All-on-4, All-on-6 & All-on-X dental implants in Houston
All-on-4 replaces a full arch of missing or failing teeth with a fixed bridge anchored on just four implants. For many patients the temporary teeth go in the same day, so you leave with a complete smile, not a gap.
Book a consultationWhat All-on-4 is
Instead of one implant per tooth, four implants are placed at precise angles to use the strongest available bone, then a full fixed bridge is attached to them. The result is a set of teeth that stays fixed in your mouth. You do not take it out, and it does not slip like a denture.
Am I a candidate?
Most adults missing most or all of their teeth on an arch, or facing that, are candidates, even many who were told they lacked enough bone for traditional implants. The angled placement is designed to work around bone loss. A CBCT scan at your consultation confirms it for your case.
The same-day process
We take a 3D CBCT scan and plan the placement digitally. On surgery day, the implants are placed and a temporary fixed bridge is attached, usually the same day. After healing and integration over a few months, the final bridge is fitted. Our oral surgeons handle the surgery in-house, start to finish.
Cost and financing
All-on-4 pricing depends on the number of arches, whether extractions or bone work are needed, and the final material. All-on-4 full-arch treatment starts at $27,000 per arch. We give you an exact, itemized number at your consultation, because the final figure depends on extractions, any bone work, and how many implants your bone needs, and we offer financing through Cherry, Affirm, and Sunbit, often with 0% plans, so the cost can be spread out. The Houston column shows what offices around town charge for the same line items. One row deserves a note: IV sedation here is a flat $1,500 per appointment, which is the top of Houston's $250 to $1,500 range, and we'd rather say that plainly. Full-arch surgery is a long appointment, and a flat fee means the number doesn't grow with the clock the way the $600-to-$800-an-hour billing common in most other US markets does. If your scan shows you need bone work beyond a socket graft, it's quoted at your free CBCT consultation.
| Treatment | Houston range (2026) | Our fee |
|---|---|---|
| All-on-4 fixed arch, per arch | Acrylic-hybrid tier $12,999–$30,000 · zirconia tier $25,000–$40,000+ | $27,000 |
| All-on-6 / All-on-8 fixed arch, per arch | $27,000 | |
| Both arches (full mouth) | $25,000–$80,000 | $54,000 |
| Implant-supported (snap-on) denture, per arch | $8,500–$25,000 | $12,500 |
| IV sedation, per appointment (flat) | $250–$1,500 | $1,500 |
| Simple extraction, per tooth | $290 | |
| Bone graft (socket preservation) | $250–$1,200 | $650 |
| 3D CBCT scan at your consultation | $250–$500 if billed separately | Free |
What the $27,000 includes, line by line
Full-arch quotes get compared unequally all over Houston: one office quotes an arch, another quotes a mouth, and a surgery-only number gets lined up against a number that includes the teeth. So here is exactly what our per-arch fee covers, and what sits outside it. The written plan lists every stage and every fee before you commit, and it does not move unless the clinical plan changes and you approve the change.
| Line item | In the $27,000? |
|---|---|
| Surgical placement of the implants, four, six or eight as your bone needs | Included |
| Surgery performed by an oral and maxillofacial surgeon | Included |
| Temporary fixed teeth, placed the same day when clinically appropriate | Included |
| Final fixed bridge | Included |
| 3D CBCT scan and consultation | Included, free |
| Second arch | Priced separately, same per-arch fee |
| Simple extractions | Case-dependent, priced in the table above |
| Bone grafting | Case-dependent, quoted after your scan |
| IV sedation | Optional, flat per-appointment fee above |
Bring another office's quote for a free second opinion · How to choose an All-on-4 provider in Houston
Where $27,000 sits in the Houston All-on-4 market
Shop this procedure around Houston and you'll run into two very different price tiers, split mostly by the material of the final bridge. Arches restored with an acrylic or acrylic-hybrid bridge run $12,999 to $30,000 here, with typical quotes between $19,499 and $25,000. Zirconia arches run $25,000 to $40,000 and up, typically $27,000 to $30,000. Our $27,000 sits above most of the acrylic tier and at the bottom of the typical zirconia band. We're not the lowest-priced full-arch option in Houston, and we don't advertise like one. What the flat fee buys is specific: surgery by an oral and maxillofacial surgeon, the fixed set of teeth, and one price whether your bone needs four, six, or eight implants. When you compare quotes, ask every office, ours included, what the number covers (extractions, sedation, the temporary set, the final bridge, follow-up visits) and what material the final bridge is made of. That one detail is the main reason two Houston quotes for the same arch can sit thousands of dollars apart. Yours is itemized in writing at the free CBCT consultation. Houston itself is a good place to need this work. A 2026 Dental Economics survey of 278 practices across six major US markets, 115 of them here, found Houston the least expensive of the six for a single implant, with a median of $3,665 against $4,000 nationally. The same survey found implants placed by specialists carried a lower national median fee than those placed by general dentists, so having a surgeon place your arch is not the premium it sounds like.
