Clinically reviewed by Prof. Shakeel Shahdad, Consultant & Honorary Clinical Professor, The Royal London Dental Hospital, Barts Health NHS Trust | Last updated: 21 July 2026

An all-on-4 dental implant is a full-arch tooth replacement technique that uses four strategically placed titanium implants to support an entire arch of prosthetic teeth — upper, lower, or both.
Two implants are placed vertically at the front of the jaw. The other two are angled at 30° to 45° towards the back, positioned to avoid the sinus cavities in the upper jaw and the nerve canal in the lower jaw. This angled placement is what allows all four implants to support a full arch without the need for bone grafting in many cases.
Once placed, the implants fuse with the jawbone through a process called osseointegration — typically taking 3 to 6 months. During this healing period, patients wear a temporary fixed denture, before a permanent prosthesis is fitted.
Patients often ask whether they need All-on-4 or All-on-6. The short answer:
| All-on-4 | All-on-6 | |
|---|---|---|
| Implants per arch | 4 | 6 |
| Best for | Adequate bone density, faster treatment | Lower bone density, added long-term stability |
| Typical UK cost per arch | £10,000–£18,000 | £12,000–£20,000+ |
| Healing time | 3–6 months | 3–6 months |
If you have significant bone loss, your dentist may recommend All-on-6, or a preparatory bone graft, for a more stable long-term result. This is assessed at your initial consultation via a 3D CBCT scan.
All-on-4 dental implants cost £10,000–£18,000 per arch in the UK at Specialist Dental Services. Full mouth treatment covering both the upper and lower jaw falls between £20,000 and £36,000.
For context, UK-wide pricing for All-on-4 in 2026 typically ranges from £9,000 to £25,000+ per arch, with London and Harley Street clinics generally sitting at the higher end due to clinician experience, premises costs, and material quality. Our pricing reflects specialist-led treatment at a Harley Street practice while remaining within the standard UK private range.
All-on-4 pricing varies noticeably by region, reflecting differences in clinic overheads, demand, and the concentration of specialist implantologists:
| Region | Typical Cost Per Arch |
|---|---|
| Central London / Harley Street | £15,000–£25,000+ |
| Greater London (outer boroughs) | £12,000–£18,000 |
| South East England | £11,000–£17,000 |
| Midlands | £10,000–£15,000 |
| North West England (Manchester, Liverpool) | £9,000–£14,000 |
| Yorkshire | £9,000–£13,000 |
| Scotland / Wales / Northern Ireland | £9,000–£14,000 |
Regional figures are indicative UK market ranges for 2026 and vary by individual clinic, case complexity, and materials used.
At Specialist Dental Services, our £10,000–£18,000 per arch pricing sits below the typical central London/Harley Street range shown above, reflecting specialist-led care at a more accessible price point than many comparable central London practices.
What’s included in this price:
| Item | Typical Cost |
|---|---|
| Consultation | £150–£300 |
| Surgery (implant placement, incl. anaesthesia) | £5,000–£7,000 |
| Temporary denture (per arch) | £2,000 |
| Permanent prosthesis (per arch) | £5,000–£8,000 |
| Bone grafting (if required) | £500–£3,000 per site |
| Sinus lift (if required) | £1,000–£2,500 |
All-on-4 dental implants are not routinely available on the NHS. NHS dental services are focused on essential, medically necessary treatment rather than cosmetic or elective restorations. Exceptions are rare and generally limited to cases involving severe trauma, oral cancer treatment, or congenital conditions affecting tooth development. For context, a standard NHS Band 3 course of treatment in England costs £319.10 in 2026 — but this does not cover implant treatment. Most patients pursue All-on-4 privately.
Given the investment involved, many patients choose to spread the cost through dental finance plans rather than paying upfront. When comparing finance options, check:
Ask your clinic directly what finance options they offer as part of your consultation.
All-on-4 is generally suitable for patients who:
You may need additional preparatory treatment — such as bone grafting or a sinus lift — if you have experienced significant bone loss. Patients with uncontrolled diabetes, active gum disease, or heavy smoking habits should discuss these factors with their dentist, as they can affect healing and implant success rates.
All-on-4 implants have reported survival rates of around 95% or higher over several years of clinical follow-up, with proper aftercare. Compared with traditional dentures, which sit on the gums and can shift or require adhesives, All-on-4 is fixed directly to the jawbone — offering greater stability, a stronger bite, and no risk of slipping.
Over a 10–20 year period, the total cost of replacing and maintaining dentures (relines, adhesives, replacements every 5–7 years) can approach the cost of All-on-4 implants, without the same functional or bone-preserving benefits.
Can I get All-on-4 dental implants on the NHS? Only in rare cases involving severe trauma, cancer treatment, or congenital conditions. Most patients pay privately.
What are the average charges for All-on-4 dental implants in London? Typically £10,000–£18,000 per arch at a specialist Harley Street practice.
How long does All-on-4 surgery take? A complete All-on-4 procedure usually takes 3–5 hours per arch.
What should I expect after the procedure? Mild discomfort or swelling is common in the days following surgery and typically resolves with standard painkillers.
Who is a good candidate for All-on-4? Patients with significant tooth loss and adequate jawbone density who want a fixed alternative to removable dentures.
Should I choose All-on-4 or All-on-6? This depends on your bone density and long-term goals — your dentist will confirm the right option after reviewing your CBCT scan.
Visit us at Specialist Dental Services, 94 Harley Street, London, to discuss your All-on-4 treatment options with our specialist implant team.
ADDRESS: 94 HARLEY STREET, LONDON, W1G 7HX
TEL: 020 7580 4200 | SMILE@SPECIALISTDENTALSERVICES.COM
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