All-on-4 Dental Implants in Perth: Cost, Process and Who It’s For
All-on-4 dental implants in Perth typically cost $19,000 to $30,000 per arch $19,000-$25,000 for an acrylic-tooth bridge and $25,000-$30,000 for premium zirconia. A full set of upper and lower All-on-4 generally falls between $38,000 and $50,000 in Perth. The final price depends on the implant brand, the bridge material, whether bone grafting is required and which surgical team places the implants.
Perth City Dental sees patients in our Perth CBD practice for full implant assessments. We work with periodontists and oral surgeons for the surgical placement and we handle the restorative side planning, fitting and long-term maintenance at our boutique-style practice on St Georges Terrace. Book a free 15-minute consultation to find out whether All-on-4 is right for your situation and to get a written quote.
What is All-on-4?
All-on-4 is a full-arch dental implant solution that replaces all the teeth in one jaw (upper or lower) using just four implants. The four implants are angled strategically so they can support a fixed bridge of 10-14 teeth, even in patients who have less bone than a traditional implant approach would need. The technique was developed by Nobel Biocare and is now offered using a number of implant brands.
For patients currently wearing removable dentures, missing most of their teeth, long term denture wearers, or facing the prospect of losing all your teeth from failing teeth, All-on-4 is often a life-changing alternative. The result is a fixed set of replacement teeth that don’t come out prosthetic teeth attached to the four titanium implants so they feel and function like natural teeth, and that don’t require the potential bone grafting procedures that conventional full mouth dental implants would. Patients missing multiple posterior implants in the back of the jaw can usually still proceed because the strategically angled implants engage the available bone in the front of the jaw, where bone volume tends to be better preserved.
The technique works because the four titanium implants are placed at angles that bypass the sinus cavities and nerve canals that often limit traditional implant placement. Over a 3-6 month healing phase the jawbone fuses to the implant surface in a process called osseointegration, and once that’s complete the implants can support the full final restoration for decades. Compared with multiple surgeries spread across years for individual implant placement, All-on-4 collapses the surgical procedure into a single implant surgery day.
All-on-4 dental implants Perth cost in 2026
All-on-4 prices vary based on implant system, bridge material and surgical complexity. The Perth market in 2026 generally sits in the following ranges.
Acrylic-tooth bridge (entry option)
An All-on-4 with a high-strength acrylic-tooth bridge in Perth typically costs $19,000-$25,000 per arch. The acrylic teeth are durable for everyday use and look natural, though they will need replacement or refurbishment after 5-10 years.
Zirconia bridge (premium option)
A monolithic zirconia bridge is the long-life option, typically costing $25,000-$30,000 per arch in Perth. Zirconia is far more wear-resistant than acrylic, holds its colour and shape for 15+ years, and is the option most patients choose if budget allows.
Both arches (full mouth)
A full upper-and-lower All-on-4 typically costs $38,000-$50,000 in Perth, with most clinics offering a small discount when both arches are done together.
What can push the cost up
Bone grafting (if you don’t have enough bone for even the angled implants), zygomatic implants (for severe upper-jaw bone loss), upgraded implant brands, IV sedation or general anaesthetic, and immediate same-day teeth all add to the price. Your written quote will spell out each line item.
What can bring the cost down
Choosing acrylic over zirconia, doing one arch at a time, using a clinic’s preferred implant system rather than a premium imported brand, and avoiding overseas dental tourism (which often costs more in the long run once complications need treating in Australia).
The All-on-4 process from first consult to final teeth
All-on-4 is a coordinated process between a surgical team and a restorative dentist. The typical journey looks like this.
Step 1 — Free 15-minute consultation
You come in for an initial consult. We take a panoramic x-ray, examine your remaining teeth and gums, and talk through whether All-on-4 is the right option for you or whether traditional implants, a bridge or dentures might suit better.
Step 2 — Comprehensive planning (CBCT scan)
If All-on-4 is the chosen path, the next step is a 3D cone-beam CT scan to map your bone, sinuses and nerves precisely. This scan drives the surgical plan exactly where each of the four implants will sit, at what angle, and how the immediate teeth will be designed.
Step 3 — Treatment plan and quote
You receive a written plan with all the components: surgical fee, implant fee, bridge fee, sedation, follow-up visits. Health fund rebates are estimated and the Fund My Dental option is discussed for the gap.
