How Much Does All-on-4 Cost in Vietnam?

All-on-4 Price Ranges at Picasso by Implant System

The dominant variables in All-on-4 pricing are the implant brand and the prosthetic bridge material. Both are selected at consultation based on your bone density, anatomy, aesthetic goals, and budget. All prices are per arch and are all-inclusive of the items listed in the next section.

For both arches (full-mouth All-on-4), double the per-arch figure. A full-mouth rehabilitation at Picasso with mid-tier implants and zirconia bridges runs approximately $8,800 to $10,400 USD, compared to $40,000 to $80,000 USD in Australia or the US.

What Is Included in the All-on-4 Price

Picasso all-inclusive pricing covers the full treatment arc from imaging to final cementation. Nothing in the following list is charged separately.

• Initial consultation and 3D CBCT scanFull cone-beam CT imaging of both jaws. Required to assess bone volume, density, and sinus height before any placement decisions are made.
• Four titanium implants per archPlaced under local anaesthesia. The number of implants (four) is fixed by the All-on-4 protocol. Additional implants beyond four are quoted separately if your anatomy calls for more support points.
• Surgical placement and immediate loadingImplants placed in a single session. A temporary bridge is fitted the same day so you leave with teeth. No gap period of going toothless.
• Temporary prosthetic bridgeWorn during the 3 to 6 month osseointegration phase. Functional for eating soft foods. Adjusted as needed during follow-up visits in the first trip.
• Permanent bridge (ceramic or zirconia)Fitted, adjusted, and cemented during the second trip after osseointegration is confirmed by X-ray.
• All follow-up appointmentsAll check-ups, adjustments, and X-rays during the active treatment period at Picasso are included. This covers both trips.
• Written warrantyImplants carry a lifetime warranty against implant failure under normal use. The prosthetic bridge carries a 5-year warranty. Both are provided in writing at treatment completion.

What Can Add to the Base Cost

Four clinical situations require procedures beyond the standard All-on-4 package. Each is identified at the CBCT consultation and quoted in writing before any work begins.

Bone grafting

When bone density or volume is insufficient at one or more implant sites, a bone graft builds up the site before or at placement. This is more common in patients who have been missing teeth for several years and have experienced bone resorption. Cost depends on the number of sites requiring grafting and the grafting material used.

Sinus lift

For upper jaw implants, the maxillary sinus must have sufficient clearance above the planned implant apex. In patients with a low sinus floor, a sinus lift procedure elevates the sinus membrane to create adequate vertical bone height. This is an additional surgical procedure quoted separately.

Extractions

If any remaining teeth must be removed before implant placement, extraction costs are added to the treatment plan. In many cases a small number of extractions are included without extra charge; this is confirmed at consultation based on your panoramic X-ray.

Zirconia bridge upgrade

The standard bridge in the base price is a high-quality ceramic prosthetic. A full monolithic zirconia bridge is stronger, more resistant to staining, and has a longer replacement cycle (15 to 20 years versus 10 to 15 years for ceramic). The upgrade cost is the difference between the two bridge prices shown in the table above.

Vietnam vs Australia, UK, and US

The comparison below uses 2026 average private dental fees for a single arch All-on-4 with a mid-tier implant system. Currency conversions are approximate.

The saving on a full-mouth case from Australia runs to AUD $30,000 to $50,000 even after two return flights and four weeks of accommodation and living costs. The saving on a single arch is AUD $15,000 to $25,000 over the local alternative.

Why Two Trips Are Necessary

All-on-4 follows a two-stage protocol that cannot be safely compressed into a single visit.

First trip (7 to 10 days): CBCT consultation on day one. Implant placement and immediate temporary bridge on day two or three. Follow-up checks over the remaining days. You fly home with a functioning temporary bridge.

Osseointegration period (3 to 6 months at home): The titanium implants fuse with the jawbone. This is a biological process that cannot be accelerated. Follow-up via email or video call if any questions arise.

Second trip (5 to 7 days): X-ray confirms osseointegration. Impressions or digital scan for the permanent bridge. Bridge fabrication (2 to 3 days at our partner lab). Final fitting, bite adjustment, and cementation. Post-placement review before you fly home.

Are Korean Implants as Good as Nobel or Straumann?

This is the most common question from patients comparing quotes. The short answer is yes, for the vast majority of cases.

Osstem and Dentium are South Korean manufacturers with decades of published clinical data, global distribution networks, and millions of placed implants worldwide. Both are ISO-certified and used by trained implant surgeons across Europe, Australia, and Asia. Peer-reviewed survival rate data for Osstem and Dentium sits in the 95 to 98 percent range at 10-year follow-up, comparable to Nobel Biocare and Straumann.

Nobel Biocare and Straumann command a price premium based on brand positioning, certain proprietary surface treatments, and distribution costs. In standard bone conditions, the clinical outcome difference between a well-placed Osstem and a well-placed Nobel is negligible. The more important variable is surgeon skill, not brand.

I will recommend the system that is appropriate for your bone anatomy and case complexity, not the one that maximises revenue. For patients with compromised bone or specific systemic conditions, a premium-brand system may be genuinely indicated. That recommendation will be explained in your written treatment plan.