All-on-6 dental implants in Vietnam for New Zealand patients

All-on-6 is a full-arch implant treatment that places six fixtures per jaw to support a fixed bridge. It is not simply a premium version of All-on-4 — the choice between four and six implants is a clinical decision based on bone volume, bite forces, arch width, and prosthetic design. Both approaches can produce excellent results when the plan matches the patient’s anatomy.

This page is written for New Zealand patients considering full-arch treatment in Vietnam. It puts the Picasso NZD price beside the New Zealand private benchmark, explains the clinical trade-off between six and four implants honestly, and states when travel is not the right choice. The goal is to give you enough information to decide whether a written NZD quote is worth requesting before you spend money on flights.

What All-on-6 is and how it differs from All-on-4

All-on-6 places six titanium implants in a jaw, arranged to support a fixed full-arch bridge. All-on-4 uses four implants in the same jaw, typically with the posterior two placed at an angle to avoid anatomical structures such as the inferior alveolar nerve or the maxillary sinus.

The distinction matters clinically in several ways. Six implants spread the load across more fixture points, which can be an advantage for patients with heavier bite forces — such as those with a history of grinding or clenching — or for patients with wider arches where a longer prosthetic span benefits from more support. Six fixtures also provide redundancy: if one implant encounters a problem, the remaining five can often still support the bridge.

However, six implants is not automatically better than four. All-on-4 is a proven, extensively documented protocol used successfully in millions of patients worldwide. It involves less bone surgery, lower cost, and similar clinical outcomes for most full-arch cases. All-on-6 is recommended when the patient’s bone volume is sufficient across the arch to support additional fixtures, when the bite analysis suggests greater support is warranted, or when the prosthetic design — for example, a longer posterior span — benefits from the additional implant points. The recommendation comes from CBCT imaging and clinical assessment, not from the patient’s preference for a larger number.

Our All-on-6 prices in NZD — May 2026

All prices below use 1 NZD = 15,000 VND, the May 2026 rate used across this site.

For context across the full-arch family at Nobel Biocare/Straumann pricing:

• All-on-4 Nobel/Straumann: NZD 14,667 per arch
• All-on-5 Nobel/Straumann: NZD 17,333 per arch (Osstem NZD 10,000 / ETK-Neodent NZD 12,000)
• All-on-6 Nobel/Straumann: NZD 20,000 per arch

The extra NZD 5,333 from All-on-4 to All-on-6 at the Nobel/Straumann tier buys two additional fixture points and the load distribution that comes with them. Whether that extra load distribution is clinically necessary for your case is determined by CBCT and bite assessment, not by a preference for a higher-numbered protocol.

The arch price covers implant placement and the planned prosthetic. It does not automatically include extractions, bone grafting, sinus augmentation, sedation, temporary prosthetics during healing, or a CBCT scan (NZD 40). Ask for those lines separately before committing to any plan. See full pricing for a complete fee table.

For the full New Zealand-vs-Vietnam breakdown with city-by-city benchmarks, see our All-on-6 cost guide.

New Zealand vs Vietnam economics

The following scenarios use the May 2026 Picasso price list and a New Zealand anonymous private benchmark of NZD 30,000–55,000+ per arch for All-on-6. Benchmark figures are planning references, not a quote from any specific practice.

Trip cost estimate (two trips): flights NZD 2,400–4,000 return across both visits, accommodation NZD 1,500–3,000, incidentals NZD 500–1,000. Total travel overhead: approximately NZD 4,400–8,000 for a two-trip plan.

Even after adding travel costs, a Nobel Biocare or Straumann All-on-6 at Picasso typically comes in well below the New Zealand benchmark for the same arch. The economics are strongest for patients who need both arches treated.

All-on-6 vs All-on-4 — which one?

The clinical recommendation comes from CBCT imaging, not from which number a patient finds more reassuring. If your bone volume, bite forces, and arch width are satisfied by four well-positioned implants, All-on-4 costs less and involves less bone surgery. We will recommend All-on-6 when the case genuinely benefits from the additional support.

Who is a good candidate for All-on-6?