Step 4 — Surgery day
The surgical team typically an oral surgery specialist (periodontist or oral surgeon) we work with places the four implants in one surgical session, usually under IV sedation. Any tooth removal of remaining teeth in the arch is done at the same time as the implant placement. Fixed provisional teeth are screwed onto the implants on the same day, so you walk out with teeth, not gaps. The whole sequence tooth removal, implant surgery, fixed provisional teeth is built into one comfortable appointment to minimise total recovery and disruption.
Step 5 — Healing and osseointegration (3-6 months)
The four implants need to integrate with the jaw bone before they can support the permanent bridge. During this period you wear the temporary teeth and eat a soft-then-normal diet. You attend a few check-ups so we can monitor healing.
Step 6 — Final bridge design and fit
Once healing is complete, we take precise impressions, design the final bridge (acrylic or zirconia depending on what you chose), and fit it onto the four implants. This is the long-term restoration that should last decades with the right care.
Step 7 — Maintenance for the long term
You come back twice a year for professional cleans and check-ups. The implants themselves are titanium and don’t decay, but the gum around them does need monitoring and the bridge needs polishing and torque checks at routine appointments.
All-on-4 vs traditional dental implants
For full-arch tooth replacement, All-on-4 isn’t the only option. The trade-offs against conventional implants matter.
All-on-4 advantages
Faster total treatment time (often same-day teeth versus months of waiting). Fewer implants (four versus six to eight), which means lower cost and less surgery. Often avoids bone grafting because the angled implants engage denser bone. Predictable outcomes when planned with CBCT.
Traditional full-arch implants
Six to eight implants per arch supporting individual crowns or a bridge. More expensive ($35,000-$60,000 per arch in Perth) and longer treatment time, but offers the maximum biomechanical redundancy if one implant ever fails. May require bone grafting first.
Dental bridges
For replacing a small section of missing teeth, a traditional bridge is much cheaper ($2,500-$5,500 in Perth) but requires shaving the adjacent teeth and doesn’t replace the underlying tooth root. Not viable for full-arch replacement.
Conventional dentures
The lowest-cost option ($1,500-$5,000 per arch in Perth) but removable, less stable when chewing, more accelerated bone loss over time, and a frequent source of dissatisfaction in long-term wearers. Many All-on-4 patients are former denture wearers who couldn’t tolerate them.
Who is All-on-4 suitable for?
All-on-4 works best for a specific group of patients.
Good candidates
Adults missing most or all teeth in one or both arches. Patients struggling with loose, painful traditional dentures. Patients facing the prospect of losing remaining teeth due to advanced gum disease, decay or trauma. Patients with sufficient bone in the front of the jaw (even if the back of the jaw has resorbed). Patients in good general health and dental health, with reasonable gum health and oral hygiene to support proper healing of the four titanium implants. Suitability is determined by individual clinical assessment of medical history, current prescribed medications and a CBCT scan of the available bone.
Possibly suitable with planning
Patients with mild-to-moderate bone loss may still be candidates with the angled-implant technique. Patients on certain medications (some osteoporosis treatments require careful planning). Smokers (success rates are lower; quitting before surgery improves outcomes significantly).
Not suitable
Children and teenagers (jaw growth must be complete). Patients with severe bone loss in both jaws who can’t support the angled implants even after grafting. Patients with uncontrolled diabetes or other medical conditions that interfere with healing. Heavy smokers who are unwilling to stop.
Health funds and finance for All-on-4
All-on-4 is a major dental investment and most patients combine several funding sources.
Preferred provider for HBF, Bupa and HCF
Perth City Dental is a preferred dental provider for HBF, Bupa and HCF. We also accept all health fund providers. For implant work, most extras policies offer partial rebates that depend on your annual limit and item codes. Major dental cover usually offers higher limits than basic extras and matters for All-on-4-scale cases.
Fund My Dental — interest-free finance
For the gap, Perth City Dental partners with Fund My Dental. Patients can apply for $1,000 or $2,000 of treatment funding paid back over 6 months interest free. For larger procedures like All-on-4, third-party medical finance providers (such as TLC, MacCredit or Humm) offer plans up to $50,000 with longer terms.
Accessing your super
The Australian Tax Office allows early access to superannuation for major dental treatment that’s medically necessary, including some implant procedures. The application process is detailed and requires a registered medical practitioner’s report speak to your superannuation fund and a financial adviser before relying on this route.
Why choose Perth City Dental for your All-on-4 consultation
Perth City Dental has been providing dental care to Perth’s busy professionals in the heart of Perth’s CBD area for more than 50 years. We’re a boutique-style practice with a small, consistent dental team Dr Lisa Standing, Dr John Marsell, Dr Charlotte Pickering, Dr Zhinus Farhand and Dr Andrew Goonewardene and we work with established periodontists and oral surgeons for the surgical phase of full-arch implant cases.
