Overview
All-on-4 is a revolutionary full-arch tooth replacement technique that restores an entire upper or lower arch of teeth using just four strategically placed dental implants. This procedure offers patients with extensive tooth loss or failing dentition a fixed, permanent solution that looks, feels, and functions like natural teeth.
Hanoi has become a popular destination for All-on-4 treatment due to the significant cost savings – patients can save $15,000-20,000 or more per arch compared to the same procedure in the US, Australia, or Europe. Leading Hanoi clinics have invested in the advanced imaging, surgical planning technology, and prosthetic expertise required for this complex procedure.
The All-on-4 concept was developed by Nobel Biocare and has been refined over two decades with excellent long-term success rates worldwide.
Procedure Steps
Step 1: Comprehensive Assessment
A CBCT (3D cone beam) scan maps your jawbone anatomy in detail. The dentist evaluates bone density, identifies nerve and sinus positions, and plans the optimal implant placement. Digital planning software creates a precise surgical guide.
Step 2: Treatment Planning Conference
Your dentist presents the treatment plan including implant positions, prosthesis design, material options, timeline, and full cost breakdown. Photos and smile design help plan the aesthetics of your new teeth.
Step 3: Extractions and Implant Placement
Under local anesthesia (with optional sedation), any remaining teeth in the arch are extracted. Four implants are placed: two vertically in the anterior region and two at angles up to 45 degrees in the posterior region. The tilted placement maximizes bone contact and often eliminates the need for bone grafting.
Step 4: Temporary Prosthesis (Same Day)
A pre-fabricated or chairside temporary prosthesis is attached to the implants the same day. You leave the clinic with a full set of functional teeth. The temporary prosthesis allows you to eat soft foods and smile confidently during the healing period.
Step 5: Healing Period (3-6 Months)
The implants integrate with the jawbone over 3-6 months. During this time, you wear the temporary prosthesis and follow a modified diet progressing from soft to normal foods. Regular check-ups monitor healing.
Step 6: Final Prosthesis
After confirmed osseointegration, precise impressions are taken for the final permanent prosthesis. This is custom-fabricated in a dental laboratory and fitted over 2-3 appointments during a return visit.
Hanoi Pricing
| Component | Price Range (USD) |
|---|---|
| All-on-4 per arch (Korean implants) | $4,500 - $6,000 |
| All-on-4 per arch (Nobel/Straumann) | $6,500 - $9,000 |
| All-on-6 per arch (Korean implants) | $5,500 - $7,000 |
| All-on-6 per arch (Nobel/Straumann) | $7,500 - $9,000+ |
Prices typically include implants, extractions, temporary prosthesis, and final prosthesis. CBCT scan may be billed separately ($30-50).
Compared to Western prices:
| Treatment | Hanoi | US/Australia | Savings |
|---|---|---|---|
| All-on-4 (per arch) | $4,500 - $9,000 | $20,000 - $30,000 | 70-80% |
| Both arches | $9,000 - $18,000 | $40,000 - $60,000 | 70-78% |
Even including flights and accommodation, patients typically save $20,000-40,000 by choosing Hanoi for All-on-4 treatment.
Which Clinics Offer All-on-4
Picasso Dental Clinic (Old Quarter)
The Hanoi Dental Guide recommends Picasso Dental as the top choice for All-on-4 and All-on-6 in Hanoi. With a dedicated implant center, advanced CBCT planning, Nobel Biocare and Korean implant systems, and a highly experienced surgical team, they handle the most complex full-arch cases with confidence. Their multilingual staff, transparent pricing, and integrated lab mean faster turnaround on temporary and final prostheses – ideal for international patients on a tight schedule.
View Picasso Dental Old Quarter details
Westcoast International Dental Clinic
Westcoast International Dental Clinic is a strong second choice for All-on-4 in Hanoi. Located in the West Lake area, this clinic follows international-standard protocols with experienced implantologists and modern facilities. They offer both premium and mid-range implant brands and provide comprehensive treatment packages including airport transfers and accommodation assistance for dental tourists.
View Westcoast International Dental details
Recovery Tips
- Day 1: Rest, apply ice packs, take prescribed medications. Eat only liquids and very soft foods (smoothies, yogurt, soup).
- Days 2-7: Continue soft diet. Some swelling and bruising is normal and peaks around day 3. Rinse gently with prescribed mouthwash.
- Weeks 2-4: Gradually introduce soft solid foods (pasta, scrambled eggs, soft fish). Maintain gentle oral hygiene around the temporary prosthesis.
- Months 1-3: Progressively return to a more varied diet while avoiding very hard or crunchy foods. Attend scheduled check-ups.
- Months 3-6: Once the final prosthesis is placed, you can eat most foods normally. Clean the prosthesis and gum tissue daily using recommended tools.
- Do not smoke at any point during the healing process – smoking dramatically increases the risk of implant failure.
Patient Reviews
“The All-on-4 procedure at Picasso Dental changed my life. I went from dentures to fixed teeth in one day. The whole team was incredible.” – Robert G., Australia
“I researched All-on-4 clinics across Southeast Asia and chose Hanoi. Best decision I ever made – saved $25,000 compared to quotes back home.” – Linda P., United States
Sources
- PubMed — All-on-4 Treatment Concept: A Systematic Review — clinical evidence on All-on-4 success rates and long-term outcomes
- American Dental Association — Dental Implants — guidance on implant-supported prosthetics
- FDI World Dental Federation — Oral Implantology — international standards for implant treatment planning
- Australian Dental Association — Dental Implants — information on full-arch implant procedures and patient care