Comparing Full-Arch Options

An honest comparison of your options.

Full-arch implants mean sorting through different procedures, provider types, and a wide pricing range. This page lays out the actual differences, no marketing language, so you can decide what's right for your case, even if that's a practice other than ours.

Quick Decision Matrix

Your options at a glance.

Each row is explored in depth below; use this to orient before going deeper.

Option
Implants
Cost / Arch
Best For
Trade-off
All-on-4
4 per arch
$15K–$50K
Most full-arch patients with adequate bone
Each implant carries more load
All-on-6
6 per arch
$15K–$55K
Excellent bone, wants redundancy
Two extra implants, not always necessary
Zygomatic Implants
2–4 zygomatic + 2 standard
$25K–$80K
Severe maxillary atrophy, failed grafting
Specialized; not all OMS practices offer it
Traditional Individual
8–14 per arch
$30K–$80K
Wants maximum redundancy per tooth
Higher cost; needs bone throughout the arch
Conventional Dentures
0
$2K–$8K
Prioritizing low upfront cost
Removable; bone loss continues
Implant-Retained Dentures
2–4 per arch
$8K–$25K
Hybrid budget option
Still removable; less stable than fixed
Ranges reflect the U.S. market broadly, chains, independent surgeons, prosthodontists, academic centers. Actual quotes vary by region, materials, case complexity, and provider model.
Comparing the Procedures

Which procedure fits your situation?

Your anatomy and 3D imaging drive most of this decision. Here are the four comparisons patients ask about most.

All-on-4 vs. All-on-6

Standard · Most Patients

All-on-4

Four implants per arch, decades of outcome data.
Most-studied full-arch protocol
95%+ success at 10+ years
Appropriate even with moderate bone loss

Best for: Most full-arch patients with adequate bone.

Higher-Implant Option

All-on-6

Six implants per arch, added redundancy.
Two extra implants for load distribution
Requires excellent posterior bone
Sometimes marketed as a premium upgrade

Best for: Excellent bone, heavy bruxism, or a specific clinical need for extra support.

For most patients the outcomes are equivalent. Some practices charge more for All-on-6 as a premium tier; at Elite both are $15,000 per arch, so the choice is clinical, not pricing.

Full-Arch vs. Individual Implants

Most Common

Full-Arch Implants

4–6 implants supporting one connected bridge.
Fewer implants, lower total cost
Same-day provisional on surgery day
Standard when missing all/most teeth in an arch

Best for: Patients missing all or most teeth in an arch.

Specialty Cases

Traditional Individual Implants

8–14 implants, one per missing tooth.
Individual crowns, not a connected bridge
Significantly higher total cost
Requires adequate bone at every site

Best for: Replacing only a few teeth among mostly natural ones.

If you're facing full-arch tooth loss, full-arch implants are almost always the more cost-effective, equally appropriate choice.

Full-Arch Implants vs. Dentures

Fixed · Permanent

Full-Arch Implants

Surgically anchored; not removable.
Functions close to natural teeth
Preserves jawbone over time
95%+ success rates over 10+ years

Best for: Patients who can afford the higher upfront cost.

Removable · Lower Cost

Conventional Dentures

$2K–$8K, held by suction and adhesive.
No surgery required
Bone loss continues without implant stimulation
Periodic relines as jaw shape changes

Best for: Lower upfront cost, or not a surgical candidate.

Middle ground: implant-retained dentures use 2\u20134 implants to stabilize a still-removable denture, $8K\u2013$25K, for patients who want some implant benefit without full-arch fixed cost.
When Zygomatic Implants Enter the Picture

Told you're "not a candidate"? Ask about remote anchorage.

Severe upper-jaw bone loss, often from long-term denture wear, can leave too little bone for standard implants. Zygomatic implants anchor into the cheekbone instead, skipping months of grafting. The PATZI sequence is the standardized approach, but not every oral surgeon offers it: it requires specific training and a higher cost than standard All-on-4.
Zygomatic Implants, full page
Comparing the Providers

Where you go matters as much as the procedure.

Board-certified surgeons at chains, multi-provider practices, and independent practices meet the same clinical standards. The structural differences affect pricing transparency, continuity, and marketing, not necessarily clinical outcomes.

Chain Implant Centers
Multi-Provider Practices
Elite (Independent)
Ownership
Corporate network (e.g. Aspen/PE-backed, or a DSO).
Independently owned, but split across multiple surgeons or a separate surgeon + prosthodontist.
Independently owned by Dr. Volland. No DSO, no chain, no private equity.
Clinical model
Multi-specialist team; provider may vary by visit.
Team approach, often across two practices for surgical vs. prosthetic phases.
Single-doctor continuity: same surgeon, every visit.
Pricing
Variable; industry-reported $14K–$50K per arch.
Quoted after paid consult, itemized; PNW typical $25K–$50K.
$15,000 per arch, all-inclusive, published.
Marketing
Heavy direct-to-consumer advertising; some "24-hour" claims.
Referral-based; reputational, less advertising.
Direct and transparent; pricing posted publicly.
The real choice: a corporate-managed multi-provider experience, an independent multi-provider practice, or an independent single-doctor practice. Each has trade-offs; there's no universally "right" answer, only the right fit for what you prioritize.
Pricing Landscape

What patients actually pay.

