What You Need To Know About All on 4 Dental Implant Treatment incl Costs

A quick summary of All-on-4 dental implant treatment, information about some risks and ideas on realistic costs for this treatment.

[@4drecord]

Finally, a straightforward & honest presentation about the procedure.

[@cyn37211]

I just had this procedure done 3 days ago. I was surprised that I haven’t had any pain to speak of. I still have my very back molars left (I had the top arch done). Right now I’ve got the temporary bridge in until the implants heal, but my dentist is very pleased with my progress so far. And the shape of my lower face has changed - I had really crooked teeth, and now that I have a normal top bite, my entire face looks different! This is a wonderful procedure, and my dentist was so certain I needed this, he didn’t charge me for the implants. I was supposed to have a partial bridge on top, but he decided I would benefit more from the implants. It was a huge surprise to go in and be told I was getting the implants at no extra charge! He told my husband he’d been wanting to perform this procedure for a long time, and he’s really pleased with my response thus far!

[@drgurssehmi]

I'm glad you have shared your story, as this is very common (well, not the free implants bit). Typically this is a fantastic and life changing treatment, with very little pain afterwards :)

[@cyn37211]

Dr Gurs Sehmi I really am pleased with the results thus far. The only downside was I couldn’t have hot tea for a few days. I broke down and had several cups today. My dentist had me switch to hot compresses today, so I figured it was ok to have tea. The facial swelling was extreme for about 30 hours, but I woke up next morning with practically no swelling. Today was even more dramatic, and I look younger as well!

[@brianvilmer3926]

Finally, someone who is honest about this. Thank you. One thing you might add is partial sedation. But that’s a minor detail. Overall : well done.

[@fatooshtkd]

I learned so much from watching you sir. I wish you were here in Brooklyn, or I was there.. i am beyond terrified and I'm going to get this done in a few hours... please pray for me... i am a nervous wreck. Thank you again for your kindness in doing this video.

[@drgurssehmi]

I hope it all went well!

[@whitneyjohnson4530]

How did it go

[@emilieorear2887]

I love watching Dr. Gur's video. I am 34 and have terrible dental issues. My dental problems have taken a severe toll on my self-esteem and life period. I am not living up to my potential for sure. I wish I could have the all on 4 dental implants done, but I financially cannot afford it. If I were able to have one wish, anything, granted it would be this.

[@drgurssehmi]

There are often other treatments that can dramatically improve your health and appearance of your smile - and not cost so much. I would find a dentist you trust and find out options that can help. You are really young, try and keep as many teeth as possible!

[@Elliebellebama]

I wish I could come to the UK and have you do my implants, you are such a lovely man.

[@drgurssehmi]

Thank you for your kind comment!

[@mebrakzeremariam1286]

I agree

[@wandaskeens4518]

I’ve had all my teeth removed already got my dentures… I love them because I can smile again but hate them because of the aches an pain and sore spots..I’ve been watching your channel and other doctors… I need your help so so bad .

[@a1elvisfan]

Thanks for the video, what you said reaffirmed my decision to have this done in the USA. What you said is pretty much what my dentist told me. Thank you

[@phillipjoy8191]

I wish you was close to were I live.Some of these Dentist remind me of car a car salesmen were I live in the United States 🇺🇸.Great video

[@jjjccc870]

hi Phillip, look up newteethnow in lakeland Florida.

[@ondi37]

I just finished getting the All On 4 and I'm from Tennessee. I was sedated had all teeth extracted on top and 4 implants placed same day. Had some bruising and swelling but little pain. Wore a denture for 5 months and healed then got a temp fixed bridge and wore 6 weeks. Wore that until final bridge was being made. I chose Phanares 2 teeth from Ivoclar Vivadent. I still had my original bottom teeth and on those I had veneers. Total cost 52 grand. I love my new smile. I had an awesome team and no major problems. It took 8 months for it all to be completely finished. But I can eat corn on the Cobb and basically everything I could eat with my real teeth..even more now! Had it done at Premier Dental in Milan Tennessee.Amazing Dr.Arnold and wonderful nurses. Hope this can help someone. MENTION MY CODE- ONDI100 and receive a 10% discount! Trust me every penny counts and you get what you paid for. An AMAZING NEW SMILE 😬👍🏼

[@Pebbles523]

I wish this Angel was here in the USA 🇺🇸. I cry everyday. With no dental coverage, I've had to literally pull some of my own teeth leaving the roots. 😢. God bless You!

