Full Mouth Reconstruction · Head of Implantology Dr. Tran Thanh Phong · Last reviewed May 2026
A Whole New Mouth,
From Both Arches Up.
Full mouth implant reconstruction at Picasso Dental: All-on-4, All-on-6 and All-on-X protocols in Nobel Biocare, Straumann, Osstem and Neodent, every fixture serial-verified and warranty-backed. 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 supported by Dr. Hung Le Ba Gia (Dr. Evans, 1,000+ implants, 200+ full-arch cases). CBCT-guided surgery, hospital-based options at Vinmec Da Nang and Link General Da Lat for medically complex cases.
Savings
Same Brands. Same Protocols. Roughly One Third the Price.
Indicative full-mouth ranges (both arches, All-on-4 to All-on-6 fixed bridge configurations) in private practice. Sources: ADA, BDA and AusDent published surveys; Picasso published rate card. Your case may vary; we send a written, itemised quote within 24 hours of seeing your CBCT.
| Country | Typical Full Mouth (USD) | What You'd Save |
|---|---|---|
| United States | $45,000 to $90,000 | ~65 to 75% |
| Australia | $50,000 to $95,000 AUD | ~65 to 75% |
| United Kingdom | £28,000 to £55,000 | ~60 to 70% |
| Canada | $40,000 to $80,000 CAD | ~60 to 70% |
| New Zealand | $55,000 to $90,000 NZD | ~65 to 75% |
| Picasso Dental, Vietnam | Osstem to Straumann tiers, see cost guide |
Full itemised pricing on the implant cost guide. Single-arch only? See All-on-4 or All-on-6.
What It Is
What is Full Mouth Implant Reconstruction?
Full mouth implant reconstruction replaces every tooth in both arches with two permanent fixed bridges, anchored to dental implants. It does not mean one implant per tooth: 4 to 6 implants per arch (8 to 12 total) support two complete bridges of 12 to 14 teeth each. Unlike removable dentures the bridges are permanently fixed in bone. Unlike one-implant-per-tooth reconstruction the protocol is faster, less invasive and significantly more affordable.
Why Picasso
Why Picasso for Full Mouth
Three claims any clinic should be able to make for a treatment of this size. Here is exactly how we deliver each one.
Genuine brand implants, serial-verified across all 12 fixtures.
Every fixture leaves Picasso with the manufacturer's original warranty and a serial number you can verify with the maker. With 12 implants in play, this matters more, not less. No grey-market stock, no off-brand substitutions, no surprises a year later when a bridge needs servicing abroad.
CBCT-guided surgery, both arches planned in 3D before the first incision.
Cone Beam CT imaging maps both jaws in 3D before any surgery. Implant positions, angles and depths are decided digitally, the All-on-4 vs All-on-6 vs mixed-configuration call is made against your actual anatomy, not a generic protocol. Lower surgical risk, better long-term bone outcomes, and a clinical record you take home.
Hospital-based surgery available at no premium.
Two of our six branches operate inside accredited hospitals with full emergency medical support, anaesthesiology, and on-site cardiology consultation. For full-mouth cases, where surgery typically runs 3 to 5 hours under sedation, this is the setting we strongly recommend, particularly for patients with significant medical history.
Cone Beam CT scan of both jaws. 15 minutes, taken on day one, the foundation for every full mouth plan.
iTero digital impression. The two final fixed bridges are designed against your bite, not a tray of putty.
Configurations
Full Mouth Configuration Options
Four protocols cover almost every full mouth case. The right one depends on your bone volume, your bite force and your budget. We decide after CBCT, not before.
| Your Situation | Recommended Protocol | Implants Total | Result |
|---|---|---|---|
| Standard full-arch reconstruction, both jaws | All-on-4 × 2 | 8 (4 per arch) | Two full-arch fixed bridges, fastest path, most economical |
| Adequate bone volume, want maximum stability | All-on-6 × 2 | 12 (6 per arch) | Improved load distribution, smaller cantilevers, longer-term stability |
| Asymmetric bone (upper softer than lower) | Mixed: 4 upper + 6 lower | 10 | Cost-to-stability optimised per arch, often the most rational choice |
| Anatomy or load demands non-standard layout | All-on-X custom (5, 7, 8 per arch) | Per case | Complex cases, asymmetric bone loss, or extreme parafunction |
Need a single arch only? See our dedicated All-on-4 or All-on-6 pages.
Candidacy
Who Is, and Isn't, a Good Candidate?