All-on-6 is well suited when:

• Most or all teeth in a jaw are failing, missing, or have been lost
• Bone volume across the arch is sufficient to accept six implants in planned positions (confirmed by CBCT)
• The patient has heavier-than-average bite forces, a clenching or grinding history, or a wider arch
• The patient is in stable general health with no uncontrolled systemic conditions
• The patient is a non-smoker or can stop smoking for at least 3–6 months around surgery
• The patient can commit to two trips and the healing window between them

All-on-4 is likely the better starting point when:

• Bone volume is sufficient for four implants but not clearly six
• Cost is a deciding factor and four implants would adequately support the planned bridge
• The patient is younger and a more conservative implant count is preferable

All-on-6 is not appropriate when:

• Bone volume cannot support six fixtures without extensive grafting (CBCT-confirmed)
• Uncontrolled diabetes, bisphosphonate therapy, or recent jaw radiotherapy is present
• Smoking cannot be paused during the healing period
• Bruxism is severe and unmanaged — a different prosthetic design or night-guard protocol is needed first

The CBCT-guided All-on-6 protocol

The protocol follows the same surgical approach as All-on-4, with the addition of two fixture positions. CBCT planning determines whether those positions are straight or angled, and whether any site needs a socket preservation or minor graft before fixture placement.

Implant brand choice

NZ serviceability note: Straumann and Nobel Biocare components are available through New Zealand distributor networks, making routine maintenance and replacement straightforward for a local dentist. Neodent (Straumann Group) components can usually be sourced through the same channel. Osstem and ETK are less widely stocked in New Zealand; your New Zealand dentist should confirm availability before you choose a system if local serviceability is a priority.

Dr. Tran Thanh Phong has been the Nobel Biocare clinical representative in Vietnam since 2007. Our team has direct experience with the full range of systems listed above and will recommend the brand that matches your bone, budget, and post-treatment servicing needs — not simply the most expensive option.

The typical Kiwi All-on-6 timeline

Build NZD 500–1,000 buffer into the trip budget for minor adjustments, over-the-counter care products, or an extended stay if the surgeon recommends more healing time before bridge fitting.

When All-on-6 is the wrong answer

All-on-6 is not the right choice in every full-arch situation.

Insufficient bone for six fixtures. If the CBCT shows bone volume that can support four well-positioned implants but not six, placing six risks poor primary stability or cortical perforations. All-on-4 with angled posterior implants, or bone grafting before a future All-on-6, are the more appropriate paths.

Heavy bruxism without management. Severe unmanaged bruxism puts extreme cyclic load on implant-supported bridges regardless of how many fixtures support them. A night-guard protocol and occlusal analysis need to be part of the plan before surgery, not an afterthought.

Medical factors that raise failure risk. Uncontrolled diabetes, current bisphosphonate or denosumab therapy, recent head and neck radiotherapy, immune-suppressing medication, or active smoking are all factors that increase implant failure risk and must be disclosed and assessed before any implant surgery.

When a removable prosthesis is actually a better fit. Some patients prefer a precision-retained removable overdenture — lower surgical burden, easier home hygiene, lower cost. All-on-6 requires lifelong commitment to thorough cleaning around bridge fixtures and professional hygiene appointments. If that commitment is uncertain, a removable option may serve better.

Stay in New Zealand if…

• A CBCT shows inadequate bone for six implants without significant grafting that carries its own surgical risk
• You are currently being treated with bisphosphonate medication for osteoporosis or cancer — your NZ specialist must be involved in the decision
• You have recently had radiotherapy to the head or neck area
• You cannot commit to pausing smoking for the 3–6 month healing period
• You have uncontrolled diabetes (HbA1c above acceptable surgical threshold)
• You cannot take 7–14 days off work for Trip 1 and another 5–7 days for Trip 2
• You need fewer than a full arch replaced — single implants or an implant-supported bridge may be more appropriate and less invasive
• The ACC pathway is relevant to your case — ACC-funded implant work must flow through approved New Zealand providers

Recommending against travel when it is not appropriate is how we build trust with patients who are right for it.

Our surgical team

Dr. Tran Thanh Phong — Head of Implantology. Practising since 2001. Approximately 600 implants placed per year; 15,000+ total across his career. Has completed 1,000+ All-on-4 patients — the All-on-6 surgical approach uses the same platform with two additional fixture positions. First Vietnamese dentist to perform All-on-4 immediate loading (2010). Zygomatic implant specialist since 2017; 400+ zygomatic cases, which is relevant when upper-arch bone loss is so severe that a conventional six-fixture plan is impossible. Nobel Biocare clinical representative in Vietnam since 2007. Trained at Loma Linda University.

