A fuller smile. A fresh perspective. Replace a full upper or lower arch of teeth with a fixed bridge supported by four implants — planned by a prosthodontist and an oral surgeon.
All-on-Four costs $13,000 per arch ($26,000 for both arches). Plan on two visits, one full week each, about four months apart for healing.
Medically reviewed by Dr. Ileana Porras, Prosthodontist · Last updated: 2026-09-27
All-on-Four (also written All-on-4) is a full-arch treatment in which four dental implants support a fixed bridge of 10–14 teeth. The two back implants are usually angled to use the strongest available bone, which often avoids the need for bone grafts.
It is designed for people with many missing or failing teeth, or who wear loose dentures and want teeth that stay fixed in place. The bridge is not removed at home; you clean it like natural teeth, with a few extra tools.
All-on-Four costs $13,000 per arch, or $26,000 for both arches. Your individualized estimate confirms whether additional procedures, such as extractions or grafting, or the final bridge material affect your plan.
| Treatment | Typical US range | Costa Rica Dental (from) |
|---|---|---|
| Single dental implant with crown | $3,000 – $6,500 | $1,600 per implant |
| Zirconia (ceramic) implant with crown | $4,000 – $7,000 | $2,200 per implant with crown |
| All-on-Four, one arch (final fixed teeth) | $20,000 – $35,000+ | $13,000 per arch |
| All-on-Four, both arches | $40,000 – $70,000+ | $26,000 total ($13,000 per arch) |
| Porcelain veneers | $2,000 – $3,000 per unit | $550 per tooth |
| Dental crown | $1,200 – $1,800 each | $500 per tooth |
| Zirconia crown | $1,200 – $2,500 | $550 per tooth |
This table lists some of our most common treatments; we offer other treatments too. Contact us for an estimate for anything not listed. US ranges are typical published estimates and vary by city and provider. Costa Rica Dental prices are starting points; your final quote is confirmed after your in-person evaluation and 3D imaging. Flights and lodging are not included.
Your estimate lists the temporary bridge, the final bridge and every surgical step separately, so you can compare quotes like-for-like.
| Stage | Time in Costa Rica | What happens |
|---|---|---|
| Trip 1 — Surgery & temporary teeth | One full week | Exam and 3D imaging, extractions if needed, placement of 4 implants, and fixed temporary teeth usually within a few days when implant stability allows. |
| Healing at home | About 4 months | Allow about four months between visits for the implants to heal and integrate with the bone while you wear fixed temporary teeth. Soft diet in the first weeks. |
| Trip 2 — Final bridge | One full week | Final scans, try-in and delivery of your definitive bridge, plus bite adjustments. |
| All-on-Four | Traditional dentures | Individual implants for every tooth | |
|---|---|---|---|
| Stays fixed in the mouth | Yes | No — removable | Yes |
| Implants per arch | 4 | 0 | Often 8–12 |
| Helps preserve jawbone | Yes, where implants are placed | No | Yes |
| Bone grafting needed | Often avoided with angled implants | No | More often |
| Relative cost | Medium–high | Lowest | Highest |
| Chewing ability | Close to natural teeth | Limited | Close to natural teeth |
If All-on-Four is not the right fit, alternatives include All-on-Six, implant-retained overdentures or a staged approach. Our team explains why before you travel.
Your prosthodontist plans bite, lip support, smile line and long-term cleaning before surgery is scheduled.
Our oral and maxillofacial surgeon places the implants from that plan using 3D imaging.
We tell you the likely phases and appointment windows so you can book flights and time off with confidence.
All-on-Four costs $13,000 per arch, or $26,000 for both arches. Your individualized estimate confirms whether additional procedures, such as extractions or grafting, or the final bridge material affect your plan.
In most cases, yes. When implant stability allows, fixed temporary teeth are attached within a few days of surgery, so you do not go home without teeth.
Usually two visits of one full week each, about four months apart to allow for healing. When implant stability allows, temporary fixed teeth are provided during the first visit.
Often yes. The angled back implants in All-on-4 are designed to use available bone and frequently avoid grafting. Your 3D scan confirms whether All-on-4, All-on-6 or grafting is needed.
All-on-6 uses six implants per arch instead of four, which can distribute bite forces more widely when bone allows. Your specialists recommend one or the other based on your bone and bite.
You brush it like natural teeth and clean underneath with a water flosser or special floss. Professional cleanings and check-ups are recommended at least once or twice a year.
Send a recent panoramic X-ray or photos of your smile. Our specialists will reply with options, an estimate and a trip plan.