Full mouth reconstruction in Vietnam for New Zealand patients

Full mouth reconstruction is the most complex and highest-value treatment in dentistry. No two plans are identical — the combination of implants, crowns, arches replaced, and cosmetic components is unique to each patient’s CBCT, bone, gum status, and remaining teeth. At this scale, the difference between what New Zealand private practice charges and what we charge at Picasso Dental Clinic often exceeds NZD 30,000 — which is why patients with large, multi-tooth, multi-arch treatment needs are the most rational candidates for treatment in Vietnam.

What full mouth reconstruction means

Full mouth reconstruction is not a single product. It is the clinical term for addressing every significant dental problem in the mouth in a coordinated, planned sequence.

A full mouth reconstruction plan may include dental implants to replace missing teeth, crowns to restore failing or broken teeth, All-on-4 or All-on-6 fixed prosthetic arches to replace fully failing dentition, porcelain veneers for the cosmetic front teeth after the bite is rebuilt, root canal treatment to save teeth worth keeping, extractions to remove teeth that cannot be saved, bone grafting to support implants where jaw bone has resorbed, gum treatment to stabilise the foundation before any restorative work, and orthodontics when the bite needs correcting before crowns or implants are placed.

Not all of these components appear in every plan. Some reconstructions are implant-heavy with minimal crown work. Some are crown-heavy with no implants. Some involve one fully failed arch and one partially damaged arch. The clinical findings on CBCT imaging and examination determine the plan — not a package price on a webpage.

Who needs full mouth reconstruction?

Full mouth reconstruction is most commonly the right treatment for patients in one or more of these situations:

• Multiple missing teeth combined with the remaining teeth failing, decayed, or structurally compromised.
• Severe tooth wear from bruxism (grinding) or acid erosion that has shortened teeth and collapsed the bite.
• A combination of old failing restorations — crowns, bridges, root canals — that are breaking down across the mouth simultaneously.
• Post-accident or post-trauma loss of multiple teeth with damage to surrounding bone and gum.
• Advanced gum disease (periodontitis) that has caused bone loss and loosened multiple teeth to the point where they cannot be reliably retained.
• Complete arch failure in one or both jaws, where the remaining teeth cannot support a fixed restoration and implant-retained solutions are needed.

If you can identify with one or more of these scenarios and you have been told by a New Zealand dentist that you need significant work across multiple teeth, the next step is a CBCT scan and a line-item written plan — not a package comparison.

Our component prices — May 2026

All prices below are from the May 2026 Picasso price list, converted at 1 NZD = 15,000 VND. Bone grafting is quoted separately based on CBCT volume findings and is not included in the unit prices below.

Three example full mouth reconstruction builds (May 2026):

These are illustrative builds based on real treatment combinations. Your own plan will reflect the CBCT findings, bone volume, remaining tooth structure, and the number and position of implants determined at examination. Bone grafting, root canal treatment, and extractions are quoted additionally where needed.

See the full itemised pricing list for every treatment line.

For the full New Zealand-vs-Vietnam breakdown with city-by-city benchmarks, see our full mouth reconstruction cost guide.

New Zealand vs Vietnam at scale

The New Zealand ranges above are planning benchmarks based on indicative private fees, not a quote from any specific Auckland, Wellington, Christchurch, or Hamilton practice. Always obtain a written itemised quote from your local dentist to compare like with like.

At NZD 30,000 to NZD 60,000+ in indicative savings, two return flights from Auckland to Vietnam (approximately NZD 1,200 to NZD 1,800 per return) and two stays of 10 to 14 days each represent a very small fraction of the saving. The economics of travelling for treatment become most compelling precisely at the scale of full mouth reconstruction.

Request a free NZD consultation quote to see your specific build priced out.

How a full mouth reconstruction plan is built

We do not estimate a full mouth reconstruction from photos alone. The planning sequence is:

1. Remote triage. You send full mouth photographs, your OPG or CBCT if available, your medical history, a list of your dental problems, and any existing NZ treatment quotes. We assess the likely complexity and identify what imaging we still need.
2. Day 1 in Vietnam. CBCT and OPG imaging, full clinical examination, periodontal assessment, bite analysis, and medical history review. This is the diagnostic foundation. Nothing irreversible happens on day 1.
3. Written plan by tooth. After the diagnostic review, we produce a treatment sequence document listing every tooth, what happens to it, in what order, with what material, and at what cost in NZD. Each item is listed separately — no package bundling.
4. Patient review and approval. You read the plan, ask questions, and approve it in writing before any treatment begins. If the plan changes what you expected, that conversation happens before any irreversible work.
5. Phased delivery. Treatment is delivered across trips separated by the healing time each phase requires.

