A full arch of fixed teeth on four implants. It stays in, and in many cases the temporary teeth go on the same day.
- Placed by a board-certified implant dentist American Board of Oral Implantology
- Often no bone graft needed The back implants are tilted to use the bone you have
- Open seven days a week Sunday included
What is All-on-4?
All-on-4 replaces every tooth in one jaw using only four implants. A full set of teeth, made as one bridge, is fixed to them.
Two at the front
Placed straight up and down, in the front of the jaw where the bone is usually thickest.
Two at the back, tilted
Angled so they reach more of the bone you already have. That often means no bone graft first, even if you've lost some bone.
In many cases the old teeth come out, the implants go in and a temporary set of fixed teeth is attached on the same day. The final set follows once the bone has healed around the implants.
The four implant positions in a lower jaw.
Is All-on-4 right for me?
All-on-4 is for people who are missing most or all of their teeth in an arch, or whose remaining teeth are failing and need to come out.
It is decided one jaw at a time. Plenty of people have it on the lower jaw, where a denture moves most, and keep their own upper teeth. There is nothing that says you have to treat both.
If you have been told elsewhere that you need a graft before you can have implants, it is worth having the scan looked at again. That answer changes with how the implants are angled.
It tends to suit you if
- You're missing most or all of the teeth in an arch
- Your remaining teeth are failing and need to come out
- You're tired of a loose denture
- You're facing several extractions and don't want to go without teeth
It may not suit you, or may need extra steps first, if
- You don't have enough bone for four implants, even at an angle
- You have gum disease or diabetes that isn't under control
- You smoke, or grind your teeth heavily. Both are linked to more problems with full-arch implants in long-term studies
If only a few teeth are missing, single implants or an implant bridge may be a better fit.
See all implant optionsHow does All-on-4 compare with other full-arch options?
Four ways to replace a whole arch, and what changes between them.
| Option | How it stays in | Can you take it out? | Worth knowing | |
|---|---|---|---|---|
| All-on-4 | Fixed bridge on four implants | No, only the dentist can | Fixed teeth, often with no graft |
 | All-on-6 | Fixed bridge on six implants | No, only the dentist can | More implants spread the load; costs more |
 | Snap-in denture | Clips onto two or more implants | Yes, daily for cleaning | Costs less than fixed; more stable than a regular denture |
 | Regular denture | Rests on the gums | Yes | Costs least; can slip, and the bone underneath keeps shrinking |
All-on-4
- How it stays in
- Fixed bridge on four implants
- Can you take it out?
- No, only the dentist can
- Worth knowing
- Fixed teeth, often with no graft
All-on-6
- How it stays in
- Fixed bridge on six implants
- Can you take it out?
- No, only the dentist can
- Worth knowing
- More implants spread the load; costs more
- How it stays in
- Clips onto two or more implants
- Can you take it out?
- Yes, daily for cleaning
- Worth knowing
- Costs less than fixed; more stable than a regular denture
- How it stays in
- Rests on the gums
- Can you take it out?
- Yes
- Worth knowing
- Costs least; can slip, and the bone underneath keeps shrinking
Which is better, All-on-4 or All-on-6?
Neither is better for everyone. Six implants spread the biting force over more support, which can help in a larger upper jaw or softer bone. Four are enough for many people and cost less. Your scan decides it.
What happens, step by step?
Most of the wait is bone healing. You are not without teeth during it.
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Consultation
We examine your mouth, take images of your jaw and talk through what you want. Then we go over your options and what each one costs.
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Planning
The position of each implant, and the shape and color of your new teeth, are planned before surgery.
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Surgery day
Any remaining teeth that need to come out are removed. The four implants go in, and in many cases a fixed temporary set of teeth is attached the same day.
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Healing
The bone grows around the implants over about three to nine months. You wear the temporary teeth and eat soft foods at first.
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Your final teeth
Once the implants are solid, your final bridge is made and fixed in place.
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Follow-up
Regular checkups and professional cleanings keep the gums and implants healthy.
