All-on-4 in Turkey: what it is and who it is for
All-on-4 is a way to replace all the teeth in one jaw with a fixed bridge held by four dental implants. The two front implants are placed straight, the two back ones are tilted so that they avoid the sinus in the upper jaw and the nerve in the lower jaw and can use the bone that is left. In many patients this avoids bone grafting, and a fixed set of temporary teeth can be screwed on within a few days of surgery. The bridge does not come out at night — only the dentist can remove it.
All-on-4 in Turkey is chosen mainly by people who have lost most of their teeth, whose remaining teeth are failing from gum disease or decay, or who are tired of a loose denture. It is one of the most expensive dental plans, which is why the price difference with the UK, Ireland and Germany matters so much. For dental treatment abroad in general — what “Turkey teeth” are, packages, safety and how to check a clinic — see our guide to dental treatment in Turkey; this page is only about full-arch implants. For single missing teeth, see dental implants.
Whether All-on-4 is right for you depends on a CT scan, your bone, your bite and your health, not on a package price. A dentist on our site reviews your scan or panoramic X-ray before you are given a plan.
All-on-4 Implants (per jaw) in Turkey: how it works
- 1Send your photos and questions
Free and without obligation: tell us what you want to change and send a few photos — by form or WhatsApp.
- 2Get a written plan and price
A surgeon reviews your case and you receive a personal plan with the price, usually within 24 hours. Compare hospitals; nothing is paid in advance.
- 3Travel, surgery and aftercare
Airport pick-up, examination, surgery and check-ups in Istanbul, then follow-up with your surgeon after you fly home.
- Within about 2 hours
A coordinator replies in your language by WhatsApp or e-mail.
- Within 24 hours
A surgeon reviews your photos and you receive a written plan with the surgeon's name and the price.
- You decide
Ask anything and take your time — nothing is paid in advance.
Why plan All-on-4 Implants (per jaw) in Turkey with Treat Journey?
- Free for patients
Searching, comparing and requesting quotes costs nothing. You pay the hospital directly, at the price in your written quote — never a pre-payment to us.
- Real hospital prices, published
Every price on this page is the hospital's own price for international patients, shown live in your currency, with what the package includes.
- A named surgeon and a written plan
Your quote names the surgeon and the hospital and lists exactly what is included — no anonymous packages.
- Licensed hospitals only
We list licensed hospitals with an international patient department; accreditations such as JCI are shown on each hospital page.
- Honest reviews
We show real patient reviews, including Google reviews and critical ones, and we never invent ratings.
- Support before, during and after
A coordinator in your language answers within hours, arranges transfers and an interpreter, and stays in touch after you fly home.
How much does All-on-4 cost in Turkey?
The hospital price for All-on-4 per jaw is shown in the header of this page, and each clinic below lists its own. Across the market, All-on-4 dental implants in Turkey cost roughly €3,500–€7,000 per arch with an acrylic final bridge and about €6,000–€10,000 with a zirconia final bridge — approximate, confirmed in a written quote after your scan. Both arches roughly double the figure. The price depends on the implant brand, on whether extractions and bone grafting are needed, and above all on what the final bridge is made of.
| Country | All-on-4, one arch (approximate) | Usually included |
|---|---|---|
| Turkey | about €3,500–€7,000 (acrylic) · €6,000–€10,000 (zirconia) | CT scan, extractions, 4 implants, abutments, temporary bridge, final bridge; transfers and hotel often included |
| United Kingdom | about £10,000–£16,000 | Implants and bridge; scans, extractions and the temporary bridge sometimes extra |
| United States | about $15,000–$25,000 | Varies widely; surgeon, restorative dentist and lab often billed separately |
| Germany | about €10,000–€18,000 | Implants, bridge and surgery; partial reimbursement depends on insurance |
When you compare quotes, check that the All-on-4 cost in Turkey covers all of these: the CT scan, extractions, the four implants and their abutments (multi-unit abutments are needed for tilted implants), sedation if you want it, the temporary bridge, the final bridge and its material, and the second trip's hotel. A low price often covers only the implants and the temporary teeth. What a dental package usually includes in general is explained on the dental treatment in Turkey page.
Who is a good candidate for All-on-4?