[@cyn37211]

😭😭😭

[@HeronCoyote1234]

Do you have a dental school anywhere near you? The students are well supervised, and it should be much more affordable.

[@Pebbles523]

@@HeronCoyote1234 yes, but they destroyed my mom's teeth. They are horrible.

[@HeronCoyote1234]

@@Pebbles523 oh man, I am so sorry.

[@filipprekpalaj6121]

Tks doc. I am doing all on 4 here in Dublin . Next month the treatment's going to start. 👍

[@lisagibson1448]

He's straight forward I like that

[@scottbowman8157]

These videos are fantastic! I am starting the All on 4 process in 2 days with the initial impressions and photos. Luckily I was able to source a practice local to me that does everything from start to finish in the same office....Cost appears to be significantly higher here as my course of treatment will be right at $32,000 US Dollars.

[@drgurssehmi]

It is a life changing treatment, and it goes really well in the vast majority of cases, I hope you are one of those! The cost is so variable - is your treatment for upper and lower teeth? If its single arch, then you are probably getting individual ceramic teeth, with premium implants and an experienced surgeon - I would always recommend paying more for these things! Good luck!

[@scottbowman8157]

I am actually having both upper and lower done. As to your comment about this procedure being life changing. I am 50 years old and have had more dental procedures than I can count to try and salvage/save my original teeth. Crowns, Root canals, bridges, fillings etc..Words cannot describe how excited I am to finally have a uniformly aesthetic smile without pain nor discomfort. I am trying to keep my expectations in check and realistic as I know this will not be the same as having natural teeth. As for the cost. As I mentioned previously I have had loads of work done with a lot of it done in Mexico. The fees were attractive and treatment time frames significantly less than in the US. However, I believe my choice of chasing value as opposed to quality of work have contributed to where I am now in this nearly life long dental journey. So I would agree with you that doing this on the cheap is not a viable plan. Thank you again for your posts! They have helped me make informed choices and relieve some of the stress associated with a procedure of this magnitude.

[@mlmjb8640]

@@scottbowman8157 Hi Scott. My age and dental history is similar to yours. I'm going in for my first consultation in one month. Did you have this done and would you recommend based on your experience? Thanks

[@amandeepsinghchouhan5229]

Pls tell me what does it cost ?

[@kevdonew1412]

a very good presentation i have just had the teeth removed and four implants up and three down and yes teeth in a day not really but you do have teeth on day one three weeks in and its a challenge to eat with them but this is a long haul process six months from now and im sure will be great but it is pricey 25000 for me but also worth the investment

[@drgurssehmi]

This is a totally life changing treatment, and I am sure it will be worth it! Some people have an easy journey, others have a more bumpy one. I hope yours is smooth.

[@shelbyco.6066]

kevdone w How are you doing? I’m having all on 4 on 4/25. I’m so nervous. 3 Q I keep forgetting to ask! 1. Is the perm set after your gums shrink so the fit better ? 2. How often do you use the water pick? 3. And is it the metal that they use as perm ones? Thx! Looking forward to your input!! :)

[@larrystradeski8261]

Hi I'm a dental tech . for 46 years.We find with immediate dentures there's usually a lot of change in the first few months. We do mostly over dentures and find they have to be redone a few months later.Do your have problems with food getting trapped under a fixed all on four. Thanks Larry

[@drgurssehmi]

Yes, there is always a lot of change in the first few months, which is why I don't get why some dentists make the final restoration in a month! Food tapping is an issue for some patients, but when a gap develops it's very easy to clean and food trapping is less of an issue.