Per arch, from published pricing where available and patient-reported figures where not.

Conventional Dentures
Removable; no implants.
$2K–$8K
Implant-Retained Dentures
2–4 implants supporting a removable denture.
$8K–$25K
Chain Implant Centers
Industry range; premium tiers can run higher.
$14K–$50K
Multi-Provider OMS (PNW)
Itemized; varies by materials and prosthesis tier.
$25K–$50K
Independent Prosthodontists
Higher-cost metro markets like Seattle/Bellevue.
$30K–$80K
Traditional Individual Implants
8–14 implants with individual crowns.
$30K–$80K
Zygomatic Full-Arch
Specialized; limited providers offer it.
$25K–$80K
Ask for a written, itemized estimate covering surgery, sedation, imaging, provisional, try-in, final prosthesis, and follow-ups, with grafting or specialized procedures quoted separately. A provider who won't put pricing in writing is a meaningful concern.
How to Evaluate Any Provider

Six questions to ask any full-arch provider.

Use these regardless of which practice you're considering, including Elite.

01

Are you board-certified (ABOMS)?

The most specialized credential for implant surgery, a 4+ year residency including anesthesia and complex surgical training.
Red Flag  Vague "extensive training" language, no named certification.
02

Will the same surgeon see me every visit?

Single-doctor practices have one surgeon throughout; multi-surgeon groups may not.
Red Flag  "We have a great team" without naming who actually operates.
03

What’s the total cost, in writing?

An itemized estimate before you commit to scheduling, not a verbal range.
Red Flag  Unwilling to put the total cost in writing.
04

When do I get my final teeth?

Honest answer: week 10–12, after osseointegration is confirmed.
Red Flag  Any claim of "final" or "permanent" teeth on surgery day.
05

What happens if an implant fails?

Ask about the warranty and replacement policy; failure rates run 2–5% over 10 years.
Red Flag  Vague reassurance with nothing documented.
06

How are complications handled after hours?

Ask specifically how you reach the practice and where true emergencies are directed.
Red Flag   Routed to a non-clinical call center with no authority.
Common Questions

Questions patients ask when comparing options.

Why is Elite’s pricing so much lower?

Elite’s lower pricing isn’t the result of cutting quality. We use the same implant systems, zirconia restorations, and permit-authorized sedation. The difference is structural: Bonney Lake has lower commercial overhead than Seattle or Bellevue, we operate with a single-doctor model, and there’s no DSO or corporate parent taking a share.

Should I choose All-on-4 or All-on-6?

All-on-4 is right for most patients: the most-studied protocol, 95%+ success at 10+ years, and appropriate even with moderate bone loss. All-on-6 suits excellent bone or heavy bruxism. At Elite both are priced the same, so the choice is clinical.

Is "permanent teeth in 24 hours" real?

Technically misleading. Osseointegration takes 4–6 months regardless of prosthesis material. What’s really delivered day one is a zirconia or acrylic provisional; either way it’s transitional until integration is confirmed.

How do I know if I’m a candidate?

Most patients missing all or most teeth in an arch are candidates for some full-arch protocol. 3D CBCT imaging determines which one. If you’ve been told you’re not a candidate, a second opinion at a practice offering zygomatic implants is often worthwhile.

Does single-doctor continuity matter more than multi-provider expertise?

It’s a real trade-off. Multi-provider models split surgical and prosthetic phases between specialists; single-doctor practices offer one point of accountability through 12 weeks of treatment and years of follow-up. OMS residency already covers both surgical and prosthetic aspects of full-arch care.

What about dental tourism (Mexico, etc.)?

A real market at $8,000–$15,000 per arch, with variable quality. The trade-offs are real too: post-op care from a provider hours away by plane, warranty enforcement, and long-term continuity. Elite’s $15,000 all-inclusive narrows that price gap while keeping local care.

How do I get a second opinion?

Bring your existing imaging, treatment plan, and quote. We’ll review it and give our own clinical assessment, often without repeat imaging. For full-arch cases, second-opinion consultations at Elite are complimentary with no obligation to switch.

Is full-arch always right, or should I consider individual implants?

Depends on how many teeth you’re replacing. Missing all or most teeth in an arch: full-arch is almost always more cost-effective with equivalent outcomes. Missing only a few teeth: individual implants typically preserve more of your natural dentition.

Opening April 2027

Compare Elite to any practice you're evaluating.

Full-arch consultations are complimentary, including 3D imaging and a written treatment plan with itemized pricing. Bring quotes from other providers; we welcome the comparison.