[HỎI ĐÁP BÁC SĨ]: What Is the Realistic Total Cost of Full-Arch Implants at Dr. Care, Including the Final Teeth and Follow-Up?

Hello Thuy. If you are comparing a UK quote with treatment at Dr. Care, the first thing I would recommend is making sure that both quotations cover the same stages of treatment.

With full-arch Implant treatment, the advertised Implant price and the amount you ultimately pay to complete the permanent teeth are not necessarily the same figure.

At Dr. Care, the currently published Implant component for one arch ranges from VND 109,000,000 to VND 149,000,000 for All-on-4 and from VND 158,000,000 to VND 218,000,000 for All-on-6, depending on the Implant system selected.

The definitive fixed teeth are priced separately.

Once the Implant component and definitive full-arch prosthesis are combined, the currently published reference total is approximately VND 139,000,000–223,000,000 for one All-on-4 arch and approximately VND 194,000,000–297,000,000 for one All-on-6 arch.

Using a recent exchange rate of approximately VND 35,400 to £1 only as a currency reference, that is roughly £3,900–£6,300 for All-on-4 or approximately £5,500–£8,400 for All-on-6 per arch.

The clinic bills in Vietnamese Dong, however, so the pound equivalent will change with the exchange rate and any card or bank conversion charges.

Those figures are for one arch, not both jaws.

If you need both the upper and lower arches treated, the total treatment cost should not simply be assumed from a UK “full-mouth” quotation without first checking whether the UK figure refers to one arch or both arches.

This is one of the most common reasons Implant quotes appear dramatically different when patients compare clinics or countries.

I would also clarify your use of the word “crown.”

In a full-arch All-on-4 or All-on-6 case, we are generally not making twelve individual Implant crowns.

The four or six Implant fixtures support a connected full-arch prosthesis. Depending on the restorative design, this may include a supporting bar together with the replacement teeth and artificial gingival portion.

So for a fair price comparison, you should ask whether the quote includes the definitive full-arch bridge, not simply whether it includes “crowns.”

At Dr. Care, the current dental implant price list separates the Implant component from the definitive prosthesis so that you can see where the total comes from.

The published full-arch Implant prices above currently include 10% VAT.

They do not include the definitive fixed arch, which is selected separately according to the restorative material and bar design.

That is how the complete reference ranges are reached.

For example, the lowest currently published All-on-4 combination is VND 109,000,000 for the Neodent Implant component plus VND 30,000,000 for the Justy fixed restoration on a cast bar, giving approximately VND 139,000,000 for one completed arch.

At the upper end, a VND 149,000,000 Implant option combined with the VND 74,000,000 ceramic restoration on a CAD/CAM bar gives approximately VND 223,000,000.

For All-on-6, the same principle gives a published complete reference range of approximately VND 194,000,000–297,000,000 per arch.

I would not recommend choosing the most expensive combination simply because your UK quotation is much higher.

The correct Implant system and definitive restoration should be selected according to your bone anatomy, bite, opposing teeth, chewing forces, hygiene requirements, esthetic expectations and long-term maintenance plan.

A more expensive Implant does not automatically mean a better result for every patient.

The same applies to choosing All-on-6 instead of All-on-4.

If four implants can be positioned appropriately and provide a sound foundation for the planned fixed prosthesis, All-on-4 can be a predictable solution. If six favorable positions exist and the extra Implant support provides a real prosthetic advantage, All-on-6 may be appropriate.

I would not place two additional implants simply because your budget allows it.

Before recommending either option, your treatment would follow Dr. Care's standard clinical dental implant protocol, including medical assessment, clinical examination, CBCT Cone Beam 3D imaging and a prosthetically driven treatment plan.

If you still have natural teeth, each remaining tooth should also be assessed individually.

Full-arch treatment is appropriate when the arch is already edentulous or the remaining teeth have such a poor prognosis that maintaining them is no longer reasonable. I would not recommend extracting maintainable natural teeth simply to access a lower-priced All-on-4 package.

The next issue is what might sit outside the VND 139–223 million or VND 194–297 million reference ranges.

This is where I would be particularly careful when comparing a Vietnamese quote against a UK quotation.

To answer your follow-up question directly: the scheduled follow-up visits that form part of the Implant treatment pathway are currently not charged as separate examination fees at Dr. Care.

For example, the current full-arch pathway includes an early bite adjustment after the provisional restoration, monitoring of Implant integration, subsequent restorative records and try-ins, delivery of the definitive arch and further bite adjustment.

