The short answer
All-on-4 replaces a full arch with a fixed bridge on four implants. In Tecate the published range is $7,000 to $11,000 USD per arch, against $20,000 to $30,000 commonly charged in California. On both arches the difference can exceed $30,000.
What a complete quote covers
- Extractions and bone smoothing.
- Four or six implants from a named brand.
- The temporary fixed bridge on surgery day.
- The final bridge after healing: acrylic over a metal framework or zirconia.
- Sedation, medications and checkups.
Compare quotes only when they include the same final bridge.
The timeline
- Consultation and 3D scan, in person or from a scan you send.
- Surgery day: extractions, implants and the temporary bridge in one long appointment.
- Three to six months of healing.
- Final bridge over two or three visits.
Planning around the port hours
Surgery day is long and you will be sedated, so bring a companion to drive and plan a calm return well before the Tecate port closes for the night. Some patients book a hotel in Tecate for the first night; others stay in East County. Ask the clinic to schedule surgery for early morning.
Living with the temporary
The temporary bridge is fixed but weaker than the final one. Soft food for the first weeks, then careful eating. Being an hour from San Diego with a quick crossing makes adjustments easy.
When to compare with Tijuana
Full-arch work is where a large pool of experienced surgeons matters most. Tecate clinics can do routine All-on-4 cases well; for difficult cases, such as very little bone or zygomatic implants, ask for quotes in Tijuana as well and compare the surgeon's experience, not just the price.
Questions for the surgeon
- How many full-arch cases have you completed?
- Who makes the final bridge, and where is the lab?
- What sedation do you use, and who monitors it?
- What happens if an implant fails during healing?
Maintenance
Plan professional cleanings about twice a year, when the bridge may be removed and the screws checked.
Compare clinics in the independent ranking of Tecate dental clinics and read the Tecate dentist guide for logistics.
One arch or both
Doing one arch first spreads the cost; doing both in one surgery shortens the total time. The upper jaw sometimes needs angled or extra implants because its bone is softer. Ask for a separate plan and price for each arch.
Who is a good candidate
All-on-4 suits people with most teeth missing or failing and people tired of loose dentures. Smoking and uncontrolled diabetes increase the risk of implant failure, so discuss them openly with the surgeon. If several healthy teeth remain, saving them may be a better plan than extracting everything.
Paying per stage
Many clinics accept part of the payment on surgery day and the rest when the final bridge is fitted. That protects you, because the second payment depends on the final work being finished properly.
Frequently asked questions
Do I leave with teeth?
Usually yes, a temporary fixed bridge on surgery day.
Acrylic or zirconia?
Zirconia lasts longer and resists stains; acrylic costs less and is easier to repair.
Can I pay per stage?
Many clinics accept payment per stage; get it in writing.
What if I have little bone?
Angled implants often avoid grafting; six implants or zygomatic implants are options in harder cases. A 3D scan decides, and complex cases are worth comparing with Tijuana specialists.
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