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

By November 6, 2019Dentist

We just released two new videos discussing these things below. The first video is the summary version, and the second is the extended version

 

 

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

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