TreatmentsAll-on-4
All-on-4 replaces all teeth in an upper or lower arch with a fixed, non-removable prosthetic on 4 implants. The back implants are angled to maximize bone contact, eliminating grafting for most patients. Immediate temporaries are placed the same day as surgery.
What makes this different
Fixed non-removable solution: cleans and functions like natural teeth
No bone grafting required for most patients due to angled placement
Immediate temporaries placed same day as surgery
IV sedation or general anesthesia with licensed anesthesiologist
In-house digital lab for same-day temporaries and precise finals
Zirconia or high-density acrylic prosthetic options
Nobel Biocare or Straumann systems with full documentation
Detailed pricing
| Procedure variant | Costa Rica | United States | You save |
|---|---|---|---|
| All-on-4 single arch (acrylic prosthetic)Most popular | $8,500 | $25,000 | 66% less |
| All-on-4 single arch (zirconia prosthetic) | $11,500 | $32,000 | 64% less |
| All-on-4 both arches (acrylic)Best value | $16,000 | $45,000 | 64% less |
| All-on-4 both arches (zirconia) | $21,000 | $60,000 | 65% less |
| All-on-6 single arch (Nobel Biocare) | $11,000 | $30,000 | 63% less |
| All-on-6 both arches | $20,000 | $55,000 | 64% less |
Starting prices from verified clinics. Final cost depends on case complexity and materials. All clinics provide a written itemized quote before treatment begins.
Eligibility
Good candidates
Patients missing all or most teeth in one or both arches
Patients currently wearing full dentures seeking a fixed solution
Patients with sufficient anterior bone density confirmed by CT scan
Patients who want to eliminate the limitations of removable dentures
Patients able to commit to two trips separated by 4 to 6 months
May not be ideal
Active smokers: failure rate significantly higher
Patients with severe bone loss in both anterior and posterior jaw
Patients with uncontrolled diabetes or autoimmune conditions
Severe grinders who refuse to wear a night guard after treatment
Patients expecting permanent final prosthetics at the first visit
The process
Pre-surgical evaluation
Day 1Cone beam CT scan, digital photos, and bite analysis. Surgeon plans optimal implant positions. Digital wax-up preview of result. Final pricing confirmed in writing.
Extraction and implant placement
Day 2Remaining teeth extracted. Four implants placed in same session under IV sedation or general anesthesia with licensed anesthesiologist. Back implants angled 30 to 45 degrees. Surgery takes 3 to 5 hours for both arches.
Immediate temporaries placed
Day 2-3Full-arch temporary prosthetic screwed onto implants within hours. You leave with a complete set of functional teeth the same day. Soft diet strictly required for the first 6 weeks.
Healing and osseointegration at home
4-6 monthsReturn home after 7 to 10 days. Titanium bonds with jawbone. Soft diet for 6 weeks critical. Local dentist follow-up at 6 to 8 weeks.
Final permanent prosthetics
3-5 days, second visitIntegration confirmed by X-ray. Digital impressions taken. Final zirconia or acrylic prosthetic fabricated in clinic lab over 2 to 3 days. Fitted with precise bite adjustments.
What is included
Typically included
Pre-surgical consultation and CBCT scan
Extraction of all remaining teeth in the arch
Placement of 4 Nobel Biocare or Straumann implants
IV sedation or general anesthesia with licensed anesthesiologist
Immediate temporary full-arch prosthetic placed same day
Adjustments and check-ups during first-visit stay
Final permanent prosthetic at return visit 4 to 6 months later
12-month guarantee on implants and prosthetics
Ask about separately
Bone grafting if required: rare with All-on-4 angled placement
Night guard: strongly recommended for grinding patients
Second-visit travel and accommodation 4 to 6 months later
Prosthetic repair or replacement after guarantee period
After you return home
Strictly soft diet for first 6 weeks after surgery
Water flossing daily around implant connection points
Night guard mandatory if you grind: protects prosthetic longevity
Professional cleaning every 6 months with implant-experienced hygienist
Annual X-ray check of bone levels around each implant
No smoking permanently: single biggest risk factor for implant failure
Traveling from
From Miami
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From New York
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From Los Angeles
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From Toronto
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FAQ
All-on-4 uses 4 implants with two angled at the back. All-on-6 uses 6 implants for greater stability and is recommended for patients with more bone loss, wider arches, or who want to support heavier zirconia prosthetics. Your CT scan determines which is appropriate.
Your first visit spans 7 to 10 days: Day 1 for consultation and CT scan, Day 2 for surgery with immediate temporaries, Days 3 to 5 for recovery and adjustments. Your second visit for permanent prosthetics is 3 to 5 days, 4 to 6 months later.
With temporaries, follow a soft diet for 6 weeks. After that, most foods are fine. With final permanent prosthetics, most patients eat normally including steak and firm vegetables. Avoid using the prosthetic as a tool.
A single arch with Nobel Biocare implants costs $8,500 to $10,500 in Costa Rica versus $25,000 to $35,000 in the US. Both arches cost $16,000 to $21,000 in Costa Rica versus $45,000 to $65,000 in the US.
The titanium implants are permanent. The prosthetic arch may need replacement after 10 to 15 years for acrylic or 15 to 20 years for zirconia. Replacement does not disturb the implants.
Failure rates for All-on-4 are below 3 percent per implant. If an implant fails to integrate, the clinic removes it, allows healing, and replaces it at no cost under the 12-month guarantee.
Yes. Long-term denture wearers are common All-on-4 patients. Your CT scan measures current bone volume. In many cases there is sufficient bone for All-on-4 without grafting, especially in the anterior jaw.
85 to 90 percent of All-on-4 patients do not need grafting because angled back implants reach denser anterior bone. The remaining 10 to 15 percent may benefit from minor simultaneous grafting or All-on-6.
Brush twice daily with a soft toothbrush. A water flosser is essential for cleaning under the prosthetic. Professional cleaning every 6 months with an implant-experienced hygienist is strongly recommended.
Modern All-on-4 prosthetics look highly natural. Zirconia prosthetics have translucency and color variation that closely mimics natural teeth. Digital smile design before surgery lets you preview and approve the final result.