All-on-4 in Vietnam: A Scottsdale Retiree's Full-Mouth Implant Story

Chief Complaint

Linda McCarthy, 58, is a retired administrator from Scottsdale, Arizona. Like many Americans without comprehensive dental coverage, she had been deferring treatment for years — managing with temporaries, avoiding certain foods, and scheduling consultations she never followed through on. When her remaining teeth deteriorated to the point where function was significantly impaired, she began researching alternatives to the US$45,000–$50,000 quotes she was receiving locally.

She found SmileJet, submitted records remotely, and was matched with a verified clinic in Hanoi within 24 hours.

Clinical Findings

Presentation revealed generalised severe periodontitis, multiple non-restorable teeth across both arches, significant bone loss in posterior regions, and a heavily compromised occlusion. Existing restorations were failing. Several teeth had been extracted previously with no replacement, accelerating bone resorption in those sites. Remaining dentition was insufficient to support conventional crown and bridge work.

Radiographic and CBCT assessment confirmed adequate anterior bone volume in both jaws to support an All-on-4 protocol without grafting, making Linda a suitable candidate for immediate-load fixed implant rehabilitation.

Treatment Plan

Visit 1 — 10 days Full-mouth extraction of remaining teeth, placement of four implants per arch (eight total) using a tilted posterior implant protocol, and delivery of fixed acrylic provisional bridges on the day of surgery. Linda left the clinic with functional teeth the same day.

Visit 2 — 6 days (4 months later) Osseointegration confirmed across all eight fixtures. Final monolithic zirconia full-arch bridges fabricated and seated. Occlusal adjustment, phonetics check, and long-term maintenance protocol established.

Cost Comparison

Linda saved over US$34,000 — more than 60% of the equivalent US treatment cost, including both trips to Hanoi.