are placed strategically in the jawbone. In most cases, a temporary set of teeth is attached the same day, so you leave with a complete smile. This “immediate load” technique is one of the key advantages of All-on-4—you don’t have to go toothless during healing.
4. Healing Phase (Osseointegration)
Over the next few months, your implants will fuse with the bone—a process called osseointegration. During this time, you’ll wear your temporary teeth while avoiding extremely hard or sticky foods.
5. Final Prosthetic Placement
Once healing is complete and your implants are fully integrated, we fit your custom permanent teeth. These are designed for durability, aesthetics, and a comfortable bite. Adjustments are made for perfect fit, speech, and appearance.
6. Follow-Up and Maintenance
You’ll return for checkups to ensure everything is healing well and functioning as it should. Just like natural teeth, all-on-4 implants require regular care—daily brushing, flossing (or water flossing), and routine dental visits.
This full process—from consultation to final teeth—typically takes four to six months, though timelines may vary depending on your needs.
Related Article: How Much Do Dental Implants Cost in Ontario?
All-on-4 vs. Other Tooth Replacement Options
Still deciding between All-on-4 and other treatments? Here’s how it stacks up against the most common alternatives:
Dentures
- Cost: Typically range from $1,500 to $3,000 per arch.
- Durability: Last around 5 to 7 years before needing replacement or relining.
- Stability: Removable by design and may shift or loosen while talking or eating.
- Appearance: Can look natural, but often less realistic compared to implant-supported solutions.
Dentures remain the most budget-friendly option upfront but may come with long-term limitations in comfort, function, and aesthetics.
Traditional Dental Implants
- Cost: Range from $4,000 to $6,000 per tooth.
- Durability: Can last 10 to 25+ years with proper care.
- Stability: Permanently fixed into the jawbone.
- Appearance: Highly natural-looking and customized to blend with your remaining teeth.
Traditional implants are excellent for replacing one or two missing teeth, but the cost adds up significantly when multiple teeth are involved.
All-on-4 Dental Implants
- Cost: Ranges from $20,000 to $30,000 per arch.
- Durability: Designed to last 20 years or more with proper oral hygiene and regular checkups.
- Stability: Permanently fixed in place—no slipping or shifting.
- Appearance: Natural, full-arch design that restores both form and function.
Invest in Your Health and Confidence
All-on-4 dental implants are more than just a cosmetic fix—they’re a long-term investment in your comfort, function, and well-being. While the cost may seem high at first, the benefits often outweigh the price—especially when compared to the ongoing maintenance and limitations of removable dentures.
At Marketplace Dentistry, we believe you deserve to smile, speak, and eat with confidence every day. We’ll walk you through every step, explain your options, and build a plan that works for your needs and your budget.
Ready to explore All-on-4 dental implants? Book your consultation with Marketplace Dentistry today and find out if you’re a candidate for this life-changing solution.