All-on-4 suits adults who have lost all or nearly all teeth in a jaw, or whose remaining teeth cannot be saved, and who want fixed teeth rather than a removable denture. It is often possible when there is not enough bone at the back of the jaw for conventional implants, because the tilted implants use the denser bone further forward.
It is less suitable, or needs more preparation, if you:
- still have several healthy teeth that can be kept — then individual implants or a bridge are usually better;
- have very little bone even at the front of the jaw — a bone graft, a sinus lift, more implants or zygomatic implants may be needed;
- smoke, have uncontrolled diabetes, or take bisphosphonates or similar bone medication, or have had radiotherapy to the jaw — the risk of implant failure is higher and your doctor should be involved;
- grind your teeth heavily — a night guard and a stronger bridge are needed.
How All-on-4 is done: day by day
All-on-4 normally takes two trips to Turkey, about three to six months apart.
- First trip (5–7 days). Day 1: examination, CT scan, blood tests and the final plan. Day 2: remaining teeth are removed, the four implants are placed and fitted with abutments, under local anaesthesia, usually with sedation; surgery takes about two to four hours per arch. Days 3–5: impressions or a digital scan and the fixed temporary bridge. Before you fly, a check-up and bite adjustment.
- Healing (3–6 months). The implants fuse with the bone while you wear the temporary teeth and eat soft food. The gums shrink and change shape in this time, which is why the final bridge is made later.
- Second trip (5–7 days). Implants are checked, final impressions and a try-in are made, and the final bridge is screwed in and adjusted.
Some clinics advertise a single trip. In that case either the temporary bridge is meant to be worn for months and replaced at home, or the final teeth are fitted before the gums have settled — ask which. For immediate loading in particular, see immediate All-on-4. The general steps of arranging the trip are on how it works.
Temporary teeth vs the final bridge
The All-on-4 temporary teeth fitted after surgery are usually an acrylic bridge, sometimes without a metal frame. They are fixed, look like teeth and let you smile and eat soft food from the first days, but they are not designed to last: acrylic wears, can crack, and gaps appear under the bridge as the gums shrink. During healing you should not bite hard food with them, because overloading the implants before they have fused is one of the main causes of early failure.
The final bridge is made after healing, on a precise impression of the implants, with a stronger structure and a better fit at the gum. A complete quote names both: what the temporary is made of, how long it should be worn, and what the final bridge is made of.
Materials: acrylic or zirconia All-on-4
The material of the final bridge decides much of the price, the look and the maintenance.
| Final bridge | Structure | Strengths | Drawbacks |
|---|---|---|---|
| Acrylic (hybrid) on a metal frame | Acrylic teeth and pink gum on a titanium or cobalt-chrome bar | Lower price, light, easier to repair, cushions the bite | Teeth wear and stain, chipping; usually needs renewing after some years |
| Zirconia (monolithic or layered) | Milled zirconia, often on a titanium base | Very hard, does not stain, looks natural, long lasting | Higher price, harder to repair, can chip if layered porcelain; rigid against opposing teeth |
| Porcelain on a metal frame | Porcelain fused to a metal framework | Natural look | Porcelain can chip; heavier; less used now |
Zirconia All-on-4 is popular because it looks good and does not stain, but it is not right for everyone: in heavy grinders, or opposite natural teeth or an acrylic bridge, the material and bite need careful planning. Ask which material your quote is for, whether the bridge has a metal or titanium base, and how a chipped tooth would be repaired.
All-on-4 vs All-on-6 and dentures
All-on-4 is one of several ways to replace a full arch. With All-on-6 six implants carry the bridge, which spreads the biting forces and leaves a reserve if one implant fails; it needs more bone, especially in the upper jaw, and costs more. A denture — conventional or clipped on to two to four implants as an overdenture — is cheaper and removable, but moves more and covers the palate in the upper jaw.
All-on-4 vs dentures comes down to fixed or removable, budget and bone. A fixed bridge feels more like your own teeth; an implant overdenture is easier to clean and to repair, and for the lower jaw an overdenture on two implants is a well-supported option (the McGill consensus statement of 2002). Ask the dentist to explain why your plan uses four, six or more implants.