[@parisgrant4725]

I like him he keep it real

[@ZeoWorks]

Hi, would this change the shape of your jaw at all? Making it smaller? Thanks.

[@drgurssehmi]

No, although bone removal is a part of this treatment, it's not the bone that gives your jaw is shape. So the chin stays in a similar position. However, by increasing the length and position of the teeth, it is possible to "open the bite" this can give the illusion of bringing the chin in, and jaw smaller. Experienced dentists will be able to plan for this and make it look natural.

[@cyn37211]

I’ve recently had this done on my top arch, and it has changed my appearance a bit. I had super-crooked teeth, and now I’ve got a decent smile. The shape of my upper jaw has changed slightly, but people have already called me pretty, and I now believe them!

[@stevef1391]

@@drgurssehmi How much extra does the metal bridge cost for the all-on-4 treatment ?

[@henryquach6095]

Hi Dr. can u help me locator implants and all on 4, which one you recommended? And which one is easy to maintain or clean? Thanks

[@drgurssehmi]

My favourite is the locator dentures, they are easy to clean, and easy to fix if there are problems with the dental implants later

[@shelbyco.6066]

Yes, but Is this 6 month set ur permanent set? I’m getting all on 4 in 4/25 and I’m nervous. I want to be clear: I WILL HAVE A TEMP SET FIRST. THEN MY PERM SET. IS THAT BECAUSE OF THE DECREASE SIZE ( SHRINKING) IN GUM SIZE??

[@drgurssehmi]

Yes, the gums can change shape and the implants need time to integrate or heal first.

[@mqureshi8917]

How much for all on 4

[@Dice-Gamble]

Hi, could you please help us by doing a top 10 video of Implant Brands like Nobel Care, NeoDent etc. This will greatly help us in choosing what do go with. Especially when it comes to durability, pros and cons of each. - and - does it mean that if I don't get an implant that's in the Top 5. then I will have a lot of problems?? Any light that you can shed on this would be greatly appreciated.

[@CrystalXD2006]

Hi there, have you had to treat a smoker with all on 4? A heavy smoker that had all on 4 and now smoking 3-5 a day?

[@justrk3980]

The cost in Malaysia are approximately RM50,000 ringgit for the whole set top and bottom.

[@philipbuckley759]

try a major currency....how many know what a ringgit is....

[@justrk3980]

@@philipbuckley759 approximately 13000 us dollar

[@chriscurren6384]

Pricey. Just got quoted $57K.

[@cyberlyd]

Hi, Dr. Guys, I have had my temps a month now. The one side on top is very bulky, and rubs inside my cheek. Is this normal?

[@20caleta]

Hi, Is it possible to have a denture lower and All 4 on the top? Many thanks

[@Madolou]

Would that all in 4 affect face muscles which can make mouth zone wrinkle more? Thanks

[@philipbuckley759]

is there any advantage on an all on eight...in cleaning and such...

[@shaneitsaname6135]

Very Informative

[@marysimpson8798]

Hi... love 💕 your videos, very informative!!! By any chance.. can you suggest a place that does all on 4 implants in New Jersey? Also do you know if anyone has any give aways or contests on either free or half the cost, for dental implants? Thank you for your time!!!

[@drgurssehmi]

Thank you! I'm sorry, I don't know anyone near you who does this. I am sure there are many good dentists near you,I just don't know any of them!

[@marysimpson8798]

Dr Gurs Sehmi ... well Thanks for your time!!! I really appreciate it!!

