Walk into most dental clinics in the Greater Toronto Area and ask what a full arch of new teeth costs, and you will rarely get a straight answer. Full-arch implant treatment is one of the most life-changing procedures in modern dentistry, yet pricing usually stays hidden behind a consultation. At All on Four Dental Implants by Smile Centre in North York, we have decided to do it differently: three clearly defined All-on-X treatment options, each with a published starting price and a monthly payment estimate.
All-on-X builds on the proven All-on-4 concept, a protocol that supports a full arch of fixed teeth with a small number of strategically placed dental implants. The difference is personalization. Instead of assuming every patient needs exactly four implants, All-on-X lets the treatment plan follow your anatomy: four implants for some patients, five or six for others. In this article, we explain how All-on-X works, what each of our three treatment options includes, what the published pricing covers, and how to find out whether you are a candidate.
Key Takeaways
- All-on-X replaces an entire arch of missing or failing teeth with a fixed bridge supported by four, five, or six strategically placed implants, customized to your anatomy.
- Smile Centre offers three transparent treatment options: Essential from $19,995 per arch, Core from $24,995 per arch, and Premium from $29,995 per arch.
- With approved credit, monthly payments start at around $400.
- Long-term clinical research on the All-on-4 protocol reports prosthesis survival rates of about 99 percent at 10-year follow-up.
- A fully digital workflow with CBCT, iTero scanning, and in-house 3D printing enables planning the entire smile before surgery, and many patients receive fixed teeth on the same day.
- A free consultation with a 3D scan is the only reliable way to learn which option fits your case.
What Is All-on-X and How Is It Different From All-on-4?
All-on-X is a full-arch implant protocol. A small number of titanium implants are placed into the jawbone, where they act as new tooth roots. A fixed bridge of prosthetic teeth is then attached to those implants. Unlike removable dentures, the bridge does not slip while you eat or speak, requires no adhesive, and is cleaned much like natural teeth.
From eight implants to four, and then to X
Years ago, replacing an entire arch often required eight to ten implants, bone grafting, several surgeries, long healing times, and higher costs. The All-on-4 concept changed that. By placing four implants at strategic angles in the areas of the jaw with the best available bone, clinicians could support a full fixed bridge, and many patients could receive fixed teeth the same day.
The concept has been studied for decades. A longitudinal study published in The Journal of the American Dental Association followed 245 patients with All-on-4 mandibular restorations for up to 10 years and reported a prosthesis survival rate of 99.2 percent. A later study by the same research group with 10 to 18 years of follow-up reported a cumulative prosthetic survival rate of 98.8 percent. Few treatments in dentistry have this depth of long-term evidence.
Why do we say X instead of 4
All-on-X retains everything that made All-on-4 successful while adding flexibility. The number of implants is decided during digital planning, based on your bone volume, bone quality, bite forces, and goals. Some patients do best with four implants. Others benefit from five or six for additional support.
Dr. Rob Eisen, DDS, explains: "Rather than forcing everyone into the same formula, we customize every treatment plan based on your anatomy, your bone, and your goals. We are not treating teeth. We are treating people."
| All-on-4 | All-on-X | |
|---|---|---|
| Number of implants | Four | Four, five, or six |
| Treatment planning | Standardized protocol | Customized to your anatomy |
| Same-day fixed teeth | Often possible | Often possible |
| Best for | Typical bone conditions | Any full arch case, including complex ones |
What Are the Three All-on-X Treatment Options at Smile Centre?
Every patient has different goals and a different budget. Some people simply want a beautiful, functional smile. Others want the highest level of aesthetics and maximum long-term durability. That is why we structured our full arch treatment into three options. The surgical planning, the implants, and the team's expertise are identical across all three. The differences are in the restorative materials and the long-term options.
| Essential | Core (Most Popular) | Premium | |
|---|---|---|---|
| Price | From $19,995 per arch | From $24,995 per arch | From $29,995 per arch |
| Monthly payments* | From $400/month | From $465/month | From $594/month |
| Restoration | PMMA Hybrid | Titanium reinforced | Full Zirconia |
Essential: from $19,995 per arch
Essential is ideal for straightforward cases. It includes a comprehensive exam, CBCT imaging, full digital planning, an in-house printed provisional, and a PMMA hybrid restoration. Patients receive the same surgical precision and digital planning as with every other option, resulting in a functional and attractive outcome at the most accessible price point.
Core: from $24,995 per arch
Core is our most popular option. It includes everything in Essential plus a titanium-reinforced restoration for greater durability, a same-day provisional, and a digital try-in that lets you preview your new smile before it is finalized. For most patients, Core offers the best balance of strength, aesthetics, and long-term value.
Premium: from $29,995 per arch
Premium is built around a full zirconia restoration, the most durable restorative material available in implant dentistry today. It delivers the highest level of aesthetics and is designed for maximum longevity. Premium suits patients who want the finest ceramic restoration and the longest-lasting result.
How Much Do All-on-X Dental Implants Cost in North York?
Published starting prices answer the first question, but most patients also want to understand what drives the final number. The cost of a full arch restoration depends on the number of arches treated, the restorative material, the condition of your bone, and whether extractions are needed. We covered the general cost landscape in detail in our guide, All-on-4 Toronto: Cost, Procedure and What to Expect.
Affordability surprises many patients. With approved credit, monthly financing starts at around $400. During your free consultation, our treatment coordinators walk you through every financing option and provide a clear written estimate before anything is scheduled. There are no surprises and no pressure.
