All-on-X is full-arch implant treatment for patients who need to replace most or all the teeth in one jaw with a fixed, implant-supported restoration. The number and position of the implants are selected from your own anatomy and restorative plan rather than a fixed formula. Treatment starts at $27,500 per arch, all-inclusive, and what that figure covers is set out below rather than left to the consultation.
Full-arch treatment is usually discussed with patients who have many failing or missing teeth in one jaw, who are struggling with a removable denture that moves or no longer fits, or whose treatment plan involves replacing an entire arch. It is not a default answer to tooth loss, and a full diagnostic assessment is needed before suitability can be confirmed. Where it is not the right approach, the alternatives are set out with their own costs.
The main alternative is a conventional denture, which rests on the gums and is taken out for cleaning. A full-arch implant restoration is fixed to implants anchored in the bone, so it stays in place and does not rely on suction or adhesive. Most patients describe the practical difference in terms of eating and speaking with confidence. The trade-offs are the cost and the surgical stage, and both are real. Which is appropriate depends as much on what you want from the result as on the clinical picture.
Full-arch treatment requires surgical and restorative planning to happen together, because the implants have to be placed where the prosthesis needs them. Imaging, bite assessment, the bone available, smile design and the design of the planned prosthesis all feed into the approach. Having a board-certified prosthodontist and a surgically trained dental surgeon on the same team means that coordination happens inside one practice rather than across two.
For suitable cases a provisional fixed restoration may be connected during the early treatment phase, which is where the phrase “Teeth in a Day” comes from. It is worth being clear that this provisional is not the final prosthesis: it is worn while the implants integrate, and the definitive restoration follows. Whether same-day provisionalisation is appropriate depends on how stable the implants are at placement, and it is determined during planning rather than promised in advance.
A fixed full-arch restoration is cleaned in the mouth rather than removed, which takes a different technique from either natural teeth or a denture. Reaching underneath the prosthesis matters, and you are shown how before you leave. Ongoing professional maintenance is part of the treatment rather than an optional extra, and follow-up intervals are set according to your prosthesis, implant health and hygiene needs.
Full-arch quotes elsewhere are often quoted as a surgical fee with the prosthesis, imaging and follow-up priced separately, which is how a headline figure becomes a much larger one. The $27,500 per arch starting price is all-inclusive. Your written plan confirms the scope for your case before anything begins.
Suitability is a diagnostic question, not a judgement call. A consultation with imaging gives you a direct answer, along with the alternatives if the answer is no.
All prices in CAD · starting prices
Quoted separately
Where bone is insufficient
All prices are starting prices and may vary depending on case complexity, treatment requirements, materials and other clinical factors. Final treatment costs are confirmed following consultation and treatment planning. Prices effective September 2026.
Full-arch treatment is the largest single commitment in implant dentistry, so it is worth being precise about what the number does and does not mean.
$27,500 covers one jaw. Treating both the upper and lower arch is quoted as two arches. Many patients only ever need one.
Planning, imaging, placement, the provisional where one is used, the final fixed prosthesis and laboratory work are within the starting price rather than added afterwards.
Where IV sedation is planned it is quoted separately, from $800, and confirmed with you before treatment.
If there is too little bone in the upper jaw for conventional implants, zygomatic implants may be considered instead, from $35,000. Whether that applies is established from the CBCT scan.
The material of the final prosthesis affects both laboratory cost and how it wears over time, and the options are discussed rather than assumed.
Oral Surgery and Implants
Dr. Ali Mehdi brings over 15 years of experience in oral and implant surgery, with a focus on advanced implant dentistry and complex full-mouth rehabilitation. From routine oral surgery to advanced bone grafting and full-arch implant treatment, his approach combines surgical experience, digital technology, and individualized care.
View Profile
BDS, EDA, DABOI, MSc, Cert. Prostho, PhD
Board-Certified Specialist in Prosthodontics in Canada and Diplomate of the American Board of Oral Implantology, with extensive experience in prosthodontics and implant dentistry.
View ProfileFull-arch treatment starts at $27,500 per arch, all-inclusive. That figure covers planning, imaging, implant placement, the provisional restoration where one is used, the final fixed prosthesis and laboratory work. Final cost is confirmed after consultation and planning.
All-on-4 describes a specific concept using four implants. All-on-X allows the number of implants to be selected according to the individual clinical plan, which may be four, six or another number depending on bone and bite. The naming is the only difference in principle; the planning is what matters.
A conventional denture rests on the gums and is removed for cleaning. A full-arch implant restoration is fixed to implants in the bone and stays in place, which changes how it feels when eating and speaking. The trade-off is cost and the surgical stage. Both are discussed rather than one being assumed.
Some appropriate cases receive a provisional fixed restoration as part of the treatment sequence. Whether that is possible in your case cannot be confirmed until diagnostic and clinical planning is complete, because it depends on how stable the implants are at the point of placement.
Usually not. Where same-day teeth are provided they are a provisional restoration, worn while the implants integrate. The final prosthesis is made afterwards and is included in the all-inclusive starting price.
Patients with reduced bone may still have options, including grafting or advanced implant solutions such as zygomatic implants. The right approach depends on the location and extent of the bone loss, which the CBCT scan establishes.
It is cleaned in the mouth rather than removed, using techniques for reaching underneath the prosthesis that are demonstrated to you before you leave. Regular professional maintenance is part of keeping a full-arch restoration healthy long term.
Not necessarily. Many patients need one arch only. Where both are being considered, each is quoted as its own arch and treatment can sometimes be staged.
IV sedation with a specialist anesthesiologist is available for appropriate cases and starts at $800.
The clinic confirms the treatment scope and final cost after consultation and planning, and provides it in writing before treatment begins.
Patients travel to us from White Rock, South Surrey, Surrey, Langley, Delta and across the Fraser Valley. Our team also speaks Hindi, Punjabi and Urdu, and we accept referrals from dentists throughout the Lower Mainland.
Book a consultation with Apple Dental Specialists in White Rock. The team will review your goals and clinical findings, explain the treatment options that may be appropriate, and confirm the plan and final costs before care begins.
