All-on-4 Dental Implants in Houston: Complete Cost & Treatment Guide (2026) - Houston Dentist

## KEY POINTS

– **All-on-4 uses just 4 strategically placed implants** to support a full arch of teeth, reducing surgery time and cost compared to traditional implants
– **Average cost in Houston: $20,000-$30,000 per arch** (full mouth $40,000-$60,000), includes surgery, implants, and temporary teeth
– **Same-day teeth possible** – walk out with functional temporary teeth the day of surgery in many cases
– **14 URBN Dental locations across Houston** offer All-on-4 with board-certified specialists and flexible financing
– **95%+ success rate** when performed by experienced surgeons with proper patient selection and post-op care

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## What Are All-on-4 Dental Implants?

All-on-4 is a revolutionary full-arch tooth replacement technique that uses **just four titanium implants** to support a complete set of prosthetic teeth (10-12 teeth per arch). Developed by Nobel Biocare in the 1990s, this treatment has transformed how dentists approach full-mouth restoration for patients with severe tooth loss or decay.

### How All-on-4 Differs From Traditional Implants

**Traditional Dental Implants:**
– Require 6-8 implants per arch
– Often need bone grafting (adding 3-6 months to treatment)
– Higher cost ($40,000-$80,000+ per arch)
– Longer healing time before final teeth

**All-on-4 Technique:**
– Uses exactly 4 implants per arch
– Tilted back implants avoid sinus cavities and nerves
– Minimal or no bone grafting needed (90% of cases)
– Same-day temporary teeth in most cases
– Lower cost ($20,000-$30,000 per arch)

The key innovation is **implant angulation** – the two back implants are placed at a 30-45 degree angle, maximizing contact with existing bone and bypassing areas where bone grafting would normally be required.

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## All-on-4 Dental Implants Cost in Houston (2026)

### Average Pricing Breakdown

### What’s Included in All-on-4 Cost?

**Typical package includes:**
– ✅ Pre-operative consultation and treatment planning
– ✅ 3D cone beam CT scan for precision placement
– ✅ Surgical placement of 4 titanium implants
– ✅ Immediate temporary prosthesis (same-day teeth)
– ✅ Follow-up appointments during healing (3-6 months)
– ✅ Final zirconia or acrylic prosthesis
– ✅ Warranty on implants and prosthesis (varies by provider)

### Factors Affecting All-on-4 Cost

**Higher costs typically result from:**
– Premium materials (zirconia vs acrylic prosthesis)
– Sedation requirements (IV sedation vs local anesthesia)
– Complex cases requiring bone grafting or extractions
– Geographic location (high-end zip codes)
– Surgeon experience and credentials

**Lower costs may indicate:**
– Entry-level materials
– Less experienced surgeon
– Limited warranty or follow-up care
– Hidden fees for follow-up visits

### Financing Options for All-on-4 in Houston

**URBN Dental offers:**
– **CareCredit:** 0% APR for 12-24 months (with approved credit)
– **In-house payment plans:** As low as $300-500/month
– **Insurance maximization:** We file claims and help maximize benefits
– **Third-party financing:** LendingClub, Prosper, Wells Fargo Health Advantage

Most dental insurance covers 50% of implant costs up to annual maximum ($1,500-$2,000 typically). All-on-4 often qualifies as a covered procedure if deemed medically necessary.

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## The All-on-4 Procedure: What to Expect

### Phase 1: Consultation & Treatment Planning (1-2 Weeks Before Surgery)

**Your first visit includes:**
1. **Comprehensive oral examination** – Evaluate remaining teeth, gum health, bone density
2. **3D cone beam CT scan** – Precise imaging of jawbone structure, sinuses, nerves
3. **Digital impressions** – Create models for prosthesis fabrication
4. **Medical history review** – Identify conditions affecting healing (diabetes, smoking, osteoporosis)
5. **Treatment plan presentation** – Review surgical approach, timeline, costs

