What Is All-on-4?
The All-on-4 concept, developed by Nobel Biocare, is a revolutionary dental implant technique that provides a full arch of fixed teeth using just four strategically placed titanium implants. Unlike traditional implants that may require 6-8 posts per arch, All-on-4 uses two straight anterior implants and two tilted posterior implants to maximize bone contact and often eliminate the need for bone grafting.
This technique is particularly popular among patients with severe tooth decay, advanced periodontal disease, or those currently wearing dentures. The 'Teeth in a Day' approach means patients can walk out of clinics like Beyazada Dental Clinic in Istanbul with a full set of functioning teeth in a single appointment.
All-on-4 Costs by Country
The All-on-4 procedure is one of the most expensive dental treatments available, making it a prime candidate for dental tourism savings. In the US, expect to pay $24,000 or more per arch — meaning $45,000+ for both upper and lower arches. Abroad, the savings are dramatic, especially at leading Turkish clinics like Dentakay Dental Clinic.
All-on-4 Dental Implant Cost Comparison 2025 (Per Arch)
| Country | Per Arch | Both Arches | Savings vs USA |
|---|---|---|---|
| USA | $24,000+ | $45,000+ | — |
| Turkey | $3,500 - $5,000 | $6,500 - $9,000 | Up to 85% |
| India | $2,000 - $4,000 | $3,500 - $7,000 | Up to 90% |
| Mexico | $4,800 - $7,000 | $9,000 - $13,000 | Up to 75% |
| Hungary | $8,000 - $10,000 | $15,000 - $18,000 | Up to 60% |
| Thailand | $8,000 - $10,000 | $15,000 - $18,000 | Up to 60% |
| Costa Rica | $10,000 - $12,000 | $18,000 - $22,000 | Up to 55% |
Prices include 4 implants, temporary prosthesis, and final fixed bridge. Bone grafting (if needed) is typically $300-$800 extra abroad.
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Compare All-on-4 ClinicsAm I a Candidate?
Most adults missing multiple teeth or facing complete tooth loss are candidates for All-on-4. However, certain conditions may affect eligibility. A comprehensive evaluation including 3D CT scanning, available at clinics like Tantalya Dental Clinic, will determine if this treatment is right for you.
- Sufficient jawbone density (though All-on-4 requires less bone than traditional implants)
- Good general health — uncontrolled diabetes or autoimmune conditions may complicate healing
- Non-smoker or willing to quit — smoking significantly increases implant failure risk
- No active gum disease (treatable before implant placement)
- Realistic expectations about the outcome and maintenance requirements
The All-on-4 Procedure Step by Step
- Day 1: Comprehensive exam, 3D CT scan, digital treatment planning
- Day 2: Remaining teeth extracted (if any), 4 implants placed per arch
- Day 2: Temporary fixed bridge attached immediately (Teeth in a Day!)
- Day 3-5: Recovery with soft food diet, pain managed with medication
- Day 6-7: Follow-up appointment and travel clearance
- 4-6 months later: Return for permanent zirconia or porcelain bridge
Recovery & Aftercare
Recovery from All-on-4 surgery is typically faster than patients expect. Most people experience moderate swelling and discomfort for 3-5 days, manageable with prescribed pain medication. A soft food diet is recommended for the first 2-3 months to allow proper healing of the implants.
All-on-4 vs Alternatives
While All-on-4 is the most popular full-arch solution, alternatives exist. All-on-6 uses 6 implants for extra stability and is recommended for patients with significant bone loss. Traditional dentures are the cheapest option but lack the stability and comfort of fixed implants. Removable implant-supported overdentures use 2-4 implants to anchor a removable denture — less expensive than All-on-4 but not permanently fixed.
Not sure which option is right for you? Our partner clinics offer free virtual consultations with experienced implant specialists.
Book a Free ConsultationFrequently Asked Questions
Frequently Asked Questions
How long do All-on-4 implants last?
With proper care, All-on-4 implants can last 20+ years. The implants themselves are designed to be permanent, while the prosthetic bridge may need replacement every 10-15 years due to normal wear.
Is the All-on-4 procedure painful?
The surgery is performed under local anesthesia or sedation, so you won't feel pain during the procedure. Post-operative discomfort is typically moderate and well-managed with prescribed pain medication for 3-5 days.
Can I fly home right after the procedure?
Most clinics recommend staying for 5-7 days after the procedure for the initial follow-up appointment. Flying immediately after surgery isn't recommended due to pressure changes that could affect healing.
Do I need bone grafting for All-on-4?
One of the main advantages of All-on-4 is that the tilted posterior implants often eliminate the need for bone grafting. However, some patients with severe bone loss may still require a minor bone graft, which adds $300-$800 to the cost abroad.