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All-on-4 cost: UK private vs Vietnam (2026 GBP breakdown)
All-on-4 in the UK typically costs GBP 13,548 to GBP 24,194 per arch. Picasso Dental Clinic Vietnam charges GBP 3,623 to GBP 6,377. Full GBP breakdown including what the quote should and should not contain.
An All-on-4 procedure at a UK private clinic typically costs GBP 13,548 to GBP 24,194 per arch. At Picasso Dental Clinic in Vietnam, an All-on-4 case using Nobel Biocare or Straumann implants costs GBP 6,377 per arch, and an Osstem-based case costs GBP 3,623, as of May 2026. After flights and accommodation, most UK patients save between GBP 6,000 and GBP 16,000 on a single arch.
All-on-4 is one of the most significant financial decisions a patient can make in dentistry. Getting the cost comparison right matters, because the sums are large and the treatment is not reversible.
This article breaks down what you actually pay in the UK versus Vietnam, what each quote should contain, and when staying closer to home might be the right call.
What All-on-4 is
All-on-4 is a full-arch tooth replacement using four implants per jaw. Four titanium fixtures are placed in the jawbone, and a fixed bridge of 10 to 14 teeth is attached.
The procedure is designed for patients who have lost most or all of their teeth in one or both arches, or who need full arch extractions before the implants are placed. It was developed by Nobel Biocare and is now available with multiple implant systems at different price points.
The clinical advantage of All-on-4 over conventional full-arch implants is that it uses angled posterior implants to maximise contact with existing bone, typically allowing immediate loading (teeth fixed on the same day as surgery) without bone grafting.
Dr. Tran Thanh Phong at Picasso has performed All-on-4 since 2010 and was the first Vietnamese dentist to perform immediate-loading All-on-4. He has completed over 1,000 full-arch cases.
UK private All-on-4 costs
UK private All-on-4 pricing varies significantly between clinics. The range below reflects publicly available UK dental pricing in 2026.
| System | UK private range (per arch) |
|---|---|
| Osstem or Korean-brand implants | GBP 13,548 to GBP 17,742 |
| Nobel Biocare or Straumann | GBP 16,935 to GBP 24,194 |
For both arches (full mouth), double these figures and apply any multi-arch discount the clinic offers.
What is typically included at a UK clinic:
- CBCT scan and surgical planning
- Implant fixtures (four per arch)
- Abutments and titanium bar (where used)
- Provisional bridge (worn during healing)
- Final prosthetic bridge
What may be charged separately:
- Extractions of remaining teeth
- Bone grafting if the scan reveals insufficient volume
- Additional implants if the clinical picture changes on the day
- Post-operative antibiotics and prescriptions
Always ask for an itemised written quote before signing any agreement.
Picasso Vietnam All-on-4 costs
Picasso publishes a GBP price list. These are the May 2026 All-on-4 prices per arch.
| System | Picasso price (GBP, May 2026) |
|---|---|
| All-on-4 with Osstem | GBP 3,623 |
| All-on-4 with ETK or Neodent | GBP 4,348 |
| All-on-4 with Nobel Biocare | GBP 6,377 |
| All-on-4 with Straumann | GBP 6,377 |
Prosthetic add-ons (quoted separately):
| Prosthetic | Picasso price (GBP) |
|---|---|
| Acrylic bridge on All-on-4 | GBP 1,449 |
| Titanium full-arch bar | GBP 2,029 |
| BioHPP full-arch bar | GBP 2,029 |
Bone grafting, if required, adds GBP 116 to GBP 435 per graft site. Most All-on-4 cases do not require grafting.
The real saving on a Nobel Biocare All-on-4
This example uses a single upper arch, Nobel Biocare implants, and a titanium bridge.
| UK private (mid) | Picasso Vietnam | |
|---|---|---|
| All-on-4 Nobel Biocare (one arch) | GBP 20,565 | GBP 6,377 |
| Titanium bar | Included | GBP 2,029 |
| Return flights from London | GBP 0 | GBP 726 |
| 10 nights accommodation | GBP 0 | GBP 677 |
| All-in estimate | GBP 20,565 | GBP 9,809 |
| Saving | GBP 10,756 |
For both arches with Nobel Biocare implants and titanium bridges, the saving is typically in the range of GBP 15,000 to GBP 22,000 after travel costs.
One trip or two?
This is one of the most common questions UK patients ask about All-on-4 in Vietnam.
Immediate-loading All-on-4 means the provisional bridge is fitted on the day of surgery or within 48 hours. The patient leaves Vietnam with fixed teeth after a single trip of seven to ten days.
The final prosthetic bridge (titanium bar or BioHPP) is fitted after healing, typically three to six months later. Some patients travel back for the final bridge fitting. Others arrange for a local UK dental technician to complete the restoration using records and a digital scan from Picasso.
Not every case is suitable for immediate loading. Dr. Phong confirms your protocol after reviewing your CBCT scan. Cases with significant bone loss, infection, or anatomical complexity may require a staged approach.
What Picasso’s protocol involves
All full-arch cases at Picasso follow the same sequence:
- CBCT scan on arrival for 3D bone assessment
- Digital implant planning reviewed by Dr. Phong
- Surgical placement under local anaesthetic with sedation option
- Provisional bridge fitting (immediate-load cases: same day or within 48 hours)
- Post-surgical review before departure
- Final bridge fitting at the return visit or via remote coordination
Written records, including the CBCT data, surgical report, implant brand and batch details, and warranty documentation, are provided at the end of the case.
When staying in the UK is the right choice
All-on-4 in Vietnam is a major clinical decision. It is not the right choice for everyone.
Consider staying in the UK if:
- You have significant systemic health conditions (uncontrolled diabetes, recent cardiovascular events, active bisphosphonate use) that require close local monitoring
- You need extensive pre-surgical treatment (multiple extractions, infection management) that should be completed locally before flying
- You cannot commit to a 7 to 10 day trip plus a return visit
- You have a local specialist relationship (oral surgeon, periodontist) managing a complex condition
The financial saving is substantial. But All-on-4 is a procedure with a significant recovery period, and the clinical team caring for you needs to be accessible if a complication arises. Picasso has a documented warranty and aftercare pathway for UK patients, but a local UK assessment may be needed for certain issues.
Get a written GBP plan for your case
Send your panoramic X-ray (OPG) or CBCT data and photographs to [email protected] or WhatsApp +84 989 067 888. Dr. Phong’s team will review your case and send an itemised GBP plan within 24 to 48 hours.