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.
Included In Every $15,000 Arch
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
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.
Comparing the Providers
Where you go matters as much as the procedure.
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.
Elite Oral Surgery
Per arch, all-inclusive, published, single-doctor practice.
2–4 implants supporting a removable denture.
Industry range; premium tiers can run higher.
Itemized; varies by materials and prosthesis tier.
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
What is your surgical training?
Implant surgery should be performed by an oral and maxillofacial surgeon — a 4+ year hospital-based residency including anesthesia and complex surgical training.
Red Flag Vague "extensive training" language, no named residency.
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 FlagRouted to a non-clinical call center with no authority.
Common Questions
Questions patients ask when comparing options.
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.
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.
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.
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.
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.
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.
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.
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 January 2027
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- Complimentary full-arch consultations
- No referral required for implant cases
- Dr. Volland follows up personally
9907 205th Ave E · Bonney Lake, WA 98391
(206) 738-2503