**Pre-operative instructions:**
– Stop smoking 2 weeks before surgery (critical for success)
– Discontinue blood thinners if medically cleared
– Arrange transportation (sedation requires a driver)
– Fast 8 hours before surgery if using IV sedation

### Phase 2: Surgery Day (4-6 Hours)

**Morning of surgery:**
– Arrive 30 minutes early for paperwork and sedation setup
– IV sedation administered (you’ll be relaxed but responsive)
– Local anesthesia numbs surgical sites completely

**Surgical steps (per arch):**

**Step 1: Tooth Extractions (if needed)** – 30-60 minutes
– Remove any remaining damaged teeth
– Clean extraction sites and infected tissue
– Preserve bone structure during extractions

**Step 2: Implant Placement** – 60-90 minutes
– Place 4 titanium implants in pre-planned positions
– Two implants straight in front (vertical)
– Two implants angled in back (30-45 degrees)
– Check stability with torque testing (35+ Ncm required)

**Step 3: Abutment Attachment** – 20-30 minutes
– Attach connecting pieces (abutments) to each implant
– Create foundation for prosthesis to snap onto

**Step 4: Temporary Prosthesis Placement** – 30-45 minutes
– Custom acrylic prosthesis prepared in advance
– Adjusted and attached to abutments
– Bite alignment checked and refined
– **You leave with functional teeth the same day!**

**Total procedure time:**
– Single arch: 2-3 hours
– Full mouth (both arches): 4-6 hours

### Phase 3: Healing & Osseointegration (3-6 Months)

**First 48 hours:**
– Swelling and bruising peak (days 2-3)
– Soft diet only (smoothies, soup, mashed potatoes)
– Pain managed with prescribed medications
– Ice packs 20 minutes on/off to reduce swelling

**Week 1-2:**
– Gradual return to normal activities
– Continue soft diet
– Gentle oral hygiene (avoid surgical sites)
– Follow-up visit to check healing and adjust prosthesis

**Month 1-6:**
– Bone fuses with titanium implants (osseointegration)
– Transition to slightly firmer foods (pasta, fish, eggs)
– Regular check-ups every 4-6 weeks
– Temporary prosthesis adjustments as needed

### Phase 4: Final Prosthesis Delivery (Month 6+)

**Once implants are fully integrated:**
1. New impressions taken for final prosthesis
2. Choose material: Zirconia (premium), Acrylic (standard)
3. Fabrication takes 2-3 weeks in dental laboratory
4. Final prosthesis placed and bite perfected
5. Learn maintenance and care instructions

**Final prosthesis features:**
– Natural-looking gum-colored acrylic or pink porcelain
– Durable zirconia or composite teeth
– Custom shade matching your preferences
– Designed for easy cleaning and maintenance

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## Benefits of All-on-4 vs Traditional Dentures

### Stability & Function

**All-on-4:**
– ✅ **Anchored to jawbone** – no slipping or clicking
– ✅ **80-90% chewing power** restored (vs natural teeth)
– ✅ **Eat anything** – steaks, apples, corn on the cob
– ✅ **Speech clarity** – no prosthesis covering palate

**Traditional Dentures:**
– ❌ Rely on suction and adhesives (can slip)
– ❌ 25-50% chewing power only
– ❌ Restricted diet (soft foods recommended)
– ❌ Speech affected by bulky palate coverage

### Bone Preservation

**All-on-4:**
– ✅ **Prevents bone loss** – implants stimulate bone like tooth roots
– ✅ **Maintains facial structure** – no sunken appearance
– ✅ **Jawbone stays healthy** for decades

**Traditional Dentures:**
– ❌ **Accelerates bone resorption** – 25% bone loss in first year
– ❌ **Facial collapse over time** – aged appearance
– ❌ **Requires frequent adjustments** as bone shrinks

### Longevity & Maintenance

**All-on-4:**
– ✅ **20+ years typical lifespan** with proper care
– ✅ **Low maintenance** – brush like natural teeth
– ✅ **Fixed prosthesis** – no removal needed (dentist removes for deep cleaning)
– ✅ **Cost-effective long-term** – fewer replacements

**Traditional Dentures:**
– ❌ **5-7 years average lifespan** before replacement
– ❌ **High maintenance** – daily removal, soaking, adhesives
– ❌ **Frequent adjustments** needed due to bone changes
– ❌ **Costly over decades** – multiple replacements required

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## Am I a Candidate for All-on-4?

