Losing all of your teeth is a life-changing event. It affects how you eat, speak, and smile. Many people facing this situation want a permanent solution. The most common and effective option is to have every tooth extracted and replaced with dental implants. But the cost can feel overwhelming.
This guide explains the real costs of full mouth extractions and replacements. You will learn about different treatment options, what affects the price, and how to plan for this major dental procedure. You will also discover ways to make the treatment more affordable without sacrificing quality.
How Much Does It Cost To Have Every Tooth Extracted And Replaced?
Understanding Full Mouth Extraction and Replacement
Full mouth extraction means removing all remaining natural teeth from your upper and lower jaws. After the extractions, your dentist replaces those teeth with a prosthetic. The replacement can be removable, like dentures, or fixed, like implant-supported bridges.
The cost depends heavily on which replacement option you choose. Traditional dentures are the most affordable. Full mouth dental implants are the most expensive but offer the best function and comfort.
Average Cost of Full Mouth Extraction Alone
The first step is removing the teeth. The price for a simple extraction is lower than a surgical extraction. If your teeth are broken, decayed below the gum line, or impacted, you will need surgical removal.
On average, a simple extraction costs between $75 and $300 per tooth. A surgical extraction costs between $150 and $650 per tooth. If you have 28 teeth removed, the total extraction cost can range from $2,100 to $18,200. The exact price depends on the complexity of each tooth and your location.
Many dental offices offer a package price for full mouth extractions. A package often costs between $1,500 and $4,000 for all teeth, especially when done in one visit under sedation.
Cost of Replacement Options After Extraction
Once your teeth are gone, you need a replacement. Here are the most common options and their realistic price ranges.
Traditional Full Dentures
Traditional dentures are removable acrylic plates that sit on your gums. They are the least expensive replacement option.
A full set of traditional dentures costs between $600 and $3,000 for a basic set. Premium dentures with better materials and a more natural look can cost between $3,000 and $8,000. Immediate dentures, placed right after extraction, add an extra $500 to $1,500 to the total.
Dentures require adjustments over time. Your jawbone shrinks after extractions, so the dentures become loose. You may need relines every few years, costing $200 to $500 per reline.
Implant-Supported Overdentures
An overdenture is a removable denture that snaps onto dental implants. This option gives you much better stability than traditional dentures. Most patients need two to four implants in the lower jaw and four to six in the upper jaw.
The cost for implant-supported overdentures includes the implants, the attachments, and the denture itself. For a full mouth, you can expect to pay between $15,000 and $30,000 per arch. A full upper and lower treatment can cost between $30,000 and $60,000.
This option is a good middle ground. You get better chewing ability and less bone loss, but the cost is still significant.
Full Arch Fixed Implant Bridges
A fixed implant bridge, often called All-on-4 or All-on-6, is a permanent set of teeth screwed onto dental implants. You cannot remove these teeth at home. Only your dentist can remove them for maintenance.
The All-on-4 concept uses four implants per arch. The All-on-6 concept uses six implants per arch for more support. These treatments replace all teeth in one arch with a fixed bridge.
The cost for a full arch fixed bridge ranges from $15,000 to $35,000 per arch. For both upper and lower arches, the total cost typically falls between $30,000 and $70,000. Premium materials like zirconia bridges can push the price higher, sometimes reaching $80,000 or more.
Individual Dental Implants
The most comprehensive option is to replace each missing tooth with an individual implant and crown. This is rarely done for a full mouth because it is extremely expensive and requires a lot of bone. However, some patients choose this for maximum aesthetics and function.
Replacing 28 teeth with individual implants can cost between $100,000 and $200,000 or more. This is not a realistic option for most people.
Cost Comparison Table
Here is a quick reference table for full mouth extraction and replacement costs. Prices are in US dollars and represent typical ranges in 2024.
| Treatment Option | Extraction Cost | Replacement Cost | Total Estimated Cost |
|---|---|---|---|
| Traditional Dentures | $1,500 – $4,000 | $600 – $8,000 | $2,100 – $12,000 |
| Implant-Supported Overdentures | $1,500 – $4,000 | $30,000 – $60,000 | $31,500 – $64,000 |
| Full Arch Fixed Bridges (All-on-4/6) | $1,500 – $4,000 | $30,000 – $70,000 | $31,500 – $74,000 |
| Individual Implants | $1,500 – $4,000 | $100,000 – $200,000 | $101,500 – $204,000 |
Factors That Affect the Total Cost
Several factors influence how much you will pay for full mouth extraction and replacement. Understanding these helps you compare quotes fairly.
