All-on-4 dental implants are a revolutionary full-arch restoration technique that replaces an entire row of missing or failing teeth using just four strategically positioned titanium implants and a fixed prosthetic bridge – often completed in a single day. At Picasso Dental Clinic inside Vinmec Da Nang International Hospital, the All-on-4 protocol is performed by experienced implantologists using CBCT 3D planning, computer-guided surgery, and premium implant systems, delivering life-changing results for patients from around the world at a fraction of Western prices.
Originally developed by Dr. Paulo Malo in Portugal, the All-on-4 concept has transformed implant dentistry by enabling patients with extensive tooth loss or severely deteriorated teeth to receive a full set of fixed, non-removable teeth without the need for bone grafting in most cases. For dental tourists visiting Da Nang, this procedure offers an extraordinary opportunity to restore their smile, confidence, and quality of life while enjoying one of Vietnam’s most beautiful coastal cities.
What Are All-on-4 Dental Implants?
The All-on-4 treatment concept uses a specific biomechanical approach to support a full-arch prosthesis on only four implants:
- Two anterior implants are placed vertically in the front of the jaw where bone density is naturally highest
- Two posterior implants are tilted at 30–45 degree angles to maximize bone contact, avoid the maxillary sinuses (upper jaw) or the inferior alveolar nerve (lower jaw), and eliminate the need for bone grafting in most patients
- A fixed prosthetic bridge containing 10–14 teeth is attached to the implants, either on the same day (immediate loading) or after a short healing period
This angulated placement of the posterior implants is the key innovation. By tilting the implants, the surgeon engages a longer length of available bone and achieves wider spread between anchor points, creating a stable platform that supports immediate function.
Immediate Function: Teeth in a Day
One of the most compelling advantages of All-on-4 is the ability to receive a fixed provisional prosthesis on the same day as surgery. After the four implants are placed, a pre-fabricated or same-day-milled acrylic bridge is screwed onto the implants before you leave the clinic. You walk in with missing or failing teeth and walk out with a complete, functional smile.
Who Is a Candidate for All-on-4 Implants?
Ideal Candidates
- Patients with complete tooth loss (edentulous) in one or both arches
- Patients with severely damaged, decayed, or loose teeth that cannot be saved
- Current denture wearers frustrated with poor fit, slipping, or adhesives
- Patients with moderate jawbone loss who have been told they need extensive bone grafting for traditional implants
- Patients seeking a permanent, fixed alternative to removable dentures
Medical Considerations
- Uncontrolled diabetes must be stabilized before surgery
- Active periodontal disease is treated as part of the All-on-4 protocol (failing teeth are extracted during the same surgery)
- Heavy smokers face higher risk of implant failure and are advised to quit at least 2 weeks before and 8 weeks after surgery
- Blood-thinning medications may need adjustment in consultation with your physician
- Osteoporosis patients on bisphosphonate medications require careful evaluation
When All-on-4 May Not Be Suitable
Patients with severe bone loss in all regions of the jaw may benefit more from All-on-6 implants, which provide additional support points. In cases of extreme bone deficiency, a bone graft may be recommended before any implant procedure.
Benefits of All-on-4 Dental Implants
Clinical Benefits
- Fewer implants, lower cost – four implants instead of six to eight reduces surgical complexity and expense
- Avoids bone grafting – the tilted posterior implants utilize existing bone, saving months of healing time and additional surgical costs
- Immediate teeth – fixed provisional teeth on the day of surgery
- Preserves jawbone – implants stimulate the bone and prevent the ongoing resorption that occurs with dentures
- High success rate – published literature reports 95–98% implant survival at 10 years
Functional Benefits
- Full chewing power – fixed prosthesis restores 80–90% of natural bite force, compared to just 20–30% with removable dentures
- Stable and secure – no slipping, clicking, or embarrassing moments
- Natural speech – no palate coverage that distorts pronunciation
- Eat any food – from apples and steak to corn on the cob
Emotional and Lifestyle Benefits
- Confidence restored – smile, laugh, and socialize without self-consciousness
- No adhesives – eliminates the daily routine of applying denture paste
- Easy maintenance – brush the fixed bridge and use a water flosser; no nightly removal
- Youthful appearance – supports facial structure and prevents the “sunken face” look of long-term denture wear
The All-on-4 Procedure at Picasso Dental Clinic, Vinmec Da Nang
Phase 1: Comprehensive Assessment
Your treatment begins with an in-depth evaluation at our clinic inside Vinmec Da Nang International Hospital:
- Full medical and dental history review
- Oral examination assessing existing teeth, gums, and soft tissue
- CBCT 3D scan for detailed bone volume analysis in three dimensions
- Digital impressions and photographs for prosthesis design
- Treatment planning discussion including implant brand selection, prosthesis material, timeline, and cost
International patients can arrange a virtual consultation before traveling to Da Nang.