### Ideal Candidates

**You may be an excellent candidate if you have:**
– ✅ **Severe tooth decay or gum disease** affecting most teeth
– ✅ **Multiple missing teeth** or worn-down teeth
– ✅ **Failing dental work** (bridges, crowns, older implants)
– ✅ **Adequate bone density** in front jaw (all-on-4 requires less bone than traditional implants)
– ✅ **Good general health** – non-smoker or willing to quit
– ✅ **Realistic expectations** about results and care requirements

### Medical Considerations

**Conditions that may affect candidacy:**
– **Diabetes** – Must be well-controlled (HbA1c 100 cases significantly improves outcomes)
– Patient compliance with post-op instructions
– Smoking cessation (smokers have 15-20% higher failure rate)
– Proper oral hygiene and regular maintenance

### Common Complications & How to Avoid Them

**Early complications (first 6 months):**

1. **Implant failure (2-5% of cases)**
– Cause: Insufficient bone integration
– Prevention: Proper patient selection, experienced surgeon
– Solution: Remove failed implant, place replacement after healing

2. **Infection (1-3% of cases)**
– Cause: Bacteria at surgical site
– Prevention: Antibiotics, excellent oral hygiene
– Solution: Antibiotic therapy, possible debridement

3. **Prosthesis fracture (5-8% in first year)**
– Cause: Excessive force during healing period
– Prevention: Soft diet compliance, avoid hard/sticky foods
– Solution: Prosthesis repair or replacement (usually covered under warranty)

**Long-term considerations:**

– **Prosthesis wear** – Teeth may wear down after 10-15 years (replacement needed)
– **Screw loosening** – Periodic tightening at check-ups prevents issues
– **Bone remodeling** – Minor bone changes around implants are normal
– **Gum tissue changes** – May require minor soft tissue grafting for aesthetics

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## All-on-4 at URBN Dental Houston: What Makes Us Different

### Our All-on-4 Expertise

**Credentials & Experience:**
– **Board-certified oral surgeons** on staff at all locations
– **500+ successful All-on-4 cases** completed since 2018
– **Advanced training** with Nobel Biocare (All-on-4 originators)
– **3D surgical planning** using Nobel Clinician software
– **Same-day teeth protocols** perfected for optimal aesthetics and function

### 14 Convenient Houston Locations

**We bring expert All-on-4 care to your neighborhood:**

– **Uptown:** 2400 Mid Lane, Suite 350 | (346) 512-4902
– **Midtown:** 3510 Main Street, Suite E | (346) 770-2228
– **Montrose:** 3201 Allen Parkway, Suite E200 | (281) 519-3703
– **City Centre:** 803 W Sam Houston Pkwy N, Suite 124 | (832) 430-6980
– **Katy:** 94 W Grand Parkway S, Suite 240 | (832) 430-7470
– **Heights:** 714 Yale Street, Suite 2Z | (832) 979-1079
– **Spring Branch:** 8143 Long Point Road | (832) 906-4777
– **Tanglewood:** 6363 San Felipe Street, Suite 200B | (281) 407-2760
– **East River:** 2921 Riverby Road, Suite 110 | (832) 864-8726
– **West University:** 5578 Weslayan Street | (346) 447-7399
– **Meyerland:** 450 Meyerland Plaza | (346) 483-3337
– **NASA Parkway:** 1840 E NASA Parkway | (281) 969-3514
– **Sienna (Missouri City):** 5310 Sienna Parkway, Suite 220 | (281) 969-3491
– **Pearland:** 12567 Broadway Street, Suite 129 | Contact main office

