Tooth loss across the upper or lower jaw can severely affect quality of life, from eating and speaking to self-confidence. Full mouth dental implants offer a permanent solution, but the type of implant system you choose plays a major role in the total cost, treatment process, and long-term success — especially in a high-cost city like San Francisco.
All-on-4, All-on-6, and traditional full arch implants are three primary options used for full mouth restoration. Each approach differs in the number of implants used, level of bone support required, procedure complexity, and overall price. Understanding these differences can help patients make informed decisions before undergoing surgery or committing to a financial plan.
Understanding Full Mouth Dental Implants
Full mouth dental implants are designed to replace all missing teeth in either the upper jaw, lower jaw, or both. Unlike traditional dentures, which sit on the gums and may shift or require adhesives, implant-supported restorations are anchored directly into the jawbone using titanium or zirconia posts. These posts act as artificial tooth roots and provide a stable foundation for a fixed bridge or denture.
Patients typically turn to full mouth implants when they have lost most or all of their teeth due to decay, gum disease, injury, or age-related wear. The procedure usually involves several stages:
- Initial consultation and diagnostics (X-rays or 3D scans)
- Tooth extraction (if necessary)
- Implant placement surgery
- Healing period for osseointegration (usually 3–6 months)
- Attachment of final prosthetic arch
Compared to removable dentures, implants offer better bite strength, natural appearance, and long-term bone health by preventing jawbone deterioration. However, the cost and treatment approach vary depending on the type of implant system selected.
All-on-4 Dental Implants: Overview and Cost in San Francisco
All-on-4 is one of the most popular full mouth restoration methods in San Francisco. This technique uses just four dental implants to support an entire arch of prosthetic teeth, making it less invasive and more cost-effective compared to traditional full arch implants.
How It Works
Two implants are placed vertically in the front of the jaw, while the other two are angled toward the back to maximize contact with available bone. This positioning often eliminates the need for bone grafting, which reduces both cost and treatment time.
Who It’s Best For
All-on-4 is ideal for patients with significant tooth loss but limited bone density. It’s especially suitable for those who want faster results, as many clinics offer “teeth in a day” procedures.
Cost in San Francisco
$22,000 to $30,000 per arch, depending on:
- Implant material
- Provider’s expertise
- Sedation type
- Lab customization
Pros and Cons
Pros: Fewer implants, faster procedure, lower cost
Cons: Less support, may not suit severe bone loss
All-on-6 Dental Implants: Overview and Cost in San Francisco
The All-on-6 system builds on the All-on-4 concept but adds two more implants for greater support and longevity.
How It Works
Six implants are distributed across the jaw to improve structural integrity and bite pressure distribution. This approach enhances durability and minimizes the risk of future implant failure.
Who It’s Best For
Ideal for patients with moderate to strong bone density and those wanting a more robust long-term solution than All-on-4.
Cost in San Francisco
$28,000 to $35,000 per arch, based on:
- Additional implants
- Advanced surgical time
- Higher material/lab costs
Pros and Cons
Pros: Greater support and stability
Cons: Higher cost, longer surgical time
Full Arch (Traditional) Implants: Overview and Cost in San Francisco
Traditional full arch implant restoration involves 8 to 10 individual implants per arch to support a fixed bridge, offering the most natural tooth replacement.
How It Works
Each implant is inserted individually, often requiring bone grafting and a longer healing period. After full osseointegration, the final bridge or crowns are placed.
Who It’s Best For
Ideal for patients seeking the highest durability and esthetics, often with no budget limitations and strong jawbone structure.
Cost in San Francisco
$40,000 to $60,000 per arch, due to:
- More implants
- Custom fabrication
- Extended surgical and healing time
Pros and Cons
Pros: Most natural function, highest durability
Cons: Longest and most expensive process
Comparison Table: All-on-4 vs All-on-6 vs Full Arch Implants
| Feature | All-on-4 | All-on-6 | Full Arch (Traditional) |
|---|---|---|---|
| Implants per arch | 4 | 6 | 8–10 |
| Cost per arch | $22,000–$30,000 | $28,000–$35,000 | $40,000–$60,000 |
| Ideal for | Low to moderate bone | Moderate bone | High bone volume |
| Bone graft usually needed | No | Sometimes | Often |
| Treatment time | Shorter (3–6 months) | Moderate | Longest (6–12 months) |
| Stability | Moderate | High | Maximum |
| Customization | Standard denture | Semi-custom arch | Fully customized |
Factors That Affect Implant Costs in San Francisco
Several key elements influence pricing for dental implants in San Francisco:
- Implant Type: All-on-4 is generally less expensive than traditional full arch restorations.
- Materials Used: Titanium is standard; zirconia costs more but offers metal-free esthetics.
- Dentist’s Experience: Specialists may charge more but offer better precision and outcomes.
- Technology: Clinics using 3D imaging and guided surgery may charge higher fees.
- Lab Work: In-house labs reduce turnaround time and may increase quality (and cost).
- Additional Procedures: Extractions, grafts, or sinus lifts will add to the final price.
- Location Overhead: San Francisco’s higher real estate and operational costs drive up dental prices compared to other regions.
Which Implant Option is Best for You?
There’s no one-size-fits-all answer — your oral health, bone density, budget, and long-term goals should guide your decision.
- Choose All-on-4 for faster, lower-cost restoration with minimal bone.
- Choose All-on-6 for better support and mid-range pricing.
- Choose Full Arch Implants if you want the most durable, natural solution and are prepared for a higher investment.
Consulting a San Francisco-based implant specialist will give you a clear treatment plan and cost estimate based on your unique case.
Conclusion
Choosing between All-on-4, All-on-6, and traditional full arch implants is more than a cost decision — it’s about long-term function, health, and lifestyle. In San Francisco, where dental care costs are elevated, understanding the differences between each option is essential for making the most of your investment.
All-on-4 offers an efficient and budget-friendly path to full mouth restoration, while All-on-6 adds greater stability for those with sufficient bone support. For patients prioritizing durability and the most natural function, traditional full arch implants deliver the highest standard — albeit at a higher cost and longer treatment time.
Before making a decision, consult with a dental implant specialist who can assess your oral condition, explain procedural differences, and present a personalized cost breakdown. With the right guidance, you can restore both your smile and confidence with a solution that fits your needs.