Dr. Hung Le Ba Gia (Dr. Evans) — Lead Implant Specialist. More than 200 All-on-4/6 cases. Works within the same CBCT-guided protocol and under the same full-arch surgery framework as Dr. Phong.

What your written quote includes

Every written NZD quote returned before you book flights includes:

• Arch-by-arch plan (upper, lower, or both) with implant brand and number of fixtures named
• Itemised NZD pricing using 1 NZD = 15,000 VND, dated on the quote
• Whether extractions are included or quoted separately, with per-tooth breakdown
• Bone grafting, sinus augmentation, or alternative protocols if indicated by CBCT — quoted as separate line items
• Immediate-loading temporary teeth: included or excluded with reason
• Final bridge material (acrylic, titanium-bar reinforced, zirconia, or BioHPP) and warranty period
• Expected number of trips, approximate duration of each, and the healing gap between them
• Diagnostic costs included versus billed as extras
• A written note if All-on-4 or another protocol is clinically recommended over All-on-6

There are no on-arrival surprises. If the in-clinic CBCT on Day 1 reveals a change to the plan — for example, a sinus lift is needed on one side — the revised plan is issued in writing before any surgery is scheduled.

7 questions to ask before paying a deposit

These questions apply to any clinic, including ours.

1. Which specific implant brand and system will be used, and can I see the manufacturer documentation?
2. What does the arch price include — and can I see a line-by-line quote showing what is excluded?
3. Are temporary teeth during healing included, and what material are they?
4. What is the final bridge material, and what is its warranty period and what does it cover?
5. How many trips will be required, and what is the expected duration of each?
6. What records will I take home — implant passport, torque values, prosthetic specs, warranty documents?
7. What is the protocol if an implant fails within the warranty period, and how is that managed from New Zealand?

A clinic that answers all seven questions in writing, before you pay anything, is a clinic that has thought through your aftercare. A clinic that deflects or answers vaguely is telling you something important.

What to send for an accurate quote

Send the following to [email protected]:

• A relaxed smile photo and a retracted photo showing all teeth
• Upper arch and lower arch photos
• Right and left bite-view photos
• Any recent OPG (panoramic X-ray) or CBCT scan
• A list of current medications, including any bisphosphonates, blood thinners, or immune-suppressants
• Smoking and diabetes status
• Any New Zealand full-arch quote you have received, including the proposed implant brand and prosthetic material

Phone photos are enough for an initial triage if they are clear and well lit. X-rays allow the team to flag bone grafting or medical concerns before you spend on flights. The quote remains provisional until an in-clinic CBCT on Day 1, but it should be detailed enough for you to compare with your New Zealand plan line by line.

Quotes return within 24 hours, weekdays NZ time.

Aftercare in New Zealand

After All-on-6, your local New Zealand dentist becomes your primary maintenance contact between trips.

Documentation to bring home: implant passport (brand, fixture code, diameter, length, torque values), prosthetic specifications (bridge material, design, screw access locations), warranty documents, and the Day 1 CBCT and post-operative records.

Hygiene protocol: clean under and around the bridge daily using interdental brushes, a Waterpik or oral irrigator, and a soft-bristled brush. Fixed bridges accumulate plaque at the gingival margin and around abutments. A hygienist visit every 6 months is standard; every 3–4 months if you have a history of gum disease.

Local dentist follow-up: book a review at 6–8 weeks after surgery for a swelling and healing check. At 6 months, a review ahead of Trip 2 allows the local dentist to assess integration and document baseline bite. After final bridge fitting, annual reviews are the minimum.

If something goes wrong: contact Picasso ([email protected]) and your local dentist promptly if you notice looseness, a change in bite, pain, swelling, or an unpleasant taste or smell. Most post-surgical complications are manageable if they are caught early. Do not wait weeks before investigating.

See warranty terms and the aftercare guide for the full maintenance schedule.

Next step

Send your photos, X-rays, medication list, and any existing NZ quote to [email protected] or. Ask for a written arch-by-arch NZD plan showing implant brand, number of fixtures, temporary teeth, final bridge material, expected trips, and exclusions. We return written plans within 24 hours, weekdays NZ time.

Free NZD quote · Full pricing · Compare All-on-4 · Is it safe?

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.