All-on-4 dental implants from GBP 3,623 | Picasso Vietnam

All-on-4 full arch implants start at GBP 3,623 per arch at Picasso Dental Clinic, Vietnam. The same procedure at a UK private clinic typically costs GBP 12,097–GBP 21,774 per arch or more. Four implants placed per arch support a fixed full-arch bridge — no removal at night, no adhesive, no denture plate.

This page covers who qualifies, what the procedure involves, the GBP price table across all three implant tiers, what the trip structure looks like for UK patients, and when All-on-4 is not the right answer.

What All-on-4 actually is

Four implants are placed per arch, with the rear two angled to avoid the sinus (upper jaw) or nerve canal (lower jaw). The angled placement gives leverage and spread without requiring the extra bone that straight-placed rear implants need. A full-arch fixed bridge attaches to the four fixtures.

It is called teeth-in-a-day in some clinics because provisional teeth can be fitted on surgery day in suitable cases. The provisional is temporary — the final reinforced bridge comes on a second trip after osseointegration.

GBP price table — three implant tiers

These prices cover four implant fixtures, abutments, surgical guide fabrication, and provisional bridge. Final bridge materials and any add-ons are quoted separately.

Prices correct as at May 2026.

How All-on-4 compares to UK private costs

A single-arch All-on-4 at a UK specialist practice typically costs GBP 12,097–GBP 14,516 for entry-level implant systems, rising to GBP 17,419–GBP 21,774 with Nobel or Straumann. For two arches, UK patients commonly face GBP 24,194–GBP 43,548 total.

The Picasso GBP 3,623 starting point represents a significant difference even after accounting for two return flights (typically GBP 580–GBP 870 return from London to Hanoi), accommodation, and time off work. Use /dental-implants/cost-uk-vs-vietnam/ to build your own two-trip cost model.

Who qualifies for All-on-4

CBCT volumetric imaging is mandatory before any All-on-4 surgery. It confirms bone height, sinus position, nerve canal position, and whether angled implants will achieve primary stability. Without this scan, no responsible surgeon proceeds.

The clinical team

Dr. Tran Thanh Phong has placed over 1,000 All-on-4 cases and is credited as the first Vietnamese dentist to perform All-on-4 with immediate loading, in 2010. He has been a Nobel Biocare clinical representative in Vietnam since 2007. Implant team credentials are detailed at /safety/dentist-credentials/.

Typical journey for a UK patient

Before you fly:

1. Submit OPG or CBCT films plus photos via /free-quote/
2. Receive written GBP treatment plan naming implant brand and trip structure
3. Medical history review — medications, smoking, diabetes, bone health
4. Book flights once plan is approved and deposit confirmed

Trip 1 (surgical — allow 7–10 days):

5. CBCT on arrival if not sent in advance; final treatment plan confirmed
6. Extractions of remaining teeth if needed
7. Implant placement under local anaesthesia; sedation available
8. Provisional bridge fitted same day if primary stability allows, or healing caps placed
9. Written aftercare, emergency contact, and soft-diet instructions

Healing at home (3–6 months):

10. Soft diet for 8–12 weeks; avoid loading provisional bridge
11. Your UK dentist can monitor at a routine hygiene visit — bring your implant documentation
12. Coordinator check-in at 6–8 weeks

Trip 2 (final — allow 5–7 days):

13. Integration confirmed; impressions or digital scan taken
14. Final reinforced bridge fabricated in lab (3–4 working days)
15. Bridge seated; bite adjusted; photographs and documentation completed
16. SmileCare warranty issued in writing

Bone grafting and cost transparency

Some arches need bone augmentation before or at implant placement. This is identified on CBCT and disclosed in your written plan before you book.

If your CBCT shows that extensive grafting will be needed, Picasso will advise whether All-on-4 remains the right solution or whether zygomatic implants (which bypass the sinus entirely) are more appropriate. Zygomatic implants are available at Picasso — ask your coordinator if the CBCT shows significant maxillary bone loss.

Immediate loading vs delayed loading

The plan states which applies to your case before surgery. Immediate loading is a clinical decision based on findings, not an upgrade you select.

Who should not have All-on-4 in Vietnam

• Patients with active, uncontrolled periodontal disease in remaining teeth
• Uncontrolled diabetics (HbA1c above 7.5 — discuss with your GP)
• Heavy smokers with no plan to stop — failure rates are materially higher
• Patients requiring concurrent jaw surgery for bite correction
• Anyone who cannot commit to two separate trips to Vietnam

If any of these apply, the coordinator will tell you before you book flights — not after you arrive.

After you return to the UK

Your UK dentist or hygienist should see you within 3 months of fitting the final bridge. They can:

• Carry out periapical X-rays to verify bone levels
• Clean around the abutments professionally (implant hygiene differs from natural teeth hygiene)
• Check for any loosening of the bridge screws

Bring your implant passport, brand names, and abutment torque spec. Full UK aftercare guidance at /follow-up-care-uk/.

Next step

Upload your OPG at Free GBP quote with a note on how many teeth are remaining and which arch you want to address. If you have no recent films, request a dental panoramic X-ray from your UK dentist — they are inexpensive and essential for planning.

Related pages

• All-on-6 — six implants for larger arches or heavy bites
• Full mouth reconstruction — mixed arch and aesthetic cases
• Dental implants hub — single tooth options
• Dentures — lower-cost removable alternative
• Implant brands guide