There’s a specific moment that brings people to this decision: too many failing teeth, too much ongoing dental work, and a growing sense that fixing everything individually costs more — in money, time, and pain — than starting over with a clean slate. Full mouth extraction followed by dentures is that clean slate, and it comes with a defined, bundled price.
Total cost for extracting all remaining teeth and fitting immediate dentures for both arches runs $3,500-$9,000, broken down step by step below.
| Step | Typical Cost |
|---|---|
| Simple extractions (per tooth) | $150–$300 |
| Surgical extractions (per tooth, if needed) | $300–$650 |
| Immediate denture, upper arch | $1,800–$4,000 |
| Immediate denture, lower arch | $1,800–$4,000 |
| Post-healing reline (both arches, ~6 months later) | $300–$800 |
| IV sedation (if used for extractions) | $300–$800 |
Why Extract Everything at Once
Patients arriving at this decision usually have a mouth full of teeth in various states of failure — some with deep decay, some with advanced gum disease, some cracked or already root-canaled multiple times. Treating each tooth individually (a root canal here, a crown there, an extraction somewhere else) can easily exceed the cost of full mouth extraction and dentures, while leaving you with a patchwork of aging dental work that keeps failing piece by piece.
Extracting everything in one or two sessions also means one course of healing, one denture fitting process, and one recovery period — rather than years of ongoing individual procedures, each with its own office visit and anesthesia fee.
Simple vs. Surgical Extractions Change the Bill
Not all extractions cost the same. A tooth that’s fully erupted with a single straight root comes out relatively easily — a simple extraction. A tooth that’s broken at the gumline, has curved or multiple roots, or requires cutting into the gum and bone to remove, is classified as a surgical extraction and costs roughly double. In a full mouth case, it’s common to have a mix of both, which is why the total extraction cost for 20-28 teeth can vary so widely between patients.
Most oral surgeons and dentists extract, place the immediate denture the same day, then schedule a reline appointment around the 6-month mark once the gums and bone have settled into their healed shape. Ask your provider to walk through this exact timeline with you before starting, so you know what to expect and budget for at each stage.
Sedation Adds Real Cost, But Often Worth It
Extracting 10, 15, or 20+ teeth in a single sitting is a significant procedure, and many patients opt for IV sedation or general anesthesia rather than local anesthesia alone. This adds $300-$800 depending on the sedation level and whether it’s performed in-office or at a surgical center, but for a procedure of this scale, it meaningfully reduces the physical and psychological toll of the appointment.
Healing and the Reline You’ll Need
Just like with any immediate denture, expect significant changes in gum and bone shape over the first 6-12 months after full mouth extraction — this is the body’s natural healing and remodeling process, and it happens faster and more dramatically after extracting many teeth at once compared to a single tooth. Budget for the reline appointment around 6 months as a near-certainty, not an optional add-on.
Where the Financing Gets Real
Because this total cost often exceeds a single year’s dental insurance annual maximum ($1,000-$2,000 on most plans), most patients pay a significant portion out-of-pocket regardless of coverage. In-house payment plans, CareCredit, and dental discount memberships are the most commonly used financing routes for a procedure of this scale — ask your provider’s office about payment plan options before scheduling, since many will split the total into 6-24 monthly installments.
Extracting all remaining teeth is permanent and irreversible. Get a second opinion if any of your teeth might be salvageable with less drastic treatment, especially if cost — rather than clinical necessity — is the main reason full extraction is being recommended over saving select teeth.
The Bottom Line
Full mouth extraction and denture costs run $3,500-$9,000 total for both arches, bundling extractions, immediate dentures, and the follow-up reline into a single defined process. For patients with widespread dental failure, it’s often more cost-effective and less exhausting than years of piecemeal individual tooth treatment — but confirm every tooth truly needs extraction before committing to an irreversible decision.
Frequently Asked Questions
Full mouth extraction combined with immediate dentures for both arches typically totals $3,500-$9,000, including the extractions themselves, the immediate dentures, and the follow-up reline needed after healing. Costs vary based on how many teeth need surgical (versus simple) extraction.
Yes, generally. Extracting remaining teeth in a single session (or a couple of closely spaced sessions) reduces the number of separate anesthesia and office visit fees compared to extracting teeth individually over months or years, and allows for a single denture fitting process rather than repeated partial denture adjustments.
Most dental insurance covers extractions and dentures as basic/major services, typically 50-80% depending on the category, but the total bill often exceeds a single year's annual maximum ($1,000-$2,000 on most plans), leaving significant out-of-pocket costs regardless of coverage.