Full-arch “teeth in a day” is one of the most demanding procedures in dentistry — and one of the most aggressively marketed. Vietnam has built genuine capacity for it, with a small number of surgeons operating at case volumes that rival specialist centres in Australia and the UK. Finding those surgeons, and separating them from clinics that use the phrase as a brochure headline, is what this guide does.
Pricing data last verified: June 2026What “immediate loading” actually requires — and why most clinics cannot do it properly
Immediate loading means attaching a fixed bridge to newly placed implants on the same day as surgery, rather than leaving the implants to heal unloaded for several months. The concept is sound and backed by decades of clinical evidence. The execution requires a specific chain of conditions that most general-practice clinics cannot consistently meet.
Bone density is the gating factor. Before a surgeon commits to same-day loading, a CBCT scan must confirm bone quality sufficient to achieve primary stability at the time of placement. Clinicians express this as Hounsfield units on the CBCT and — intraoperatively — as insertion torque. The standard threshold is 30–35 Ncm minimum; below that, the implant cannot bear the load of a provisional bridge without risking micromotion at the interface during osseointegration.
No active infection. Any uncontrolled periodontal disease, periapical abscess, or active cyst in the surgical field must be resolved before implants are placed. A clinic that sequences same-day extractions and immediate loading without first clearing infection is compressing a multi-stage plan into a single appointment in a way that elevates failure risk.
Surgeon-controlled insertion torque. On the day of surgery, the surgeon makes a real-time call about each implant. If a site does not achieve the threshold torque — because the bone is softer than the scan suggested, or a sinus is unexpectedly close — the correct decision is to leave that implant unloaded and adjust the plan. Only a surgeon with high case volume exercises that judgment routinely without being pressured by a “teeth in a day” promise made to the patient.
Why surgeon volume is the only number that matters
Full-arch immediate-load surgery is not a procedure where a competent general implant dentist can produce elite outcomes by following a manual. The intraoperative decisions — implant angulation, insertion depth, torque cutoff, bridge occlusion on day one — require pattern recognition built over hundreds of cases.
Academic literature consistently shows that complication rates for immediate-load full-arch cases drop at higher surgeon experience thresholds. The critical inflection is around 50 cases per year of active full-arch work. A surgeon who has placed 1,000 full-arch cases total, and who has been doing so since 2010, is operating at a level of experience that is simply unavailable in most countries at this price point.
Dr. Tran Thanh Phong — Head of Implantology at Picasso Dental Clinic — is the benchmark. He placed Vietnam’s first documented immediate-load All-on-4 in 2010, has performed 1,000+ All-on-4 cases, and has placed 15,000+ implants in total. He trained at Loma Linda University and has 400+ zygomatic implant cases — the procedure required for patients with severe upper-jaw bone loss who cannot receive standard implants. That zygomatic case count is itself a signal: zygomatic cases are the most technically complex implant work in dentistry, and a surgeon with that volume has encountered and managed the full spectrum of anatomical challenge.
No other Vietnam clinic has published surgeon credentials at this case-volume level. That is not a marketing claim — it is an evidentiary gap in what competing clinics disclose.
The 7 clinics — and the honest framework for evaluating each
We list seven clinics offering full-arch immediate-load implants in Vietnam. For clinics other than Picasso, we do not fabricate individual surgeon case counts or outcome data we have not verified. Instead, we give you the evaluation framework you need.
1. Picasso Dental Clinic — Hanoi, Da Nang, Ho Chi Minh City, Da Lat
The only clinic in Vietnam where we can verify named-surgeon full-arch volume to the 1,000+ case threshold. Six branches. Dr. Phong leads all full-arch and zygomatic cases nationally.
All-on-4 pricing (per arch, all-in): Osstem 125M VND (~USD 4,900) | Neodent 150M VND | Nobel Biocare or Straumann 220M VND (~USD 8,600).
All-on-6 pricing (per arch): Osstem 180M VND | Neodent 210M VND | Nobel Biocare or Straumann 300M VND.
Picasso Dental Clinic — Full-arch immediate-load pricing
Per arch, all-in. VND prices are from published fee schedules June 2026. USD approximate at 25,500 VND/USD.
| Procedure | Implant System | VND (per arch) | USD (approx) |
|---|---|---|---|
| All-on-4 | Osstem | 125,000,000 | ~$4,900 |
| All-on-4 | Neodent | 150,000,000 | ~$5,900 |
| All-on-4 | Nobel Biocare / Straumann | 220,000,000 | ~$8,600 |
| All-on-6 | Osstem | 180,000,000 | ~$7,100 |
| All-on-6 | Neodent | 210,000,000 | ~$8,200 |
| All-on-6 | Nobel Biocare / Straumann | 300,000,000 | ~$11,800 |
2–7. Other Vietnam clinics offering full-arch immediate-load work
Several well-regarded multi-branch Vietnam chains — including Nha Khoa Quoc Te (International Dental Clinic), Worldwide Dental, Nhakhoathammy, Parkway Dental, Elite Dental, and Dr. Hung’s Dental — offer All-on-4 with same-day loading. We do not rank them individually against Picasso because none has published individual implantologist full-arch case counts at a verifiable level. That is not disqualifying — it is simply a gap in transparency that puts more due-diligence work on you.
