All-on-6 Full-Arch · Head of Implantology Dr. Tran Thanh Phong · Last reviewed May 2026
All-on-6, Maximum Stability
for a Full Arch.
Picasso Dental places All-on-6 full-arch implant reconstructions in Vietnam across the Osstem, Neodent, Nobel Biocare and Straumann tiers, every fixture covered by the manufacturer's original warranty. Six implants per arch instead of four, improved load distribution, shorter cantilevers, and longer-term stability when bone volume permits. Led by Dr. Tran Thanh Phong, our Head of Implantology, placing implants since 2001 (15,000+ to date, 1,000+ All-on-X cases), with surgical placement supported by Dr. Hung Le Ba Gia (Dr. Evans, 1,000+ implants). Hospital-based surgery available at Vinmec Da Nang and Link General Da Lat.
The Economics
Same Implants. Same Protocols. Roughly One Third the Price.
Indicative All-on-6 per-arch ranges in private practice. Sources: ADA, BDA and AusDent published surveys; Picasso published rate card. Pricing varies by implant brand, bridge material and any grafting required; your written quote follows CBCT review.
| Country | Typical All-on-6 (per arch) | What You'd Save |
|---|---|---|
| United States | $30,000 to $50,000 USD | ~65 to 75% |
| Australia | $35,000 to $55,000 AUD | ~65 to 75% |
| United Kingdom | £20,000 to £35,000 | ~60 to 70% |
| Canada | $30,000 to $48,000 CAD | ~60 to 70% |
| New Zealand | $38,000 to $58,000 NZD | ~65 to 75% |
| Picasso Dental, Vietnam | Osstem to Straumann tiers, see cost guide | — |
Full itemised pricing on the implant cost guide. A both-arch All-on-6 reconstruction in Vietnam frequently costs less than a single-arch case in many home markets, even after flights and accommodation.
What It Is
What Is All-on-6?
All-on-6 is a full-arch dental implant reconstruction in which six titanium implants are placed in one jaw to support a complete fixed bridge of 12 to 14 teeth. Compared to the four-implant All-on-4 protocol, the additional two implants distribute chewing load across more anchor points, reduce cantilever length at the rear, and provide measurably better long-term mechanical stability when bone volume permits. The bridge is anchored permanently, not removable like a denture.
Why Picasso
Why Picasso for All-on-6
Three claims that should be true of any clinic placing six full-arch implants. Here is exactly how we deliver each one.
Genuine brand fixtures only, with serial numbers you can verify.
Every All-on-6 fixture at Picasso comes from one of four documented manufacturers, with the original manufacturer warranty and a serial number you can register independently. The Asia implant market is full of unbranded look-alikes that compromise on surface treatment and long-term bone response. We do not place them. You leave with a passport-style implant record listing brand, model, lot and serial for all six fixtures.
CBCT-planned, hospital-based surgery available.
Every All-on-6 case begins with a Cone Beam CT scan that maps bone volume in 3D at every implant position. Surgery is performed at one of our six branches, two of which sit inside accredited hospitals (Vinmec Da Nang and Link General Da Lat) with on-site emergency medical support. Patients with cardiovascular history, diabetes or anxiety often choose the hospital-based option for the additional safety margin during a 2 to 3 hour full-arch procedure.
Led by the dentist who first brought All-on-X protocols to Vietnam.
All-on-6 at Picasso is led by Dr. Tran Thanh Phong, our Head of Implantology and the first Vietnamese dentist to perform All-on-4 immediate loading (2010). Roughly 600 implants per year for 25+ years, 15,000+ in total. Surgical placement and day-to-day patient care is supported by Dr. Hung Le Ba Gia (Dr. Evans, 1,000+ implants, 200+ All-on-X cases). Mixed configurations (often All-on-4 upper, All-on-6 lower) are routine, and same-day provisional bridges are fitted for the great majority of immediate-load cases. Backed by Dr. Emily Nguyen, the founding clinical director, who sets prosthetic standards across all six branches.
CBCT 3D imaging at Picasso Da Nang Vinmec. Every All-on-6 case is planned from a 3D bone map before any incision.
Full-arch surgery at Picasso Link General Da Lat. Hospital-based surgical suite with on-site anaesthesiology.