Full mouth implants suit most adults missing all or most of their teeth. They are not the right answer for everyone. Here's the honest version, decided after your CBCT scan and medical history review.
You're a strong candidate if
- You're an adult (~18+) in generally good health with most or all teeth missing or failing.
- Your jawbone has adequate volume, or you accept grafting or sinus lifts where needed.
- Your gums are healthy, or any active gum disease has been treated first.
- If diabetic, your HbA1c is well-controlled (ideally below 7%).
- You don't smoke, or are willing to stop at least 2 weeks before surgery and 8 weeks afterward.
- You can attend basic 6-month recall visits, locally or with us.
Full mouth implants may not be right if
- You have uncontrolled diabetes (healing and integration are significantly compromised).
- You have active, untreated periodontal disease, must be resolved first.
- You have recently received IV bisphosphonate therapy (typically for cancer).
- You're a heavy smoker unwilling to stop or significantly cut down, failure rates roughly double.
- You have active radiation therapy to the jaw.
- You're pregnant, we postpone elective implant surgery until after delivery.
If any of these apply, we'll tell you, and recommend overdentures, staged treatment or care elsewhere if that's the right answer for you.
Procedure
The Full Mouth Procedure, Step by Step
From your first consultation to your final fixed bridges. Total timeline: roughly 6 months from surgery to definitive prosthetics.
Day 1 to 3 · Plan in 3D
Consultation, CBCT & Surgical Plan
Clinical exam, medical history, blood tests, CBCT 3D scan of both jaws. Implant brand, position, angle and configuration (All-on-4 vs All-on-6 vs mixed) decided digitally and reviewed with you in your preferred language.
Surgery day · 3 to 5 hr
Surgery & Provisional Bridges
Failing teeth extracted, 8 to 12 implants placed across both arches under local anaesthetic with optional IV sedation. Provisional fixed bridges fitted same or next day. You leave the clinic with teeth.
~6 months
Osseointegration
Healing period during which the implants fuse with the jawbones. Provisional bridges worn throughout. Soft-to-normal diet progression. WhatsApp check-ins if you've travelled home.
2 to 3 visits · ~2 weeks
Final Fixed Bridges
Digital iTero impressions, two definitive fixed bridges of 12 to 14 teeth each fabricated and fitted. Case file, X-rays and implant serial numbers handed over before you fly home.
Your CBCT-guided full mouth plan, before the first incision. 3D bone analysis and digital implant positioning across both arches, reviewed against your surgical guide.
Real Case
A Real Full Mouth Case.
A recent reconstruction at Picasso Dental Hanoi Old Quarter, published with the patient's written consent. Treatment plan, materials and duration 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
All-on-5 Upper Jaw, Nobel Biocare
- Material Nobel Biocare (Switzerland) implants + zirconia full-arch bridge
- Scope All-on-5 upper jaw rehabilitation with full-mouth periodontal work
- Duration 16 visits over ~21 months
- Branch HCMC Thao Dien
All-on-X Upper Overdenture on Implant Bar, ETK
- Material ETK (France) implants + titanium retainer bar + Lava zirconia crowns + hard-acrylic overdenture
- Scope All-on-X overdenture: ETK implants supporting a bar-retained removable prosthesis with Lava zirconia crowns
- Duration 13 visits over ~9 months
- Branch HCMC Thao Dien
All-on-4 Both Jaws, Nobel Biocare
- Material Nobel Biocare (Switzerland) implants + full-arch fixed bridges, both jaws
- Scope All-on-4 both jaws (upper first visit, lower second visit)
- Duration 2 visits, 8 months apart
- Branch Hanoi Old Quarter
All-on-4 Upper Jaw, Nobel Biocare
- Material Nobel Biocare (Switzerland) implants + full-arch fixed bridge
- Scope All-on-4 upper jaw with extensive periodontal work and staged restoration
- Duration 2 visits over ~6 months
- Branch HCMC Thao Dien
All-on-4 Lower Jaw, Nobel Biocare
- Material Nobel Biocare (Switzerland) implants + full-arch fixed bridge
- Scope All-on-4 lower jaw integrated with upper-arch implant and crown work
- Duration 2 visits over ~9 months
- Branch HCMC Thao Dien
Before · Panoramic CBCT of the upper arch before All-on-6 placement.
After · The same patient with six upper implants and a full-arch fixed bridge.
