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All-on-4 Dental Implants Cost in Tewksbury MA

Two prostheses, not one. Knowing that before you compare quotes changes which one is cheaper.

Comparing Quotes That Are Not Comparing The Same Thing

You’ve been given a number for full-arch implants and it doesn’t match the one down the road. That gap is usually not about quality. It’s about which line items each practice put inside the quote and which they left outside. Patients here tell us they were comparing two prices. Only later did they find they were comparing two different treatments. You’ll come away knowing what sits inside a full-arch quote and what usually sits outside it. The questions that surface the difference are here too.

Dr. Elaine Wu, DMD was inducted into Omicron Kappa Upsilon, the national dental honors society, for academic excellence and character. She also completed the Kois Center program. That is a full curriculum run over years, not a certificate collected in a weekend. It is built on working out the whole picture before proposing anything. Which is why the scan comes before any figure for full-arch implant treatment at ReNEW Dental. That order matters here more than on any other treatment we offer. A number quoted before anyone has scanned your jaw is a guess with a decimal point on the end.

What Are You Actually Paying For?

A full-arch case replaces every tooth in one jaw on four implants. That’s the All-on-4® protocol, or an equivalent tilted-implant approach. Two of the posts go in straight at the front of the jaw, where bone is usually densest. Two are angled backward. That tilt is what often avoids grafting at the back of the jaw, where bone is thinnest.

That angling is the reason the whole treatment exists in the first place. Grafting the posterior jaw adds months and another surgical stage. Tilting the implants forward reaches denser bone that is already sitting there. The tilt is also why some patients avoid a stage that would otherwise add half a year to treatment. Where the bone genuinely will not take it, our page on what a sinus lift involves covers the alternative route.

Why Is There A Second Set Of Teeth?

Because you get two prostheses, months apart, and quotes differ on whether both are counted. A provisional bridge goes on within hours of surgery. It carries you while the bone fuses. A definitive prosthesis replaces it around four months later, built in stronger material once everything has settled. The provisional is designed to be temporary, and wearing one past its intended life is where problems start.

Source: full-arch rehabilitation protocol described in a 10-year retrospective study of implant-prosthetic rehabilitation, published 2022. Provisional replaced at four months.

The implants and the teeth on top age differently. That difference is the whole cost story. One 12-year study of full-arch cases put implant survival at 92.5 percent and prosthetic survival at 96.2 percent. The posts tend to outlast what sits on them. The prosthesis is the recurring expense over twenty years, not the surgery.

Phone:
978-451-1500

Address:
1201 Main St.
Tewksbury, MA 01876

Email:
team@mybrandnewsmile.com

Practice Hours

Monday – Closed
Tuesday – 9:00 – 6:00
Wednesday – 9:00 – 6:00
Thursday – 9:00 – 6:00
Friday – 9:00 – 6:00
Saturday – Closed
Sunday – Closed

Dr. Elaine Wu
MA Licence #DN1858598

All-on-4 Implants in Tewksbury MA, Dentures in Tewksbury MA, Dr. Elaine Wu

What Does Full-Arch Treatment Cost At ReNEW Dental?

Non-removable implant teeth are $28,500 per arch. That figure is all-inclusive. It covers every extraction, four or more implants, and any bone grafting needed. Oral sedation is in there, and so are both the temporary and the final teeth. An upper implant-supported denture with a stabilizing titanium bar is $20,000. A two-implant removable implant denture is $10,000.

Source: ReNEW Dental published bundle pricing, mybrandnewsmile.com, current as of 11 February 2026.

Two things sit outside those figures. IV sedation starts at $1,000 for a typical session, where oral sedation is already inside the bundle. Each published price also includes a $1,500 courtesy saving, tied to reserving treatment soon after the free consultation. Full terms sit on our all-inclusive bundle pricing page. Every case is different, so confirm your own figure at the consultation.

What Sits Inside A Quote And What Sits Outside?

Read any quote against this list. The items nearer the bottom are where two numbers for the same mouth pull apart from each other.

