All-on-4 replaces a full arch of missing or failing teeth with one fixed bridge carried on four implants. The bridge does not come out at night. You brush it in your mouth like natural teeth. The two back implants are placed at an angle so they reach firmer bone, which is why All-on-4 often works for people who were told they do not have enough bone for implants.
At The Smile Super Speciality Dental Clinic in Kondapur and Vizag, All-on-4 costs ₹2,50,000 to ₹4,00,000 per arch. Every case is planned by Dr. Rajesh Kumar Y, MDS (Orthodontics), Facial Orthopedist and Fellow of Implantology (Germany). Your first visit is a ₹500 consultation with an iTero 3D scan, and you leave with a written plan that compares All-on-4 with the other ways to replace a full arch, and gives the exact price.
Get Your General Answers
Who All-on-4 is for
People usually come to us for All-on-4 in one of these situations:
- You have worn a full denture for years, it moves when you eat or talk, and you are tired of it.
- Several teeth in one jaw are loose or failing, and you want one clear plan instead of fixing them one at a time.
- You lost your teeth long ago and another dentist said the bone had shrunk too much for implants.
- You are planning treatment for a parent and want them to eat properly again.
- You live abroad and want the work done across two trips home.
All-on-4 usually suits you if:
- Most or all of the teeth in one jaw are missing or cannot be saved
- You want fixed teeth, not a denture you take out
- Your general health allows a minor surgery (we check sugar levels, blood pressure and your medicines first)
- You can keep the area clean and come for reviews during healing
When All-on-4 is not the right first step
- Only a few teeth are missing. Single implants or a bridge keep your healthy teeth and cost far less. Removing healthy teeth to fit All-on-4 is not something we recommend.
- You want something firmer than a denture but the budget is tight. An implant-retained overdenture uses two to four implants to hold a denture that clicks into place. It still comes out for cleaning, but it does not slip, and it costs less than a fixed bridge.
- You chew very hard food or grind heavily. Six implants (All-on-6) spread the load better. Your scan shows which one suits you.
- Uncontrolled diabetes or heavy smoking. Both slow healing and raise the chance of an implant failing. We get sugars under control first, and ask smokers to stop at least for the healing months.
- Active gum infection. This is treated before any implant goes in.
- Certain bone medicines, such as some osteoporosis drugs. Tell us everything you take; your physician may need to be involved.
We lay these options side by side, starting with the simplest one that does the job, so you can choose what fits your mouth, your health and your budget.
Visit 1: Consultation and planning (₹500, about 60 minutes)
- Dr. Rajesh Kumar Y examines your gums, any remaining teeth and your bite, and asks about your health and medicines.
- iTero 3D scan of your mouth: no moulds. You see your own teeth and gums on screen while he explains.
- CBCT 3D X-ray of the jaw, to measure the bone and mark the nerves and sinuses before any implant position is chosen.
- A written plan comparing All-on-4, All-on-6, an implant-retained overdenture and a regular denture where they apply, with the number of visits and the exact price. Take it home and decide in your own time.
Visit 2: Surgery day (about 3 to 4 hours per arch)
- Local anaesthetic, so you feel pressure but no pain. Sedation is available if you are anxious, at extra cost.
- Any teeth that cannot be saved are removed.
- Four implants are placed: two straight at the front, two angled at the back.
- In most cases a fixed temporary bridge is attached the same day, so you go home with teeth. If an implant is not firm enough on the day to carry teeth straight away, we tell you and the bridge goes on a little later.
Healing: 4 to 6 months
- The bone grows around the implants. You eat soft food at first and come in for reviews.
Visits 3 to 5: The final bridge
- A new scan of the healed implants.
- A try-in, so you see and approve the shape and colour of the teeth before the final bridge is made.
- The final bridge is screwed onto the implants and the bite is adjusted.
From the first visit to the final teeth usually takes 4 to 6 months and about 4 to 6 visits.
Surgery day
You are numb throughout. If you choose sedation you will be relaxed and drowsy, and someone needs to take you home. Plan to rest for the rest of the day.
First 2 to 3 days
Swelling is usually highest on day 2 or 3. Cold packs and the medicines we prescribe keep it manageable. Some bruising is normal. Liquids and very soft food only.
First 2 weeks
Swelling settles. Most people are back at work within 3 to 5 days. Keep to soft food and follow the cleaning instructions closely, because this is when the implants start to settle into the bone.
During healing (4 to 6 months)
The temporary bridge works well for normal soft meals but is not as strong as the final one, so avoid very hard or crunchy food. Do not skip the review visits. If you smoke, this is the most important time to stop.
After the final bridge
Brush twice a day and clean under the bridge with a water flosser or the brushes we show you. Come for a professional clean and check every 6 months, when we may take the bridge off to clean around the implants. Well-kept implants can last 20 years or more. The teeth on the bridge wear over time and may need repair or replacement after 10 to 15 years.
All-on-4: ₹2,50,000 to ₹4,00,000 per arch
Same price range at Kondapur and Vizag. The exact figure is in your written plan after the ₹500 consultation.
What is included
- The four implants and the surgery
- The fixed temporary bridge
- The final bridge after healing
- Review visits during healing
What moves the price
- Implant system: we use several brands at different prices and explain them side by side.
- Material of the final bridge: acrylic teeth on a metal frame cost less; zirconia is stronger, resists stains and looks more natural, and costs more.
- Bone grafting: often avoided thanks to the angled implants, but if it is needed it adds ₹10,000 to ₹50,000.