Brand Comparison
Implant Brand Comparison
Every brand we offer is internationally certified with manufacturer warranties. For full-mouth cases the brand decision matters more, you're choosing the system that will be in your mouth for decades.
| Brand | Origin | Warranty | Best For (Full Mouth) |
|---|---|---|---|
| Osstem | South Korea | Manufacturer-backed | Standard cases · best value full mouth tier |
| Neodent | Brazil (Straumann Group) | Manufacturer-backed | Straumann technology at an accessible tier |
| Nobel Biocare | Switzerland | Manufacturer-backed | Complex full-arch · the original All-on-4 system |
| Straumann | Switzerland | Manufacturer-backed | World #1 by volume · premium full mouth tier |
For an itemised full-mouth quote, see the implant cost guide.
Adjunct Procedures
Adjunct Procedures & Bridge Materials
Severe bone loss is common in full-mouth patients, and the final bridges sitting on top of your implants come in two main material classes. Here's how we handle each, with no upsell.
| Technique / Material | When It's Used | How It Works | Added Time / Notes |
|---|---|---|---|
| Sinus Lift (Open) | Severe upper bone loss | Lateral window approach, Bio-Oss + Bio-Gide membrane | ~6 months before implant |
| Block Graft | Severe vertical or horizontal loss | Solid bone block secured to deficient site | 6+ months |
| Zygomatic Implants | Severe upper bone loss, no graft option | Implants anchored in the cheekbone | Immediate-load possible |
| Acrylic on Titanium Bridge | Most economical, easier to repair | Acrylic teeth on a titanium framework | 10 to 12 year lifespan |
| Monolithic Zirconia Bridge | Most common full-mouth choice | Solid zirconia bridge, full-arch span | 15 to 20+ year lifespan |
How we decide
Your CBCT 3D scan tells us on day one whether grafting is genuinely needed. We won't recommend it unless your anatomy requires it. Materials (Bio-Oss, Bio-Gide, brand of zirconia) are itemised on every quote so you can verify against your home dentist's recommendation.
Bridge material recommendation
For full-mouth cases monolithic zirconia is the most common recommendation, the strength-to-aesthetics balance is hard to beat across two complete arches. Acrylic-on-titanium suits patients prioritising lower upfront cost and easier in-future repair.
Our Team
Who Will Place Your Full Mouth Implants
Full mouth reconstruction at Picasso Dental is led by Dr. Tran Thanh Phong, our Head of Implantology and the first Vietnamese dentist to perform All-on-4 full-arch immediate loading (2010). 15,000+ implants placed across 25+ years, 1,000+ All-on-4 cases, 400+ zygomatic cases since 2017. Surgical placement supported by Dr. Hung Le Ba Gia (Dr. Evans), with 1,000+ implants placed and 200+ All-on-X full-arch cases completed. 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+ implants total). First Vietnamese dentist to perform All-on-4 full-arch immediate loading (2010), with 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. Leads complex full-mouth and zygomatic implant cases group-wide.
Lead Implant Specialist
Dr. Hung Le Ba Gia (Dr. Evans)
Picasso's lead implant specialist, with 1,000+ implants placed and 200+ All-on-4 full-arch cases completed. Works under the clinical direction of Dr. Phong. Full-mouth reconstruction is a core part of his practice, particularly at our hospital-based Da Nang Vinmec branch.
Founding Clinical Director
Dr. Emily Nguyen
Founder of the original clinic in 2013. Sets clinical standards for implant case selection, surgical protocols and prosthetic delivery group-wide.
Aftercare
Caring for Your Full Mouth Reconstruction
Full mouth implants are a one-time treatment. With basic maintenance, modern implants routinely last 25+ years. Here's the schedule that keeps yours that way.
Every Day · For Life
Brush, Water-Floss, Repeat
Twice-daily soft brush. A water flosser is the single most useful tool: full-arch bridges have hard-to-reach undersides that string floss alone struggles with. Interdental brushes around the implant heads.
Every 6 Months
Hygiene & Bridge Check
Professional cleaning of the bridges, soft-tissue check around each implant, visual inspection. Identical to a natural-tooth recall, slightly longer because there are more surfaces to clean. Local or with us.
At 12 Months
X-Ray Stability Check
Standard 12-month X-ray to confirm bone levels around each implant are stable. Standard practice for all implant patients globally. We send the file; your local dentist can take it.