### Our All-on-4 Process Advantages

**Comprehensive care under one roof:**
1. **3D cone beam CT** imaging on-site (no outside referrals)
2. **In-house surgical suite** with IV sedation capabilities
3. **On-site dental laboratory** for faster prosthesis fabrication
4. **Experienced support staff** trained in All-on-4 protocols
5. **Emergency care available** 7 days a week at select locations

**Financial transparency:**
– **Free consultation** with detailed cost breakdown
– **Written treatment plan** before any commitments
– **No hidden fees** – all costs disclosed upfront
– **Flexible financing** with multiple options
– **Insurance filing** handled by our billing team

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## Frequently Asked Questions About All-on-4

### How painful is the All-on-4 procedure?

Most patients report **less pain than expected**. During surgery, you won’t feel anything due to local anesthesia and sedation. Post-operative pain is typically managed well with prescribed medications and peaks on days 2-3. On a scale of 1-10, most patients rate pain as 3-5 during the first week, improving to 1-2 by week two.

**Pain management includes:**
– Prescription pain medication (Norco, Tylenol #3) for first 3-5 days
– Over-the-counter ibuprofen after prescription runs out
– Ice packs to minimize swelling
– Soft diet to avoid pressure on surgical sites

### Can I eat normally with All-on-4 implants?

**Yes, once fully healed** (6 months), you can eat almost anything including:
– ✅ Steaks and tough meats
– ✅ Raw vegetables and salads
– ✅ Apples and hard fruits
– ✅ Nuts and seeds
– ✅ Corn on the cob
– ✅ Bagels and crusty bread

**During healing (first 6 months),** follow a soft diet:
– Weeks 1-4: Smoothies, soup, mashed potatoes, protein shakes
– Weeks 5-12: Pasta, fish, eggs, cooked vegetables
– Months 4-6: Gradually add firmer foods (chicken, soft fruits)

**Permanent restrictions:** Avoid extremely hard foods that could damage prosthesis:
– ❌ Ice chewing
– ❌ Hard candy
– ❌ Popcorn kernels
– ❌ Nut shells

### How long do All-on-4 implants last?

**Implants themselves:** Can last a lifetime (30+ years) with proper care. Titanium implants don’t decay and integrate permanently with bone.

**Prosthesis (teeth):** Typically needs replacement every 10-20 years due to:
– Normal wear on chewing surfaces
– Discoloration over time
– Desire to update appearance

**Factors affecting longevity:**
– **Oral hygiene** – Daily brushing and flossing prevents peri-implantitis
– **Regular check-ups** – Professional cleanings every 6 months
– **Bruxism management** – Night guard if you grind teeth
– **Avoiding trauma** – Don’t use teeth as tools
– **Healthy lifestyle** – No smoking, controlled diabetes

### Is All-on-4 covered by dental insurance?

**Partially, in most cases.** Dental insurance typically covers:
– ✅ **50% of implant costs** up to annual maximum ($1,500-$2,000 common)
– ✅ **Tooth extractions** (80-100% coverage usually)
– ✅ **X-rays and imaging** (80% coverage typical)

**What’s usually NOT covered:**
– ❌ Cosmetic upgrades (premium zirconia vs standard acrylic)
– ❌ Sedation (unless medically necessary)
– ❌ Implants beyond annual maximum

**Medical insurance** may cover All-on-4 if:
– Tooth loss resulted from accident/trauma
– Procedure deemed medically necessary (not cosmetic)
– Severe bone loss affecting nutrition and health

**URBN Dental’s insurance team:**
– Pre-authorizes treatment to confirm coverage
– Files all claims on your behalf
– Maximizes benefits across dental and medical policies
– Provides detailed cost estimates before treatment

