The Short Answer
Upper-arch All-on-4 — four implants supporting a fixed full-arch prosthesis for the top jaw — typically costs NZD 8,300–14,700 per arch at Picasso Dental Clinic’s Hanoi Old Quarter flagship, depending on the implant brand chosen. The same upper-arch All-on-4 treatment in New Zealand commonly runs NZD 28,000–45,000 or more, so the gap reflects lower Vietnamese clinical labour and lab costs, not a different-quality implant system — the same Osstem, Nobel Biocare or Straumann fixtures used in Auckland or Wellington clinics are placed here. This is a general guide, not a quote: your final price depends on your upper-jaw bone volume, sinus position, and the brand and prosthetic material you choose after a dentist reviews your CBCT scan.
What Upper-Arch All-on-4 Includes
All-on-4 uses four strategically angled implants to support a full fixed prosthesis replacing an entire arch of teeth — in this case, the upper jaw. The per-arch price includes:
- Four implant fixtures, placed at specific angles (often with the back two tilted) to maximise contact with available bone and reduce or avoid the need for a sinus lift in many upper-arch cases
- Abutments connecting the fixtures to the prosthesis
- The fixed prosthesis structure itself — pricing above reflects the implants and standard components; the choice of prosthetic material (acrylic bridge, titanium/BioHPP bar, or overdenture) is priced separately, as below
It does not automatically include a sinus lift if your upper jaw bone volume requires one, sedation beyond standard local anaesthetic, or a CBCT 3D scan if you don’t already have a recent one — these are quoted separately once your dentist has assessed your imaging. The upper jaw has thinner bone near the sinus cavities than the lower jaw in many patients, which is why sinus evaluation is a standard part of upper-arch All-on-4 planning specifically.
Brand-by-Brand Price Range for Upper-Arch All-on-4 (NZD, indicative)
| Implant brand | Origin | Typical per-arch price (NZD)* | Best suited for |
|---|---|---|---|
| Osstem | South Korea | 8,300–8,700 | Standard cases, good value |
| ETK / Neodent | France / Brazil (Straumann Group) | 10,000–10,500 | Mid-range, wide clinical track record |
| Nobel Biocare / Straumann | Switzerland | 14,500–14,700 | Premium, complex bone or highest documented All-on-4 protocol data |
*Approximate NZD conversion from VND list pricing as of 21 July 2026; ask for the current quote in NZD at time of booking since exchange rates move. VND prices are the source of truth — see the Vietnam dental implant cost guide for the full breakdown. Prosthetic material is priced on top of the implant package: an acrylic bridge adds roughly NZD 3,300, a titanium or BioHPP full-arch bar roughly NZD 4,700, and an overdenture roughly NZD 3,300.
Realistic Timing for New Zealand Patients
Upper-arch All-on-4 is generally a longer process than a single implant, since the fixed prosthesis and sinus considerations add planning steps:
- Trip 1 (5–7 days): Consultation, CBCT scan of the upper jaw and sinuses, All-on-4 surgery with four implants placed, and a temporary fixed prosthesis fitted before you fly home.
- Healing period (4–6 months): The implants integrate with the upper jawbone. Upper-arch healing is often planned for slightly longer than lower-arch All-on-4 due to typically softer bone quality in the maxilla.
- Trip 2 (4–5 days): Return to Hanoi for the final fixed prosthesis once imaging confirms all four implants have integrated.
If your CBCT scan shows insufficient bone near the sinus, your dentist may recommend a sinus lift as part of Trip 1, which can extend the overall healing timeline. This is confirmed only after imaging, not assumed in advance.