Years 12 to 20
Bridge Refresh (Maybe)
The implant fixtures themselves are permanent. Acrylic-on-titanium bridges may eventually show wear and can be re-glazed or replaced. Monolithic zirconia routinely lasts 15 to 20+ years before considering replacement.
What to avoid
Smoking is the single biggest threat to implant longevity, and with 12 fixtures the cumulative risk is meaningful. Untreated peri-implantitis is the second. Hard objects (ice, pen caps, fingernails) are unkind to bridges and implants alike. Heavy grinders may need a night guard.
If you travel home mid-treatment
You leave with complete clinical records, X-rays, implant serial numbers and surgical notes. Your home dentist can perform recalls or address concerns, and we respond to questions over WhatsApp at any time during osseointegration.
Patient Stories
Full Mouth Patients in Their Own Words
"
After thoroughly researching various options and discussing alternatives with my Aussie dentist, I made the trip to Hanoi. All upper teeth were crowned and lower teeth removed and implants installed. My Aussie dentist and the endodontist both commented on the quality of Dr Emily's work, equal to anything they'd seen by local specialists. I can now eat without pain, no more bleeding gums, no more bad breath, and of course I can smile with confidence.
Lawrie Smith
"
The dental surgery I had, in relation to a severe bone infection (14 years in the making), bone grafts, removal and replacement of implants, was done by the very skilled and highly educated Dr Andy and his technicians to the highest standards. Many heartfelt thanks to Dr Andy and the time he and his team took reviewing my full mouth x-ray to advise on the best outcome for me. I feel a million dollars with them.
Susie Miller
"
From the day I started texting them on WhatsApp from Australia, I knew I had made the right choice getting dental implants. As soon as I arrived Vietnam I was greeted with a warm text. I can't give enough praise for Dr Evan and his wonderful nurses. My temporary implants look great and you would think they're the real ones, but I'm coming back in 6 months to get the Swiss Neodent Zirconium implants.
Bowie Bow
Picasso Dental inside Vinmec Da Nang. Hospital-grade facility with on-site emergency medical support, where the majority of full mouth cases are placed.
International Journey
The International Full Mouth Journey
Two paths for patients flying in from abroad. Choose the one that fits your time, your budget and your case complexity.
Two Trips, One Healing Break.
Surgery and provisional bridges on Trip 1, full bone integration at home, final fixed bridges on Trip 2. The standard international full-mouth path.
10 to 14 days
Surgery in Vietnam
Consultation, CBCT, extractions, surgery, provisional fixed bridges fitted, recovery period in Vietnam, fly home with provisional bridges in place.
~6 months
Healing & Osseointegration
Implants fuse with the jawbones. We check in over WhatsApp, and your home dentist can handle anything urgent.
10 to 14 days
Final Bridges in Vietnam
Digital iTero impressions, two definitive fixed bridges fabricated and fitted, full case file delivered.
One Extended Stay, Start to Finish.
Everything from first consultation to final fixed bridges in a single trip. Healing happens in Vietnam.
Surgery
Consultation, CBCT, extractions, surgery, provisional bridges fitted.
Recover & Explore
Beach recovery in Da Nang or mountain recovery in Da Lat. Low cost of living, monthly check-ins at any branch.
Final Bridges & Case File
Digital impressions, two final fixed bridges delivered before you fly home.
Risks
Risks & Success Rates: Honestly
No surgery is risk-free, and full-mouth reconstruction is a longer, more demanding procedure than a single implant. Here's what the literature reports and how Picasso minimises every avoidable risk.
Documented Success Rate
Long-term clinical literature consistently reports implant survival in the 95 to 98% range over 10 years for healthy patients placed by experienced clinicians, confirmed by the systematic review of 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.
What Can Go Wrong
Failure to integrate at one or more positions (rare). Peri-implantitis (gum disease around an implant). Bridge fracture or chipping. Anaesthesia-related complications (mitigated by hospital-based delivery).
How We Minimise Risk
CBCT 3D imaging before every surgery. Autoclave sterilisation. Medical history screening with cardiology or endocrinology clearance where indicated. Genuine brand fixtures only. Surgical planning reviewed before any incision. On-site emergency medical support at 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 a bridge fractures within the warranty period, we replace it. We don't invoice you to fix our own work.
Who's Not a Good Candidate
Uncontrolled diabetes, active untreated periodontal disease, recent IV bisphosphonate therapy, heavy smokers unwilling to stop, active radiation therapy to the jaw, pregnancy. We say no when full-mouth implants aren't right for you.
