GBP cost guide
All-on-4 cost - UK vs Picasso Vietnam (GBP) | 2026 Price Guide
All-on-4 dental implants cost 2026 - from GBP 3,623 per arch at Picasso Dental Clinic Vietnam (Osstem) vs typical UK private quotes of GBP 13,548-24,194. Led by Dr. Tran Thanh Phong, first Vietnamese dentist to perform All-on-4 immediate loading. Full GBP breakdown by brand.
A single-arch All-on-4 fixed-bridge restoration at Picasso Dental Clinic in Vietnam costs from GBP 3,623 (Osstem) per arch to GBP 6,377 (Nobel Biocare or Straumann), compared with typical UK private quotes of GBP 13,548-24,194 per arch - a saving of GBP 9,000-17,000 per arch before flights and accommodation. Dr. Tran Thanh Phong has performed 1,000+ All-on-4 cases since becoming the first Vietnamese dentist to use immediate loading in 2010.
All-on-4 is the dental tourism treatment with the largest GBP saving for UK patients. A single-arch full restoration that costs GBP 16,935-24,194 at a typical UK private clinic costs GBP 3,623-6,377 at Picasso. This page sets out the GBP cost by brand, the all-in trip cost, and what determines whether your case can be completed immediate-loading in a single trip.
All-on-4 prices at Picasso - May 2026 (per arch)
| Brand system | Per arch | Origin |
|---|---|---|
| Osstem (entry premium) | GBP 3,623 | South Korea |
| ETK or Neodent | GBP 4,348 | France / Brazil (Straumann Group) |
| Nobel Biocare or Straumann | GBP 6,377 | Switzerland |
For both arches (upper + lower), double the figure.
The Osstem option at GBP 3,623 per arch is the most common choice for UK patients. The Nobel Biocare or Straumann option at GBP 6,377 is selected when bone quality or loading protocol calls for the premium system.
What the per-arch price includes
| Included | Notes |
|---|---|
| 4 implant fixtures | Brand as selected |
| 4 abutments | Brand-matched |
| Acrylic bridge on All-on-4 | Fixed prosthetic - this is the visible “teeth” |
| Surgical placement | Performed under local anaesthetic and sedation |
| Pre-surgery CBCT scan | Required for All-on-4 planning |
| OPG | Pre-treatment X-ray |
| Post-surgery review | Same-trip clinical check |
| Aftercare instructions | Written, English |
What is priced separately if needed:
| Item | Price |
|---|---|
| Bone graft (if required) | GBP 116-435 |
| Sinus augmentation | GBP 203 (closed) or GBP 406 (open) |
| Extractions (per tooth) | GBP 29-58 (permanent), GBP 58-174 (wisdom or difficult) |
| Periodontal treatment | GBP 87 per jaw |
| Titanium full-arch bar upgrade | GBP 2,029 |
| BioHPP full-arch bar upgrade | GBP 2,029 |
| Overdenture (alternative prosthetic) | GBP 1,449 |
The standard All-on-4 with acrylic bridge is the protocol most UK patients receive. Titanium and BioHPP bars are premium upgrades typically chosen when the patient wants a stronger long-term prosthetic.
UK private All-on-4 benchmark prices
| UK case | Typical private range per arch |
|---|---|
| All-on-4 (entry brand) | GBP 13,548 - GBP 19,355 |
| All-on-4 (Nobel Biocare or Straumann) | GBP 16,935 - GBP 24,194 |
| Full mouth (both arches) Nobel/Straumann | GBP 33,871 - GBP 48,387 |
NHS does not cover All-on-4. NHS Band 3 covers conventional dentures but not implant-supported restorations.
All-in cost - All-on-4 single arch (Osstem) trip
| Line item | Picasso Vietnam | UK private (mid) |
|---|---|---|
| All-on-4 single arch Osstem | GBP 3,623 | GBP 16,452 |
| Bone graft if needed (one site mid) | GBP 232 | GBP 580 |
| Pre-surgery CBCT | included | included |
| Return flights London | GBP 725 | n/a |
| 10 nights accommodation (Da Nang) | GBP 400 | n/a |
| Local travel, food, contingency | GBP 350 | n/a |
| Companion flight + accommodation (optional) | GBP 1,125 | n/a |
| Trip total | GBP 6,455 | GBP 17,032 |
| Net saving versus UK | GBP 10,577 | - |
The companion line is optional but recommended for full-arch surgical cases - the first few days post-surgery are easier with a second person handling logistics.
