Hanoi All-on-6
All-on-6 fixed full-arch implants in Hanoi
By SmileJet Editorial Team · Updated May 2026
All-on-6 places six implants per arch instead of four — used where additional stability is clinically indicated, particularly for upper arches with softer bone or for patients with heavier bite forces. Available at SmileJet-verified Hanoi clinics from US$7,800 per arch (A$11,934).
All-on-4 vs All-on-6 — when six implants makes sense
All-on-4 is the standard fixed-implant protocol for most full-arch cases — four implants reliably support a full-arch bridge in patients with adequate bone. All-on-6 adds two more implants for cases where the extra anchorage is clinically beneficial.
All-on-4 — when it fits
- Lower arch (denser cortical bone)
- Adequate bone volume per CBCT
- Standard biting forces
- Standard recovery timeline
- Lower cost per arch
All-on-6 — when it adds value
- Upper arch with softer trabecular bone
- Heavier bite forces or bruxism history
- Cases where future implant loss could be catastrophic
- Where bone volume supports six placements without grafting
- Patient preference for added redundancy
CBCT review at the SmileJet-verified Hanoi clinic confirms which protocol fits your case. The recommendation is clinical, not commercial.
All-on-6 pricing — Hanoi
Per arch. 1 USD = 1.53 AUD / 1.75 NZD / 0.79 GBP / 1.37 CAD
| Configuration | USD from | AUD from | GBP from |
|---|---|---|---|
| All-on-6 Osstem (single arch) | $7,800 | A$11,934 | £6,162 |
| All-on-6 Dentium (single arch) | $8,000 | A$12,240 | £6,320 |
| All-on-6 Straumann (single arch) | $9,400 | A$14,382 | £7,426 |
| Dual-arch All-on-6 Osstem (both arches) | $15,600 | A$23,868 | £12,324 |
All-on-6 pricing includes 6 implants, abutments, surgical guide, full-arch zirconia bridge, and provisional restoration. Bone grafts (if required) quoted separately.
What to expect — All-on-6 in Hanoi
The All-on-6 procedure follows a two-trip protocol similar to All-on-4, with the primary difference being the placement of six implants instead of four. This provides additional anchorage points — particularly valuable for the upper jaw where bone density is naturally lower than the lower jaw.
Trip 1 — Placement (7–10 days)
CBCT scan on arrival confirms bone volume and maps the six implant positions. Remaining non-restorable teeth are extracted at the surgical session. Six implants are placed per the CBCT plan — two anterior axial implants and four posterior implants (two angled). A provisional acrylic bridge is fitted within 24–72 hours for immediate function and aesthetics.
Home healing — 4–6 months
All six implants osseointegrate simultaneously. The provisional bridge is functional during this period. SmileJet coordinators provide bi-weekly check-in contact. A panoramic X-ray at 3 months (arranged with your home dentist) confirms integration progress.
Trip 2 — Final bridge (5–7 days)
Impressions or digital scans are taken of the integrated implant positions. The final full-arch zirconia bridge is fabricated and fitted. Occlusion is checked and refined across the full arch. Final photography and aftercare briefing before you depart.
Frequently asked questions — All-on-6 in Hanoi
How do I know if I need All-on-6 or All-on-4?
CBCT imaging determines which protocol is clinically appropriate. Key factors are bone density (softer trabecular bone in the upper jaw benefits from extra implants), bite force, and whether bone volume supports six placements without grafting. The recommendation comes from the surgeon after reviewing your CBCT — not from cost preference or sales pressure.
What implant brand is used for All-on-6 in Hanoi?
Osstem is the most placed brand at Hanoi partner clinics and represents the best value (from A$11,934 per arch). Dentium and Straumann are also available. All three systems have published survival data above 94% at 5 years (Moraschini et al. 2015 pooled 5-year survival: 94.6%). SmileJet provides both brand options in your written quote.
Is the zirconia bridge included in the All-on-6 price?
Yes. All-on-6 pricing at SmileJet-verified Hanoi clinics includes: six implants, abutments, surgical template, provisional acrylic bridge (Trip 1), and final full-arch zirconia bridge (Trip 2). There are no hidden bridge fees. Bone grafting, if required, is quoted separately after CBCT review.
How does recovery compare to All-on-4?
Recovery from All-on-6 is essentially identical to All-on-4. More implant sites means slightly more post-operative soreness on days 1–2, but the same soft diet protocol, same healing timeline, and same return-to-function schedule. Most patients report equivalent comfort levels by day 5.
Can I get All-on-6 in just one Hanoi trip?
Not for the permanent restoration. The two-trip protocol is required because osseointegration (implant-to-bone fusion) takes 4–6 months. The provisional bridge fitted on Trip 1 is functional and aesthetically acceptable — patients live normally with it for the integration period before returning for the permanent zirconia bridge.
All-on-6 vs All-on-4 in Hanoi — which is right for your case?
The choice between All-on-4 and All-on-6 depends on your bone anatomy, bite force, and clinical risk profile — not on price alone. Here is how the two protocols compare for patients considering Hanoi.
Bone volume and implant distribution
All-on-4 uses two straight anterior implants and two tilted posterior implants — the tilting technique allows placement in patients with moderate posterior bone loss without requiring sinus lifts or extensive grafting. All-on-6 distributes load across six implants, which typically requires adequate bone in the posterior regions. For patients with significant posterior bone loss, All-on-4 is often the more suitable protocol. Your Hanoi CBCT confirms bone volume across the arch and guides the recommendation.