Smoking & Full-Mouth Implants
Smoking roughly doubles implant failure risk and significantly increases peri-implantitis. With 12 implants in play, the cumulative risk over a full mouth is meaningful. We strongly recommend stopping at least 2 weeks before surgery and remaining smoke-free for 8 weeks afterward.
FAQ
Frequently Asked Questions
How much does full mouth dental implant treatment cost in Vietnam?
Full mouth implant reconstruction (both arches) is priced by configuration (All-on-4 vs All-on-6 vs custom All-on-X) and implant brand (Osstem, Neodent, Nobel Biocare, Straumann). Both-arch pricing for each configuration is published on our implant cost guide. Prices include all implants and the fixed bridges.
What does full mouth dental implants mean?
Full mouth dental implant reconstruction replaces every tooth in both arches with permanent fixed bridges anchored to dental implants. It does not mean one implant per tooth, instead, 4 to 6 implants per arch (8 to 12 total) support two complete fixed bridges of 12 to 14 teeth each.
How long does full mouth treatment take?
From surgery to final fixed bridges typically takes around six months, surgical placement on day one (often with provisional bridges fitted the same or next day), followed by an osseointegration period during which the implants fuse with the bone, then final bridge fitting.
What is the difference between All-on-4, All-on-6 and individual implants?
All-on-4 uses four implants per arch and is the most economical full-arch protocol. All-on-6 uses six implants per arch and provides better load distribution. Individual implants per tooth (16 to 28 implants for full mouth) is rarely indicated and is significantly more expensive. We recommend the configuration after CBCT review.
Will I leave the clinic with teeth on the day of surgery?
In most cases, yes. Picasso fits provisional fixed bridges on the day of surgery or the following day for immediate-load cases. The final, definitive bridges are fitted after osseointegration is complete, typically 6 months later.
Can I have full mouth implants if I have heavy bone loss?
Often yes, the All-on-4 protocol was specifically designed to use available bone by angling the rear implants. For severe bone loss, options include sinus lift augmentation, block grafts, or zygomatic implants (anchored in the cheekbone). Our CBCT scan tells us which approach fits your case.
Is full mouth implant surgery done under sedation?
It can be. Most patients have surgery under local anaesthetic with optional oral or IV sedation administered by qualified anaesthesiologists at our hospital-partner branches (Vinmec Da Nang and Link General Da Lat). General anaesthesia is available for patients who prefer to be fully asleep during surgery.
Where is full mouth implant surgery performed?
At any of our six branches, with two hospital-based locations strongly recommended for full-mouth cases: Vinmec International Hospital Da Nang and Link General Hospital Da Lat. Hospital-based surgery provides on-site emergency medical support, recommended for the longer surgical sessions full-mouth cases require.
How long do full mouth implants 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 bridges on top typically last 12 to 20 years before considering replacement, depending on material (acrylic-on-titanium vs zirconia).
Can I have full mouth implants in one trip?
Most international patients split treatment across two trips: surgery and provisional bridges on trip one (5 to 10 days), then final bridges on trip two after osseointegration (5 to 7 days). Patients with longer availability complete both phases in a single extended stay in Vietnam (4 to 6 months).
What materials are used for the final bridges?
Two main options. Acrylic-on-titanium hybrid bridges are lighter, more economical, and easier to repair. Monolithic zirconia bridges are stronger, more aesthetic, more resistant to staining, and longer-lasting. We recommend based on your bite force, aesthetic priorities and budget.
What if I am medically complex?
Picasso operates two hospital-based branches (Vinmec Da Nang and Link General Da Lat) specifically for medically complex cases. Cardiology, endocrinology, and anaesthesiology support is on-site, and we coordinate clearance with treating physicians before any surgery.
Pricing
Itemised Full Mouth Pricing
For published rate cards across All-on-4, All-on-6 and All-on-X protocols in all four implant brands, see the dedicated implant cost guide. All-inclusive of implants and fixed bridges. Add-ons (extractions, sinus lifts, bone grafts) quoted separately and only when CBCT shows they're needed.
Start Here
Send Us Your CBCT or a Photo.
Get a Written Full Mouth Plan in 24 Hours.
Tell us where you're starting from, current dentition, any prior implants, medical considerations. Our implant team reviews every request personally and replies with a recommended configuration, brand, treatment plan and itemised price estimate, at no cost and with no obligation. Most international patients hear back within a few hours.
Free · No obligation · Replies from a licensed dentist, not a bot · Since 2013