[@karenanderson4290]

My name is Karen Anderson. I had my consultation today. I am scheduled to have the 4 on 4 next Friday. I live in NJ .I happened to be watching wyhy one day and listened to dr. Pastiu explain the 4 on 4 dental implant. The Dr and his staff is very professional, caring just plain nice down to earth people. The Dr is very straightforward. The name of the practice is Sewell Dental Arts,188 Fries Mill Rd,,Turnersville, NJ

[@shelbyco.6066]

My dentist said he WONT do General anesthesia b/c he said it will take TOTAL about 6-8 hours. He said that a TWILIGHT , under the tongue anesthesia. NOT JUST LOCAL. also I DONT have my back teeth. Only 5 up front so I was able to “try on” the prosthetic... is this the same? How often should I water pick and what’s this about peroxide??

[@drgurssehmi]

Hi, I wouldn't do general for my patients, but very occasionally I will offer sedation, which is slightly different. Normally we start the procedure at 9am, the surgical stuff that needs anaesthetic is finished by 1130 or 12, after that it's just connecting your teeth to the implants, this can take a few hours but there should not be any pain at this stage. I'm not sure what the try in is, different dentists do it slightly differently and use different names for the stages

[@breadhouse8595]

Informative video, I hope I can afford.

[@shirebad]

Where r u Sr?

[@bonesgirl302]

Would you recommend zirconium teeth? I already have my implants which my dentist/prosodontist tells me are in good shape. Even zirconium will have some acrylic?

[@ondi37]

Zirconia doesn't have any acrylic in it. It is as hard as a diamond and you have a very strong bite force so you have to be careful chomping down on food. They are also the most expensive to get and the most expensive to repair if they break.

[@matygoo1644]

If you have a whole row of teeth that are just anchored at each end of the row, and the middle teeth are just floating above the gum, doesn't this feel wierd?

[@cyn37211]

I’ve got the temporary bridge, anchored to my back molars by wires. Eventually they’ll be snapped into the 4 implants (after 4 months of healing). Right now the swelling is going going down and the bridge is moving around a bit. I’m supposed to eat only soft food for the next 4 months.

[@so1667]

Hello dr Gurs im wearing my braces for about 5 months and my teeth dont seem diffrent and probably nothing is happening,so how can i close it?

[@drgurssehmi]

Mixalhs Fvs I would bring this up with your orthodontist as they might be able to show you what has been happening so far

[@so1667]

Dr Gurs Sehmi thanks alot!

[@stevepainter4674]

Hi Dr Gurs. Where are you in UK ? I have just had a consultation in London at at dentaprime F3T in Stratford. Do you know this place?. Kind regards Steve P

[@drgurssehmi]

Hi Steve, I'm based in Marlow (bucks) and Hertford. If you have CT scans and X rays/ photos then we could do an online consultation of you like

[@stevepainter4674]

@@drgurssehmi Hi Dr Sehmi. Could you send me an email address so I can send you my Xray to you. Many thanks. Kind regards. Steve p. [e-mail]

[@amandeepsinghchouhan5229]

How long process this ?

[@amelisgapanis7675]

Hi, I’m a running enthusiast, how long can I run again after all procedures are finished or partially finished?

[@drgurssehmi]

I would think one week after the surgical treatment should be fine. I don't think any of the other aspects of the treatment would need any down time from running

[@flutoporter6971]

I have bone graph on both sides at top...the VA is doing mine for free

[@sandiemom8888]

I have been going from dentist to dentist. To oral surgeon to oral surgeon for the last 8 weeks. I am losing weight, which I cant afford to because I cant eat as my top front bridge is gone. Dentist took it out to clean and broke the abundtment teeth, so after he put it back it fell out in less than 10 hours. I wish he told me I could loose the abundtment teeth. They were my teeth chopped down. So now I have nowhere to chew.

[@drgurssehmi]

Have you asked about immediate temporary solutions? Maybe a removable denture, as this can often be done in a few days?

[@sandiemom8888]

@@drgurssehmi Thank you for your reply. Sadly anything different I asked everyone ignores. Seems it's their way or the highway. I cant afford what they want to do, so I'd like to do the bare minimum. So that I can chew food again. Sadly I dont have the huge amount of money they want, that's why I asked for alternative to full top denture. You see I have a disabled child and it's lots of money to take care of his special needs Leaving nothing for me to save. I cant believe there is no dentist that can work with me and take payments. I'm not doing this for cosmetics. I'm doing it to sustain life, as you cant live without eating.

