All-on-4 dental implants in Vietnam for New Zealand patients

Most people who contact us about All-on-4 are comparing a NZ private fee they’ve been quoted against our Vietnam price and wondering whether the saving justifies a two-trip commitment. The honest answer depends on how much bone you have, which implant system you choose, and whether you can manage healing in New Zealand between two visits.

This page sets out the clinical picture, our NZD prices with a dated NZ benchmark beside them, and the cases where flying to Vietnam for All-on-4 does not make sense. Read it before requesting a quote.

What All-on-4 actually is

All-on-4 is a full-arch implant-supported fixed bridge. Four titanium implants are placed into the jaw bone — two upright at the front and two angled posteriorly to maximise contact with available bone — and a complete arch of teeth is attached to those four fixtures.

It is not a denture. A denture rests on the gum and is removable. All-on-4 is fixed in the mouth and can only be removed by a dentist.

It is also different from placing one implant per missing tooth. Traditional multi-implant full-arch rehabilitation can involve six, eight, or ten implants per arch. All-on-4 reduces that to four precisely placed fixtures, which lowers the surgical load and eliminates the need for extensive grafting in many — not all — cases where bone has already resorbed.

The clinical trade-off: four implants share the prosthetic load across a full arch. Long-term stability depends on implant position, bone quality, bite forces, and the patient’s maintenance compliance. All of these are assessed before surgery, not assumed.

Our All-on-4 prices in NZD — May 2026

Prices below are from the May 2026 Picasso price list, converted at 1 NZD = 15,000 VND.

What the arch price includes:

• Four implant fixtures (the named system above)
• Abutments
• Full-arch prosthesis (provisional or final, specified in your treatment plan)

What the arch price excludes:

• Extractions of remaining failing teeth (quoted separately)
• Bone grafting or sinus augmentation if required (quoted separately after CBCT)
• IV sedation (available on request, quoted separately)
• Pre-surgical diagnostics where not already held

Ask us to show the complete line-item quote, not only the per-arch headline. See the full itemised pricing list.

For the full New Zealand-vs-Vietnam breakdown with city-by-city benchmarks, see our All-on-4 cost guide.

New Zealand vs Vietnam — the honest economics

NZ benchmarks are anonymous planning figures based on indicative private-clinic fees, not a quote from any specific clinic or chain. Your own dentist’s written quote is the correct local comparison.

Break-even logic. Return flights from Auckland to Hanoi run approximately NZD 1,400 to NZD 2,200 depending on airline and season. Ten to fourteen nights of mid-range accommodation adds roughly NZD 1,200 to NZD 2,400. Add living costs and the cost of annual leave. At these total travel costs, even a single-arch Nobel Biocare case produces an indicative net saving of NZD 8,000 or more over the NZ benchmark. Both arches produce a saving in the tens of thousands even at the most conservative estimate.

The numbers do not make this an obvious decision. The right framing is: does the saving justify two trips, healing at home between them, and the work of managing aftercare remotely? For most full-arch patients, the answer is yes. For some, it is not — see the sections below on candidacy and when to stay in New Zealand.

Who is a good candidate for All-on-4?

All-on-4 suits patients who meet the following criteria:

• Most or all teeth in at least one arch are missing or clinically failing and cannot be predictably saved
• Adequate jaw bone volume is present in the four implant positions, or manageable bone deficiencies that do not require major grafting
• The patient is medically stable — no uncontrolled diabetes, no active malignancy, no bisphosphonate or anti-resorptive therapy that would significantly impair healing
• Non-smoker or a smoker who can genuinely stop for the full 3 to 6 month osseointegration period
• Able to commit to two trips and to maintaining hygiene under a fixed bridge long-term

Not every patient who inquires about All-on-4 is a candidate. If the CBCT shows insufficient bone in the posterior positions, or if medical history creates surgical risk we cannot safely manage remotely, we say so in writing and suggest alternatives — including staying in New Zealand for treatment.

If you have advanced bone loss on the upper arch, ask us specifically about zygomatic implants. These anchor into the cheekbone (zygoma) rather than the jaw and are designed for patients where standard All-on-4 is not viable. Dr. Phong has performed 400+ zygomatic implant cases since 2017.

The CBCT-guided All-on-4 protocol

Our All-on-4 placement follows a seven-step CBCT-guided protocol.

Immediate loading is not guaranteed. It is clinically confirmed on the day of surgery based on torque readings. If primary stability is insufficient, a healing period without loading is the safer path — and we say so.

Implant system choice — does the brand matter?

Yes, for a specific reason that matters to New Zealand patients: parts availability.

Our recommendation for NZ patients who prioritise long-term local maintenance: Nobel Biocare or Straumann. Both systems have established New Zealand distributor networks. Your local dentist can order replacement screws, healing abutments, and prosthetic components without long lead times.

