All-on-4 starts around $12,000 per arch with a dentist on Elena. It’s a full-arch solution: four implants anchor a complete, fixed set of replacement teeth, so it’s built for patients missing most or all of the teeth in an arch, not for replacing one or two.
The technique, two straight implants at the front and two angled toward the back, was developed by Nobel Biocare and is the protocol dentists in the US use today. Most patients need two trips: the first for surgery and a fixed temporary set of teeth, the second 3 to 4 months later, once the bone has healed, for the final prosthesis. Elena checks the dentist’s license and the clinic’s registration before either trip; the four checks are on how Elena verifies doctors.
What does the $12,000 cover?
One arch, upper or lower: the four implants, the surgery, the temporary fixed prosthesis you leave with and the final prosthesis. Both arches start around $24,000, quoted together in one written number. A bone graft, extractions, a sinus lift or the CT scan are on top if your case needs them, so ask your dentist to write each one down.
What All-on-4 is
Four implants instead of one under every missing tooth. Two go in straight at the front of the jaw and two at an angle toward the back, which lets your dentist avoid grafting bone in most cases and give you a fixed temporary set the same day as surgery. Nobel Biocare, which developed the technique, reports over 250,000 patients treated worldwide.
Why it still takes two trips
You leave the first trip with a full, fixed set of temporary teeth, so you’re never without teeth while you heal. The bone needs 3 to 4 months to fuse around the implants before the permanent prosthesis can go on. The second trip is shorter than the first and covers that final swap.
Who All-on-4 is for
People missing most or all of the teeth in an arch, or facing failing teeth that aren’t worth saving one by one. It’s not for replacing one or two teeth. As with any implant surgery, your dentist reviews your health history first, since chronic illness or heavy smoking slows healing.
How to compare two All-on-4 quotes
Make both quotes itemize the same things: the four implants per arch, the surgery with anesthesia and imaging, the temporary prosthesis, the final prosthesis and its material, the second visit, and what’s excluded. A quote that covers only the first surgery always looks cheaper. The line-by-line comparison guide walks through it, and the Medellín page covers the two trips and how to check a dentist there.