Treatment sequencing — why order matters

The sequence of a full mouth reconstruction is not arbitrary. It follows a clinically necessary order:

First: gum disease. Active periodontal disease is treated before anything else. Implants placed into infected or inflamed gum tissue have significantly higher failure rates. Crowns and veneers placed on unstable gum lines will not fit correctly once the gums stabilise. Gum health is the foundation.

Second: extractions and bone grafting. Teeth that cannot be saved are removed. Where implants will be needed and bone volume is insufficient, grafting is performed at the same visit. Grafted bone typically requires 3 to 4 months to consolidate before implants can be placed.

Third: implant placement and osseointegration. Implants are placed into prepared sites and require 3 to 5 months of healing (osseointegration) before the permanent prosthetic crown or arch is attached. During this period you may wear provisional teeth.

Fourth: final prosthetics. Permanent crowns, veneers, implant crowns, and fixed arches are made and placed only after the bite is stable, implants have integrated, and gum tissue is healthy. Front aesthetic work — veneers on the upper front teeth — is always last.

This is why most implant-led full mouth reconstruction cases require 2 to 3 trips to Vietnam with a 3 to 6 month gap between the surgical and prosthetic phases.

The typical Kiwi full mouth reconstruction trip structure

Some patients with large and complex cases combine phases strategically to reduce total trips — for example, performing gum treatment on the same trip as early extractions and grafting. We plan this where clinically safe and tell you honestly where it is not.

Implant brand choice for full mouth cases

For full mouth reconstruction involving multiple implants we strongly recommend Nobel Biocare or Straumann implant systems. The reason is long-term serviceability in New Zealand.

Full mouth reconstruction implants are designed to last 15 to 20 years or more. Over that timeframe your New Zealand dentist may need to replace a crown on an implant, adjust a prosthetic abutment, or address a loose screw. Nobel Biocare and Straumann prosthetic components are available through authorised New Zealand dental distributors. Your local dentist can work with these systems.

Osstem is a well-documented, clinically reliable implant system and is appropriate for cost-sensitive cases. However, if you are placing 6 to 12 implants as part of a full mouth reconstruction, the modest saving per fixture should be weighed against the practical question of parts availability for NZ follow-up work over 10 to 20 years.

We discuss this openly in the planning conversation and present both options with accurate NZD pricing so you can make an informed decision.

When to plan orthodontics before reconstruction

If your bite is unstable, your teeth are significantly misaligned, or your jaw relationship is incorrect, placing crowns and implants into an uncorrected bite produces a reconstruction that is working against itself from day one.

In these cases we may recommend Invisalign or conventional orthodontics before the restorative phase of reconstruction begins. Orthodontics establishes the correct tooth positions and bite relationship, so the crowns, implants, and veneers that follow are built on a stable foundation.

This adds time to the overall treatment. It also significantly improves the long-term outcome. We will say this clearly in the written plan rather than treating into a compromised bite to save time. See our Invisalign page for details on orthodontic options at Picasso.

The honest complexity conversation

Full mouth reconstruction requires the most thorough pre-treatment assessment of any dental procedure we offer.

We do not plan this treatment in a single short consultation. Multiple planning sessions, a CBCT scan, a complete set of clinical photographs, a periodontal assessment, and a detailed written treatment sequence are non-negotiable before any tooth is touched.

If you receive a full mouth reconstruction plan from any dental provider — in New Zealand or abroad — after a 20-minute video call and no imaging, that is a warning sign. A credible plan for full mouth reconstruction cannot be produced without knowing the bone volume at every implant site, the condition of every remaining tooth, the health of the gum tissue, and the bite relationship. None of that information exists without imaging and a clinical examination.

We will not produce a treatment plan that does not meet this standard, even if it takes longer and requires more back-and-forth with you before you travel.

Read the honest risks of dental tourism for the full picture on what separates a careful overseas treatment plan from a rushed one.

When to stay in New Zealand for this treatment

Not every large dental case should be treated in Vietnam. For full mouth reconstruction specifically, staying in New Zealand is the right decision in the following circumstances.

Stay in New Zealand if…

• You have complex or uncontrolled medical conditions — uncontrolled diabetes, recent jaw radiotherapy, current bisphosphonate therapy, or significant cardiac conditions requiring close local medical monitoring throughout treatment.
• You cannot commit to 2 to 3 trips separated by 3 to 6 months of healing at home.
• Your case requires specialist maxillofacial or oral surgery beyond the scope of implantology — for example, advanced jaw reconstruction, jaw joint (TMJ) surgery, or major pathology treatment.
• You smoke heavily and are not willing or able to stop for the healing period following implant placement.
• You need rapid-access follow-up care that cannot wait for a scheduled return trip.
• Your treatment scope is small enough — only 1 to 2 crowns or veneers — that the saving does not justify travel cost.