What the transparent pricing includes
- Comprehensive examination and CBCT imaging
- Complete digital planning of your surgery and your new smile
- Implant placement by our experienced surgical team
- A provisional restoration, printed in-house
- The final restoration in the material of your chosen option
What the pricing does not hide is just as important. Because every step is planned digitally before surgery, the estimate you receive at your consultation reflects your actual case, not a generic figure that changes later. If your treatment requires extractions or work on both arches, that is discussed and priced upfront, so the number you approve is the number you pay.
How Does the Fully Digital Workflow Improve Treatment?
Technology has completely transformed full-arch dentistry. At Smile Centre, your entire treatment is planned on screen before surgery begins:
- CBCT imaging: a 3D x-ray that shows every detail of your bone, so implants are positioned in the areas with the best available support
- iTero intraoral scanner: a 3D scan of everything in your mouth, with no messy impression trays
- Digital smile design: your new smile is designed and reviewed before surgery
- In-house 3D printing: provisional prosthetics are fabricated right in our office, which shortens timelines
For you as a patient, this digital chain means more precision, shorter appointments, better communication, and often lower overall costs. It is also the reason the number of implants can be safely customized: the surgical guide is planned to the millimetre based on your own anatomy.
Who Is a Candidate for All-on-X?
All-on-X is designed for people who are losing their teeth, have already lost them, or are simply fed up with dentures. Age by itself is not a barrier. What matters is your overall health and the condition of your jawbone, both of which are assessed during a free consultation.
Bone loss is not an automatic disqualifier
Many patients have been told elsewhere that they lack the bone for implants. Because All-on-X implants are strategically angled and placed in the areas of the jaw with the best remaining bone, many of these patients can still be treated, often without grafting. A CBCT scan gives a definitive answer.
Dr. Amir Guorgui, BSc, DMD, MACSD explains: "Same-day implants can be incredibly effective, but only in the right scenario. Trying to force an implant into a compromised site is asking for trouble."
Typical candidates include
- Long-term denture wearers are tired of slipping, sore spots, and adhesives
- Patients with multiple failing or hopeless teeth
- Patients facing full clearance extractions who do not want removable dentures
- Seniors in good general health who want to eat and speak with confidence again
If you are unsure where you fit, our common questions page covers the concerns we hear most often, from surgery comfort to recovery timelines.
What Does the Treatment Journey Look Like Step by Step?
For most patients, extractions, implant placement, and a fixed provisional are completed in a single visit. This is why the procedure is often called Teeth in a Day. Here is the full journey:
- Free consultation: meet the team, ask questions, and learn your options with no obligation
- 3D scan and CBCT: we capture a complete digital picture of your mouth and bone
- Digital planning: your surgery and your new smile are designed on screen in advance
- Surgery: implants are placed, with IV sedation available for your comfort
- Same-day teeth: In most cases, a fixed provisional is attached the same day
- Healing: the implants integrate with your bone over the following months
- Final smile: your permanent custom-made teeth in the material of your chosen option are attached
During the healing phase, you follow a modified diet. Once your final teeth are in place, you can eat the foods you love, including steak, apples, and corn on the cob.
All-on-X in North York: A Personalized Path to a Permanent Smile
Full-arch implant treatment has matured from a complex, multi-surgery undertaking into a precise, digitally planned procedure with decades of published evidence behind it. All-on-X takes the proven foundation of All-on-4 and adapts it to the individual patient, while our three treatment options make the investment transparent from the very first conversation: Essential from $19,995, Core from $24,995, and Premium from $29,995 per arch, with financing from around $400 per month on approved credit.
The most common thing our patients tell us after treatment is that their only regret is not doing it sooner. If you have been thinking about your teeth for years, you do not need to make any decisions today. Book a free, no-obligation consultation at our North York office, get a 3D picture of your situation, and learn exactly which option fits your case. Call us toll-free at 1 (855) 448-0004 or book your consultation online.
Frequently Asked Questions
Is All-on-X the same as All-on-4?
All-on-X is an evolution of All-on-4. All-on-4 uses exactly four implants per arch. All-on-X customizes the number of implants, so a patient may receive four, five, or six depending on bone volume, bone quality, and bite forces. Everything else, including the fixed full-arch bridge and the possibility of same-day teeth, stays the same.
Which of the three options is right for me?
It depends on your priorities. Essential delivers a functional, attractive result at the most accessible price. Core adds titanium reinforcement and a digital try-in, which is why it is our most popular choice. Premium uses full zirconia for maximum durability and aesthetics. The clinical planning and surgical quality are identical in all three, and our team will explain the trade-offs at your consultation.
How long do All-on-X implants last?
Long-term studies of the underlying All-on-4 protocol report prosthesis survival rates of about 99 percent at 10 years and about 98.8 percent at up to 18 years of follow-up. With proper hygiene and regular checkups, the implants themselves can last a lifetime, and we offer a lifetime warranty on Nobel Biocare dental implants.
Am I too old for this procedure?
No. Age by itself is not a barrier. Many of our full-arch patients are seniors who have worn dentures for years. Your overall health and bone condition matter far more than your age, and both are evaluated at your free consultation.
Does the pricing cover both arches?
The published prices are per arch. Many patients choose to restore both arches at the same time, and your written treatment plan will reflect whether one or both arches are being treated.
Will I really get teeth the same day?
In most cases, yes. Extractions, implant placement, and a fixed provisional bridge are typically completed in a single visit, so you never go without teeth. Your final restoration is attached after the implants have integrated with your bone.
