All-on-4 / All-on-X

The honest answer is that it varies — and that variation is a good thing, because it means the plan is built around you, not a price sheet. What affects cost most is how many arches you're treating, what your bone structure looks like, and which final restoration material fits your goals. Let me walk you through the specifics at your complimentary consultation, where I can give you a real number for your situation, not a ballpark from a website.

Cost is typically quoted per arch — meaning upper and lower are priced separately. Many patients treat one arch at a time, and we'll step through that decision together. If you're considering both arches, we can talk about what that full picture looks like for your case so you can plan around it clearly.

Most traditional dental insurance plans offer limited or no coverage for implant-supported full-arch restoration. Some plans may cover a portion of the restorative component. We'll help you understand exactly what your plan includes — and we can walk through financing options that make the remaining investment more manageable, step by step.

A well-structured All-on-4 fee typically includes the implant placement surgery, any necessary extractions, the temporary teeth you leave with on the day of surgery, and the final fixed restoration. At Front Royal Dental Group, we work with Dr. Elgazzar, who places implants with careful planning for each patient's anatomy — so nothing is templated. Your consultation is the right moment to get a line-by-line breakdown for your specific plan.

Yes. We work with financing partners that allow many patients to spread the cost over time, which makes a significant investment much easier to plan around. During your complimentary consultation, we'll go over what's available so you leave with a clear picture of your monthly options. You're in control of the decision — we just want to make sure you have all the information.

When you're missing most or all of your teeth in an arch, replacing them one by one with individual implants is typically far more involved — more surgical time, more components, and a longer overall timeline. All-on-4 uses four strategically placed implants to support a full arch, which often results in a more efficient path to fixed teeth. For patients who qualify, it can be a more practical route both clinically and financially.

A few things drive that variation: your bone density and volume, the number of remaining teeth that need to come out, the type of final restoration material (such as acrylic, zirconia, or hybrid), and whether any bone grafting is needed to prepare the site. Two patients sitting in the same chair can have very different needs — which is why I don't love giving numbers without seeing the full picture first. We'll take it step by step and show you exactly what's involved for you.

We start by listening. You tell me what's bothering you, what you've tried, and what you're hoping for — and I take notes. Then we do a clinical assessment, which typically includes a review of your existing X-rays or a new scan so I can see your bone structure clearly. From there, I walk you through what I'm seeing in plain language, lay out your options, and give you a detailed cost breakdown for your specific plan. There's no pressure — my goal is to make sure you understand everything clearly so you can make the decision that's right for you.