All-on-4 in Turkey: Cost Guide 2026 (Istanbul vs UK)
How Much Does All-on-4 Cost in Turkey in 2026?
All-on-4 in Turkey costs around £3,500-£6,000 per arch (roughly $4,500-$7,500), against £10,000-£17,000 for private treatment in the UK — about 50-65% less, using the same global implant systems. Both jaws together are typically £7,000-£12,000. The exact figure depends on the implant brand, the prosthesis material and whether one or both jaws are treated, and is confirmed after a CBCT scan.
The All-on-4 protocol replaces an entire arch of missing teeth on four strategically placed implants. Maló et al.'s 18-year prospective study reported cumulative implant survival rates of 94-99% for All-on-4 cases, making it one of the most extensively documented full-arch protocols. 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
- Often eliminates the need for bone grafting or sinus lifting
- 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
| Region | Approximate All-on-4 (zirconia, single jaw) | Cost Index |
|---|---|---|
| United Kingdom | High | 3.0× |
| Germany / Netherlands | High | 2.5-3.0× |
| United States | Highest | 3.5-4.5× |
| Spain / Hungary | Mid | 1.5-2.0× |
| Istanbul | Reference | 1.0× |
|--------|---------------------------------------------|-----------|
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.
Expert Insight
"The economic advantage of All-on-4 holds when patient selection is right. Angled posterior implants in the upper jaw eliminate the need for sinus lifting or bone grafting in most cases — that alone saves 6-9 months and reduces total cost. But when comparing with All-on-6, weigh bone quality, chewing habits, and long-term mechanical load together. The cheaper plan up front is not always the cheaper plan over 15-20 years."
— Dr. Aykut Gürel, Oral and Maxillofacial Surgeon
Scientific References
1. Maló P, de Araújo Nobre M, Lopes A, et al. *The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: An 18-year clinical study.* Clinical Implant Dentistry and Related Research. https://pubmed.ncbi.nlm.nih.gov/30816001/
2. Soto-Penaloza D, Zaragozí-Alonso R, Penarrocha-Diago M, Penarrocha-Diago M. *The all-on-four treatment concept: Systematic review.* Journal of Clinical and Experimental Dentistry. https://pubmed.ncbi.nlm.nih.gov/28210443/
3. Babbush CA, Kanawati A, Brokloff J. *A new approach to the All-on-Four treatment concept using narrow platform NobelActive implants.* Journal of Oral Implantology. https://pubmed.ncbi.nlm.nih.gov/22524558/
4. American Academy of Implant Dentistry (AAID) — Standards for full-arch rehabilitation. https://www.aaid.com
Who Is a Suitable Candidate?
All-on-4 suitability is determined by clinical examination and a 3D CBCT scan; the points below give only a general idea.
- May be suitable: all teeth missing or failing, long-term denture wearers, bone volume insufficient for single implants but adequate for the angled All-on-4 placement
- Needs to be controlled first: uncontrolled diabetes, heavy smoking, active gum disease
- Alternative may be considered: severe upper-jaw bone loss may point to zygomatic implants instead
The final decision is made individually after examination and CBCT analysis.
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.
Would You Like to Learn More About This Treatment?
Schedule an appointment for an expert evaluation or call us directly.