Geographic Location
Dental fees vary widely by region. A full mouth treatment in New York City or Los Angeles costs significantly more than the same treatment in a rural area or a smaller city. For example, an All-on-4 procedure might cost $25,000 per arch in a small Midwestern town but $45,000 per arch in Manhattan.
Dentist’s Experience and Credentials
A prosthodontist or oral surgeon with decades of experience charges more than a general dentist who performs occasional implant cases. You pay for expertise, especially for complex full mouth cases. A specialist can often handle complications better, which may save you money in the long run.
Materials Used
The type of prosthetic teeth affects the price. Acrylic teeth are cheaper. Porcelain teeth look more natural but cost more. Zirconia bridges are the most expensive but are extremely durable and aesthetic. The implant brand also matters. Premium implant brands like Straumann or Nobel Biocare cost more than generic or value brands.
Need for Bone Grafting
Many patients who need full mouth extractions also have significant bone loss. If your jawbone is too thin or soft to support implants, you will need a bone graft. Bone grafting costs between $400 and $3,000 per site. For a full mouth, grafting can add $2,000 to $10,000 or more to your total bill.
Sedation and Anesthesia
Full mouth extractions are often done under IV sedation or general anesthesia. This adds $500 to $2,000 per visit. Some patients prefer to be asleep for the entire procedure. Others choose local anesthesia only to save money.
Number of Implants
More implants mean more cost. An All-on-4 uses four implants per arch. An All-on-6 uses six. Each implant costs between $1,000 and $3,000. The difference between four and six implants per arch can be $4,000 to $12,000 for a full mouth.
What Happens During the Procedure
Understanding the process helps you know what you are paying for. Full mouth extraction and replacement usually happens in stages.
Stage One: Consultation and Planning
Your dentist examines your mouth, takes X-rays and 3D scans, and discusses your goals. This visit costs between $100 and $300. Some offices offer free consultations.
Stage Two: Extractions and Temporary Teeth
On surgery day, your dentist removes all remaining teeth. If you are getting implants, they may place the implants the same day. You receive a temporary set of teeth to wear while you heal. This temporary prosthesis is included in most full arch packages.
Stage Three: Healing Period
You wait three to six months for the implants to fuse with your jawbone. This process is called osseointegration. During this time, you eat soft foods and follow your dentist’s instructions carefully.
Stage Four: Final Restoration
Once healing is complete, your dentist takes new impressions and fabricates your final set of teeth. You return for a fitting appointment. The final teeth are stronger and more aesthetic than the temporary set.
Insurance Coverage and Payment Options
Dental insurance rarely covers the full cost of full mouth extraction and replacement. Most plans have an annual maximum benefit of $1,000 to $2,000. That is a small fraction of a $30,000 or $50,000 treatment.
However, some insurance plans cover extractions and a portion of dentures. If you choose implants, your medical insurance might cover part of the surgery if the extractions are medically necessary. Always check with both your dental and medical insurance providers.
Many dental offices offer financing through third-party lenders like CareCredit, LendingClub, or Proceed Finance. These loans allow you to spread the cost over 24 to 96 months. Interest rates range from 0% promotional periods to 20% or more, depending on your credit.
Some dental schools offer full mouth treatment at reduced prices. Dental students perform the work under the supervision of experienced faculty. You might save 30% to 50% compared to private practice fees.
How to Save Money on Full Mouth Treatment
A full mouth extraction and replacement is a major investment. Here are practical ways to reduce the cost without compromising your health.
Get Multiple Consultations
Visit at least three dental offices. Ask for written treatment plans with itemized costs. Compare the plans carefully. Some offices bundle everything into one price. Others charge separately for each step. Make sure you compare apples to apples.
Consider Dental Tourism
Many patients travel to countries like Mexico, Costa Rica, or Thailand for affordable dental care. A full mouth restoration in Mexico can cost 50% to 70% less than in the United States. However, dental tourism has risks. Follow-up care is difficult if you have complications. Choose accredited clinics with verified reviews.
Ask About Discount Plans
Dental discount plans are not insurance. You pay an annual fee to join a network that offers reduced rates at participating dentists. Savings range from 10% to 60%. This can significantly lower your out-of-pocket cost for major procedures.
Negotiate a Cash Discount
Some dentists offer a discount if you pay the full amount upfront with cash or a debit card. Ask if they offer a 5% or 10% discount for cash payment. This can save you thousands on a large treatment plan.
Phase the Treatment
If you do not need all teeth extracted urgently, consider phasing the treatment. For example, you might extract the worst teeth first and wear a partial denture while you save for implants. This spreads the cost over a longer period.
Realistic Expectations: What Patients Actually Pay
The prices you see online are often averages. Real patients pay a wide range depending on their specific situations. Here are a few realistic scenarios.
