The Short Answer
A lower-arch All-on-4 in Hanoi — four implants supporting a fixed full-arch bridge on the lower jaw — typically costs AUD 7,600–13,300 or NZD 8,300–14,700 at Picasso Dental Clinic’s Hanoi Old Quarter flagship, depending on the implant brand (Osstem at the lower end, ETK/Neodent in the middle, Nobel Biocare or Straumann at the upper end). The acrylic bridge itself is typically an additional AUD 3,000 / NZD 3,300, though some patients prefer the sturdier titanium or BioHPP bar option at extra cost. This is a general guide, not a quote: your dentist confirms your exact plan, brand, and price only after reviewing your X-ray or CBCT scan.
Who Lower-Arch-Only All-on-4 Suits
All-on-4 on the lower arch alone is usually chosen by patients who:
- Have failing or missing lower teeth but a healthy, stable upper arch (natural teeth or an existing restoration they want to keep)
- Want a fixed, non-removable alternative to a lower denture, which is often the least comfortable denture to wear due to tongue movement and reduced suction compared to an upper plate
- Are not ready for, or don’t need, upper-arch treatment at the same time
If both arches need attention, treating them together in one surgical visit is usually more time- and cost-efficient than two separate trips — ask your dentist to assess this during your remote consultation. See the All-on-4 dental implants overview for the full protocol and candidacy details.
What’s Included in the Price
The lower-arch All-on-4 price band above covers:
- Four implant fixtures, placed at the angles the All-on-4 protocol requires to maximise use of available bone without grafting in most standard cases
- Abutments connecting the fixtures to the bridge
- The final fixed bridge in your chosen material (acrylic is the base inclusion; titanium/BioHPP bar and other options cost more)
It does not automatically include bone grafting or sinus-adjacent bone work (rarely needed for the lower jaw, more relevant to the upper), sedation beyond standard local anaesthetic, or a CBCT scan if you don’t already have a recent one. Ask for a full itemised quote before booking flights.
Brand-by-Brand Price Range (AUD / NZD, indicative)
| Implant brand | Origin | Lower-arch All-on-4 (AUD)* | Lower-arch All-on-4 (NZD)* |
|---|---|---|---|
| Osstem | South Korea | 7,600 | 8,300 |
| ETK / Neodent | France / Brazil (Straumann Group) | 9,100 | 10,000 |
| Nobel Biocare / Straumann | Switzerland | 13,300 | 14,700 |
*Approximate conversion from VND list pricing (Osstem 125,000,000 VND; ETK/Neodent 150,000,000 VND; Nobel/Straumann 220,000,000 VND per arch) as of 21 July 2026, using roughly 1 AUD ≈ 16,500 VND and 1 NZD ≈ 15,000 VND. Ask for the current quote in your currency at time of booking since exchange rates move. VND is the source of truth — see the Vietnam dental implant cost guide for the full VND breakdown.
Realistic Timing
A lower-arch All-on-4 case typically follows this pattern for patients flying in from Australia or New Zealand:
- Trip 1 (5–7 days): Consultation, CBCT scan, extraction of any remaining lower teeth if needed, implant placement surgery, and a temporary fixed bridge fitted before you fly home.
- Healing period (3–6 months): Osseointegration happens gradually at home — this cannot be shortened by choosing a different clinic or brand.
- Trip 2 (4–6 days): Return to Hanoi for the final bridge fitting, bite adjustment, and check-up once imaging confirms the implants have integrated.
Some patients with very stable bone are assessed as suitable for a shorter follow-up trip, but this is a clinical decision made from your scan, not something to assume before you’re seen.
Comparing a Like-for-Like Plan From Home
| Item | Australia/NZ (approx.) | Hanoi, Osstem | Hanoi, Nobel/Straumann |
|---|---|---|---|
| Consultation + CBCT scan | AUD 200–450 / NZD 220–500 | Included in plan | Included in plan |
| Four implants + bridge, lower arch | AUD 20,000–30,000 / NZD 22,000–33,000 | AUD 7,600–10,600 | AUD 13,300 |
| Indicative total | AUD 20,200–30,450 / NZD 22,220–33,500 | AUD 7,600–10,600 | AUD 13,300 |
Flights, accommodation, and the recovery-trip travel time are additional costs on the Hanoi side. Factor those into a realistic budget before comparing headline treatment prices — the gap is still substantial after travel costs for most patients. See 10 reasons dental implants in Hanoi cost less than Australia for the full explanation of why.
Why Hanoi, and Why the Flagship Branch
Picasso Dental Clinic’s flagship is at 16 Phố Châu Long, Trúc Bạch, Ba Đình — a short walk from Trúc Bạch Lake and West Lake (Hồ Tây), and within easy reach of Hanoi’s Old Quarter. Dr. Tran Thanh Phong, Head of Implantology, has placed implants since 2001 and has performed All-on-4 immediate-loading cases since 2010 — he was the first Vietnamese dentist to do so — with over 1,000 All-on-4 patients treated to date. The clinic is a short taxi ride from Noi Bai International Airport, and most Australian and New Zealand patients build in time either side of appointments to see the Old Quarter, West Lake, and Hanoi’s colonial-era architecture while healing between visits.
Questions to Ask Before You Book
- What is included in the quoted All-on-4 price, and what’s billed separately (bridge material, extractions, sedation)?
- Which implant brand does my case suit, and why?
- How many implants and how many trips will my specific case need?
- Is my upper arch stable enough to leave untreated, or should it be assessed too?
- What happens if healing takes longer than the average 3–6 months?
- What is the after-care process if an issue arises once I’m home?
Your Next Step
A written, itemised quote for lower-arch All-on-4 needs your dentist to review a recent panoramic X-ray or CBCT scan first. Request a remote implant assessment and itemised quote before booking travel dates, so you know your brand options, price band, and trip count in advance.
Frequently Asked Questions
How much does lower-arch All-on-4 cost in Hanoi in AUD and NZD?
Expect AUD 7,600–13,300 or NZD 8,300–14,700 for four implants plus the acrylic bridge, depending on the brand (Osstem, ETK/Neodent, or Nobel Biocare/Straumann). A titanium or BioHPP bar upgrade costs more.
Can I do just the lower arch if my upper teeth are fine?
Yes — many patients treat one arch at a time. Your dentist will still check your upper arch during the consultation to confirm it doesn’t need attention before committing to a lower-only plan.
Does the price include the temporary bridge fitted on day one?
Yes, a temporary fixed bridge fitted during the first trip is part of the standard All-on-4 process. The final bridge is fitted on the second trip after healing.
How many trips to Hanoi does lower-arch All-on-4 need?
Typically two: a 5–7 day first trip for surgery and a temporary bridge, and a 4–6 day second trip 3–6 months later for the final bridge once the implants have integrated.
Is the AUD/NZD price a fixed quote?
No — it’s an indicative range based on current VND list pricing. A fixed, itemised quote in your currency is issued after your dentist reviews your X-ray or CBCT scan, since bone volume and case complexity affect the final plan.
What if I also need my upper arch treated later?
That’s common and can be planned as a second course of treatment. Ask your dentist whether combining both arches in fewer total trips would suit your case and budget better than treating them separately.
Medically reviewed by Dr. Trần Thanh Phong, DDS — Implantology
Head of Implantology at Picasso Dental — placing implants since 2001 (15,000+ to date), and the first dentist in Vietnam to perform the All-on-4 full-arch protocol (2010).
Last reviewed: July 21, 2026