### How does All-on-4 compare to All-on-6?

**All-on-6** uses six implants instead of four, offering:

**Advantages over All-on-4:**
– ✅ More stability (distributed load across 6 points)
– ✅ Better for heavy chewers or bruxism patients
– ✅ Slightly higher success rate (97-98% vs 95-97%)
– ✅ More flexibility if one implant fails

**Disadvantages:**
– ❌ Higher cost ($5,000-$10,000 more per arch)
– ❌ May require bone grafting (two additional implants in back)
– ❌ Longer surgery time
– ❌ More post-op discomfort

**When All-on-6 is recommended:**
– Strong bite force (heavy chewing, grinding)
– Good bone density throughout arch
– Budget allows for premium treatment
– Desire maximum stability and longevity

**All-on-4 is usually sufficient** for 90% of patients and offers excellent outcomes at lower cost.

—

## Next Steps: Schedule Your Free All-on-4 Consultation

Ready to explore whether All-on-4 is right for you? **URBN Dental offers complimentary consultations** at all 14 Houston locations.

**Your free consultation includes:**
– ✅ Comprehensive oral examination
– ✅ Digital X-rays (panoramic or 3D as needed)
– ✅ Treatment plan presentation with cost breakdown
– ✅ Review of financing options
– ✅ Before/after photos of previous cases
– ✅ All your questions answered by experienced surgeon

**Book online:** [https://urbndental.subscribili.com/appointments](https://urbndental.subscribili.com/appointments)

**Call us:** Contact any of our [14 Houston locations](#14-convenient-houston-locations)

**No pressure, no obligations** – just honest expert advice about your options for full-mouth restoration.

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## Related Services at URBN Dental

– **[Dental Implants Houston](/2026/02/23/dental-implants-houston/)** – Single tooth replacement with implants
– **[Teeth Cleaning Houston](/2026/02/23/teeth-cleaning-houston/)** – Preventive care to protect remaining teeth
– **[Cosmetic Dentist Houston](/2026/02/23/cosmetic-dentist-houston/)** – Smile makeovers and aesthetic dentistry
– **[Best Dentist Houston](/2026/02/23/best-dentist-houston/)** – Comprehensive dental services for all ages
– **[Emergency Dentist Houston](#)** – Same-day care for dental emergencies

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## Medical Disclaimer

This article is for informational purposes only and does not constitute medical advice. All-on-4 dental implant candidacy must be determined by a qualified dentist or oral surgeon through comprehensive examination. Individual results and experiences may vary. Always consult with a licensed dental professional before pursuing any dental treatment.

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**Citations & References:**

1. Malo P, Rangert B, Nobre M. “All-on-4 immediate-function concept with Brånemark System implants for completely edentulous maxillae: a 1-year retrospective clinical study.” *Clinical Implant Dentistry and Related Research* 2005;7 Suppl 1:S88-94.

2. American Academy of Implant Dentistry. “Dental Implant Facts and Figures.” 2023. https://www.aaid.com/about/Press_Room/Dental_Implants_FAQ.html

3. Chrcanovic BR, Albrektsson T, Wennerberg A. “Survival and Complications of Zygomatic Implants: An Updated Systematic Review.” *Journal of Oral & Maxillofacial Research* 2016;7(3):e1.

4. Patzelt SB, Bahat O, Reynolds MA, Strub JR. “The all-on-four treatment concept: a systematic review.” *Clinical Oral Implants Research* 2014 Jan;25(1):1-12.

5. Bellini CM, Romeo D, Galbusera F, et al. “A finite element analysis of tilted versus nontilted implant configurations in the edentulous maxilla.” *The International Journal of Prosthodontics* 2009 Mar-Apr;22(2):155-7.

6. FDA Center for Devices and Radiological Health. “Dental Implants: What You Should Know.” Updated November 2022.

—

**By URBN Dental ✓**
*Expert dental implant care across 14 Houston locations*

**Last Updated:** February 23, 2026
**Reading Time:** 18 minutes

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