A patient with severe periodontal disease and 20 remaining teeth might pay $3,000 for extractions and $2,500 for traditional dentures. Total cost: $5,500.
A patient who wants fixed teeth and has good bone might pay $28,000 for upper and lower All-on-4 treatment. This includes extractions, implants, temporary teeth, and final zirconia bridges.
A patient with significant bone loss who needs grafting, sinus lifts, and six implants per arch might pay $60,000 or more. The complexity of the case drives up the price.
Choosing the Right Option for Your Budget
Your budget plays a major role in your decision. Traditional dentures are the most affordable but have drawbacks. They can slip, cause sore spots, and limit your food choices. Many denture wearers report feeling self-conscious about their teeth.
Implant-supported options cost more but feel more like natural teeth. You can eat a wider variety of foods. You do not have to worry about your teeth falling out. For many people, the improved quality of life justifies the higher price.
If you cannot afford implants now, you can start with traditional dentures and upgrade later. Some patients get a few implants placed years later to stabilize their dentures. This staged approach makes the cost more manageable.
Important Notes for Patients
Before you commit to any full mouth treatment, keep these points in mind.
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Full mouth extraction is irreversible. Once your teeth are gone, they are gone forever. Make sure you are ready for this change.
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Bone loss continues after extraction. The longer you wait to get implants, the more bone you may lose. This can make future implant placement more difficult and expensive.
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Not everyone is a candidate for immediate implants. If you have active infection or insufficient bone, your dentist may recommend a staged approach.
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Smoking significantly increases the risk of implant failure. If you smoke, consider quitting before your surgery.
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Your medical history matters. Conditions like uncontrolled diabetes, autoimmune diseases, or a history of radiation to the jaw can affect healing and implant success.
The Emotional and Financial Impact
Replacing all your teeth is not just a financial decision. It is an emotional journey. Many patients feel a mix of fear, relief, and hope. You may worry about how you will look during the healing period. You may feel overwhelmed by the cost.
It helps to talk to people who have been through the process. Online forums and support groups can provide encouragement and practical advice. Many dental offices also have patient coordinators who can answer your questions and help you navigate financing.
Remember that this is an investment in your health and well-being. Being able to eat comfortably, speak clearly, and smile with confidence has a profound impact on your quality of life. For many patients, the cost is worth it.
Frequently Asked Questions
How much does it cost to have all teeth pulled and get dentures?
The average cost for full mouth extractions and traditional dentures ranges from $2,100 to $12,000. The price depends on the number of teeth, the complexity of the extractions, and the quality of the dentures.
How much does it cost to replace all teeth with permanent implants?
Permanent full arch implant bridges cost between $30,000 and $70,000 for both upper and lower arches. Individual implants for every tooth can cost $100,000 or more.
Does dental insurance cover full mouth extractions?
Most dental insurance plans cover a portion of extractions, usually 50% to 80% after your deductible. However, the annual maximum benefit is often only $1,000 to $2,000, so you will still pay most of the cost out of pocket.
Can I get all my teeth pulled and implants the same day?
Yes, many dentists offer same-day extractions and implant placement. This is often called “teeth in a day” or All-on-4. You leave the office with a temporary set of fixed teeth on the same day as your surgery.
What is the cheapest way to replace all my teeth?
The cheapest way to replace all your teeth is with traditional removable dentures. A basic set of full dentures can cost as little as $600 to $1,000. However, dentures require ongoing maintenance and may not provide the same comfort as implants.
How long does it take to recover from full mouth extractions?
Most patients feel significantly better within one to two weeks after extractions. The gums heal completely in about four to six weeks. If you have implants placed, the bone takes three to six months to fuse with the implants before you receive your final teeth.
Are there any risks with full mouth extractions?
Yes, like any surgery, full mouth extractions carry risks. These include infection, bleeding, dry socket, nerve damage, and sinus complications. Choosing an experienced dentist or oral surgeon reduces these risks.
How do I find an affordable full mouth dentist?
Ask for referrals from your regular dentist. Check dental schools in your area. Research dental tourism options if you are open to traveling. Always read reviews and verify credentials before committing to any provider.
Conclusion
Full mouth extraction and replacement costs vary widely, from around $2,100 for basic dentures to $70,000 or more for fixed implant bridges. The best option for you depends on your budget, oral health, and personal goals. Get multiple consultations, ask detailed questions, and explore financing options before making a decision. This investment in your smile can transform your quality of life, but it requires careful planning and realistic expectations.
Additional Resource
For more information on dental implant costs and finding affordable care, visit the American Academy of Implant Dentistry at www.aaid.com. This professional organization provides patient education and a directory of credentialed implant dentists.
