All on 4
All-on-4 dental implants from AUD 7,068 | Picasso Vietnam
All-on-4 full arch implants at Picasso Dental Clinic Vietnam - four implants supporting a fixed bridge, AUD pricing across three implant tiers, and Australian trip planning.
All-on-4 at Picasso Dental Clinic starts at AUD 7,068 per arch with Osstem implants and reaches AUD 12,436 with Nobel Biocare or Straumann — Australian patients facing AUD 25,000–45,000 per arch locally can compare itemised Picasso AUD pricing before deciding whether the trip makes financial sense.
All-on-4 is Picasso’s most requested full-arch treatment for Australian patients. The savings against Australian private dental pricing are the largest of any treatment on this site, and the clinical protocol is well-established — Dr. Tran Thanh Phong has performed 1,000+ All-on-4 cases and was the first Vietnamese dentist to perform All-on-4 immediate loading in 2010.
How All-on-4 works
Four titanium implants are placed at specific angles in the jawbone. The angled posterior implants allow use of existing bone without requiring bone grafts in most cases, and provide a stable platform for a fixed full-arch bridge.
The fixed bridge is either:
- Provisional (acrylic) — placed on the day of surgery in immediate-loading cases, or at the first review
- Final (titanium bar + ceramic, BioHPP, or zirconia options) — placed at trip 2 after osseointegration is confirmed
All-on-4 prices at Picasso — AUD
| Implant tier | Price per arch (AUD) |
|---|---|
| Osstem | AUD 7,068 |
| ETK / Neodent | AUD 8,481 |
| Nobel Biocare / Straumann | AUD 12,436 |
| Prosthetic add-on | AUD |
|---|---|
| Acrylic bridge on All-on-4 | AUD 2,826 |
| Titanium full-arch bar | AUD 3,957 |
| BioHPP full-arch bar | AUD 3,957 |
A complete Osstem All-on-4 with acrylic bridge: from AUD 9,894 per arch. A Nobel Biocare All-on-4 with titanium bar: from AUD 16,393 per arch.
For comparison, Australian private dental clinics typically charge AUD 25,000–45,000 per arch.
The two-trip timeline
| Trip | Duration | What happens |
|---|---|---|
| Trip 1 | 10–14 days | CBCT, consultation, extractions (if required), implant placement, provisional bridge fitting |
| Between trips | 3–6 months | Osseointegration at home; no clinic visit required |
| Trip 2 | 5–7 days | Final bridge fitting, bite adjustment, warranty documentation |
Build buffer days before flying home from each trip — do not book a tight departure after All-on-4 surgery.
What CBCT planning changes for All-on-4
Every All-on-4 patient at Picasso receives a CBCT 3D scan before treatment begins. For full-arch work, CBCT is not optional — it shows:
- Available bone volume in each quadrant
- Sinus floor position (affects posterior implant angles)
- Nerve canal position in the lower jaw
- Whether angled implants are achievable without grafts
- Whether zygomatic implants are needed for severely resorbed upper jaws
Cases where bone is severely deficient may require a staged approach (grafting first, then implants) or zygomatic implants — Dr. Phong has performed 400+ zygomatic cases.
All-on-4 vs All-on-6
| All-on-4 | All-on-6 | |
|---|---|---|
| Implants per arch | 4 | 6 |
| Picasso AUD (Osstem) | AUD 7,068 | AUD 10,181 |
| Best for | Standard arches with adequate bone | Larger jaws, heavier bite force, extra implant distribution |
| CBCT required | Yes | Yes |
The decision is clinical, not preference. Dr. Phong recommends based on bone volume, arch size, bite force, and prosthetic design.
What you receive before flying home
Before departure from trip 1, you receive:
- Implant passports for all fixtures placed
- Provisional bridge in position (if immediate loading)
- Healing instructions and dietary protocol
- Picasso coordinator contact for any post-operative concerns
- Provisional warranty documentation
Before departure from trip 2, you receive:
- Final bridge in position
- Updated warranty documentation
- Materials certificate for the prosthetic
- Australian aftercare guide
- X-rays for your Australian dentist
Aftercare in Australia
Read implant aftercare for the full healing and maintenance guide. Key points:
- Soft diet for 6–8 weeks after surgery (trip 1)
- No smoking throughout the osseointegration period
- Australian dentist review at 6–8 weeks after trip 1
- Annual implant hygiene and periapical X-ray once the final bridge is fitted
Related pages
- All-on-4 cost — full AUD breakdown
- All-on-6 — six-implant arch system
- Dental implants — single and multiple implants
- Dr. Tran Thanh Phong — All-on-4 surgical credentials
- Implant brands — Osstem, Nobel, Straumann compared
- Is it safe? — standards and sterilisation
- Free AUD All-on-4 quote
Get a personalised AUD quote
Send your OPG or CBCT if you have one. For All-on-4, an OPG significantly improves quote accuracy. If you do not have an OPG, phone photos of your smile and a description of your situation are the starting point.
Request a free AUD All-on-4 quote.
Frequently asked questions
What is All-on-4 and who is it for?
All-on-4 places four titanium implants per arch to support a fixed full-arch bridge. It is designed for patients who are edentulous (no teeth) or facing full-arch extractions and want fixed teeth rather than removable dentures.
All-on-4 vs All-on-6 — which do I need?
All-on-4 is suitable for most arches with adequate bone. All-on-6 adds two more implants for larger jaws, heavier bite forces, or when the surgeon wants more distributed loading. CBCT decides, not preference.
Can I get teeth the same day with All-on-4?
Immediate provisional teeth are possible in selected cases where bone quality and primary stability allow it. Your written plan states clearly whether you will leave with a temporary fixed bridge or require a healing period first.
How does All-on-4 compare to dentures?
All-on-4 gives fixed teeth on implants — no removal, no adhesive, near-normal chewing force. Dentures are removable and substantially cheaper. If budget is the driver, see /dentures/ for removable options.
How long does the full All-on-4 process take?
Surgical placement and provisional teeth (where applicable): 1–2 weeks in Vietnam. Healing at home: 3–6 months. Final bridge fitting: a second trip of 5–7 days. Total calendar time: around 6–9 months from first trip to final restoration.
How much does All-on-4 cost in Australia?
Australian private dental clinics typically charge AUD 25,000–45,000 per arch for All-on-4, depending on brand and prosthetic choice. Picasso's Osstem All-on-4 starts at AUD 7,068 per arch plus prosthetic and surgical add-ons.
What warranty covers All-on-4 at Picasso?
Implant fixtures carry the manufacturer warranty of the chosen brand. Bridge prosthetics warranty is confirmed in writing before you book — ask your coordinator for the current SmileCare warranty terms.