This is not small print. It is part of how we decide together whether a trip to Picasso makes sense for your specific situation.

Our team for complex cases

Full mouth reconstruction at Picasso is a collaborative process. For large cases involving both surgical and restorative components, multiple clinicians are involved in the planning and delivery.

Dr. Tran Thanh Phong — Head of Implantology

Dr. Phong leads all surgical and implant components of full mouth reconstruction. He has placed over 15,000 implants since beginning implant practice, has treated more than 1,000 All-on-4 patients since 2010, and completed advanced training at Loma Linda University in the United States. He has been a Nobel Biocare clinical representative since 2007 and brings direct access to Nobel clinical protocols and product knowledge. For full arch and multi-implant cases, Dr. Phong leads the surgical phase from planning through to prosthetic handover.

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

Dr. Evans has placed over 1,000 implants and completed more than 200 All-on-4 cases. He works alongside Dr. Phong on complex full mouth implant cases and leads single-implant and implant-bridge treatment plans where Dr. Phong’s involvement is not required.

Dr. Emily Nguyen — Founding Clinical Director

Dr. Nguyen oversees the restorative and cosmetic components of full mouth reconstruction — crowns, veneers, and the final aesthetic phase. She sets clinical standards across the Picasso group and co-plans all full mouth cases where both implant surgery and cosmetic restorative work are involved.

What your written reconstruction plan includes

Every written full mouth reconstruction plan we produce before you book flights includes:

• A staged treatment sequence separating health-first work from definitive restorative and cosmetic work.
• A tooth-by-tooth treatment list with the specific material named for each tooth (Zirconia, Emax, Lava Plus, Nobel Biocare implant, Osstem implant, etc.).
• Implant brand and system code per fixture for every implant in the plan.
• Itemised NZD pricing for every line using the current exchange rate (1 NZD = 15,000 VND), dated on the document.
• Bone grafting, extractions, root canal treatment, and gum treatment quoted as separate line items, not bundled.
• Expected number of trips, duration of each trip, and the minimum healing gap between trips.
• Clear identification of which restorations are provisional (temporary) and which are final.
• Warranty period per component type.
• A written statement of what is not being treated in the current plan and why.
• Implant passports and records formatted for handover to your New Zealand dentist.

If the day 1 examination in Vietnam changes the plan, you receive a revised written plan before any irreversible treatment proceeds.

What to send to start the planning conversation

To produce an accurate written plan, send us the following:

• Full mouth photographs: smile, retracted view, upper arch, lower arch, left bite, right bite. Clear phone photos in good light are sufficient for initial triage.
• OPG X-ray and CBCT scan if you have had them taken in New Zealand. If not, we will take these on day 1 in Vietnam.
• Medical history: current medications, smoking status, diabetes, blood thinner use, any recent jaw surgery or radiotherapy.
• A written list of every tooth that is missing, painful, loose, chipped, crowned, or root-canal treated.
• Any existing treatment quotes from your New Zealand dentist or specialists.
• Your main priority: restoring chewing function, getting fixed teeth, aesthetic improvement, eliminating pain, or a combination.

Contact us at [email protected]. The more detail you send, the more accurate and useful the first response will be.

Aftercare across phases

Full mouth reconstruction does not end when you fly home after the final prosthetics trip. Aftercare is part of the clinical plan.

Between trips (at home in New Zealand)

During the 3 to 6 month healing period between surgical and prosthetic phases, your New Zealand dentist should examine the healing sites, check that provisional teeth are intact, and monitor your gum health. We provide you with a written clinical summary from trip 1 for your NZ dentist to review. We remain available by email for questions during the healing phase — do not wait for your next Vietnam trip if something seems wrong.

After final prosthetics

You will need 6-monthly hygiene appointments with your New Zealand dentist, routine bite and implant checks, and night guard wear if one has been prescribed. Bring your warranty documents and implant passports to every routine appointment. If you notice a high bite, a loose screw, chipped porcelain, or gum inflammation around an implant, contact us and your New Zealand dentist promptly — these issues are almost always simpler to resolve early than after weeks of delay.

Picasso follow-up

We provide documented follow-up protocols with specific review timing recommendations for each treatment phase. You are not left to manage a complex reconstruction alone once you return home.

See aftercare guidance and warranty terms for the full follow-up detail.

Next step

If you have multiple failing, missing, or broken teeth and you want to understand what a coordinated reconstruction at Picasso would cost in NZD, the first step is a written plan based on your photos and X-rays — not a phone estimate.

Send your records to [email protected] and ask for a staged written NZD reconstruction plan. Plans return within 24 hours on weekdays (NZ time).

Start with a free NZD consultation · Dental implants · All-on-4 · Veneers · 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.