All-in cost - All-on-4 single arch (Nobel Biocare) trip
| Line item | Picasso Vietnam | UK private (mid) |
|---|---|---|
| All-on-4 single arch Nobel Biocare | GBP 6,377 | GBP 20,565 |
| Bone graft if needed | GBP 232 | GBP 580 |
| Return flights London | GBP 725 | n/a |
| 10 nights accommodation | GBP 400 | n/a |
| Local travel, contingency | GBP 350 | n/a |
| Trip total | GBP 8,084 | GBP 21,145 |
| Net saving versus UK | GBP 13,061 | - |
All-in cost - both arches (full-mouth Osstem)
| Line item | Picasso Vietnam | UK private (mid) |
|---|---|---|
| All-on-4 both arches Osstem | GBP 7,246 | GBP 32,904 |
| Extractions if remaining teeth need removal | GBP 580 | GBP 1,160 |
| Return flights London | GBP 725 | n/a |
| 12 nights accommodation | GBP 480 | n/a |
| Local travel, contingency | GBP 400 | n/a |
| Trip total | GBP 9,431 | GBP 34,064 |
| Net saving versus UK | GBP 24,633 | - |
This is the single largest GBP saving Picasso offers UK patients.
Immediate loading vs staged loading - what determines your trip count
| Loading protocol | What happens | Trip count | Trip length |
|---|---|---|---|
| Immediate loading | 4 implants placed and fixed bridge attached on the same surgical day | One trip | 7-10 days |
| Staged loading | 4 implants placed; bridge attached after 3-6 months healing | Two trips | 5-7 days (trip 1) + 5 days (trip 2) |
Immediate loading depends on achieving sufficient implant primary stability (typically 35-45 Ncm insertion torque) and bone quality on CBCT. About 70-80% of well-selected All-on-4 cases qualify for immediate loading. The remainder benefit from a healing period before final loading.
Dr. Phong’s written assessment after reviewing your CBCT and OPG will confirm which protocol your case qualifies for.
Why brand matters in All-on-4
The four implants in an All-on-4 protocol carry the full prosthetic load for the arch. Brand and design choice matter more than in single-implant cases.
| When premium (Nobel/Straumann) is recommended | When Osstem is suitable |
|---|---|
| Immediate loading required and primary stability is borderline | Healthy bone, good torque achievable |
| Patient wants the world-leading manufacturer warranty | Patient is comfortable with the established Korean brand |
| Complex prosthetic plan with future upgrade pathway (e.g., titanium bar later) | Standard fixed acrylic bridge plan |
| Soft bone in upper posterior calling for tapered design | Dense bone throughout the arch |
| Patient has medical conditions affecting healing | Healthy, otherwise standard patient |
A reasoned brand recommendation - rather than the most expensive option as a default - is part of the written plan.
Bone grafting in All-on-4 - how often?
All-on-4 was specifically designed to minimise the need for bone grafting. The protocol tilts the rear two implants forward to engage dense bone in front of the sinus (upper) or in front of the mental nerve (lower), often avoiding the need for sinus augmentation or major bone reconstruction.
That said, some cases still need localised grafting. Picasso’s grafting prices are itemised:
| Bone graft option | Price |
|---|---|
| Bone graft - 0.25cc | GBP 116 |
| Bone graft - Bio-Oss 0.5cc | GBP 232 |
| Bone graft - block | GBP 290 |
| Bone graft - Bio-Oss block | GBP 435 |
| Sinus augmentation - closed | GBP 203 |
| Sinus augmentation - open | GBP 406 |
If your case needs grafting, the written quote names it.
Dr. Tran Thanh Phong - the lead clinician
Dr. Phong is the Head of Implantology at Picasso and the lead clinician for All-on-4 cases. His documented experience:
- First Vietnamese dentist to perform All-on-4 immediate loading (2010)
- 1,000+ All-on-4 cases completed since 2010
- 15,000+ implants placed in total (since 2001)
- Loma Linda University trained (2010)
- Nobel Biocare clinical representative in Vietnam since 2007
For UK All-on-4 patients, the case is scheduled around his surgical days. He conducts a pre-travel video or WhatsApp consultation as part of the planning protocol. The full profile is at /team/dr-tran-thanh-phong/.