If the primary goal is the lowest per-arch cost and you are comfortable with the slightly more limited local-parts picture, Osstem delivers strong clinical outcomes at meaningful savings.

Whatever system you choose, your discharge pack includes an implant passport with brand name, fixture dimensions, system code, and torque values — enough for any competent New Zealand dentist to look up the specifications and order parts.

How many extractions are needed before All-on-4?

If you still have remaining teeth in the arch, they must be assessed individually. Teeth that are salvageable are not automatically removed. Teeth that are clinically failing — mobile, heavily infected, fractured below the gum line, or compromising implant position — are extracted before or during the implant placement session.

In many cases, extractions and implant placement can occur in the same surgical visit. This is confirmed on the day after examining the CBCT and the clinical picture. Where a tooth socket requires healing before implant placement (particularly after significant infection), a staged approach is planned and the timing adjusted.

Your NZD quote will state explicitly whether extractions are included in the arch price or quoted separately. This is one of the most common sources of quote-comparison confusion — always ask.

The typical Kiwi All-on-4 trip timeline

Do not book a flight home immediately after the surgical day. Build in rest time. The provisional bridge is functional but the surgical sites need days to settle before long-haul travel is comfortable.

When All-on-4 is the wrong answer

We will say this directly in your written plan if it applies to your case:

• Insufficient bone without grafting. All-on-4 in standard configuration requires adequate bone in all four fixture positions. If you need substantial bone grafting or a sinus lift before implants can be placed, the plan may require staging across two trips to Vietnam — the first for grafting, then a second treatment course months later. This changes the economics and the commitment.
• Active uncontrolled gum disease. Periodontal disease must be treated and stable before implant placement. We will not place implants into an infected mouth.
• Medical conditions requiring local management. Uncontrolled diabetes, active bisphosphonate therapy, recent jaw radiotherapy, and certain immunosuppressive conditions carry elevated implant failure risk. Some of these are best managed by a specialist in New Zealand rather than by us remotely.
• Cannot commit to the second trip. The final prosthesis requires a second visit. If life circumstances mean you cannot return in 3 to 9 months for the final bridge, All-on-4 in Vietnam may leave you in a prolonged provisional phase.
• Refuses a second trip on principle. A single-trip All-on-4 with same-day final bridge is possible in a minority of cases with ideal bone and bite, but it is not the standard path and is not appropriate for most patients.

Read is dental tourism safe? and honest risks before committing to any overseas surgical procedure.

Stay in New Zealand if…

• You need fewer than six teeth replaced — single implants or an implant bridge is a more conservative choice
• You have uncontrolled Type 2 diabetes or blood sugar management is uncertain
• You are currently on bisphosphonate or anti-resorptive medication for osteoporosis or cancer treatment
• You have had radiotherapy to the jaw or neck within the past five years
• You smoke heavily and are not able to stop for the 3 to 6 month healing period
• You cannot take 7 to 10 days off for Trip 1 and a further 5 to 7 days for Trip 2
• Your case requires ACC funding available only through NZ-registered providers
• You have an active dental infection that requires urgent local treatment before any planned implant work

This is not a barrier list designed to deter you. It is a practical guide to whether the overseas pathway suits your clinical situation. Patients who travel without addressing these flags have worse outcomes regardless of where surgery is performed.

Our All-on-4 team

Dr. Tran Thanh Phong — Head of Implantology

Dr. Phong has practised implant surgery since 2001. He places approximately 600 implants per year and has placed 15,000+ total across his career. He was the first Vietnamese dentist to perform All-on-4 immediate loading, beginning in 2010, and has since treated 1,000+ All-on-4 patients. He trained at Loma Linda University and has been the Nobel Biocare clinical representative in Vietnam since 2007. His specialist area of zygomatic implants — anchoring into the cheekbone for patients with severe upper jaw bone loss — extends to 400+ cases performed since 2017.

Dr. Phong reviews every All-on-4 CBCT and treatment plan before surgery is scheduled. He is the treating clinician for All-on-4 cases at our clinic.

Dr. Hung Le Ba Gia (Dr. Evans) — Lead Implant Specialist

Dr. Evans is our Lead Implant Specialist with 1,000+ implants and 200+ All-on-4 cases in his clinical record. He operates alongside Dr. Phong in complex full-arch cases and leads a significant portion of our implant programme independently.

