Top 5 Most Important Questions to ask your All on 4 Dental Implant Provider

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Cost isn’t the only thing you should be asking when it comes to something as important as dental implants! Especially if you’re opting for the All-on-4 Dental Implant procedure. It can mean the difference between a happy, exciting dream come true, or a costly, time consuming battle. So how do you choose the right dentist? In this video, we share with you the top 5 questions that you should ask during your consultation before committing to any surgery. Want to ask us these questions, and more? Come on in for a free consultation!


5 Most Important Questions Video Script

Hi, I’m Dr. Hendriks. I am so grateful to be able to share with you the five most important questions that you should ask before you choose a provider for your dental implant surgery.

Number one, you need to make sure that you do all your homework on the doctor and how much experience he has. You want to go through the website, you want to go through Google reviews, you want to go through even Better Business Bureau, you want to find out if they’d been sued for anything. I’m not saying that people had been sued or guilty, but if you have multiple lawsuits out that might say that there’s been some miscommunications and possibly some negligence. When you’re looking at for a doctor to do your implant surgery, you’re looking for someone that can show you by examples that they’re really good at what they do.

Number two, unlike buying a car, a truck implant procedures are so different, and going to one office or another office, it can be a completely different product and service. You should ask the doctor where do you send the lab work? Is it here in the United States? Is it here locally? They should have some type of website. I recommend you go to the website and look and see what the expertise of this lab is. No matter where the lab work is sent, this question should always be answered. I think you should also ask the question are there any warranties in place in case something happens in the future?

Once you know exactly where you’re going to have the lab work sent, this is an important question you should ask your doctor, and that is what type of materials are you going to use? There are lots of different materials and all on for procedure is just a surgical procedure. What you put on top of it, the bridge that we place on top, can be a number of different things. You could have an all acrylic bridge, you can have a tenia bridge you can have a trilor, a pectin, you can have a titanium, or you can have zirconia. Six different types of bridges and I’m just naming a few of them, and depending on what material is being used, it can come with certain complications. If you asked the question, “Hey doc, what type of materials are using?” and they act funny about it all, this might be an indication that there may be corners being cut.

Number three, I call them contingency plans. When things go right, it’s awesome, but no matter what you do, in what profession, there’s always speed bumps, and sometimes you might have things come up that you’re not planning on. This is why I have to ask the doctor, what contingency plans do you have in place for failed implants, for devices that break prematurely? What if you get infection a few months out? If something doesn’t work out? Is there a plan in place now that’s going to help us save us time, money, or future emotional pain so that we don’t have to experience a worst case scenario?

It’s really important also to remember that there always will be the cost of cleanings in the future and there’ll be some maintenance associated with any device that you have put in your mouth. It’s important to find out what those costs are upfront, because sometimes our some really big costs that can come behind that if you’re not prepared for it, you can be very upset with. I know offices here locally that actually will put their price super high so they don’t have to worry about cleaning their patient’s teeth. You should ask these questions upfront.

Number four, timeline. This is something that can really frustrate patient. Some doctors say they’re going to be in treatment for six months, but end up taking a full year, and so if you talk to them and say, “Doc, can I see a timeline of when the surgery starts and every appointment that you plan to have so I can guesstimate when we’re going to be finished?” It’s not a perfect science, but a doctor that doesn’t have a game plan for you is a doctor that might be confused as to what the treatment should be or could be.

In really great offices, they’re going to give you a sheet that says we have five different appointments or 10 appointments, and this is how long the appointments going to last. This is what you should expect, and this is how much you should pay. I have experienced times where treatment has gone much longer than I expected also. But here’s the thing, doctors offices that have done it over and over again get better and better, and that’s why you want to find a doctor who has tons of experience, has been through the rodeo, has worked with lots of labs, and seen the worst of the worst. The cool thing is that today in certain offices, you can actually condense that time into as little as a week. That’s the cool thing. Instead of being in treatment for six to 12 months, you literally could have the treatment done in less than a week.

And lastly, number five, what is the focus of the practice? Is this a practice that does lots of general dentistry and a little bit of all on four or is it a practice that does mainly all end for, and just a little bit of general dentistry? Would you rather have someone that does that procedure every day or once a month? When an office focuses squarely on all on four, that means that there’s going to be a team of well-qualified people that are going to help support you. The doctor is just one person. It’s so important to do the research on the doctor, but here’s the thing, the doctors one of probably 10 or 15 individuals. And so as you look at the practice, look at the people when you walk in, how do they treat you?

The doctor could have amazing experience and you may like them a ton, but the reality is he’s probably just going to do the surgical portion of the procedure. The majority of the work is done by the staff, the assistants, and the team. Even though you want to develop that relationship with the doctor, if you don’t have a good feeling about the people that work around him, that’s a pretty good indication that you probably should find somewhere else.

All right, let’s go ahead and recap. These are the top five questions you ask before picking an all on for dental implant provider. Number one, doctor experience. Number two, what materials are being used and where are they coming from? Number three, contingency plans the doctor has in place in worst case scenarios. Four, the timeline. How long is it going to take? And five, the team. Are they going to fit with your personality, with what needs you have?


