[HỎI ĐÁP BÁC SĨ]: What Is Actually Included in the All-on-4 Price, and Which Items May Be Charged Separately?

Hello Andrew. The first thing I would clarify is that several separate line items do not necessarily mean that you are being charged hidden fees.

At Dr. Care, full-arch treatment is currently priced in stages, and the headline All-on-4 number is not the same thing as the total price of a completed permanent set of teeth.

The current published price for the Implant portion of one All-on-4 arch is VND 109,000,000–149,000,000 depending on the Implant system. Those figures include VAT.

The definitive fixed full-arch prosthesis is then priced separately according to the tooth material and the type of supporting bar.

So if your quotation contains one line for “All-on-4 Implant” and another for “definitive prosthesis,” that separation is consistent with Dr. Care's current pricing structure rather than automatically being a duplicate charge.

Let us start with the VND 109–149 million figure because this is where most misunderstandings begin.

Dr. Care's current dental Implant price list publishes the following Implant-stage prices for one All-on-4 arch:

These figures currently include VAT.

What they do not include is the definitive long-term fixed bridge.

This is an important distinction because patients sometimes receive a quotation showing VND 129 million for All-on-4 and reasonably assume that the number represents everything from surgery through the final permanent teeth.

Under the current published structure, it does not.

Dr. Care divides the full treatment into the Implant portion and the definitive prosthetic portion.

The provisional restoration is another separate concept.

Under the current program, a provisional fixed arch with a published reference value of VND 10 million per arch is provided when all clinical requirements are satisfied.

That does not mean every patient is automatically guaranteed a load-bearing fixed provisional bridge immediately after surgery.

The implants must achieve appropriate initial stability and the surgical condition must permit the planned loading protocol.

If stability is inadequate, the treatment team should change the loading strategy rather than force a provisional fixed restoration solely because it appears in the package.

The definitive bridge is where the next major line item comes from.

For All-on-4, Dr. Care currently publishes four final prosthetic options:

Once the Implant stage and definitive bridge are combined, the current published complete reference range for one All-on-4 arch is approximately VND 139,000,000–223,000,000.

That range is more useful when you are budgeting from Dubai because it represents the expected Implant-plus-final-prosthesis structure rather than only the surgical Implant line.

For example, a Neodent All-on-4 with the VND 30 million Justy/cast-bar final prosthesis produces a reference total of VND 139 million.

At the other end, a VND 149 million Nobel Active or Straumann SLActive Implant stage combined with the VND 74 million ceramic/CAD-CAM definitive bridge produces a reference total of VND 223 million.

Neither number automatically includes every possible additional surgical procedure.

This is where the word “extra” needs to be used carefully.

There are predictable separately priced treatment stages, such as the definitive bridge, and there are conditional expenses that arise only if your anatomy or medical treatment requires them.

I would not group those together.

Bone grafting is one of the most common potential additional items.

All-on-4 is specifically designed to make strategic use of available bone, and the angled posterior Implant concept can reduce the need for grafting in some patients.

But “All-on-4” does not mean “bone grafting is impossible or always unnecessary.”

If your ridge is very thin, irregular or deficient in an area needed for safe Implant placement, additional augmentation may still be indicated.

The current Dr. Care price page identifies bone grafting and sinus augmentation as possible additional treatment expenses when clinically required.

I would therefore expect a transparent quotation to state one of three things: no graft is currently anticipated; a specific graft is already planned and priced; or the need cannot be finalized until CBCT/direct examination.

I would be cautious about a quotation that simply contains a vague line called “bone treatment” without explaining what procedure is being performed.

The same applies to sinus augmentation.

This is primarily relevant when treating the posterior upper jaw and available bone below the maxillary sinus is insufficient.

All-on-4 often allows the surgeon to work around unfavorable posterior sinus anatomy, but some patients still require additional sinus or bone procedures.

Those should be tied directly to your CBCT findings.

If your quotation includes sinus surgery for a lower-jaw All-on-4, for example, I would immediately ask for clarification because the maxillary sinus is an upper-jaw anatomical structure.

DCARER Navigation is more straightforward from a pricing perspective.

Dr. Care's current public price list states a surcharge of VND 5,000,000 per case when the DCARER navigation system is used.

It is not mandatory for every All-on-4 patient.

Dynamic navigation can assist the surgeon in following the planned Implant position, angle and depth in real time when the anatomy and surgical plan make that useful.

It does not create bone and should not be presented as a required upgrade simply because you selected a premium Implant system.

If your quote contains a VND 5 million DCARER line, I would ask the surgeon to show you why navigation is beneficial in your particular anatomy.

Another item that deserves clarification is postoperative medication.

Current Dr. Care guidance states that planned follow-up visits within the treatment pathway do not carry a separate consultation charge simply because you return for the scheduled review.

These can include postoperative wound review, suture management, provisional adjustment, monitoring of integration, restorative records, try-ins and delivery stages that belong to the agreed treatment pathway.

Medication is different.

The postoperative prescription depends on surgical extent, medical history, allergies and the medications you already use. The medication cost should therefore not automatically be assumed to be contained within the published Implant-stage price unless your written quotation specifically says that it is included.

I would pay particular attention to multi-unit abutments and prosthetic screws when reading your itemized quotation.

In an All-on-4 restoration, the bridge does not simply sit directly on four generic titanium screws.

There are prosthetic connection components that allow the implants to support a retrievable full-arch restoration.