Brand Tiers
All-on-6 Brand Tiers
Four implant brands available, each with single-arch and both-arch options. The bridge sits on top of all of them. We recommend the right tier after CBCT and a conversation about your bite, your age, and how long you expect the work to last.
| Brand | Origin | Best For |
|---|---|---|
| Osstem | South Korea | Standard cases, value tier |
| Neodent | Brazil (Straumann Group) | Straumann surface technology, mid tier |
| Nobel Biocare | Switzerland | Complex cases, premium tier |
| Straumann | Switzerland | World leader by volume, premium tier |
For itemised per-arch and both-arch pricing across all four brands plus prosthetic upgrades (acrylic, titanium bar, zirconia bridge), see the implant cost guide. Bone grafting and sinus augmentation are quoted separately when CBCT shows they are needed.
Candidacy
Who Is, and Isn't, a Good Candidate?
All-on-6 suits most adults missing or losing a full arch when bone volume permits. Decided after your CBCT scan, medical history review and a frank conversation about smoking, diabetes control and recall commitment.
You're a strong candidate if
- You are an adult (~18+) in generally good health with a full arch missing, failing or already edentulous.
- Your jawbone has adequate volume at all six implant sites, or you accept grafting or sinus lifts where needed.
- Your gums are healthy, or any active periodontal disease has been treated first.
- If diabetic, your HbA1c is well-controlled (ideally below 7%).
- You do not smoke, or are willing to stop at least 2 weeks before surgery and 8 weeks after.
- You can attend basic 6-month recall visits, locally or with us, for life.
All-on-6 may not be right if
- Your bone volume is severely limited, All-on-4 with angled posterior implants may fit better without grafting.
- Sinus pneumatisation in the upper jaw would require multiple lifts to fit six implants in a row.
- You have uncontrolled diabetes; healing and integration are significantly compromised.
- You have active, untreated periodontal disease, must be resolved first.
- You are a heavy smoker unwilling to stop or significantly cut down.
- Your budget makes All-on-4 a more practical choice for the same fixed-bridge result.
If any of these apply, we'll tell you, and recommend All-on-4, an implant-supported overdenture, or staged grafting if that's the right answer for your case.
The Procedure
The All-on-6 Procedure, Step by Step
From your first CBCT scan to your final fixed bridge. Total timeline approximately six months from surgery to definitive bridge for a standard case.
Day 1 · 75 min
Consultation & CBCT
Clinical exam, medical history, blood tests, CBCT 3D scan. Dr. Evans confirms bone volume sufficient for All-on-6, or recommends All-on-4 or staged grafting if it is not.
Day 2 to 3 · 2 to 3 hr
Surgery & Provisional
Failing teeth (if any) extracted, six implants placed under local anaesthetic with optional sedation. Provisional fixed bridge fitted on the same day or the following day for immediate-load cases.
~6 months
Osseointegration
Implants fuse with the jawbone. Provisional bridge worn throughout. Soft-to-normal diet progression. WhatsApp check-ins with our team if you have travelled home.
2 to 3 visits · 2 weeks
Final Fixed Bridge
Digital impressions taken, definitive 12 to 14 tooth bridge fabricated and fitted. Case file, implant passport with serial numbers, and warranty documentation handed over before you fly.
All-on-6 upper jaw plus 3 single implants, Osstem fixtures and zirconia bridge. Picasso Dental Hanoi Old Quarter.
Real Case
A Real All-on-6 Case.
A recent full-arch All-on-6 reconstruction at Picasso Dental Hanoi Old Quarter, published with the patient's written consent. Material, scope and duration are documented exactly as performed.
All-on-6 Upper Jaw + 3 Single Implants
- Material Osstem (Korea) implants + Zirconia crowns/bridge (Germany)
- Scope All-on-6 dental implants upper jaw + 3 single implants
- Duration 2 visits to Vietnam, 6 months apart
- Branch Hanoi Old Quarter
Comparison
All-on-6 vs All-on-4
The honest comparison patients ask for most. Both protocols are well-documented and equally suitable when matched to the right patient.
| Criterion | All-on-4 | All-on-6 |
|---|---|---|
| Implants per arch | 4 | 6 |
| Bone volume needed | Less (designed for limited bone) | More (adequate volume at all 6 sites) |
| Sinus lift in upper jaw? | Often avoided by angled rear implants | Often needed if upper jaw bone is limited |
| Load distribution | Good | Excellent |
| Cantilever length | Longer (rear extension) | Shorter or eliminated |
| Bite force tolerance | Standard chewers | Heavy chewers, bruxism patients |
| Surgery time | ~2 hours per arch | ~3 hours per arch |
| 10-yr documented survival | 95 to 98% | 95 to 98% |
No protocol is universally better, the right one is the one that matches your bone, your bite force, and your budget. We tell you honestly after CBCT. For the lower-cost full-arch alternative, see implant-supported overdentures.