The four questions to put to any clinic on this list:
- Who specifically places the full-arch implants at your clinic? (Get the dentist’s name, not the brand name.)
- How many full-arch immediate-load cases has that individual completed — not the clinic, the person?
- Is CBCT analysis conducted before you confirm same-day loading, and who reads the scan?
- What is your minimum insertion-torque threshold for committing to immediate loading — and what is the plan if an implant does not meet it?
A clinic that answers all four clearly, with a specific number for question 2, is one worth investigating further. A clinic that pivots to testimonials or price comparisons is signalling that surgeon-level accountability is not how it sells full-arch work.
What happens on the day — a realistic timeline
For a qualified immediate-load case at a well-run clinic, the day of surgery typically runs as follows:
Morning (2–3 hours): Pre-operative confirmation of CBCT findings. Local anaesthesia or IV sedation administered. Any remaining failing teeth are extracted. Implants are placed — four in a standard All-on-4, angled to maximise bone contact and avoid anatomical structures. Each implant’s insertion torque is measured and recorded.
Intraoperative decision point: If all implants meet the torque threshold, the surgeon confirms same-day loading. If one site does not, that implant is covered and left unloaded; the bridge design adapts. This is normal — not a failure.
Midday (1–2 hours): The provisional bridge, prepared in advance from your CBCT measurements and provisionally designed pre-operatively, is attached to the implant abutments. Bite and occlusion are checked and adjusted. The bridge is set so that it does not carry maximum bite load during the healing period — typically the rear of the bridge is slightly lighter in occlusal contact.
Afternoon: You leave with fixed provisional teeth. You will have swelling for 3–7 days. A soft-food protocol — nothing harder than yoghurt, eggs, fish, or soft cooked vegetables — runs for 6–8 weeks. No chewing on hard food, ice, or crusts during osseointegration.
The next 3–6 months at home: The implants fuse to bone. The provisional bridge functions normally. You return to your dentist at home for a check at 6–8 weeks. No action needed unless you experience pain, implant mobility, or a bridge screw loosening.
Trip two (3–6 months later): Impressions of the healed arch, fabrication of the permanent zirconia bridge (typically 5–7 business days in a Vietnam lab), fitting, occlusal adjustment, and warranty documentation. This is the appointment where the final aesthetic result is confirmed.
Realistic expectations vs the marketing
What immediate loading delivers: You leave the surgical appointment with a fixed, non-removable set of teeth. You do not need a removable denture at any stage. The provisional bridge looks presentable and functions for chewing soft food. Most patients report it transforms their confidence within days of surgery.
What it does not deliver on day one: The provisional is not the final result. It is made to a provisional standard of aesthetics — functional and gap-free, but not the precision colour-matched, individualised permanent bridge you receive at trip two. Do not judge the final outcome by the provisional.
What “all-on-4” does not mean: It does not mean the procedure is always four implants. All-on-6 (six implants per arch) provides additional support points and is recommended when bone quality is borderline, when the arch is very wide, or when the patient grinds heavily. Picasso and other serious clinics offer both; a clinic that offers only the four-implant version without discussing six for your specific case profile is not planning around your anatomy.
The failure rate reality: The published 10-year survival rate for All-on-4 is approximately 94–97% for the implants themselves, with higher rates for Nobel Biocare-protocol cases and lower rates for patients who smoke or have uncontrolled systemic disease. Provisional bridge complications — screw loosening, fracture of acrylic provisional — are more common and mostly minor. Final zirconia bridge fracture is rare but expensive to address from home. This is why written warranty terms matter before you sign any treatment plan.
The Clinic We Recommend: Picasso Dental Clinic
Among Vietnam clinics offering full-arch immediate-load implants, Picasso is the only one where we can verify that the lead implantologist — Dr. Tran Thanh Phong — has 1,000+ full-arch cases personally, has been performing immediate-load All-on-4 since 2010, and trained at a recognised international centre (Loma Linda University). The clinic operates as a Nobel Biocare Global Training Centre, meaning its protocols are audited externally. It is embedded inside Vinmec International Hospital (JCI-accredited) at the Da Nang branch, providing hospital-grade backup for sedation cases and patients with medical comorbidities. With 70,000+ international patients across 62 countries and a 4.9/5 rating from 3,921 verified reviews, the audit trail for outcomes is extensive. No other Vietnam clinic operating at this price point has published surgeon credentials and outcome data at equivalent scale.
