All-on-4, All-on-6 & All-on-X dental implants in Houston

What 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, can be candidates, including many who were told they lacked enough bone for traditional implants. The angled placement is designed to work around bone loss. Before we say yes, we check two things. The CBCT scan at your consultation shows how much bone you have and where it sits, and we go through your medical history, because diabetes control, certain medications and smoking all affect healing. When the upper jaw has too little bone even for angled implants, zygomatic implants anchor in the cheekbone instead.

The same-day process

We take a 3D CBCT scan and plan the placement digitally. On surgery day, the implants are placed and, when they are stable enough, a temporary fixed bridge is usually attached that day. Once the implants have integrated with the bone, usually four to six months after surgery, the final bridge is fitted. The surgery is done here by our oral surgeons or our periodontist, usually under IV sedation.

Cost and financing

All-on-4 full-arch treatment starts at $27,000 per arch. That fee is the same for four, six or eight implants and comes with a hybrid final bridge; a zirconia bridge costs more and is quoted at your consultation. The other things that change your total are extractions, bone grafting and IV sedation. Extractions, and any bone work beyond a socket graft, are quoted at your CBCT consultation, case by case, and you leave that visit with an exact, itemized number in writing. Financing is available through Cherry, Affirm, and Sunbit for qualifying applicants, with plans starting at 0% APR subject to the lender's approval, 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 $2,000 per appointment, which is above Houston's $250 to $1,500 range, and we'd rather say that plainly. Most full-arch cases are done under IV sedation, and when both arches are done in the same appointment it is one fee. 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.

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	$17,000
IV sedation, per appointment (flat)	$250–$1,500	$2,000
Bone graft (socket preservation)	$250–$1,200	$650

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.

What our All-on-4 fee covers, per arch

Line item	In the $27,000?
Surgical placement of the implants, four, six or eight as your bone needs	Included
Surgery by an oral and maxillofacial surgeon or our periodontist	Included
Temporary fixed teeth, placed the same day when clinically appropriate	Included
Final fixed bridge (hybrid)	Included
Zirconia final bridge instead of hybrid	Costs more; quoted at your consultation
Consultation and 3D CBCT scan	Separate fee, credited toward treatment if you go ahead
Second arch	Priced separately, same per-arch fee
Extractions	Quoted at your CBCT consultation, case by case
Bone grafting	Case-dependent, quoted after your scan
IV sedation	Usual for full-arch surgery; flat per-appointment fee above, one fee when both arches are done together

Bring another office's quote for a 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 covers a hybrid final bridge, which puts it above most of the acrylic tier; a zirconia bridge costs more and is quoted at your consultation. We're not the lowest-priced full-arch option in Houston, and we don't advertise like one. What the fee buys is specific: surgery by a surgical specialist, a fixed set of teeth with a hybrid final bridge, and one price whether your bone needs four, six, or eight implants. When you compare quotes, ask every office what the number covers (extractions, sedation, the temporary set, the final bridge, follow-up visits) and what material the final bridge is made of. Ours is hybrid, with zirconia as a quoted upgrade. 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 CBCT consultation.

For market context, 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 single implants placed by specialists carried a lower national median fee than those placed by general dentists. Those are single-implant fees, not a guide to what an arch costs.

Dental Economics 2026 implant-cost survey

Why Omega

Every All-on-4 case is placed by a surgical specialist, one of our oral and maxillofacial surgeons or our periodontist, not a general dentist. The teeth are designed and fitted by our prosthodontist, Dr. Nisa Dadjoo, or by Dr. Mohsen Khobyari. We plan every case from a 3D CBCT scan, and most are done under IV sedation.

What patients say

Patients rate us 4.7 stars across more than 1,300 Google reviews. No single review tells you much on its own; thirteen hundred of them, held at 4.7, is the signal worth weighing.

Read our reviews on Google  ·  All patient reviews

All-on-4 in Houston, planned and placed under one roof

At Omega, the specialist who places your implants and the 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, and by our periodontist, Dr. Shirin Farhadian, board certified by the American Board of Periodontology. The teeth are designed and fitted by our prosthodontist, Dr. Nisa Dadjoo, or by Dr. Mohsen Khobyari.

Dr. Jonathan Rosenstein, oral & maxillofacial surgeon  ·  Dr. Edmund Watkins, oral & maxillofacial surgeon  ·  Dr. Shirin Farhadian, periodontist  ·  Dr. Nisa Dadjoo, prosthodontist

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 surgeons and prosthodontist walk through all of them at the consultation. If you would like to read up first, the full mouth dental implants guide sets a fixed arch beside an implant denture, recovery and upkeep included.

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. Your surgeon recommends the count from the 3D scan, not a sales target. A 2021 systematic review reported a mean cumulative implant survival of 94 to 98 percent at follow-ups of six to eleven years, with no significant difference between the angled back implants and the straight front ones. An earlier 2017 review also found the approach predictable, but noted that the evidence is limited by thin reporting on study quality and by incomplete follow-up, with patients lost along the way. Two honest footnotes belong next to those numbers: 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 regular hygiene visits around a fixed arch matter. 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.

For what can go wrong, and what lowers the risk, read our guide to problems with All-on-4 implants.

2017 systematic review of the All-on-4 concept  ·  2021 systematic review of All-on-4 implant survival  ·  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 for qualifying applicants. Our in-house membership plan covers routine care for patients without insurance, but its discount does not apply to full-arch treatment. 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, because All-on-4 is not something every practice does end to end.

Here the surgery and the final teeth happen in one building. A surgical specialist places the implants, our prosthodontist Dr. Dadjoo or Dr. Khobyari designs and fits the bridge, and they 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.

All dental implant options in Houston

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

Learn more about this

• Single Tooth Implant Cost in Houston
• Full Mouth Dental Implants Cost in Houston
• Dental Bone Graft Cost in Houston
• How to Choose an All-on-4 Provider in Houston
• All-on-4 vs All-on-6 Implants in Houston
• ClearChoice Dental Implants Cost & Houston Alternatives