Adjunct Procedures
When We Recommend Adjunct Procedures
All-on-6 sometimes needs supporting work to make six implant positions viable. Decided after CBCT, never speculatively.
| Adjunct | When It's Needed | Timing |
|---|---|---|
| Bone graft | Insufficient horizontal or vertical bone at one or more implant sites | Same day as surgery or 4 to 6 months earlier |
| Sinus lift | Upper jaw posterior bone less than ~5mm from sinus floor | Same day (closed) or 4 to 6 months earlier (open) |
| Extractions | Failing teeth at any of the six implant sites | Same day as implant placement (immediate) |
| Periodontal treatment | Active gum disease before surgical planning | 4 to 8 weeks before any incision |
| Night guard | Documented bruxism or heavy clenching | Fitted at final bridge delivery |
Why we sometimes recommend All-on-4 instead
Severe upper-jaw atrophy or aggressive sinus pneumatisation can make six upper implants impractical without multiple grafts. In those cases the angled-implant All-on-4 protocol delivers the same fixed bridge with less surgery, less healing time and lower cost. The right answer is the protocol that fits your bone, not the one with the higher number.
Mixed configurations are common
The lower jaw typically has denser bone supporting six implants comfortably; the upper jaw often does not. Many patients receive All-on-6 lower and All-on-4 upper as a single coordinated treatment plan. We do not push you into matching numbers if the anatomy disagrees.
The Team
Who Will Place Your All-on-6
All-on-6 at Picasso Dental is led by Dr. Tran Thanh Phong, our Head of Implantology and the first Vietnamese dentist to perform All-on-4 immediate loading (2010), with 15,000+ implants placed across 25+ years and 1,000+ All-on-X cases. Surgical placement is supported by Dr. Hung Le Ba Gia (Dr. Evans), our Lead Implant Specialist with 1,000+ implants and 200+ All-on-X cases. Clinical standards group-wide are set by founding director Dr. Emily Nguyen.
Head of Implantology
Dr. Tran Thanh Phong
The most senior implantologist at Picasso Dental, placing implants since 2001 (25+ years, 15,000+ total). First Vietnamese dentist to perform All-on-4 full-arch immediate loading (2010), 1,000+ All-on-4 cases since. Zygomatic implants since 2017, 400+ cases. Loma Linda University-trained, Nobel Biocare's clinical representative in Vietnam since 2007.
Lead Implant Specialist
Dr. Hung Le Ba Gia (Dr. Evans)
Picasso's lead implant specialist, with 1,000+ implants placed and 200+ full-arch cases completed across All-on-4 and All-on-6. Works under the clinical direction of Dr. Phong. Particularly experienced with mixed configurations (All-on-4 upper, All-on-6 lower) and complex cases requiring grafting or sinus augmentation. Full-arch surgery is his clinical week.
Founding Clinical Director
Dr. Emily Nguyen
Founder of the original clinic in 2013. Sets clinical standards for full-arch case selection, surgical protocols and prosthetic delivery group-wide. Personally reviews complex All-on-6 cases and oversees prosthetic delivery at the Hanoi Old Quarter flagship.
Aftercare
Caring for Your All-on-6 Bridge
All-on-6 is a one-time treatment when properly maintained. The implant fixtures themselves routinely last 25 years or more. The bridge on top is replaceable when needed.
Immediately Post-Surgery
Soft Diet & Rest
Soft food only, no smoking, no straws, no vigorous rinsing. Mild swelling normal, peaks day 3. Antibiotics and pain relief as prescribed. Provisional bridge stays in place.
Osseointegration
Provisional & Diet Progression
Provisional bridge worn while six implants integrate with bone. Soft-to-normal diet progression over the period. WhatsApp check-ins if you have travelled home.
Every 6 Months · For Life
Hygiene Visit
Professional cleaning of the bridge, soft-tissue check around each of the six implants, visual inspection. Six implants take slightly longer than four to clean, plan for a longer recall appointment.
Annual X-Ray Review
Bone Level Check
Standard 12-month X-ray to confirm bone levels around each implant are stable. Repeated annually for life. Standard practice for all implant patients globally.
Daily care, forever
Brush twice daily with a soft toothbrush. A water flosser is the single most useful tool for cleaning under an All-on-6 bridge. Interdental brushes around each implant head. Smoking is the single biggest threat to long-term success, untreated peri-implantitis is the second.
If you travel home after surgery
You leave with complete clinical records, post-surgical photographs, your CBCT files and an implant passport listing the six fixture serial numbers. Your home dentist can perform hygiene visits and annual X-rays, and we respond to questions over WhatsApp at any time.
