The cost of an all on 4 dental implant includes:

• the 4 dental implants
• their 4 prosthetic abutments to maintain the 12 above dental crowns 
• the 12 temporary crowns above the 4 implants
• the 12 permanent crowns that will replace the 12 temporary crowns

I might need to add to the price the options:

• the dentist fees and an x-ray
• the teeth and root canal extractions

The price variations to this price are:

• the type and brand of the implant: each dentist offers his favourite dental implant brand, just ask if you need another one
• the technique used and any additional procedures: if you would need to add a dental bone graft or choose an all on 6 dental implant  
• the material chosen for the crown: it is often between fused to metal ceramic dental crown or zirconium dental crowns (by far the best)
• if you prefer an "immediate loading" protocol meaning all shall be donw in 1 trip instead of 2: in this case the cost and time taken would be very different

The "All-on-4" dental implants (or "all on 6" when 6 implants are necessary) is a dental procedure used to restore a full arch of missing teeth using only four dental implants to support a raw of 10 or 12 crowns instead of many unit implants with above crown. This innovative approach allows patients with extensive tooth loss to regain a functional and pleasing smile.

The protocol for "All-on-4" dental implants starts by a Consultation: The process begins with a comprehensive consultation with a qualified prosthodontist or oral surgeon who specializes in dental implant procedures. During this consultation, the dentist will evaluate your oral health, discuss your treatment goals, and determine if you are a suitable candidate for "All-on-4" implants. It is nowadays most of time done remote. You don't need to come to different dental clinics for consultation and waist hours. You just have to send your x-ray or your documentation in order to receive various quotes. Nowadays dentists are used to prepare and send remote by Whatsapp or email dental quotes. Having an x-ray is mandatory unless you have a quote from another dentist or if the protocol is simple (you need a full mouth restoration for 1 or 2 jaws). You will note that if in the dental clinic premises the protocol might change (ie a dental crown is enough and no implant is necessary or if you need 3 implants and a bridge and not 1 implants, this will only change the final cost but not the protocol as a well organized dental clinic with its own lab shall be able to treat the same day 1 implant or a full mouth restoration (so 8 implants and 24 temporary dental crowns).

Your dental quote will be based on the consultation (very often remote through Whatsapp video for instance) and diagnostic imaging (such as X-rays, CT scans, or 3D imaging), the dentist will develop a personalized treatment plan tailored to your specific needs. This plan will include the number and placement of implants, as well as the design of the final prosthesis.

There is a second "all on 4" protocol involving only 1 trip instead of 2. In the standard above mentioned protocol, you usually do the same day the extractions + implants + temporary crowns and then come back around 5 months for about 5 days for the permanent crowns.

For those who come from far away you can have the all on four immediate loading protocol meaning you will do directly the permanent crowns and skip the temporary crowns. The pro is that you save time. The cons is that it is in average +20% more expensive, the dental crowns cannot be in zirconium but in a specific ceramic type and in some cases there can be a gum problem.

"All-on-4 dental" implants offer a minimally invasive and cost-effective solution for restoring a full arch of missing teeth, providing patients with a durable, stable, and aesthetically pleasing smile that can significantly improve their quality of life.