Dr. Care also currently states that periodic warranty examinations do not carry an additional examination fee.

However, I would not interpret that as “everything related to my implants will be free forever.”

There is an important difference between a follow-up examination and additional treatment.

If you attend for a scheduled review and I examine the tissues, assess the bite and evaluate the implants, that is a follow-up visit.

If ten years later the restoration is damaged because of trauma, significant grinding, material wear or a new peri-implant disease, the treatment required to repair that problem may not be covered simply because the review itself is free.

Likewise, a new CT scan, professional maintenance procedure, periodontal treatment or replacement prosthetic component may be treated separately depending on the reason it is required and the written warranty conditions.

This distinction is particularly important for someone living in the UK.

Travel itself is not included in the dental fee.

You should therefore compare the Vietnam treatment cost together with flights, accommodation and the possibility of a second trip for the definitive restoration.

For most overseas full-arch patients, Dr. Care's current treatment pathway separates the surgical/provisional stage from the definitive prosthetic stage by an osseointegration period of approximately 4–6 months.

This means a patient from the UK should not assume that one return ticket is the entire non-dental cost of treatment.

A realistic international budget should include at least the possibility of two Vietnam trips unless your personal treatment plan says otherwise.

I would be particularly cautious with an overseas quote advertised simply as “All-on-4 from X pounds” without stating which stage the price reaches.

A low figure may refer only to the four Implant fixtures.

Another quote may include the surgery and temporary bridge but exclude the definitive bridge.

A third quote may include the final bridge but only in one basic material.

The correct comparison is therefore the cost from diagnosis through the definitive prosthesis, with the exact restorative material specified.

That is why the published Dr. Care full-arch Implant treatment page shows both the Implant component and the four current definitive prosthetic choices.

If your case is straightforward and does not require additional bone reconstruction, the VND 139–223 million All-on-4 or VND 194–297 million All-on-6 reference ranges give you a much more realistic starting point than the Implant-only price.

If your CBCT shows severe bone loss, the budget can change.

Bone grafting does not have one universal published fee because a small localized graft is not equivalent to a large ridge reconstruction or sinus augmentation.

I would therefore not add an invented “average grafting cost” to make the total look more complete.

Instead, you should receive an individualized written estimate after the CBCT identifies whether augmentation is necessary and what procedure is proposed.

The same principle applies to tooth extraction.

If you already have a completely edentulous arch, there may be no teeth to remove. If several severely compromised teeth remain, the surgery may include additional procedures.

Your final estimate should state those items individually rather than leaving them under an ambiguous phrase such as “possible extra costs.”

For an overseas patient, I would ask for the quotation in a format that separates the treatment into four blocks.

That written breakdown is more useful than comparing only the headline number with £20,000.

You may find that the Vietnam clinical fee remains substantially below the UK quotation even after selecting a higher-tier Implant and definitive ceramic prosthesis.

But the reason to travel should not be simply “the price is one-third as much.”

The treatment still has to be clinically appropriate, and you need a practical plan for the healing period, the return visit and long-term maintenance once you are back in the UK.

If you later have routine checks with a UK dentist, you should keep your Implant documentation, radiographs, exact Implant system and prosthetic-component information so that care can be transferred more easily.

If a UK dentist provides routine examination or professional hygiene after you return home, those UK fees obviously would not be included in the Dr. Care treatment price.

Likewise, if you choose to return to Vietnam for periodic maintenance, your travel and accommodation costs remain separate even when Dr. Care does not charge an examination fee for the review itself.

For you, Thuy, I would therefore budget using the following principle rather than the lowest advertised Implant number.

If your final diagnosis supports All-on-4, think of approximately VND 139–223 million per arch for the currently listed Implant-plus-definitive-prosthesis combinations.

If All-on-6 is indicated, think of approximately VND 194–297 million per arch.

Then add only the procedures that your own CBCT demonstrates you actually require, together with your international travel expenses.

Scheduled treatment follow-ups should not be added as a separate consultation charge, but I would still ask for the aftercare and warranty terms to be written into your treatment plan so that there is no confusion between a free review and a free future repair.

That is the most realistic way to compare Dr. Care with a £20,000-plus UK quotation.

This consultation is general guidance only because I have not reviewed whether you need one arch or two, whether All-on-4 or All-on-6 is appropriate, how much bone is available, whether grafting is required or which definitive restorative material you would choose. A final cost can only be confirmed after clinical examination and CBCT assessment.

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