Patient Reviews
All-on-X Patients in Their Own Words
"
I flew from NZ to get my old crowns and veneers replaced (10 crowns, 6 veneers) that were cracking and falling. I knew the work would be extensive and I was nervous for the treatment, but Dr Emily and the team were supportive and professional every step of the way. From the care taken during the physical work to the regular check ins throughout my two weeks in Hanoi (and even once I had left the country) I felt supported and safe in their care. I couldn't be happier with the results of my new teeth.
Esta Fowler
"
I had 4 crowns and 4 veneers done with the wonderful Dr. Emily. I was so nervous about losing too much of my natural teeth, the horror stories of "peg teeth" terrified me, but she was so gentle and precise. I was amazed by how much of my natural teeth were preserved. Everything was explained clearly and thoroughly, and the turnaround time was fast.
Earthy Acts
"
I had 2 veneers done here in 2017 and my Canadian dentists still comment on how good they look. Thank you for the gift of a smile I feel proud of.
Josie Evans
Picasso Dental inside Vinmec International Hospital Da Nang. Where most international All-on-6 patients are operated under hospital-grade infrastructure.
International Journey
The International All-on-6 Journey
Two paths for patients flying in from abroad. Choose the one that fits your time, your budget and your case complexity.
Two Trips, Healing at Home.
Surgery and provisional bridge on Trip 1. Six months of osseointegration at home. Final bridge fitted on Trip 2.
CBCT & Video Consult
Send a recent CBCT or panoramic X-ray. Dr. Evans reviews and replies with a recommended brand, treatment plan and written quote within 24 hours.
10 to 14 days
Surgery & Provisional
Consultation, CBCT, extractions, six-implant surgery, provisional fixed bridge. Recovery in Vietnam, fly home with provisional in place.
~6 months
Osseointegration
Six implants fuse with bone. Provisional bridge worn throughout. WhatsApp check-ins with our team. Local hygienist visits as normal.
10 to 14 days
Final Bridge & Fly Home
Digital impressions, definitive 12 to 14 tooth bridge fabricated and fitted. Implant passport, warranty documentation and full case file before you fly.
One Extended Trip, Healing in Vietnam.
Surgery, healing and final bridge in a single extended 6-month stay. Continuous care under the same team.
Consultation & Surgery
Arrive, CBCT, extractions, surgery, provisional bridge fitted. Two weeks recovery in your accommodation of choice.
Osseointegration in Vietnam
Live in Da Nang (beach), Da Lat (mountain) or Hanoi (city) while six implants integrate. Monthly clinical reviews under the same team.
Final Bridge & Fly Home
Digital impressions, definitive bridge fabricated and fitted in a single fortnight at the end of the stay. Case file delivered before you fly.
Risks & Outcomes
Risks & Success Rates: Honestly
No surgery is risk-free. Here is what the literature reports for full-arch implant rehabilitation, what can go wrong with All-on-6 specifically, and how Picasso minimises every avoidable risk.
Documented Success Rate
Long-term clinical literature consistently reports dental implant survival in the 95 to 98 percent range over 10 years for healthy patients placed by experienced clinicians, confirmed by Moraschini et al. (2015) covering more than 14,000 implants across 23 studies. Full-arch protocols (All-on-4, All-on-6) show comparable survival when patient selection and surgical technique are appropriate.
What Can Go Wrong
Failure to integrate at one of the six positions (rare; the bridge can usually still be supported by the remaining five while the failed site is re-treated). Peri-implantitis from inadequate hygiene under the bridge. Bridge fracture (replaceable). Anaesthesia-related complications (mitigated by hospital-based delivery).
How We Minimise Risk
CBCT 3D imaging before every surgery. Autoclave sterilisation. Medical history screening (diabetes, smoking, bisphosphonate use are flagged). Genuine brand fixtures with manufacturer-documented serial numbers only. Surgical planning reviewed before any incision. On-site anaesthesiology at our hospital-partner branches.
If Something Goes Wrong
If an implant fails to integrate within 6 months, we re-place it at no additional cost. If the bridge fractures within the warranty period, we replace it. We do not invoice you to fix our own work. We retain your CBCT and digital impression files indefinitely so a duplicate bridge can be fabricated quickly.
Smoking & All-on-6
Smoking roughly doubles implant failure risk and significantly increases peri-implantitis. With six implants in play, the cumulative risk is meaningful, we strongly recommend stopping at least 2 weeks before surgery and remaining smoke-free for 8 weeks after. We require honest disclosure; it doesn't disqualify you, but it changes protocol and aftercare.