Phase 2: Digital Treatment Planning
Using advanced implant planning software, Dr. Le Ho Viet An or Dr. Le Thanh Toan designs the optimal position, angle, and depth for each of the four implants based on your CBCT data. A surgical guide (3D-printed template) is fabricated to ensure millimeter-precise implant placement during surgery.
Phase 3: Surgery Day (2–4 Hours)
- Anesthesia – local anesthesia is administered; IV sedation is available for anxious patients
- Extraction – any remaining teeth in the arch are carefully removed
- Site preparation – the jawbone is contoured as needed for optimal implant seating
- Implant placement – four implants are inserted using the surgical guide: two vertical anterior implants and two angled posterior implants
- Abutment connection – multi-unit abutments are attached to the implants
- Provisional prosthesis – a pre-fabricated acrylic bridge is fitted, adjusted, and screwed onto the abutments
- Bite adjustment – occlusion is carefully checked and refined
You leave the clinic with a full set of fixed teeth that same day.
Phase 4: Healing and Osseointegration (3–6 Months)
During this period, the implants fuse with your jawbone. You wear the provisional bridge, which is fully functional for eating (soft to moderate diet) and looks natural. Regular check-ups monitor healing progress.
For dental tourists: Return home during this phase. Our team maintains contact via WhatsApp or email. Plan a second trip to Da Nang for your final prosthesis.
Phase 5: Final Prosthesis Delivery
Once osseointegration is confirmed:
- New digital impressions are taken
- A permanent bridge is fabricated from your choice of material (zirconia, porcelain-fused-to-metal, or high-performance acrylic)
- The provisional bridge is removed and the final prosthesis is fitted, adjusted, and secured
- Final photographs and X-rays document your completed treatment
Types of All-on-4 Prosthesis Materials
| Material | Aesthetics | Durability | Weight | Price Range (USD) |
|---|---|---|---|---|
| Monolithic zirconia | Excellent | Very high (20+ years) | Light | $3,500 – $5,500 |
| Porcelain-fused-to-zirconia | Excellent | High (15–20 years) | Moderate | $3,000 – $4,500 |
| Porcelain-fused-to-metal (PFM) | Good | High (15–20 years) | Heavier | $2,500 – $3,500 |
| PMMA acrylic (provisional) | Good | Moderate (1–3 years) | Lightest | $1,500 – $2,500 |
At Picasso Dental, we recommend monolithic zirconia for the final prosthesis due to its superior strength, natural translucency, and stain resistance.
All-on-4 vs. Other Full-Arch Solutions
| Feature | All-on-4 | All-on-6 | Complete Dentures | Individual Implants (6–8) |
|---|---|---|---|---|
| Number of implants | 4 | 6 | 0 | 6–8 |
| Bone grafting needed | Rarely | Sometimes | Never | Often |
| Same-day teeth | Yes | Yes | N/A | Rarely |
| Chewing efficiency | 80–90% | 90–95% | 20–30% | 95–100% |
| Stability | Excellent | Superior | Poor | Excellent |
| Treatment time | 1 day + 4–6 months | 1 day + 4–6 months | 2–4 weeks | 6–12 months |
| Cost in Da Nang | $6,500–$15,000 | $8,700–$19,500 | $400–$800 | $4,000–$12,000 |
| Cost in USA | $25,000–$50,000 | $30,000–$55,000 | $1,000–$3,000 | $18,000–$48,000 |
Cost of All-on-4 Implants in Da Nang
Price Breakdown (Per Arch)
| Component | Cost (USD) |
|---|---|
| 4 implant fixtures (depends on brand) | $2,600 – $6,000 |
| 4 multi-unit abutments | $400 – $1,200 |
| Provisional acrylic bridge | $1,500 – $2,500 |
| Final zirconia/PFM bridge | $2,500 – $5,500 |
| CBCT scan and surgical guide | $200 – $500 |
| Extractions (if needed) | $100 – $300 |
| Total per arch | $6,500 – $15,000 |
International Price Comparison
| Country | All-on-4 Cost per Arch (USD) | Savings vs. Da Nang |
|---|---|---|
| United States | $25,000 – $50,000 | 65–74% |
| Australia | $25,000 – $45,000 | 65–74% |
| United Kingdom | $18,000 – $35,000 | 55–64% |
| South Korea | $12,000 – $20,000 | 25–46% |
| Thailand | $10,000 – $18,000 | 17–35% |
| Da Nang, Vietnam | $6,500 – $15,000 | – |
Cost Savings Analysis for Dental Tourists
A patient needing both arches restored can save $30,000–$60,000 by choosing Picasso Dental in Da Nang over a comparable clinic in the US or Australia. Even after accounting for round-trip flights ($400–$1,200), hotel accommodation ($30–$80/night for 4–5 star hotels), and meals, the total savings remain substantial.
