Procedure guide · US vs Colombia pricing

All-on-4: the full-arch standard, at Colombian prices

Four implants, one fixed bridge, a complete arch of teeth. In the US, cash-pay patients see quotes from $14,000 to $36,000 per arch. In Colombia, the same procedure — same implant brands — typically runs $5,500 to $9,500.

The numbers

What it costs, honestly

ProcedureUS cash-payColombiaYou keep
All-on-4, per arch$14,000 – $36,000$5,500 – $9,500$4,500 – $30,500
All-on-4, both arches$28,000 – $62,000$11,000 – $18,000$10,000 – $51,000
Extraction (per tooth, if needed)$135 – $650$50 – $120$15 – $600
Bone graft (if needed, per site)$600 – $3,000$250 – $900Up to $2,750

All figures are typical 2026 ranges, not quotes. US figures reflect what cash-pay/self-pay patients actually pay (sourced from published surgery-center prices, ASPS/ADA-aligned surveys, and cost aggregators), not insurer-negotiated rates. Your treatment plan — bone grafting, extractions, materials — moves the number.

Side by side

US cash-pay range vs. Colombia typical range. Typical 2026 ranges, not quotes.

How it works

Four implants. A full arch. Teeth the same week.

All-on-4 places four implants per arch — two vertical in front, two angled at the back — and anchors a complete fixed bridge to them. The angled rear implants are the clever part: they recruit denser bone toward the front of the jaw, which is why many patients who were told they "don't have enough bone" for traditional implants are still All-on-4 candidates without major grafting.

You leave surgery with a fixed provisional arch — real, functional teeth, not a removable denture — and return in 3–6 months for the permanent bridge once the implants have fused with the bone.

What the Colombia price typically includes

  • 3D CT scan, digital smile design, and treatment planning
  • Extractions of remaining teeth in the arch
  • Four implants (major global brands) with multi-unit abutments
  • Fixed provisional bridge placed within days of surgery
  • Permanent bridge — acrylic-hybrid at the lower end of the range, full zirconia at the upper end

Always confirm the inclusion list in writing. The single most common US pricing trick — quoting the surgery but not the final bridge — exists in every country.

The material question

Acrylic hybrid vs. zirconia — where the range comes from

Milled zirconia dental bridge photographed like a luxury object on dark slate

Acrylic-titanium hybrid

Acrylic teeth on a titanium bar. Lighter on the budget, easier to repair, and completely respectable — this is what keeps Colombia's lower range near $5,500 per arch. Expect to refresh the acrylic every 5–8 years.

Monolithic zirconia

Milled from a single block of zirconia — the strongest, most stain-resistant, most natural-looking option, and what pushes the range toward $9,500. In the US the same bridge is a major reason quotes leap past $30,000 per arch.

A useful way to think about it: in Colombia, the upgrade to zirconia often costs less than the sales tax would on the equivalent US treatment. If you've always wanted the best version, this is the economy where that decision gets easy.

Fair questions

What people ask us about this

Am I a candidate if I still have some teeth?
Usually yes. Most All-on-4 patients have some remaining teeth that are extracted during the same surgery. If several of your teeth are genuinely healthy, a clinic may propose keeping them and restoring around them instead — a good clinic will show you both plans and both prices.
Why two trips instead of one?
Biology. Implants need 3–6 months to fuse with bone (osseointegration) before they can safely carry a permanent bridge under full chewing force. The provisional you wear home looks and works like real teeth — the second trip is about fitting the final, stronger version.
What's the difference between All-on-4 and All-on-6?
Two more implants per arch, spreading the load further and adding insurance against any single implant failing. It costs more and needs adequate bone, but for younger patients or heavy grinders it's often worth it. We break it down on the All-on-6 page.
How long does an All-on-4 last?
The implants themselves are designed to last decades — published long-term survival rates for full-arch implants are consistently high when placed well and maintained. The bridge on top has a service life: acrylic hybrids typically need refurbishment in 5–8 years, zirconia considerably longer.

Your case, your number

Get a cost range built on your scan, not our averages.

Send us your situation — with or without X-rays — and we'll connect you with vetted Colombian clinics for an itemized treatment plan in English. Compare it to your US quotes and decide with real numbers in hand.

Get my personal cost breakdown