How much does All-on-X cost?

The spread reflects implant count, prosthetic material, and case complexity. A four-implant arch with an acrylic-wrap provisional sits at the lower end. A six-implant arch with a monolithic zirconia final, custom titanium bar, and staged conversion sits at the upper end. Grafting, guided surgery, and immediate load protocols also add cost. Geography and DSO versus private fee schedules influence the final patient number as well.

Lab fees for full-arch cases are billed per arch and cover the conversion PMMA, verification jig, and final prosthesis. Surgical fees, implants, and abutments are billed by the practice. When quoting patients, separate the surgical phase, provisional phase, and definitive prosthesis so the treatment plan reads cleanly. This also lets you swap final material later without repricing the surgical portion.

Yes. A monolithic zirconia full-arch prosthesis carries a higher lab fee than an acrylic hybrid on a titanium bar because of milling time, sintering, and layering labor. Lithium disilicate is not indicated for full-arch screw-retained work. When presenting options, frame it as durability and esthetics per year of service rather than sticker price, since zirconia arches carry longer expected service intervals.

Send a CBCT or panoramic image, intraoral scan or impressions of both arches, a bite registration or existing denture, and photos including a full smile and retracted views. Note the implant system, platform, and planned abutment type. For conversion cases, include the try-in denture. Complete records let the lab confirm restorative space, screw access, and prosthetic design before fabrication begins.

Conversion prosthetics for immediate load are usually completed chairside or same day from the pre-made denture. Definitive prostheses require staged appointments across several weeks, including verification jig, wax try-in, and final delivery. Timelines depend on material, whether a bar is milled, and healing intervals between visits. Coordinate scheduling with the lab at case start so try-in and delivery slots are reserved in advance.