Why Six Implants Add Redundancy
If one of six implants ever fails decades down the line, the bridge can be modified to function on the remaining five while the failed position is re-treated. With four implants, all are load-bearing, and a single failure typically means full bridge revision. This redundancy is the main long-term argument for choosing All-on-6 when bone permits.
FAQ
Frequently Asked Questions
What is All-on-6?
All-on-6 places six titanium implants in one jaw to support a complete fixed bridge of 12 to 14 teeth. Compared to All-on-4, the additional two implants distribute chewing load across more anchor points and provide improved long-term stability when bone volume permits.
How much does All-on-6 cost in Vietnam?
All-on-6 pricing varies by implant brand (Osstem, Neodent, Nobel Biocare, Straumann) and configuration. Per-arch and both-arch pricing is published on our implant cost guide. Prices include the six implants and the prosthetic bridge. Bone grafting and sinus augmentation are quoted separately after CBCT review.
What is the difference between All-on-4 and All-on-6?
All-on-4 uses four implants per arch; All-on-6 uses six. All-on-6 distributes chewing load across more anchor points, reduces cantilever length, and is the preferred protocol when bone volume permits. All-on-4 is faster, more economical, and equally suitable when bone is the limiting factor.
Is All-on-6 better than All-on-4?
Better is the wrong frame, they are different protocols suited to different cases. All-on-6 has improved load distribution and slightly better long-term outcomes in heavy chewers and patients with adequate bone. All-on-4 is the right answer when bone is limited or budget is the priority.
How long does All-on-6 treatment take?
From surgery to final fixed bridge typically takes around six months, surgical placement on day one (often with a provisional bridge fitted the same or next day), followed by an osseointegration period during which the six implants fuse with the bone, then final bridge fitting.
Will I leave the clinic with teeth on the day of surgery?
In most cases, yes. Picasso fits a provisional fixed bridge on the day of surgery or the following day for immediate-load cases. The final, definitive bridge is fitted after osseointegration is complete, typically around six months later.
Do I need bone grafting for All-on-6?
Sometimes. All-on-6 requires more bone than All-on-4 because there are more implant positions, particularly in the upper jaw where sinus pneumatisation can limit available bone. CBCT scanning on day one tells us definitively whether grafting or sinus augmentation is needed.
Which implant brand should I choose for All-on-6?
Osstem (Korea) and Neodent (Brazil, Straumann Group) are well-documented mid-tier options for standard All-on-6 cases. Nobel Biocare and Straumann (both Switzerland) are recommended for premium long-term documentation, complex cases or younger patients with decades of expected function ahead.
Can I have All-on-6 as an international patient?
Yes. Most international patients split treatment across two trips: surgery and provisional bridge on trip one, then final bridge on trip two after osseointegration. Some patients with longer availability complete both phases in a single extended stay in Vietnam. See our international patient guide.
Where is All-on-6 surgery performed?
At any of our six branches, including two hospital-based locations: Vinmec International Hospital Da Nang and Link General Hospital Da Lat. Hospital-based surgery is recommended for full-arch cases where on-site emergency medical support is preferred.
How long does an All-on-6 bridge last?
The implant fixtures themselves routinely last 25 years or more, with documented 10-year survival in the 95 to 98 percent range. The fixed bridge on top typically lasts 12 to 20 years before considering replacement, depending on material (acrylic-on-titanium vs zirconia).
Does All-on-6 distribute load better than All-on-4?
Yes. With six anchor points instead of four, each implant takes proportionally less chewing force. The bridge has shorter cantilevers (less unsupported length at the rear) and is mechanically more stable under heavy bite loads. This is the main clinical reason to choose All-on-6 when bone volume allows.
Pricing
Itemised All-on-6 Pricing
For published per-arch and both-arch rate cards across Osstem, Neodent, Nobel Biocare and Straumann, plus prosthetic upgrades (acrylic bridge, titanium bar, zirconia bridge) and adjunct procedures (grafting, sinus lift, extractions), see the dedicated implant cost guide.
Looking for the lower-cost full-arch alternative? See implant-supported overdentures. Considering the fewer-implant protocol? See All-on-4.
Start Here
Send Your CBCT or Panoramic X-Ray.
Get a Written All-on-6 Plan in 24 Hours.
A recent CBCT or panoramic X-ray, your medical history in a sentence, and what you'd like to change is enough to start. Dr. Evans reviews every full-arch request personally and replies with a recommended brand, treatment plan, prosthetic option and written, itemised quote, at no cost and with no obligation.
Free · No obligation · Replies from a licensed implant specialist, not a bot · Since 2013