Bite force and prosthesis longevity
Patients with a heavy bite, a history of bruxism, or who are replacing teeth in a high-load posterior zone benefit from six implants rather than four. Load distribution across six fixtures reduces the per-implant stress over a lifetime of function. For patients with a lighter bite or who are replacing upper teeth only (where bite forces are lower), All-on-4 performs equivalently. Your Hanoi oral surgeon's recommendation should reference your specific bite force indicators, not a default protocol.
Cost difference in Hanoi
All-on-6 in Hanoi costs approximately A$1,500–A$3,000 more than All-on-4 per arch, depending on implant brand. For Korean-brand implants (Osstem, Dentium), an All-on-4 per arch runs approximately A$6,800–A$8,500 and an All-on-6 approximately A$8,200–A$10,500. For Straumann, add approximately A$2,500–A$3,500 per arch to each figure. The additional cost of two extra implants is modest relative to the total investment and the longevity benefit for appropriate cases.
Two trips: the same for both protocols
Both All-on-4 and All-on-6 in Hanoi follow the same two-trip model for most patients: Trip 1 for implant placement and provisional bridge (7–10 days), Trip 2 for final prosthesis after osseointegration (5–7 days, 3–6 months later). The trip structure and recovery timeline are equivalent. The decision between the two protocols is clinical — not logistical.
Recovery after All-on-6 in Hanoi
All-on-6 recovery follows a predictable sequence. Six implant sites involve slightly more post-operative soreness than four, but the protocol is essentially the same. Hanoi's Old Quarter is well-suited to this recovery phase: flat lake-side walks, abundant soft Vietnamese food, and a calm street pace that does not demand physical exertion.
Days 1–2: Rest and soft diet
Swelling peaks at 48 hours and is managed with prescribed anti-inflammatories. Ice pack application for the first 24 hours reduces swelling. Bite on gauze as directed. Plain pho broth, congee (chao), steamed tofu, and soft rice are ideal — all widely available throughout the Old Quarter and Ba Dinh district.
Days 3–5: Provisional bridge in function
The provisional acrylic bridge fitted on Day 1 or 2 is functional by Day 3–4. Patients can eat soft foods comfortably. Avoid anything requiring hard biting with the provisional — it is designed for aesthetics and soft function, not heavy chewing. Most patients feel well enough for Hoan Kiem Lake walks, museum visits, and guided Old Quarter tours.
Days 5–7: Suture check and clinic review
A follow-up at the clinic checks suture healing and provisional bridge seating. Minor occlusion adjustments are made if needed. Most patients depart Hanoi feeling comfortable and with confidence in the provisional bridge.
Home healing: 4–6 months
Six implants osseointegrate over 4–6 months. The provisional bridge is worn throughout and is fully functional for normal soft-to-medium eating. SmileJet coordinators maintain bi-weekly WhatsApp contact. A three-month panoramic X-ray at your home dentist confirms integration progress before Trip 2 is booked.
Trip 2: permanent zirconia bridge
Impressions or digital scans are taken of all six integrated implants. A full-arch zirconia bridge is fabricated to exact specifications and fitted on Day 4–5 of Trip 2. Occlusion across all six implant sites is refined. You return home with the final permanent teeth and aftercare documentation in English for your home dentist.
Long-term maintenance
Clean beneath the bridge using a water flosser or interdental brush daily. Six-monthly check-ups at your home dentist include X-rays to monitor bone levels at each of the six implant sites. All-on-6 bridges are designed to last 15–25 years with consistent maintenance. SmileJet provides clinical records for your home dentist on request.
Why All-on-6 vs All-on-4 in Hanoi: the structural case
The debate between four and six implants is clinical, not commercial. Both protocols deliver fixed, non-removable teeth. The difference lies in how load distributes across the arch, and which anatomy and bite profile benefit from additional anchorage points. Understanding the structural rationale helps you evaluate the recommendation your Hanoi surgeon makes after reviewing your CBCT.
Load distribution mechanics
An All-on-4 bridge distributes biting force across four contact points. An All-on-6 bridge distributes that same force across six. Per-implant load is approximately 33% lower with six implants than four. For patients with higher-than-average bite forces (often men, and patients with a history of clenching or grinding), six implants provides a mechanical safety margin that four does not.
Upper jaw bone density
The maxillary (upper) jaw has lower trabecular bone density than the mandible. In All-on-4, the two posterior implants are angled at 30–45 degrees to maximise bone contact and avoid sinus anatomy. In the upper jaw, All-on-6 places two additional straight posterior implants where bone volume supports them, giving a third pair of contact points. Hanoi surgeons recommend All-on-6 for upper-arch cases where CBCT shows adequate posterior bone without sinus encroachment.
Implant redundancy
If a single implant fails to integrate in an All-on-4 case, the remaining three carry the bridge. In an All-on-6 case, the remaining five maintain structural integrity. Statistical implant failure rates are low (5.4% over 5 years at the upper end of literature data), but redundancy matters for a fixed full-arch restoration that has no removable backup.
When All-on-4 is the better choice
Patients with significant posterior bone loss — where placing six implants would require extensive bone grafting — are often better served by All-on-4, which was specifically designed to use the denser anterior bone and avoid graft dependency. All-on-4 also has a longer clinical track record (first published by Malo et al. in 2003) and more published outcome data than All-on-6. Your Hanoi CBCT review determines which protocol is appropriate for your bone architecture.
Get an All-on-6 quote
Send a recent panoramic X-ray. SmileJet confirms whether All-on-4 or All-on-6 better fits your case based on the CBCT review and returns both options for comparison.
Premium Hanoi clinics for all-on-6 (per arch)
Top-tier verified Hanoi partners ranked by patient rating, each shown with their published starting price for all-on-6 (per arch) where available.
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