Full Mouth Dental Implants Cost: Prices With & Without Insurance

"Full mouth" implants usually do not mean one implant for every missing tooth. Most plans replace a whole arch of teeth with a fixed or removable set of teeth held by a handful of implants, and a dentist or oral surgeon prices each arch separately. That is why quotes vary so much between offices.

The sources used here report cost per arch, and none of them gives a combined total for the upper and lower jaw. Treating both arches costs more than one, but this page does not add the numbers together because the sources do not support a single total. Ask each office for a written quote that names both arches.

The headline figure comes from Pearl, which reports $14,720 – $38,610 for All-on-4 treatment per arch. The range is wide because the price depends on the materials, the dental office, the region, and how much preparation the jaw needs before the implants go in.

All-on-4 is one common design. The name refers to four implants supporting a full arch of replacement teeth. Other designs use a different number of implants or a removable denture that snaps onto the implants. The table above lists each design with the source that reported it, so you can compare like with like.

What the per-arch price usually covers

Quotes differ on what they include. Some bundle the implants, the replacement teeth, and the surgery. Others price the pieces separately, and the extras can add up. Ask whether the figure includes:

• the implant placement surgery and any sedation
• the temporary teeth worn while the jaw heals
• the final set of teeth
• imaging and the initial exam
• follow-up and adjustment visits

The type of replacement teeth changes the price. A removable denture that attaches to implants is generally listed below a fixed set that stays in place, and the table shows the pattern in the Authority Dental figures. A fixed set takes more lab work and more precise planning, which may account for the higher price.

A licensed dentist or oral surgeon can explain which design fits your situation.

Some patients want to know how a full arch compares with replacing teeth one at a time. The table below lists the price of a single implant from two sources. These are per implant, not per arch.

The two sources use different methods and report different ranges, so the gap between them is not an error. A per-arch plan places fewer implants than one implant per missing tooth, which is part of why the arch approach exists.

Implant treatment often involves work that comes before the implants themselves. These items are priced separately at many offices.

The bone graft row is a range for allograft material, which comes from human donor bone. Other graft types may cost differently, and your dentist decides whether a graft is needed. Extractions are priced per tooth, so a plan that removes many teeth will cost more than one that removes few.

The three sources below describe similar treatment but arrive at different numbers.

Several things may explain the gaps. The sources may sample different practices, define the package differently, or include different parts of the treatment. One may count only the surgery while another counts the teeth and the visits around it. Treat each figure as a starting point for a conversation with a dentist and not as a quote.

Prices follow local costs. Pearl reports the highest state average for All-on-4 per arch, and the lowest-cost state in the same data is shown below.

Your own city may fall above or below your state average. Large metro areas often cost more than smaller towns, and a practice with a specialist on staff may charge differently from a general office.

Dental insurance often treats implants differently from fillings or cleanings. Some plans cover part of the surgery or the replacement teeth, some exclude implants, and many cap yearly benefits at an amount well below a full-arch bill. Medical insurance rarely pays for implants that replace teeth lost to ordinary decay or wear.

Before you commit, ask the office to submit the treatment plan to your insurer for a pre-determination. That gives you a written statement of what the plan will pay. Check the annual maximum, the waiting period for major work, and whether the plan has a limit on implants.

Without coverage, you pay the office's full fee, and many offices offer ways to spread it out. Common options include:

• in-house payment plans, sometimes with no interest for a set period
• third-party healthcare credit cards or loans, which can carry interest if the balance is not paid in time
• health savings or flexible spending accounts, if you have one through an employer
• dental schools, where supervised students sometimes provide care at reduced fees

Read the terms of any financing before signing. Ask what happens if you miss a payment, whether interest is deferred or waived, and whether the loan fee is included in the quote.

• Is the price per arch or for both arches?
• Which implant design is included, and who makes the implants and the teeth?
• Does the price include extractions, bone grafting, imaging, sedation, and temporary teeth?
• What follow-up visits are included, and what happens if something needs repair?
• Is there a warranty, and what does it cover?
• Can I have the plan in writing with an itemized list?

Getting at least two itemized quotes makes the comparison much easier, because a written breakdown shows what each office is charging for.