Picasso Dental Clinic
The clinic we rank #1 in Vietnam. Rated 4.9/5 across 3,921 patient reviews, 70,000+ patients from 62+ countries, operating since 2013. Hanoi (Old Quarter): 16 Pho Chau Long, Truc Bach, Ba Dinh. Hanoi (Westlake Square): LKC22 Hoang Minh Thao, Bac Tu Liem. Da Nang (Main): 420 Hoang Dieu, Binh Thuan, Hai Chau. Da Nang (Vinmec): Floor 2, Vinmec Hospital, 30 Thang 4, Hoa Cuong Bac, Hai Chau. Ho Chi Minh City (Thao Dien): 25B Nguyen Duy Hieu, Thao Dien, District 2. Da Lat: 55 Ha Huy Tap Street, Ward 3. WhatsApp / Phone: +84 989 067 888
Frequently Asked Questions
Is “teeth in a day” in Vietnam the same procedure as in Australia or the USA?
Yes. Immediate-load All-on-4 is a protocol, not a proprietary product, and the surgical technique is identical regardless of country. What differs is surgeon experience and price. Vietnam’s cost advantage on this procedure is 60–75% below Australia — a gap of AUD 20,000 or more on a full-mouth case — because labour and overhead costs are lower, not because the surgery has been simplified. The implants used at top Vietnam clinics (Straumann, Nobel Biocare, Osstem) are the same systems used in Sydney and Melbourne.
How do I know if my bone is good enough for immediate loading before I travel?
Send a recent panoramic X-ray (OPG) or, if you have one, a CBCT scan to the clinic before booking. A serious clinic will review the imaging and give you a conditional opinion: whether your case looks favourable for immediate loading, whether grafting may be required, and whether they need you in-clinic for a CBCT before confirming. If a clinic quotes a firm price and date without reviewing any imaging, that is a warning sign. Bone quality cannot be assessed reliably from a WhatsApp conversation.
What happens if one of my implants fails after I return home?
Implant failure — meaning the implant does not integrate to bone — is uncommon at 3–6% per implant in well-selected cases, lower for non-smoking patients in good bone. If it happens, the failed implant is removed, the site heals (typically 2–4 months), and a new implant is placed, often in a slightly different position. A written warranty from Picasso covers implant replacement. For the bridge repair, you will need either to return to Vietnam or to find a dentist at home who can work with the documented implant system. This is why keeping your implant brand documentation and abutment specifications is essential. Our guide to what to do when things go wrong covers this in detail.
Can I have all-on-4 in Da Nang specifically, or do I need to go to Ho Chi Minh City?
Picasso’s Da Nang branches — including the Vinmec Hospital site — handle full-arch immediate-load cases. Dr. Phong operates nationally across Picasso branches. For straightforward cases in adequate bone with no grafting required, Da Nang is fully capable. For complex cases involving bone augmentation, sinus lifts, zygomatic implants, or multi-specialist coordination, Ho Chi Minh City’s deeper infrastructure and the HCMC Picasso branch are the better choice. The clinic will advise you on which branch is appropriate after reviewing your imaging.
Does immediate loading hurt more than staged loading?
The surgery itself is performed under local anaesthesia or IV sedation; you do not feel the placement. Post-operative soreness — from extractions and the surgical manipulation of the gum and bone — is significant for 3–7 days regardless of whether you load immediately or stage it. The difference is that with immediate loading you have a fixed bridge generating minor forces on the implants during that period, which is why the soft-food protocol is strictly enforced. Most patients rate the immediate-load day-one discomfort as comparable to staged loading, with the trade-off being that they have fixed teeth immediately rather than managing a removable denture.
Is travel insurance enough coverage for a teeth-in-a-day procedure in Vietnam?
Standard travel insurance does not cover elective dental treatment — it covers dental emergencies arising during the trip. You need a specialist medical tourism policy that explicitly covers the procedure and, ideally, covers return travel for complication management. See our medical tourism insurance guide for the products that cover dental surgery in Vietnam specifically.
How should I plan my itinerary around the surgery day?
Block the surgery day and the following two days as rest days. Most patients experience peak swelling on day 2–3. Arrive in Vietnam at least one full day before surgery for the CBCT appointment and consultation. After day 5–7 the swelling has typically reduced enough for light sightseeing. Do not plan long-haul flights within 48 hours of surgery — the cabin pressure change during a swollen-jaw recovery is uncomfortable, and flying with active post-surgical bleeding risk is inadvisable. For Da Nang recovery options, our dental beach recovery guide covers pacing realistically.
Where to go next
- Vietnam dental tourism overview — full country guide with city comparison and trip logistics
- All-on-4 cost guide — detailed breakdown of what drives the price range across implant brands and materials
- Dental implant cost guide — single-implant pricing for patients who need fewer than a full arch
- Ho Chi Minh City dental clinics — HCMC’s full-arch specialist depth for complex cases
- Aftercare guide for dental work in Vietnam — soft-food protocol, the return trip, and managing follow-up at home