Aftercare and Recovery
First 48 Hours
- Expect moderate swelling and mild discomfort; ice packs and prescribed pain medication manage this effectively
- Consume only liquids and very soft foods (smoothies, soups, yogurt, mashed potatoes)
- Do not rinse, spit forcefully, or use a straw
- Rest with your head elevated; avoid strenuous activity
Week 1–2
- Swelling gradually subsides
- Transition to a soft diet (scrambled eggs, pasta, fish, steamed vegetables)
- Gently rinse with prescribed antimicrobial mouthwash
- Take all prescribed antibiotics and medications as directed
- Attend follow-up appointments at Picasso Dental
Months 1–6 (Healing Phase)
- Continue a moderate diet – avoid very hard, crunchy, or sticky foods
- Brush the provisional bridge gently with a soft toothbrush
- Use a water flosser to clean beneath the bridge
- Attend scheduled check-ups (in person or virtual for international patients)
Long-Term Maintenance
- Brush twice daily with a soft electric toothbrush
- Use a water flosser to clean under the bridge daily
- Professional cleanings every 6 months
- Annual X-rays to monitor implant and bone health
- Avoid smoking to protect long-term implant success
Risks and Potential Complications
| Risk | Frequency | Management |
|---|---|---|
| Implant failure | 2–5% | Remove, heal, re-place or convert to All-on-6 |
| Infection | 1–3% | Antibiotics; surgical drainage if needed |
| Nerve injury (lower jaw) | < 1% | Usually temporary; CBCT planning minimizes risk |
| Sinus involvement (upper jaw) | 1–2% | Managed with tilted implant technique |
| Prosthesis fracture (provisional) | 5–10% | Repair or remake; common with acrylic |
| Screw loosening | 3–5% | Simple retightening at follow-up |
| Peri-implantitis | 5–8% over 10 years | Professional cleaning; improved hygiene |
The All-on-4 protocol at Picasso Dental benefits from CBCT-guided planning and experienced surgical execution, keeping complication rates well below published averages.
Why Choose Picasso Dental Clinic at Vinmec Da Nang for All-on-4?
Inside a World-Class Hospital
Picasso Dental Clinic operates within Vinmec Da Nang International Hospital, part of the Vingroup healthcare network. This hospital-based setting provides:
- Full medical emergency support – operating rooms, ICU, and on-call physicians are steps away
- Hospital-grade sterilization – autoclave-sterilized instruments, HEPA-filtered air, and strict infection control
- Multidisciplinary support – cardiologists, endocrinologists, and anesthesiologists available if needed
- International accreditation standards ensuring patient safety and quality
Expert Implant Team
- Dr. Le Ho Viet An, Principal Dentist, with advanced training in full-arch implant rehabilitation
- Dr. Le Thanh Toan, experienced in complex implant surgeries and bone augmentation
- Supported by trained dental assistants, prosthodontists, and a dedicated dental laboratory team
Cutting-Edge Technology
- CBCT 3D imaging for comprehensive bone assessment
- Digital implant planning software for precise virtual surgery
- 3D-printed surgical guides for guided implant placement
- Digital impression scanners for accurate prosthesis design
- CAD/CAM milling for high-precision zirconia prostheses
International Patient Services
- Multilingual coordinators to assist with scheduling, travel, and communication
- Virtual pre-consultations and follow-up via video call
- Transparent, all-inclusive pricing with no hidden costs
- Airport pickup coordination and accommodation recommendations
- WhatsApp support throughout your treatment journey
Da Nang: The Perfect Dental Tourism Destination
Da Nang offers the ideal setting for All-on-4 recovery:
- Direct international flights from Singapore, Seoul, Tokyo, Bangkok, and other Asian hubs
- World-famous beaches (My Khe Beach rated among Asia’s best) for relaxation
- UNESCO heritage sites – Hoi An Ancient Town and My Son Sanctuary nearby
- Ba Na Hills and the Golden Bridge for unforgettable experiences
- Affordable luxury – 4–5 star hotels from $30–$80/night
- Outstanding cuisine – fresh seafood, pho, banh mi, and Central Vietnamese specialties
Book Your All-on-4 Consultation
Transform your smile and your life with All-on-4 dental implants at Picasso Dental Clinic, Vinmec Da Nang International Hospital.
- Phone: 024 7308 8848
- Address: Picasso Dental Clinic, Vinmec Da Nang International Hospital, 30 Thang 4 Street, Da Nang, Vietnam
- Related Services: Single Tooth Implant | All-on-6 Implants | Bone Grafting | Implant-Supported Dentures
Contact our multilingual team to schedule your consultation or virtual assessment. We are ready to help you plan your journey to a new smile in Da Nang.