Comparing a Like-for-Like Plan From New Zealand
| Item | New Zealand (NZD) | Hanoi, Osstem (NZD) | Hanoi, Nobel/Straumann (NZD) |
|---|---|---|---|
| Consultation + CBCT | 350–600 | Included in plan | Included in plan |
| Four implants + All-on-4 prosthesis, upper arch | 28,000–45,000 | 8,300–8,700 | 14,500–14,700 |
| Sinus lift, if required (closed) | 1,200–2,500 | 450–500 | 450–500 |
| Indicative total (no sinus lift) | 28,350–45,600 | 8,300–8,700 | 14,500–14,700 |
Flights, accommodation and your own travel time in Hanoi are additional costs an All-on-4 patient in New Zealand does not need to budget for — factor these in realistically. See the dental implants Hanoi vs Australia cost comparison for the underlying reasons behind the price gap, which apply similarly for New Zealand patients.
Why Hanoi Old Quarter Suits an All-on-4 Trip
Upper-arch All-on-4 involves a longer first trip and a substantial second trip months later, so where you stay matters. Picasso Dental Clinic’s flagship at 16 Phố Châu Long, Trúc Bạch, Ba Đình is a short, direct transfer from Noi Bai International Airport, close to Trúc Bạch Lake and West Lake (Hồ Tây), and within walking distance of Hanoi’s Old Quarter — giving you somewhere genuinely worth spending a week rather than a purely clinical stay. Dr. Tran Thanh Phong, Head of Implantology, has performed All-on-4 since 2010 — the first Vietnamese dentist to do All-on-4 immediate loading — and has treated over 1,000 All-on-4 patients; Dr. Hung Le Ba Gia (Dr. Evans), Lead Implant Specialist with 200+ All-on-4 cases, works under Dr. Phong’s direction on complex full-arch cases at the flagship.
Questions to Ask Before You Book
- Does my upper jaw have enough bone volume for standard All-on-4, or is a sinus lift likely?
- What is included in the per-arch price, and what prosthetic material is recommended for my case?
- Which implant brand is recommended, and why?
- How many trips will this realistically take, and how long between them?
- Will I have a temporary fixed prosthesis for the healing period, or will teeth be missing between visits?
- What is known about the prosthetic warranty or after-care policy, and what remains unconfirmed?
Your Next Step
A written, itemised upper-arch All-on-4 quote requires your dentist to see a recent panoramic X-ray or CBCT scan showing your upper jaw bone volume and sinus position — not just a description of missing teeth. Send your imaging for a remote assessment before committing to travel dates, so you know your likely brand, prosthetic option, price and trip count in advance.
Frequently Asked Questions
How much does upper-arch All-on-4 cost in Hanoi in NZD?
Expect NZD 8,300–14,700 per arch at Picasso Dental Clinic’s Hanoi flagship, depending on the implant brand. Osstem sits at the lower end; Nobel Biocare and Straumann at the upper end. Prosthetic material (acrylic bridge, titanium/BioHPP bar, or overdenture) is priced on top.
Is upper-arch All-on-4 more expensive than lower-arch?
The implant and surgical pricing structure is the same across brands regardless of arch, but the upper arch more often requires sinus evaluation and, in some cases, a sinus lift due to typically thinner bone near the sinus cavities — this can add to the total cost and timeline for some patients, confirmed only after a CBCT scan.
Will I have teeth during the healing period?
Yes, typically — a temporary fixed prosthesis is usually fitted at the end of your first trip so you are not without teeth while the implants integrate. Your dentist confirms this as part of your treatment plan.
Is there a warranty on the All-on-4 prosthesis?
The prosthetic warranty for All-on-4 restorations is not something we can state a specific period for in this guide — ask your dentist directly for the current after-care and warranty policy when you receive your written quote.
How many trips to Hanoi will upper-arch All-on-4 need?
Typically two: an initial 5–7 day trip for consultation, scanning, surgery and a temporary prosthesis, and a second 4–5 day trip 4–6 months later for the final fixed prosthesis once the implants have integrated.
Can I get a fixed price before I travel?
You can get a written, itemised estimate based on a remote review of your CBCT scan or panoramic X-ray. The final fixed treatment plan — including brand, prosthetic material, and whether a sinus lift is needed — is confirmed after an in-person clinical examination.
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