Dental Economics 2026 implant-cost survey
Why Omega
Every All-on-4 case is performed by an oral and maxillofacial surgeon, not a general dentist. We use 3D CBCT planning and a CAD/CAM lab so the fit is precise and the timeline is short. Sedation is available for the procedure.
What patients say
Patients rate us 4.6 stars across more than 1,200 Google reviews, and implant work is a large share of them. No single review tells you much on its own; twelve hundred of them, held at 4.6, is the signal worth weighing.
Read our reviews on Google · All patient reviews
All-on-4 in Houston, planned and placed under one roof
Many All-on-4 patients in Houston get bounced between a surgeon for the implants and a separate lab or dentist for the teeth. At Omega, the oral surgeon who places your implants and the restorative dentist who designs your new teeth work in the same Midtown office at 106 W Gray Street, so your care is coordinated in one place. We treat full-arch patients from across Houston, including Montrose, River Oaks, the Medical Center, and the Heights, with 3D planning done on site. The implants are placed by our oral and maxillofacial surgeons, Dr. Jonathan Rosenstein — board certified, a Diplomate of the American Board of Oral and Maxillofacial Surgery — and Dr. Edmund Watkins.
Dr. Jonathan Rosenstein, oral & maxillofacial surgeon · Dr. Edmund Watkins, oral & maxillofacial surgeon
Recovery and the first few weeks
Plan to take it easy for the first two or three days. Swelling and bruising usually peak around day two and then settle, and your surgeon sends you home with a written plan for medication, ice, and rinses. Most people arrange a few days away from work, and more if the job is physical. You will eat soft foods while the implants integrate with the bone. Think eggs, soup, pasta, fish, and smoothies for several weeks, and no biting into hard or crusty foods with the temporary bridge. The temporary is strong enough for daily life, but it is not meant to be tested. We see you back within the first week or so, then at intervals while healing progresses. If something feels off between visits, call (713) 322-7474 rather than waiting for the next appointment. Because your surgery and your follow-up care happen in the same office, you are never explaining your case to a practice that did not do the work.
Eating, speaking, and cleaning day to day
Once you are healed and the final bridge is in place, most patients go back to a normal diet, including foods that were off the table with a denture or with failing teeth. Chewing feels stable because the bridge is anchored to implants rather than resting on your gums. Speech takes a short adjustment. Some sounds can feel different for a week or two while your tongue learns the new shape, and reading out loud at home speeds that up. There is no palate covering the roof of your mouth the way a full upper denture has, so taste and temperature come through normally. Cleaning is different from brushing natural teeth. You brush the bridge twice a day and clean underneath it, usually with a water flosser and a floss threader, because plaque still collects where the bridge meets the gum. We show you the technique before you leave.
How to care for dental implants
How All-on-4 compares with other options
A traditional full denture is the least involved option and the least stable. It rests on the gums, needs adhesive for many people, and comes out at night. Bone tends to shrink under a denture over the years, which is why the fit keeps changing. An implant-retained overdenture sits on two or more implants and snaps in. It is more secure than a plain denture and usually costs less than a fixed arch, but you still take it out to clean it. Replacing every missing tooth with its own implant is possible when the bone supports it, though it means more implants, more surgical time, and a higher cost. All-on-4 sits between those: a fixed set of teeth on four implants that you do not remove. Which one suits you depends on your bone, your bite, your health history, and your budget. Our oral surgeons walk through all of them at the consultation.