What changes the quote
| Factor | Likely effect |
|---|---|
| Brand chosen | Osstem GBP 3,623 vs Nobel/Straumann GBP 6,377 per arch |
| Single arch vs both arches | Both arches roughly doubles the cost |
| Bone grafting needed | Adds GBP 116-435 |
| Sinus augmentation needed (upper) | Adds GBP 203-406 |
| Existing teeth needing extraction | GBP 29-58 per tooth |
| Prosthetic upgrade (titanium bar, BioHPP) | Adds GBP 2,029 |
| Overdenture alternative | GBP 1,449 |
When to stay in the UK
Honest concession - All-on-4 is a large surgical commitment, and not every patient is a candidate for overseas treatment:
- Patients with severe medical comorbidity (uncontrolled diabetes, recent cardiac events, anticoagulation issues) - these need careful local management
- Patients on bisphosphonates with osteonecrosis risk
- Cases requiring zygomatic implants where the surgical and recovery commitment is even larger
- Patients without a companion who can support the first few days post-surgery
- Patients who need monthly local follow-up due to complex bite or prosthetic adjustment
For everyone else, the GBP saving on All-on-4 is substantial and the trip duration (7-10 days for immediate loading) is reasonable.
How to get your accurate quote
Send these to /free-quote/:
- Current OPG (essential)
- CBCT if you have one
- Photos of your current dentition or denture
- Notes on what teeth you currently have, what you have lost, and how long you have worn any denture
- Medical history relevant to surgery (diabetes, anticoagulants, allergies)
Dr. Phong’s team will assess against the records and issue a written GBP plan with brand recommendation, loading protocol, trip count, and full itemised cost.
Read next
- All-on-4 - main treatment page
- All-on-6 - the six-implant alternative
- Dental implants cost
- Implant brands at Picasso
- Dr. Tran Thanh Phong profile
- Pricing - full GBP list
- Free quote
Frequently asked questions
How much does All-on-4 cost at Picasso Dental Clinic?
Per arch at May 2026 prices: Osstem GBP 3,623, ETK or Neodent GBP 4,348, Nobel Biocare or Straumann GBP 6,377. For both arches (upper and lower full-mouth restoration), double the per-arch figure. The price includes the four implants, abutments, and the fixed acrylic bridge.
How much does All-on-4 cost in the UK privately?
Typical UK private All-on-4 quotes range from GBP 13,548-19,355 per arch for entry brands, and GBP 16,935-24,194 per arch for Nobel Biocare or Straumann. Both arches in the UK can reach GBP 30,000-48,000. NHS does not cover All-on-4.
Can All-on-4 be done in one trip?
Yes, immediate-loading All-on-4 places four implants and attaches a fixed prosthetic bridge on the same surgical day. Trip length is 7-10 days. Dr. Phong was the first Vietnamese dentist to perform All-on-4 immediate loading (in 2010) and has completed 1,000+ cases since. Staged-loading cases (placement on trip one, final bridge on trip two 3-6 months later) are used when primary stability is insufficient for immediate load.
What is included in the All-on-4 price?
The per-arch price includes: 4 implant fixtures (brand as selected), 4 abutments, acrylic fixed bridge on All-on-4 (the temporary/final prosthetic), surgical placement, CBCT scan, OPG, post-surgery review. Bone grafting if needed is priced separately (GBP 116-435). Upgraded prosthetic options (titanium full-arch bar GBP 2,029, BioHPP bar GBP 2,029, overdenture GBP 1,449) are optional add-ons.
What is the difference between All-on-4 and All-on-6?
All-on-4 uses four implants per arch with the rear two angled. All-on-6 uses six implants per arch. All-on-6 (GBP 5,217 Osstem) provides more support and is recommended for patients with sufficient bone for six implants and who want maximum stability. All-on-4 (GBP 3,623 Osstem) is the standard protocol for most patients and was specifically designed for the typical pattern of bone loss seen in long-term denture wearers.
Does All-on-4 fail more often than individual implants?
Modern All-on-4 placed by experienced surgeons has implant survival rates comparable to individual implants, typically in the high-90% range over 5+ years. The protocol design (tilted posterior implants engaging dense bone, fixed bridge cross-linking the four fixtures) is intentionally engineered for predictability. Picasso does not publish a specific osseointegration rate for individual cases.