Thank you so much for watching. If you have any other questions, please reach out to us and we’ll answer those questions. If you’d like to interview me and ask me these five top questions, I would be happy to. If you look at other videos, you’ll see that we have answers to all these questions. We love what we do at Dream Dental. We’d love to be able to help you. Please call us, let us know how we can serve you. What we say here every single day is we don’t just change smiles, we change lives.

Top 10 Factors that Influence the Cost of All on 4 Dental Implants

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Patients are often confused and frustrated as to why All on 4 dental implants costs vary so much. From the outside perspective, this frustration is warranted! Cost can vary as much as $15k-$35k per arch depending on these factors:

  1. Geographical location – Depending on where you live, the cost of All-on-4 dental implants can vary up to $20,000 per arch. The lower the cost of living usually leads to a lesser price.
  2. Two Office specialist approach vs One Office that does both Surgical and Restorative – When two offices are involved the fees are almost always more expensive versus an office that handles the surgical phase as well as the restorative phase.
  3. The Surgeon’s Experience (Specifically with All on 4 Dental Implants) – Unfortunately many dentists have a desire to begin doing All-on-4 implant procedures, but they also have so little experience that they will often lower the cost to win a case. This is often done without letting the patient know of the level of experience. This is a big factor in the price, and their inadequacy will usually result in tacking on costly and often times unnecessary warranty fees. Labs that have more experience and provide extra customization charge more to the doctor and therefore the price increases. Some doctors do not disclose that they send their work overseas to other countries with lower cost of labor and no regulation of materials. These devices often look similar to other dental offices but lack the integrity and can fail 3-5 years later.
  4. Number and type of Implants – Although four implants per arch is the perfect and ideal number, at times additional implants must be placed. This can be due to loss of bone, severe infection or the density of inner bone.
    1. Majority of implants are placed in the maxilla or mandible but in certain cases with severe bone loss, longer implants, which are more invasive must be placed in zygoma bone just below the eye.
  5. Sending out Lab Work – offices that can keep most and in some cases all of the lab work in the office are able to lower price as well due to economies of scale. Most offices have the final device made outside of their office.
  6. Cosmetics and Functional Demand varies by Patient – The material used for an all-on-4 dental implant bridge can vary in price significantly .
    1. Titanium Bar is the most commonly fabricated and will usually be cheaper than zirconia because stock denture teeth are used to save money in most cases.
      1. With Denture teeth
      2. With Monolithic polymer
    2. Zirconia is more expensive because it is 100 percent customized to the patients mouth and cosmetic needs, as well as being the most durable bridge
      1. Stained Monolithic
    3. Other Materials not as common – generally these are less expensive than the titanium or zirconia due to the type of mill needed to fabricate titanium or zirconia and are only the substructure attached to implants and need other materials for the teeth and gums.
      1. Trilor substructure
      2. Trinia substructure
      3. Pekkton substructure
    4. The presence of any porcelain for gums and teeth and how it’s veneered or crowned (Porcelain weakens the device but gives it an even more customized appearance)
  7. Level of Anesthesia – This procedure can be done under local anesthetic, I.V Sedation, or General Anesthesia, which increases the price with each level of anesthesia, as well as the location it is rendered in. A hospital setting will be much more expensive than a dental office that brings in an Anesthesiologist.
  8. Additional advanced techniques required to deliver the all on 4 dental implant bridge
    1. Existing implants that are used or removed can increase the price in both scenarios because it creates more work for the doctor and staff to research the implant system or remove the implant/s.
    2. Excessive infection in bone and soft tissue
    3. Excessive bone loss
    4. A maxillary sinus that is positioned more anterior
    5. A mandibular foramen that is more anterior and has branches reaching into anterior chin
    6. Lack of keratinized leather tissue over ridge
  9. Overall level of Difficulty and Risk Factors in healing and long term success with All on 4 Dental Implants
    1. Teeth Grinders – Often break temporaries and have more failures and some doctors will increase the price in anticipation of the higher likelihood of complications
    2. Smokers – Carry an implant complication risk that is 3 times higher than a healthy patient that does not smoke.
    3. Diabetics – As long as the diabetic is controlled with an A1c of 7 or lower, there is no need for higher fees.
    4. Previous drug abuse – Can make the treatment more complicated depending on the likelihood of rebound
    5. High smile pull – One of the most challenging presentations that often carries with it added surgical procedures and restorative appointments in order to satisfy the patient and produce a bridge that is comfortable and easy to clean.
    6. Skeletal deficiencies – Can increase the price because more visits are often needed to systematically create the skeletal appearance that is pleasing, as well as comfortable for the jaw.
  10. Time – If you want to have your All-on-4 Dental Implant procedure expedited, this is great for someone who is extremely busy or someone from out of state that doesn’t want to fly back in 4-6 months, you can have your permanent implants in one weeks time! This expedited procedure, if the patient qualifies, can be a little more costly, but it is definitely something we can have done at Dream Dental!

