All-on-4 Cost in Istanbul: 2026 Guide

Dr. Aykut Gürel·

All-on-4 Costs in Istanbul: What to Expect in 2026

The All-on-4 protocol replaces an entire arch of missing teeth on four strategically placed implants. Cost varies based on implant brand, prosthetic material, and whether the procedure includes one jaw or both. For international patients, Istanbul typically offers All-on-4 treatment at 50-65% less than equivalent care in the United Kingdom, Germany, the Netherlands, or North America—using the same global implant systems.

All-on-4 vs. All-on-6: Cost Implications

All-on-4

  • Four implants per jaw; the posterior implants are angled to maximize bone contact
  • Same-day fixed temporary prosthesis is possible
  • Lower total cost compared with All-on-6

All-on-6

  • Six implants per jaw; provides additional load distribution
  • Often preferred for the upper jaw or for patients with strong bite forces
  • Recommended when bone quality supports more implants
  • Higher cost than All-on-4 due to additional implants and abutments

For a detailed clinical comparison, see our All-on-4 treatment guide.

What Determines the Cost

1. Number and Brand of Implants

All-on-4 uses 4 implants per jaw; All-on-6 uses 6. Premium brands (Nobel Biocare, Straumann) cost 30-50% more per implant than mid-segment options (Osstem, Megagen). For full-arch cases, brand selection matters because the angled posterior implants benefit from designs specifically validated for this protocol—Nobel Biocare's NobelActive line, for example, was developed alongside the All-on-4 concept itself. See our brands comparison for details.

2. Prosthetic Material

The fixed prosthesis bonded to the implants is the single largest cost variable:

  • Acrylic temporary prosthesis: Placed on the day of surgery. Used for 4-6 months until the final prosthesis is delivered.
  • Acrylic-titanium hybrid: Mid-cost option with acceptable longevity (10-12 years)
  • Zirconia full-arch bridge: Highest cost. Most durable and aesthetically refined. 15-20+ year lifespan.
  • Porcelain-fused-to-metal full-arch: Mid-to-high cost. Strong, but heavier than zirconia.

3. Same-Arch vs. Both Arches

Both upper and lower full-arch (often called "Full Mouth") cases are roughly twice the cost of a single arch—but planning, imaging, and clinic fees overlap, so the per-arch cost in a both-jaws case is typically 10-15% lower than two single-arch procedures done separately.

4. Additional Procedures

If posterior bone is insufficient, zygomatic implants can replace standard angled implants in the upper jaw. This combination is sometimes called "Zygoma + All-on-4" and adds to the total cost but eliminates the need for sinus lifting and grafting.

How Istanbul Compares Internationally

RegionApproximate All-on-4 (zirconia, single jaw)Cost Index
United KingdomHigh3.0×
Germany / NetherlandsHigh2.5-3.0×
United StatesHighest3.5-4.5×
Spain / HungaryMid1.5-2.0×
IstanbulReference1.0×

|--------|---------------------------------------------|-----------|

The cost difference reflects local economics rather than implant quality, surgical standards, or material differences. Premium implant systems and zirconia prostheses are sourced from the same global manufacturers worldwide.

What Should Be in an All-on-4 Quote

A complete All-on-4 quote should include:

  • 4 (or 6) implants of a specified brand and model
  • Multi-unit abutments
  • Surgical guide if guided surgery is planned
  • Same-day acrylic temporary prosthesis
  • Final prosthesis (specify material: zirconia, hybrid, or PFM)
  • CBCT imaging and digital planning
  • All follow-up appointments through final prosthesis delivery
  • Anesthesia type

Be cautious of quotes that bundle "implants only" without prosthetic costs, or that quote the temporary prosthesis without the final restoration.

Treatment Stages and Payment

1. Day 1: Examination, CBCT imaging, digital planning—initial deposit

2. Day 2-3: Surgical placement and same-day temporary prosthesis—surgery payment

3. Months 3-6: Final prosthesis fabrication and fitting—final payment

Treatment is staged so payments align with delivery. Major credit cards and bank transfer are accepted.

For International Patients

A typical All-on-4 schedule for an international patient includes two trips:

First visit (7-10 days):

  • Day 1: CBCT imaging, examination, digital planning
  • Day 2-3: Surgery (one or both jaws); same-day temporary prosthesis fitted
  • Day 5-7: First follow-up review; suture removal
  • Day 7-10: Final review and travel clearance

Second visit (3-5 days, 3-6 months later):

  • Final impression
  • Try-in of the final prosthesis
  • Delivery and final adjustments

If your CBCT imaging is available before your first visit, digital case planning allows preliminary planning and cost estimation in advance. After delivery of the final prosthesis, routine check-ups can be coordinated with a local dentist.

Frequently Asked Questions

Is All-on-4 painful?

The procedure is performed under sedation or general anesthesia, so no pain is felt during surgery. Post-operative discomfort is moderate for 3-5 days and managed with prescribed medication. Detailed expectations are covered in our recovery timeline guide.

Can I have fixed teeth on the same day?

Yes—when initial implant stability is sufficient, a same-day fixed temporary prosthesis is placed. This is standard practice for most All-on-4 cases. See our same-day implants guide for the criteria.

How do I decide between All-on-4 and All-on-6?

Bone quality, jaw anatomy, and your bite forces determine the recommendation. CBCT imaging and clinical examination guide the decision. Both protocols deliver fixed teeth on the day of surgery; All-on-6 adds extra mechanical reserve.

Can I switch from removable dentures to All-on-4?

Yes. Even patients with substantial bone loss from long-term denture use can typically receive All-on-4. In severe cases, zygomatic implants are combined with All-on-4 for full-arch rehabilitation without bone grafting.

What is the lifespan of an All-on-4 prosthesis?

The implants themselves are designed to last decades. The acrylic temporary lasts 4-6 months. A zirconia final prosthesis typically lasts 15-20+ years with proper hygiene. Hybrid prostheses last 10-12 years on average. To plan your case, schedule an appointment.

Bu yazıyı paylaşın

Would You Like to Learn More About This Treatment?

Schedule an appointment for an expert evaluation or call us directly.