Dr. Care's own guidance on comparing full-arch quotations recommends checking whether multi-unit abutments and related prosthetic components are included rather than assuming that the phrase “four implants” covers every connector.

However, the current public VND 109–149 million price table does not break the All-on-4 Implant-stage figure down to the level of each individual multi-unit component.

Therefore, if your personal quotation contains separate lines for multi-unit abutments, I would not automatically label them a duplicate charge—but I would ask the treatment coordinator to map those lines clearly against the published All-on-4 package.

The clinic should be able to tell you in writing whether those components are already incorporated into the agreed Implant-stage package or are being charged separately in your specific treatment plan.

This is especially important for an overseas patient because the exact Implant and prosthetic system affects future maintenance in Dubai or elsewhere.

I would want the quote and eventual Implant record to identify the manufacturer of the fixtures and the relevant prosthetic components rather than using vague terms such as “premium abutment.”

To avoid double-counting, I would also look carefully at the wording around the bar.

The definitive All-on-4 options published by Dr. Care are already described as combinations such as Justy resin teeth on a cast bar, Justy resin teeth on a CAD/CAM bar, ceramic on a cast bar or ceramic on a CAD/CAM bar.

Therefore, if you have selected a VND 74 million ceramic/CAD-CAM final prosthesis and then see another full CAD/CAM bar charge added underneath, ask whether that represents a genuinely different component or whether the same bar has been counted twice.

The answer may be legitimate—for example, the quote may separate laboratory production for accounting purposes—but the total should reconcile with the agreed treatment package.

A useful quotation should ultimately allow you to answer one simple question: “If the treatment proceeds exactly as currently planned, what is the total amount I will pay to leave with the definitive fixed arch?”

If that number cannot be calculated from the document, I would ask for the quote to be rewritten more clearly before paying a major deposit.

The quotation should also distinguish predictable treatment from contingency costs.

For example, if CBCT has already shown that you need a specific graft, that should be part of the planned total.

If grafting is only a possibility if unexpected bone conditions are found during surgery, then the quote should identify it as a contingency rather than silently adding it to the bill later.

I would use the same approach if sedation or a more complex anesthesia arrangement appears on your quotation.

Do not assume that it is part of the headline All-on-4 price simply because it occurs on the surgery day.

Ask whether it is clinically required, what level of anesthesia is being proposed and what personnel or facility costs the line covers.

The same principle applies to any extraction charges.

If you still have several hopeless teeth that must be removed before or during All-on-4 surgery, the quotation should state whether those extractions are included in the surgical package or billed separately.

The public price information identifies extraction as one of the procedures that can create an additional cost in Implant treatment, so I would not assume its inclusion unless it is written into your personal quote.

For a patient living in Dubai, I would also separate clinical costs from travel costs.

Flights, accommodation and normal living expenses in Vietnam are not part of the dental Implant price unless you have been given a specific written promotion or support arrangement stating otherwise.

A two-trip treatment plan therefore has a real total cost beyond the dental invoice.

When comparing a quotation in Vietnam with one in Dubai, Australia, the UK or elsewhere, use the same scope on both sides.

Do not compare a Vietnamese VND 129 million Implant-stage figure with a foreign quotation that already includes the final bridge, grafting, sedation and maintenance and conclude that one clinic is automatically half the price.

Bring both quotations to the same denominator.

At minimum, compare:

Your final treatment should still follow Dr. Care's standard clinical dental Implant protocol.

The financial structure should reflect the clinical sequence: diagnosis and CBCT, Implant surgery, provisional restoration when appropriate, healing and osseointegration, then the definitive prosthetic phase.

I would be cautious about any quotation that attempts to hide those distinctions under one vague phrase such as “All-on-4 premium package.”

Conversely, an itemized quotation with several lines can actually be more transparent if every component is clearly labeled and the total reconciles properly.

For you, Andrew, I would interpret the current Dr. Care pricing structure in the following practical way:

The VND 109–149 million All-on-4 figure is the published Implant-stage price for one arch and currently includes VAT.

A fixed provisional arch with a published value of VND 10 million is currently available within the program when the implants meet the appropriate loading criteria.

Scheduled follow-up visits that form part of the agreed treatment pathway do not create a new consultation charge each time you attend.

The definitive fixed bridge is separate and currently costs VND 30–74 million per arch depending on whether you choose Justy resin or ceramic and whether the support is a cast or CAD/CAM bar.

That produces a current reference total of approximately VND 139–223 million for a completed one-arch All-on-4 treatment before any genuinely additional case-specific procedures.

Potential additions include procedures such as bone augmentation, sinus treatment, a VND 5 million DCARER Navigation surcharge when clinically indicated, individually prescribed postoperative medication and any other procedure that your personal treatment plan specifically identifies as outside the base package.

For multi-unit abutments, prosthetic screws, extractions and similar detailed components, I would not make an assumption from the headline website price alone. Ask Dr. Care to mark each item on your personal quote as “included in All-on-4 package,” “included in definitive prosthesis,” or “additional charge.” That is the cleanest way to make sure the same item has not been billed twice.

This consultation is general guidance because I have not reviewed the actual quotation you received. Your individual total can only be confirmed by matching each line on that quotation with your CBCT-based treatment plan. If the document is transparent, you should be able to see the Implant-stage amount, provisional arrangement, definitive bridge, confirmed additional procedures and possible contingency costs separately before you commit to treatment or travel.

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