All-on-4, All-on-6 or All-on-8: how we choose
The number is how many implants anchor the arch, and the fee does not change with it: $27,000 per arch covers All-on-4, All-on-6 and All-on-8 alike, so the count is a clinical decision rather than an upsell. Four implants work well when bone is adequate; six or eight add bite force and spread the load, often chosen for the upper jaw or denser arches. Your surgeon recommends the count from the 3D scan, not a sales target. The evidence behind full-arch work is unusually strong: a systematic review of the All-on-4 concept reported implant survival above 99 percent at two to three years. Two honest footnotes belong next to that number: the arch on top is serviced and eventually renewed like any restoration that chews for a living, and a history of gum disease raises complication risk, which is why hygiene visits around a fixed arch are part of the plan here, not an optional extra. You will also see this sold as All-on-X. It is the same family of treatment, with the X standing in for the implant count, and the same fee applies.
Systematic review of the All-on-4 concept · Gum-disease history and implant risk · Success rate of dental implants
Insurance, records, and planning the cost
Full-arch treatment is rarely covered end to end by dental insurance, but parts of it often are. Extractions, and sometimes a portion of the prosthetic work, may fall under your benefits, and most plans carry an annual maximum that resets each year. We verify your plan before treatment and show you in writing what it is expected to pay and what it is not. Bring your insurance card, your current medications, and any recent scans or x-rays from another office. If you have a plan quoted elsewhere, bring that too and we will go through it with you. The balance can be spread out through Cherry, Affirm, or Sunbit, and our in-house membership plan is an option if you do not carry dental insurance at all. We will not begin treatment until you have a written total and a payment path you are comfortable with.
All-on-4 patients travelling to Midtown Houston
Full-arch cases come to 106 W Gray from across Houston and from outside it, because All-on-4 is not something every practice does end to end. Here the surgery and the final teeth happen in one building. The oral surgeon places the implants, the restorative dentist designs and fits the bridge, and both plan the case together from the same CBCT scan before anything starts. For a treatment measured in months, not visits, having one team and one record is the difference between a coordinated plan and a series of handoffs.
Frequently asked questions
Are All-on-4 teeth permanent?
Yes. The bridge is fixed to the implants and stays in your mouth. Only your dentist removes it, for maintenance.
Can I really get teeth the same day?
In most cases a temporary fixed set of teeth is attached the same day as surgery. The final bridge comes after the implants integrate with the bone over a few months.
What if I was told I do not have enough bone?
All-on-4 is specifically designed to use available bone with angled implants, so many patients who were turned down for traditional implants still qualify. A CBCT scan confirms it.
How much does All-on-4 cost?
All-on-4 at Omega is $27,000 per arch, which covers the implants, the surgery, and the fixed set of teeth. You get the exact written quote for your case at a free CBCT consultation, and financing through Cherry, Affirm, and Sunbit starts from $95/mo.
Where can I get All-on-4 dental implants in Houston?
Omega Dental Specialists offers All-on-4 at our Midtown Houston office at 106 W Gray Street, with the surgeon and restorative dentist working together under one roof. We serve patients from downtown, Montrose, River Oaks, the Medical Center, and the Heights. Call (713) 322-7474.
What's the difference between All-on-4 and All-on-6?
The number is how many implants anchor the arch. All-on-4 uses four implants and works well when bone is adequate. All-on-6 or All-on-8 add implants for greater bite force and to preserve more bone, often chosen for the upper jaw or denser arches. Your surgeon recommends the count based on a 3D scan, not a sales target. The fee is the same $27,000 per arch either way.
Is All-on-X the same as All-on-4?
Yes. All-on-X is the umbrella term some offices use for a fixed full-arch bridge on four, six or eight implants. At Omega the implant count is decided from your 3D scan, and the per-arch fee is the same whichever count your bone needs.
Why do All-on-4 quotes in Houston vary so much?
Mostly the material of the final bridge, and what the number includes. Houston arches with an acrylic or acrylic-hybrid bridge run $12,999 to $30,000; zirconia arches run $25,000 to $40,000 and up. Our flat $27,000 per arch covers the implants, the surgery, and the fixed set of teeth, and stays the same for four, six, or eight implants. When you compare quotes, ask what the number includes and what the final bridge is made of, then get ours in writing at a free CBCT consultation.
Ready to talk it through?
The fastest way to a clear answer is a consultation. Call (713) 322-7474 or book online. Dental Implants in Houston