Who would pay the least for All on 4 Dental Implants?

  • Someone living in, or willing to, travel to an area with a lower cost of living and a competitive market (such as Salt Lake City, Utah!)
  • A denture-wearer who hasn’t experienced excessive bone deterioration and still has healthy, leathery tissue
  • Someone who chooses a titanium bar with denture teeth
  • Being awake for the surgery
  • Choosing a single office that does the surgical and restorative work with an in-house lab

The price could be as low as $15,000 per arch!

Who would pay the most for All on 4 Dental Implants?

  • Someone who lives in a city with a high cost of living such as LA, NYC or Miami
  • Someone who needs additional implants or zygoma implants
  • Someone whose teeth are extremely infected
  • Someone who has severe bone loss in the areas where the implants need to be placed
  • Someone with high cosmetic and functional needs
  • Anyone wanting a zirconia bridge with individual porcelain crowns and porcelain gums
  • Choosing to have it done by two offices, an oral surgery and restorative without an in-house lab
  • Choosing to use Full General Anesthesia (generally patients with high anxiety choose this option)
  • Someone requiring removal of existing implants
  • Someone with a  high smile pull
  • Anyone who is a smoker, has diabetes, grinds their teeth, or has a history of drug abuse with a deep bite

The price could be as high as $35,000 per arch!

Want to know your cost? Schedule your free consultation today: Book Consultation


By | Dental Implants, Dentures | One Comment

Dentures VS All-on-4 Dental Implants.

Traditional dentures are now a thing of the past. At Dream Dental Implant Center-Utah’s dental implant specialists, denture-wearing patients are experiencing life-changing results upgrading their traditional dentures with Dentures with Gluedental implants, and regaining their bite functionality, comfort, confidence and quality of life. The truth is that when it comes to dental implant structured devices and traditional dentures, there is no comparison because unlike traditional dentures these devices are built on a foundation of dental implants which fuse to your natural bone, allowing the dental implants to literally become part of your body. Building a prosthetic device on this foundation of implants allows for a more stable, durable, comfortable, and beautiful option for patients who currently wear dentures, or think they may need them. Here are the top 3 reasons you shouldn’t settle for traditional dentures.

  1. Stronger Bite Force Means Less Food Limitations.

Humans have naturally powerful jaws and teeth because of our varied diet. Generally, your bite force with your natural teeth when at their healthiest is STRONG falling somewhere between 200-250 pounds of force. The reality is, traditional dentures are not a viable option if you want to get anywhere near the same level of bite force. With traditional dentures, statistically, your bite force goes down to less than 50 pounds of force. Literally, taking your quality of life from a steak dinner to a bowl of soup. Traditional dentures are just not able to give you the strength you need for the life you want. Upgrading your dentures to an implant supported prosthetic such as an Over Denture increases your bite force to 167-235 pounds of force. Upgrading beyond the Over Denture to an All-on-Four hybrid full bridge increases that bite force even further to nearly 250 pounds of force!

Dentures VS all on 4 dental implants

  1. Less Maintenance Means More Money in Your Pocket.

The sad reality is that once a tooth is extracted, the bone starts to recede, and your gums start to recede as well and lay flatter and flatter. Dentures are made to fit your gums as they are the day they are made, and while they initially will fit okay, as time passes traditional dentures will begin to progressively fit looser and less tight to your gums as your bone and gums recede and flatten out. What this means for you is endless adjustments and relines of your dentures which generally cost a few hundred dollars every one to two years. Upgrading to an implant supported prosthetic, which is fused to the bone and holds bone and gum levels from receding, eliminates the need for adjustments and relines to be done and minimizes the need for costly maintenance payments. Plus, think of all the money you’ll save not having to shell out money to buy messy denture adhesives and soaking solutions!


  1. Better Design Means a Better Quality of Life.

Biting with dental implants

Traditional dentures merely sit inside your mouth and are held in place by adhesive, suction and the will of the universe. Seriously. For them to work, the design had to be such that the upper pallet (roof of the mouth) has to be covered….the problem there? That’s where most of your taste buds are! With an implant supported prosthetic device, not only are you able to have the bite force you need to enjoy the foods you love, but the open pallet you’ll have will allow you to actually taste the foods you eat! Implant supported prosthetics, allow you to also forgo that gaging reflex due to the open pallet design, allow you to speak more clearly than with a traditional denture, reduce the instances of pain and mouth infections, and save you the embarrassment of having your teeth suddenly pop out on their own.

Most traditional denture wearers tend to be apprehensive about keeping their dentures in due to all of the potential issues and often stop themselves from smiling and laughing, not feeling as confident as they could. Implant supported prosthetic devices, allow patients to regain that confidence, functionality, and quality of life and most feel for them this is the answer they’ve been looking for to get their life back!

To get in contact with us to learn more about implant supported options, feel free to use the contact form found here.