[@fatooshtkd]

@@sandiemom8888 i just read your story and truly i pray that things are better now... I'm getting this done in a few hours and really don't have any choice. I lost my job and life has been brutal of late.. however, i have to try, I have no choice... i do hope you found a reasonable and decent dentist. God bless and be safe..

[@sandiemom8888]

@@fatooshtkd ty but no I have found no way. Still am not eating solids. Good luck to you.

[@floydcage2494]

@@sandiemom8888 If you're qualified to get care credit, you can get dental work done with a payment plan

[@Jaujau933]

Good video, a wealthy man 😎

[@tomc6407]

Hi Dr Gurs; When you say £15k, do you mean for both sets (upper and lower) or per set?

[@drgurssehmi]

Tom Carey hi Tom, it's per set, so 15 for the top, and 15 for the bottom. I split the cost up so it's 10 for the teeth in a day part, and the rest after 6 months or when the patient chooses to change to a metal based bridge

[@shelbyco.6066]

Dr Gurs Sehmi the metal /permanent set?? Is this what they call the FINAL OR PERMANENT SET? My dentist/plastic surgeon told me that I would have my temp placed at time of surgery and then after they heal... my permanent set.... how do I keep food out? I know I’m getting a water pick. How often should I use this. I’m going back to see my dentist. EVERY time I go in I forget these Q!! Lol

[@bachandhaliwal9345]

@@drgurssehmi o7368262177

[@HeronCoyote1234]

Dr Gurs has a video on cleaning All on Fours. That’s my next video to watch.

[@matyakobyahya6509]

Hi..I like to know if a diabetic patients can have dental implants? Reply appreciated tq

[@drgurssehmi]

Yes they can, it all depends on how well the diabetes is being controlled

[@ivorycoast7906]

I'm in the United States watching you. I have no idea what a "pound" is. We pay here in dollars. How much in dollars is 15 pounds?

[@drgurssehmi]

Try to use Google to find an accurate conversion. The rate changes daily.

[@cristianangheluta8225]

hello how much is All on 6 please? sinus lift augmentation? risk on sinus lift? risk remove all theet? how eat without teeth? asap pls

[@drgurssehmi]

Hi its difficult to price without doing an assessment, the all on 6 is about £18k, you probably wont need sinus augmentation with that kind of treatment. The way this treatment works is that you leave with a fixed set of teeth, so eating is not usually a big problem.

[@nickparavalos6984]

18.000 all on 6 with zirconia arch ?

[@nickparavalos6984]

Included all bad teeth removal ?

[@lisagibson1448]

I was watching this lady's video and she was crying because they put in the wrong implants so they has to remove them now she has stiches poor lady it's sad 😢

[@Rubenfeletoa]

Just got mine done check out my results

[@jackiegayles1568]

Dr. Gurs where are u located

[@drgurssehmi]

Hi Jackie, I am in Kensington, London or Hertford in Hertfordshire - UK. You can find out more from my website drsehmi.co.uk

[@elyela3494]

Hi Dr Gurs pl how match cost 1 implants thx you ELENA

[@suechad862]

Where are u located

[@bonesgirl302]

That’s been my experience.

[@MM-je1tg]

I USED 2THINK IT'S WAS DONE N A DAY...I WAS WRONG

[@drgurssehmi]

Thats the biggest misconception!

[@gaylecheung3087]

Crud more than a car

[@nasreenahmed8833]

Hi I have gum disease and bone loss and also I want to get my teeth fixed so if I get fully implants done is this will be no problems or painless for another 40,50 years and also how many days and roughly how much will it cost to get it done also please give me your email and contact number and the address of your clinic if I could afford it ( I hope so )I will definitely want to get it done from you

[@nasreenahmed8833]

Please reply my message with the details Thanks a lot