Our Google rating is 4.9 out of 5 based on 95 reviews. We’re an inclusive, access-friendly practice important for older patients or those with mobility limitations with wide foyer lifts, single-level flooring, accessible toilets and a designated drop-off zone on William Street.
Many patients come to us after years as long term denture wearers, frustrated by loose-fitting plates that interfere with normal oral function. The first step is an initial consultation, an OPG x-ray and a discussion of your medical history. From there, if All-on-4 is the right path, we coordinate the implant treatment plan with the periodontist or oral surgery specialist who’ll handle the surgical procedure, and we manage the restorative dentistry side designing the prosthetic teeth, fitting the final restoration after the initial healing period, and looking after long-term maintenance.
The practice is on Level 5 at 5/105 St Georges Terrace, easy to reach from West Perth, East Perth, Northbridge, Subiaco, Mount Lawley, Crawley, Nedlands, South Perth and surrounding suburbs across Western Australia.
Frequently asked questions about All-on-4 in Perth
How much does All-on-4 cost in Perth in 2026?
Most Perth clinics quote $19,000-$25,000 per arch for acrylic-tooth All-on-4 and $25,000-$30,000 per arch for zirconia. A full upper-and-lower set generally comes in at $38,000-$50,000. Your written quote after the consultation and CBCT scan will give you the exact figure for your case.
Is All-on-4 done in one day?
The surgical placement of the four implants and fitting of a temporary fixed bridge is typically done in one day. The permanent bridge is fitted 3-6 months later after the implants have integrated with the bone.
Will I have teeth on the day of surgery?
Yes. The All-on-4 technique is designed for immediate loading a temporary bridge is fitted the same day as the implants. You walk out with teeth, not gaps.
Does All-on-4 hurt?
The procedure itself is done under IV sedation or general anaesthetic, so it’s comfortable. The first week of recovery involves swelling and tenderness that’s well-controlled by pain relief. Most patients are back to normal eating (soft foods initially) within 7-10 days.
How long do All-on-4 implants last?
The titanium implants themselves can last a lifetime with proper care. The bridge that sits on them is what wears: acrylic bridges typically need refurbishment after 5-10 years; zirconia bridges last 15+ years.
Will my health fund cover All-on-4?
Partially. Extras cover with major dental will rebate some of the implant and crown fees, but the total rebate is usually a small fraction of the procedure cost. As preferred providers for HBF, Bupa and HCF, we apply the maximum rebate possible under those funds.
Can I use my super for All-on-4?
Possibly. The ATO permits early release of superannuation for medically necessary dental treatment under specific compassionate-grounds rules. Each application is assessed individually and requires medical documentation. Speak to your super fund and a financial adviser before counting on this route.
What if I’m a smoker?
Smoking significantly reduces implant success rates. Most surgical teams will ask you to stop smoking before the procedure and ideally for several months afterwards. Heavy smokers who are unwilling to stop may be advised against All-on-4 or offered a lower-success-rate plan.
What’s the difference between All-on-4 and All-on-6?
All-on-6 uses six implants per arch instead of four. It costs more (typically $5,000-$10,000 more per arch) and provides additional biomechanical redundancy if one implant fails. Whether you need four or six is decided based on bone quality, bite forces and surgical plan not patient preference.
What happens if an implant fails?
Implant failure is uncommon (success rates exceed 95% for well-planned cases) but possible. If it happens, a new implant is placed once the site heals, often at the surgical team’s cost if it’s within the warranty window. Most reputable clinics offer a warranty period of 5-10 years on the implant components.
Can I get All-on-4 if I already wear dentures?
Yes — current denture wearers are one of the largest groups of All-on-4 candidates. The bone loss that’s developed under dentures over years still usually leaves enough density in the front of the jaw to support the angled implants. CBCT assessment confirms suitability.
Book your All-on-4 consultation in Perth
Book a free 15-minute consultation at Perth City Dental to find out whether All-on-4 is right for your situation. We’ll take a panoramic x-ray, talk through the realistic options, and refer to the periodontist or oral surgeon we work with for the surgical plan if All-on-4 is the right path.
Perth City Dental is open Monday to Friday, 8am to 5pm, on Level 5 at 5/105 St Georges Terrace in the heart of Perth’s CBD. Call (08) 9321 5721 to schedule, or email reception@perthcitydental.com.au.