- Sedation: extra if you choose it.
- One arch or both: priced per arch.
All-on-4 or single implants
A single implant with its crown is ₹35,000 to ₹88,000. Replacing every tooth in one jaw that way would come to well over ₹4,00,000 even at the lowest price, and needs far more bone. When most teeth in a jaw are gone, four implants and one bridge is usually the simpler and cheaper route. When only a few are missing, single implants or a bridge make more sense.
All-on-4 or a denture
A denture costs a fraction of the price and needs no surgery. The trade-off is daily life: it can move when you eat, comes out every night, and needs relining or replacing as the gums shrink. An implant-retained overdenture sits in between. Your written plan shows all three with their prices, so you can weigh them properly.
Comparing quotes
Ask three things: which implant brand, what the final bridge is made of, and whether the temporary bridge and grafting are included. A low quote often leaves out the final bridge or uses a cheaper material. Your written plan lists each part, so quotes can be compared fairly.
Why four implants can carry a full set of teeth
At the back of the jaw, bone is often thin: in the upper jaw the sinus sits low, and in the lower jaw the nerve runs close. Straight implants there would need grafting. All-on-4 tilts the two back implants forward so they anchor in the firmer bone in front of the sinus or the nerve, while still supporting teeth further back. One rigid bridge joins all four, so the chewing load is shared. Whether this works for you is decided on the CBCT scan, not on a promise at the front desk.
Why patients plan their full-arch implants with us
- Dr. Rajesh Kumar Y, MDS (Orthodontics), Facial Orthopedist and Fellow of Implantology (Germany), plans and places every All-on-4 case. As a facial orthopedist he also plans how the new teeth support the lips and face.
- Dr. Varsha Reddy, Dental Surgeon and life member of the Indian Society of Oral Implantologists, helps with the look of the final teeth.
- Treating families since 1997, ISO 9001 certified, in Kondapur (Hyderabad) and Vizag.
- A ₹500 first visit with an iTero 3D scan, and a written plan with every option and its exact price, with no pressure to decide on the day.
Read before you decide
- All-on-4 explained: who it suits and how NRI patients plan it
- Dentures or implants: how to choose
- Told you don't have enough bone?
- Implants with diabetes or blood pressure
- Are cheap dental implants a mistake?
- Dental implant cost in Kondapur, Hyderabad and in Visakhapatnam
- Only a few teeth missing: single dental implants
- Visit us: Smile Dental Clinic Kondapur or Smile Dental Clinic Vizag
All-on-4 during your India visits
All-on-4 usually fits into two trips:
- Trip 1 (1 to 2 weeks): consultation, scans, surgery and the fixed temporary bridge. In most cases you fly home with teeth.
- Trip 2 (1 to 2 weeks, 4 to 6 months later): the final bridge is made and fitted.
WhatsApp us a recent X-ray or CBCT scan before you book flights. Dr. Rajesh Kumar Y reviews it and replies with whether All-on-4 looks possible, a likely cost range and a realistic timeline, so the trip is planned around what can actually be finished. More in our NRI visit guide.
Cost comparison: All-on-4 per arch at Smile Dental: ₹2,50,000 to ₹4,00,000. The same in the US: about ₹12,00,000 to ₹25,00,000. In the UK: about ₹8,00,000 to ₹18,00,000.
Live outside India? See how to plan your treatment from home →
How much does All-on-4 cost in Kondapur and Vizag?
All-on-4 costs ₹2,50,000 to ₹4,00,000 per arch at both branches. That includes the four implants, the surgery, the temporary bridge and the final bridge. Bone grafting, if needed, adds ₹10,000 to ₹50,000. Your exact price is in the written plan after the ₹500 consultation.
Will I go home with teeth on the day of surgery?
In most cases, yes. A fixed temporary bridge is attached the same day. If an implant is not firm enough on the day to carry teeth, we tell you and the bridge goes on a little later. The final bridge replaces it after 4 to 6 months.
I was told I don't have enough bone. Can I still have All-on-4?
Often yes. The two back implants are angled into firmer bone, which avoids grafting in many cases. The CBCT scan at your consultation shows whether it will work for you, or whether grafting or another option is the better plan.
Is the surgery painful?
You are under local anaesthetic, so you feel pressure but no pain during it. Sedation is available if you are anxious. Swelling peaks on day 2 or 3 and is controlled with cold packs and the medicines we prescribe. Most people are back at work in 3 to 5 days.
How long does All-on-4 last?
Well-kept implants can last 20 years or more. The teeth on the bridge wear with use and may need repair or replacement after 10 to 15 years. Cleaning under the bridge and a check every 6 months matter most.
Is All-on-4 the same as dentures?
No. A denture rests on the gums and comes out. An All-on-4 bridge is screwed onto four implants and stays in, and you brush it in your mouth. An implant-retained overdenture sits in between: it clicks onto implants but still comes out for cleaning.
Are cheaper implants as good for All-on-4?
Not always. Part of the price difference is the implant brand and the material of the final bridge, and some low quotes leave out the final bridge. Ask which brand, which bridge material and what is included. Your written plan lists each part.
How do I choose the best dental clinic for All-on-4 in Hyderabad or Vizag?
Look for a clinic that plans on a CBCT scan, tells you plainly if single implants or an overdenture would suit you better, names the implant brand and bridge material, and puts the full price in writing. At Smile Dental, Dr. Rajesh Kumar Y plans every All-on-4 case after a ₹500 consultation with an iTero 3D scan.