Cleaning All-on-4 and living with it
How to clean All-on-4 matters more than with natural teeth, because food and plaque collect under the bridge where you cannot see. Brush twice a day, clean under the bridge daily with a water flosser and interdental brushes or superfloss, and have the bridge removed and cleaned by a dentist or hygienist about once or twice a year. Wear a night guard if you grind.
Most patients eat almost normally once the final bridge is fitted, though very hard foods can chip any bridge. Speech usually adapts within days to weeks. Tell your dentist at home what you have had done and bring the treatment notes, the implant cards with brand and size, and the screw details, so the bridge can be removed and repaired anywhere. How aftercare at home works in general is on the dental hub page.
All-on-4 failure and other risks
All-on-4 is an established treatment. Long-term follow-up by the team that developed the concept (Maló and colleagues) and systematic reviews report implant survival above 90% over five to ten years, with problems with the bridge — worn or fractured acrylic teeth, loose screws — more common than lost implants. Still, All-on-4 failure happens, and with only four implants the loss of one can mean the bridge has to be remade.
- Early failure: an implant does not fuse with the bone, usually in the first months — more likely in smokers, with poor bone, infection, or if the temporary bridge is overloaded.
- Peri-implantitis: gum and bone inflammation around implants, similar to gum disease. A meta-analysis by Derks and Tomasi (2015) estimated it affects about one in five patients with implants; cleaning under the bridge and regular check-ups reduce the risk.
- Surgical risks: swelling, bruising and pain for a few days; less often infection, numbness of the lip or chin from the nerve, or sinus problems in the upper jaw.
- Bridge problems: chipped or worn teeth, loose screws, speech changes, food trapping and a bridge that is too bulky or the wrong shape.
Ask the clinic what happens if an implant fails after you are home: who pays for a new implant and bridge, and whether the guarantee needs check-ups or covers flights.
How long does All-on-4 last?
With good cleaning and check-ups, the implants themselves can last for decades. The bridge wears faster: acrylic teeth often need replacing or a new bridge after some years, while zirconia usually lasts longer. Plan for maintenance costs over your lifetime rather than a single payment, and keep the records from Turkey so that any dentist can work on your bridge.
Before you travel, ask for a written plan with the number and brand of implants, the abutments, the temporary and final bridge materials, the total price for both trips and the guarantee conditions.
Frequently asked questions
Approximately €3,500–€7,000 per arch with an acrylic final bridge and about €6,000–€10,000 with zirconia, confirmed in a written quote after a CT scan. The hospital price per jaw on this page is the clinic's own list price; check whether it includes extractions, the temporary and the final bridge.
It can be, if the plan is made from a CT scan, uses a named implant brand, includes both the temporary and final bridge, and you can travel twice. The saving compared with the UK is large, but follow-up and repairs at home must be planned and paid for.
Usually two: 5–7 days for surgery and the temporary teeth, then 5–7 days three to six months later for the final bridge. Single-trip offers usually mean the temporary is worn longer or the final teeth are made before the gums have settled.
A fixed acrylic bridge screwed on within a few days. It looks like teeth and allows soft food, but it is not meant to last; avoid hard food during healing so the implants are not overloaded.
Zirconia is harder, does not stain and usually lasts longer; acrylic is cheaper, lighter and easier to repair. The right choice depends on your bite, grinding and the opposing teeth — ask your dentist to explain the choice.
The surgery is done under local anaesthesia, often with sedation. Swelling, bruising and soreness are normal for about a week and are controlled with painkillers.
Yes. Most implants fuse well — studies report survival above 90% over five to ten years — but implants can fail early or later through peri-implantitis. Smoking, poor cleaning and overloading the temporary bridge raise the risk.
Brush twice a day, clean under the bridge daily with a water flosser and interdental brushes or superfloss, and have a dentist remove and clean the bridge about once or twice a year.
All-on-4 is fixed and feels closer to natural teeth; a denture or implant overdenture is cheaper, removable and easier to clean. Bone, budget and how much a moving denture bothers you decide.
Often not, because the tilted back implants use the bone that remains. If the bone at the front is also too thin, a graft, a sinus lift or a different plan may be needed — the CT scan shows this.
The implants can last for decades with good care. Acrylic bridges often need renewing after some years; zirconia bridges usually last longer. Regular check-ups decide how long both last.