What your written All-on-4 quote includes

Every written NZD quote we provide before you book flights includes:

• Arch specification: upper only, lower only, or both arches
• Implant brand and system named per fixture (Osstem, ETK, Neodent, Nobel Biocare, or Straumann)
• Number of implants per arch and their positions (standard four-implant configuration, or a variation)
• Prosthesis type: provisional full-arch bridge or final bridge, with material named (acrylic, titanium-reinforced acrylic, zirconia)
• Whether extractions are included in the arch price or quoted separately
• Whether bone grafting, sinus augmentation, or zygomatic implants are needed and priced separately
• Whether IV sedation is included or an optional extra
• Diagnostic scan costs (OPG, CBCT) if not already provided
• Warranty terms: implant manufacturer warranty and prosthetic warranty, both in writing
• Number of trips and estimated duration for each
• All prices in NZD, dated, with exchange rate stated (1 NZD = 15,000 VND, May 2026)
• A clear statement if we recommend against All-on-4 and what alternative we suggest

If the CBCT on day one of your first trip changes the clinical picture — for example, a sinus lift is needed on one side that was not evident from the OPG — the revised plan is given to you in writing before any surgery proceeds. No on-arrival price surprises.

8 questions to ask before paying any deposit

Ask these of any clinic — including us — before paying anything:

1. Does the quoted arch price include the temporary (provisional) bridge, or is that an extra?
2. What is the final bridge material, and is it included in the quoted price or quoted separately?
3. Are extractions included, or are they billed separately on arrival?
4. What implant brand and system will be used, and what is the fixture length and diameter?
5. What happens if primary stability is insufficient on the day and immediate loading is not possible?
6. What bone grafting or sinus work might be needed, and how is this identified and priced?
7. What documents will I take home — implant passport, prosthetic specs, torque values, warranty certificate?
8. How many trips does the plan assume, and what does Trip 2 cost if not included?

A clinic that cannot or will not answer all eight questions clearly in writing before you pay a deposit is a clinic worth approaching with caution.

What to send for an accurate quote

Send us the following for a written NZD plan:

• Full-mouth photos: natural smile, lips retracted showing all teeth, upper arch, lower arch, left bite, right bite
• OPG (panoramic X-ray) if your NZ dentist has taken one in the past 12 months
• CBCT 3D scan if available — this produces the most accurate implant position assessment
• Photos of any current denture or partial denture
• Your medical history, including current medications, diabetes status, smoking history, and any bone medication
• Any existing NZ full-arch implant quote, if you have one — this helps us identify scope differences

Send to [email protected]. We return a written NZD plan within 24 hours on weekdays NZ time. The plan is provisional until clinical examination in Vietnam, but it will be detailed enough for you to compare line by line against your NZ quote.

Aftercare when you return to New Zealand

After your provisional bridge is placed at the end of Trip 1:

• Diet: Soft foods for the first 6 to 8 weeks. No hard crusts, raw carrots, or anything that applies direct impact load to the bridge. We provide written dietary guidance.
• Hygiene: Water flossers and interdental brushes under the bridge are essential. Standard floss alone is not sufficient. We demonstrate technique before discharge.
• Hygiene appointments: Book a professional clean with your NZ dentist or hygienist at the 3-month mark. The bridge requires professional debridement underneath.
• Bite changes: If the bridge feels high, tight, or rubs the cheek within days of returning home, contact us and your local dentist promptly — do not wait for Trip 2.
• Documentation: You leave with an implant passport (brand, dimensions, system code, torque values), written healing instructions, warranty documentation, and our contact email for remote follow-up questions.
• NZ dentist check: We recommend showing your NZ dentist the implant passport and healing instructions at the 6-week or 3-month mark so they are oriented to your case before Trip 2.

After Trip 2 and final bridge placement, ongoing care follows a standard implant maintenance schedule: professional hygiene every 6 months, annual bite review, and a night guard if there is any evidence of grinding. See implant aftercare and warranty terms for the full written programme.

Next step

Send us your records and we will return a written NZD All-on-4 plan within 24 hours on weekdays. The plan will name the implant system, arch count, prosthesis type, extraction and grafting status, number of trips, warranty terms, and every price in NZD — dated May 2026 at 1 NZD = 15,000 VND.

Free NZD quote · Full pricing · Is it safe? · Implant brands

• All-on-4 recovery — what New Zealand patients experience after full-arch surgery

About this page

Medically reviewed by

Dr. Tran Thanh Phong

Head of Implantology, Picasso Dental Clinic

DDS · 25+ years in practice · 15,000+ implants placed · 1,000+ All-on-4 cases

Clinical focus: Implantology · All-on-4 · Zygomatic implants

Dr. Tran Thanh Phong has practised since 2001 and leads implantology across the Picasso group. He was the first Vietnamese dentist to perform All-on-4 immediate loading (2010), placed over 15,000 implants across his career at roughly 600 per year, and has completed 400+ zygomatic implant cases since 2017. Loma Linda University-trained (2010). Clinical representative for Nobel Biocare in Vietnam since 2007.

Last clinically reviewed

26 May 2026

Published by

Picasso Dental Clinic

Review policy

Every medical procedure page on this site is reviewed by a named Picasso clinician before publication and re-checked when pricing, materials, or protocols change. Source documents are linked at the bottom of each page.