Does All-on-4 hurt? What's recovery like?
The surgery is done with local anesthetic, so the area is numb. If you're nervous about the procedure, tell us at your consultation.
The first days
Soreness and swelling for several days. Pain medicine and cold packs help with both.
Eating
Soft foods on your temporary teeth for the first weeks: eggs, yogurt, soup, mashed vegetables.
Back to work
Most people are back within a few days to a week, depending on how many teeth were removed.
How long does All-on-4 last?
The implants can last decades. The best long-term data comes from a study of 471 people who got All-on-4 in the lower jaw and were followed for 10 to 18 years.
98.8%
of the fixed bridges were still in use
93%
of the implants survived
Two caveats about that study
- It came from the clinic in Lisbon that developed All-on-4.
- About a third of the patients stopped coming back for follow-up, so the real numbers could be somewhat lower.
What are the downsides of All-on-4?
Smoking and grinding raise the risk
Both were linked to more implant failure and more complications.
It's surgery
The FDA lists risks including injury to nearby tissue or nerves, numbness, and implants that don't join the bone.
Cleaning takes work
You can't take the bridge out yourself, so you clean under it with a brush and a water flosser, and come in for professional cleanings.
A failed implant means rework
If an implant fails, the bridge may need to be reworked while the implant is replaced.
Cost
It costs more at the start than a denture.
How much does All-on-4 cost?
All-on-4 at IGO starts from $9,999. Your price depends on how many teeth need to come out, whether you need a graft, and the material of your final teeth. We'll give you your price at your consultation.
IGO Dental, Tempe
$9,999
starting price, per arch
Phoenix-area practices that publish a price
$14,000-$45,000+
full arch of fixed teeth, checked Sept 2026
Some plans pay toward the implants or the teeth, up to a yearly limit. Ask your insurer for a pre-treatment estimate.
Original Medicare doesn't cover implants.
We don't accept AHCCCS (Arizona Medicaid).
Credit and debit cards, and tap-to-pay from your phone.
Payment optionsWho does All-on-4 at IGO?
Dr. Han Choi, DDS
Board-certified implant dentist
He is a Diplomate of the American Board of Oral Implantology/Implant Dentistry, which means he passed the board's written and oral exams in implant dentistry, and a Fellow of the American Academy of Implant Dentistry.
Three patients who had this done
All three had All-on-4 at IGO, and talk about it in their own words.
4.91,327 Google reviews
Read patient reviewsQuestions patients ask about All-on-4
Often, yes. With All-on-4, the teeth that need to come out are usually removed, the implants placed and fixed temporary teeth attached in one visit. It depends on your bone and whether there's infection. Your exam decides it.
In the 10-to-18-year study above, 7% of implants failed over that time and 1.2% of the fixed bridges were lost. Failure was more likely in people who had earlier problems with their gums around the implants. Smoking and grinding also raise the risk.
Sometimes, in part. Some plans pay toward the implants or the teeth, up to a yearly limit. Ask your insurer for a pre-treatment estimate. Original Medicare doesn't cover implants, and we don't accept AHCCCS.
The lowest advertised price isn't always the lowest real price. Check what the quote includes: extractions, temporary teeth, the final teeth and what they're made of, and follow-up visits. All-on-4 at IGO starts from $9,999.
What patients say
“Having everything in one place with a gentle staff helped ease a ton of anxiety.”
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Related treatments
Not sure you have enough bone?
It is the question that decides almost every All-on-4 case, and nobody can answer it from a photograph. Tell us where you are and we will say what the scan would need to show.
- We reply the same day we are open, seven days a week.
- We will say when a snap-in denture would serve you better.
- Ask what it costs before you commit to anything.
Book a consultation
The first step is a consultation, where we examine your mouth and talk through your options.
Open 7 days a week
- Bring a photo ID and your dental insurance card, if you have one.
- We don't accept AHCCCS (Arizona Medicaid).
- Hablamos español.
- Wheelchair-accessible entrance, parking and restroom.