Line item Where it usually sits Why it matters
The four implants Inside the quote The headline number most practices advertise
Provisional bridge, fitted same day Usually inside You leave with teeth, but not the final ones
Definitive prosthesis, months later Varies widely The single biggest swing between quotes
Extractions Often separate Priced per tooth and done first
Bone graft or sinus lift Usually separate Adds months as well as fee
IV sedation Usually separate Local anesthetic is typically included, sedation is not
Night guard Usually separate Protects the prosthesis from grinding
Prosthesis replacement years on Almost never included The recurring cost nobody quotes

The definitive prosthesis row is the one to check first. A quote covering only the provisional reads thousands cheaper and describes a treatment that is not finished. Compare that column against the ReNEW figure above. The extractions, the grafting, the sedation and both sets of teeth are already inside that number.

What Should You Ask Before You Sign?

Bring the written quote and ask these before any deposit changes hands. Each has cost someone thousands when it went unasked.

Ask whether the definitive prosthesis is included or quoted separately, and in which material. Material choice alone moves the total more than anything else here. Ask what happens to your money if an implant fails during healing. Ask how many follow-up adjustments are covered, and for how long after the fitting. Ask whether the fee assumes no grafting, and what it becomes if the scan says otherwise. Every one of those questions maps onto a stage in full-arch dental implant treatment. A practice that can’t answer them hasn’t planned your case yet.

All-on-4 Implants in Tewksbury MA, Dentures in Tewksbury MA, Dr. Elaine Wu

When Is Full-Arch The Wrong Call?

There are mouths this treatment does not suit, and saying so costs a practice a large case. Untreated periodontal disease has to be resolved before anything gets placed. Uncontrolled diabetes and certain bone medications change the conversation entirely. Heavy grinding with no night guard plan threatens the prosthesis rather than the implants.

Knowing when to say wait is part of what the Kois curriculum trains. Cost pressure is its own reason to pause. A patient who stretches to afford the surgery and then can’t fund the definitive prosthesis has a problem. They wear a provisional far longer than it was built for. That is a worse outcome than waiting a year and doing it properly, and results vary by case.

Bring The Quote You Already Have

Patients come to us from Tewksbury Center and Villa Roma. Others come from the Livingston Street side of town near Saunders Recreational Area. A good number arrive holding a written quote from somewhere else. Dr. Elaine Wu, MA License #DN1858598, holds Boston University’s Excellence in Implantology Award, for proficiency in implant planning, placement and restoration. Her Kois training is why the plan is built from a scan rather than from a price list. One appointment tells you what your quote covers and what it quietly leaves out. Call 978-451-1500 or schedule an evaluation, and bring the paperwork with you. Eating normally again without a second bill you didn’t expect is the outcome here.

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Frequently Asked Questions

Are All-on-4 implants worth the money?

They suit some mouths and not others, and worth depends on what you’re comparing against. Against a conventional full denture, a fixed arch on implants loads the bone and stays put while you eat. Against individual implants for every tooth, four posts means far less surgery and far less money. Cleveland Clinic notes that implant-supported dentures require enough jawbone to accommodate the implants. That condition decides it rather than the price does.

How long will full-arch implants last?

The implants and the teeth on top last different lengths of time, and most comparisons quote only the first. One study following full-arch cases for four to ten years put cumulative prosthesis survival at 80 percent at five years. It fell to 60 percent at ten, while the implants themselves failed far less often. Mayo Clinic notes that implants fuse with the jawbone and won’t slip or decay like natural teeth. Plan for the bridge needing work well before the posts do, and results vary by case.

How many teeth do you get on All-on-4?

Usually 10 to 12 per arch. That restores the smile and the chewing surfaces without the bridge cantilevering too far back. Wisdom teeth are not replaced. Second molars often aren’t either, since the bridge has to stop somewhere behind the last implant. The American Dental Association describes fixed appliances that attach to implants. The tooth count is a design decision made with your bite.

What are the downsides of full-arch implants?

Three come up most. The bridge is cleaned around rather than taken out. The daily routine is different, and unforgiving if you skip it. Gum health under the prosthesis still matters. The NIDCR describes periodontal treatment as a deep cleaning below the gumline, which is where problems start. And the prosthesis is a wearing part with a replacement cost that arrives years after you thought you’d finished paying.

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The information on this page is provided to help you understand general dental care and the preventive services we offer. It’s not a substitute for professional diagnosis or individualized treatment. Every patient’s needs are different, and your dentist will evaluate your oral health before recommending any specific care or procedure. (For personalized guidance, please schedule an appointment with our licensed dental professional.)