Full-Arch Dental Implants - All-on-4 & All-on-6

All-on-4 and All-on-6 are full-arch implant concepts in which four or six implants support a fixed prosthesis for an upper or lower jaw. They may be considered for patients who have lost all teeth in an arch, have failing teeth that cannot be predictably restored or struggle with a removable denture.

Who May Be Considered?

·       Adults with a fully edentulous arch or multiple failing teeth with a poor restorative prognosis.

·       Patients seeking a fixed alternative to a removable full denture.

·       Patients with sufficient bone and health to undergo implant surgery, or a feasible augmentation plan.

·       International patients able to complete staged visits, maintain a soft diet, attend reviews and arrange long-term implant maintenance.

Treatment Process

·       Pre-travel case review: Existing imaging, photographs, medical history, medicines, smoking status and treatment goals are reviewed.

·       Clinical assessment and diagnostics: CBCT, digital scans, bite records and laboratory tests are completed when indicated.

·       Surgical and prosthetic planning: Extractions, implant positions, guide or navigation, anaesthesia, grafting and temporary teeth are planned.

·       Surgery: Unsalvageable teeth are removed as planned and four or six implants are placed. Grafting, membranes, sinus procedures or PRF may be used when indicated.

·       Temporary prosthesis: A fixed temporary bridge is fitted only when immediate loading criteria are met; otherwise an alternative temporary plan is used.

·       Healing and monitoring: Soft tissues heal and implants integrate with bone over several months while the patient follows a modified diet and hygiene plan.

·       Final prosthesis: After stability and healing are confirmed, the definitive bridge is designed, fitted and adjusted.

·       Long-term maintenance: Professional implant reviews, hygiene care, bite checks and prosthesis maintenance continue indefinitely.

Indicative Prices in Vietnam

The final cost depends on implant brand, temporary and definitive prosthesis materials, extractions, anaesthesia, grafting, sinus procedures, membranes, soft-tissue management and the number of trips. Obtain a written itemised quotation.

International Price Comparison

Representative fixed full-arch implant restoration per arch:

Australia is converted from approximately AUD 18,000-35,000. Thailand ranges reflect published All-on-4/All-on-6 packages. Inclusions differ substantially, especially for final bridge material, grafting, sedation, accommodation and follow-up.

Recovery and Treatment Timeline

·       Swelling, bruising, tenderness and minor bleeding are common in the early recovery period.

·       Follow the prescribed soft-food progression and avoid loading the temporary bridge beyond instructions.

·       Clean under the bridge with the recommended brushes, floss aids or water irrigation method.

·       Seek urgent care for uncontrolled bleeding, breathing or swallowing difficulty, fever, rapidly increasing swelling, persistent numbness or a loose/broken prosthesis.

Benefits and Considerations

·       Can replace a complete arch with a fixed restoration supported by fewer implants than one implant per missing tooth.

·       May provide improved stability, speech and chewing compared with an unstable removable denture.

·       Requires surgery, meticulous hygiene, staged prosthetic care and lifelong professional maintenance.

·       Possible complications include infection, delayed healing, implant failure, nerve or sinus injury, prosthesis fracture, screw loosening, hygiene difficulty, bite problems and the need for repair or revision.

Planning Your Stay

Plan at least 7-14 days in Vietnam for the first stage so there is time for diagnostics, surgery, provisional restoration and early review. Do not schedule long-haul travel immediately after surgery. A second trip is commonly required after approximately 3-6 months for the definitive bridge, unless the final stage is formally coordinated with a qualified provider at home.