All-on-4 is one of the most transformative dental procedures available, replacing a full arch of teeth with just four strategically placed implants. It is also one of the most complex and expensive treatments offered in Turkish dental tourism. Getting it right demands expert planning. Getting it wrong can be devastating.
Both are full-arch implant solutions, but they differ in the number of supporting implants and their suitability for different clinical situations.
Four implants support a full arch of teeth (typically 10-14 teeth on a single bridge). Two implants are placed vertically at the front of the jaw, and two are angled at up to 45 degrees at the back. This angulation avoids the need for bone grafting in many cases by utilizing the existing bone structure more efficiently.
Originally developed by Nobel Biocare under the name "All-on-4," this protocol has been extensively studied with long-term clinical data supporting success rates of over 95% when performed correctly.
Six implants provide additional support and load distribution for the prosthetic bridge. This can offer greater stability and is sometimes recommended for larger jaws, patients with lower bone density, or cases where a longer bridge span is planned.
The extra two implants increase cost but may provide a longer-lasting and more stable result. Not all cases require six implants. A good clinician will recommend the appropriate number based on your specific bone anatomy and CBCT scan findings.
The decision between All-on-4 and All-on-6 should be based on your bone anatomy, not a clinic's package pricing. A CBCT scan and thorough clinical assessment are essential before this decision is made. Be cautious of clinics that recommend one protocol over another without reviewing your imaging first.
All-on-4 is not suitable for everyone. A thorough evaluation determines whether this procedure is the right choice for your specific situation.
Understanding each phase helps you evaluate whether a clinic's proposed timeline is clinically sound.
CBCT 3D scan, full clinical examination, medical history review, and detailed treatment planning. This should happen before any surgery is scheduled. Some clinics conduct this remotely using scans from your home country.
Remaining failing teeth are extracted. In many protocols, extractions and implant placement happen in the same surgical session. Your dentist should explain whether same-day placement is appropriate for your case.
Four to six titanium implants are placed into the jawbone under local anesthesia or sedation. The angled posterior implants maximize contact with available bone. Surgery typically takes 2-3 hours per arch.
A temporary fixed bridge (usually PMMA or acrylic) is attached to the implants. This gives you functional teeth while the implants heal. The temporary bridge is not the final product and is designed to be lighter to reduce stress on healing implants.
Osseointegration occurs while you are at home with your temporary teeth. During this period, you must follow a modified diet and maintain excellent oral hygiene. Regular check-ups with a local dentist are advised.
After healing is confirmed, the temporary bridge is replaced with the permanent prosthetic, typically made of monolithic zirconia or zirconia layered with porcelain. This trip usually requires 5-7 days for impressions, try-in, and final fitting.
All prices in euros. These are typical ranges that include implant placement, temporary prosthetic, and final prosthetic unless otherwise noted. Travel and accommodation costs are not included.
| Procedure | Turkey | UK | US | Australia |
|---|---|---|---|---|
| All-on-4 (per arch, acrylic/PMMA) | 3,500 - 6,000 | 10,000 - 15,000 | 15,000 - 25,000 | 15,000 - 25,000 |
| All-on-4 (per arch, zirconia final) | 5,000 - 9,000 | 15,000 - 22,000 | 20,000 - 35,000 | 20,000 - 30,000 |
| All-on-6 (per arch, acrylic/PMMA) | 4,500 - 7,500 | 12,000 - 18,000 | 18,000 - 30,000 | 18,000 - 28,000 |
| All-on-6 (per arch, zirconia final) | 6,000 - 11,000 | 18,000 - 25,000 | 25,000 - 40,000 | 22,000 - 35,000 |
| Both arches All-on-4 (zirconia) | 10,000 - 18,000 | 28,000 - 42,000 | 40,000 - 70,000 | 38,000 - 60,000 |
| Extractions (full mouth) | 200 - 600 | 500 - 2,000 | 1,000 - 3,000 | 800 - 2,500 |
For a personalized estimate, use our Cost Calculator. Always confirm whether quoted prices include the final zirconia prosthetic or just the temporary.
This is one of the most frequently asked questions, and the answer requires nuance.
During a single trip (7-10 days), a clinic can extract failing teeth, place implants, and attach a temporary fixed bridge. You will leave Turkey with functional teeth. However, the temporary bridge is not the final product. It is made from lighter materials (PMMA or acrylic) designed to minimize stress on healing implants.
The final zirconia prosthetic should only be placed after 3-6 months of healing, once osseointegration is confirmed. Clinics that promise to complete the entire process with a permanent zirconia bridge in a single trip are compressing timelines in a way that increases the risk of implant failure.
Understanding the difference between your temporary and final prosthetic is critical for managing expectations and evaluating quotes.
Important pricing note: Some clinics quote a low price that only includes the temporary PMMA bridge. The final zirconia prosthetic is then presented as an additional cost. Always confirm in writing whether the quoted price covers the complete treatment including the final zirconia prosthetic.
Based on Dr. Taslidere's experience reviewing All-on-4 treatment plans, these are the most frequent errors patients make when pursuing this treatment abroad.
All-on-4 varies enormously in cost for good reason. The implant brand, the surgeon's experience, the laboratory quality, and whether the final prosthetic is included all affect the price. The cheapest quote often excludes critical components or uses inferior materials.
All-on-4 is an advanced surgical procedure. Ask specifically how many All-on-4 cases the surgeon has completed. A general dentist with limited implant experience should not be performing this procedure. Look for an oral surgeon or implantologist with documented experience.
No All-on-4 treatment plan should be finalized without a CBCT (cone beam computed tomography) scan. This 3D imaging reveals bone density, nerve positions, sinus proximity, and other critical anatomical details that determine implant placement.
Patients who try to complete everything in one trip often end up with a permanent prosthetic placed on implants that have not fully integrated. This increases the risk of failure and may require the entire procedure to be redone.
Ask what happens if an implant fails within 1, 2, or 5 years. Does the warranty cover just the implant replacement or also the new prosthetic? Who pays for travel costs? Get all warranty terms in writing before surgery.
You need a dentist at home who can monitor your healing, take follow-up X-rays, and manage any complications that arise during the 3-6 month healing period. Arrange this before your trip, not after.
These questions help distinguish experienced, transparent clinics from those cutting corners. A confident practitioner will welcome these inquiries.
All-on-4 treatment represents a significant financial and clinical commitment. The consequences of a poorly planned or executed procedure can include implant failure, bone loss, infection, and the need for costly revision surgery. Dr. Taslidere independently evaluates your CBCT scans, treatment plan, and pricing to ensure your proposed treatment is sound.
With no clinic affiliations and no referral commissions, his only interest is ensuring your treatment plan serves your clinical needs.
Explore our comprehensive guides on other popular dental treatments in Turkey.
This is one of the most significant dental procedures you can undergo. An independent review of your treatment plan, timeline, and pricing could save you from costly complications. Get expert guidance before you commit.
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