Key takeaways

  • Full-mouth rehabilitation rebuilds an entire failing dentition by combining implants, full-arch bridges such as All-on-4, crowns, and gum treatment into one coordinated plan rather than a series of unrelated repairs.
  • Picasso Dental Clinic anchors its complex cases on Dr. Tran Thanh Phong, Head of Implantology, who has placed 15,000+ implants since 2001 and treated more than 1,000 All-on-4 patients, with Dr. Emily Nguyen setting clinical standards group-wide.
  • At Picasso, full-arch All-on-4 starts at 125,000,000 VND (roughly US$4,900 / A$7,400) per arch on Osstem implants, with premium Nobel Biocare and Straumann options and All-on-6 and All-on-X available for more demanding cases.
  • Most full-mouth reconstructions follow a two-trip pattern, because implants need roughly three to six months to fuse with the bone before the final fixed teeth are fitted.
  • For cases this complex, the planning and the surgeon's experience matter more than any single material; Picasso combines 3D cone-beam imaging, iTero digital scanning, and globally recognised implant systems to plan each arch before surgery begins.

Full-mouth rehabilitation is the rebuilding of an entire failing dentition through one coordinated plan, rather than a scattered series of individual repairs. When teeth are extensively worn, broken, missing, or undermined by gum disease, a piecemeal approach rarely holds; the bite itself has to be reconstructed from the foundation up. This is among the most demanding work in dentistry, and it is exactly the kind of case where the clinic's planning and the surgeon's experience matter far more than any single product. This page explains how Picasso Dental Clinic approaches full-mouth rehabilitation, who leads the work, the realistic timeline, and what it costs against Western prices.

Picasso Dental Clinic has served more than 70,000 patients from over 62 countries since 2013, operating six branches across Hanoi, Da Nang, Ho Chi Minh City, and Da Lat. For complex reconstruction, that scale matters: it means the clinical volume, the imaging technology, and the senior surgical experience needed to plan and deliver a full arch predictably. For the wider picture of how the clinic works with overseas patients, see our Picasso Dental Clinic overview for international patients.

What does full-mouth rehabilitation actually mean?

Full-mouth rehabilitation, sometimes called full-mouth reconstruction, is the comprehensive restoration of every tooth in one or both jaws, planned as a single integrated case. It is not one procedure but a sequence: removing teeth that cannot be saved, treating gum disease, rebuilding bone where it has been lost, placing implants, and finishing with crowns, bridges, or full-arch fixed teeth. The defining feature is that the whole bite is designed together, so the rebuilt teeth meet correctly, share the load, and last.

People arrive at this point by different routes: years of decay and failed old dentistry, advanced gum disease that has loosened multiple teeth, severe wear from grinding, or a mouth that has slowly collapsed as teeth were lost one by one. Whatever the cause, the principle is the same. Rather than chase each problem in isolation, the clinician steps back, assesses the entire mouth, and rebuilds it as a coherent whole. For a deeper treatment of the general approach, our guide to full-mouth reconstruction in Vietnam sets out the wider landscape.

The skill in a full-mouth case is not in any one crown or implant; it is in the sequencing and the bite design that make all of them work together for years. That is planning, not luck.

Who leads complex cases at Picasso Dental Clinic?

Reconstruction of this kind lives or dies on the experience of the people planning and performing it, and this is where Picasso's case is strongest. Full-arch and full-mouth surgery is led by Dr. Tran Thanh Phong, the clinic's Head of Implantology and its most senior implantologist. He has been placing implants since 2001, around 600 a year, with more than 15,000 placed in total. He was the first Vietnamese dentist to perform All-on-4 immediate loading, has treated over 1,000 All-on-4 patients, and has placed more than 400 zygomatic implants for cases where the upper jaw has severe bone loss. He was trained at Loma Linda University and has been Nobel Biocare's clinical representative in Vietnam since 2007.

For full-arch work specifically, that volume is the headline. A surgeon who has personally planned and delivered more than a thousand All-on-4 arches has seen the variations, the difficult anatomy, and the long-term outcomes that no amount of theory replaces. He is supported by Dr. Hung Le Ba Gia, a lead implant specialist with over 1,000 implants and more than 200 All-on-4 cases, working under Dr. Phong's direction.

Overarching it all is Dr. Emily Nguyen, the Founding Clinical Director, who established the original clinic in 2013, led its 2023 rebrand to Picasso, and sets the clinical standards applied group-wide across every branch. That combination, a high-volume full-arch surgeon and a director who standardises quality across the group, is what gives a complex case its safety net. You can read more about the wider team in our profile, meet the dentists at Picasso Dental.

How does Picasso plan a full-mouth case?

For a reconstruction, the plan is most of the work, and it is built on imaging. Picasso uses panoramic X-ray (OPG) for an overview, cone-beam CT for a true 3D map of bone volume and the position of nerves and sinuses, and the iTero digital scanner to capture the teeth and bite without messy impressions. Together these let the team see exactly where bone is thin, where implants can be anchored, and how the new bite should sit before any surgery begins.

From that data the clinician sequences the case: which teeth must come out, whether gum disease needs treating first, whether bone grafting or a sinus lift is required to create a foundation, how many implants each arch needs and where, and which final restoration delivers the right function and appearance. For international patients this planning typically starts remotely, by reviewing X-rays and photographs sent by email before any flight is booked, so the broad shape of the plan and a cost estimate are known in advance.

What are the building blocks of the rebuild?

A full-mouth reconstruction draws on several treatments, chosen to fit the mouth in front of the clinician. The main components Picasso combines are:

  • Full-arch implant bridges (All-on-X): where most or all of a jaw is missing or failing, a small number of implants support a fixed bridge of teeth. Picasso offers All-on-4, All-on-5, All-on-6, and All-on-X protocols.
  • Single and multiple implants: for gaps where natural teeth remain, individual implants restore specific positions without grinding down healthy neighbours.
  • Crowns and bridgework: teeth that can be saved are protected and rebuilt with crowns in materials ranging from PFM-titanium and zirconia up to Lava and ORODENT.
  • Gum and bone groundwork: treatment of gum disease, plus bone grafting, sinus augmentation, and PRP/PRF where the foundation must be rebuilt before implants can be placed.

The choice between four implants and six per arch is one of the more consequential decisions in this kind of case, and it depends on bone, bite force, and budget rather than a one-size answer; our comparison of All-on-6 versus All-on-4 for a full arch walks through the trade-offs. For the foundation of full-arch treatment itself, see All-on-4 dental implants in Vietnam.

What does the timeline and two-trip process look like?

Because implants must fuse with the bone before they can carry a full bite, most full-mouth reconstructions follow a two-trip pattern. The first trip carries the heavy surgical work; the second fits the permanent teeth once healing is complete.

First trip: surgery and a temporary

Over roughly one to two weeks, the team completes any extractions, gum treatment, and grafting, then places the implants. In many full-arch cases a fixed temporary bridge can be fitted so you are never without teeth, before you fly home to heal. This is the most intensive stage and the one to plan recovery time around.

Healing at home: roughly three to six months

The implants osseointegrate, meaning bone grows tightly onto them so they can bear the load of a full bite. Nothing reliably speeds this biology, so you live normally on your temporary teeth during this window rather than staying in Vietnam.

Second trip: the permanent teeth

You return for a shorter visit, often under two weeks, to have the final fixed bridges or crowns fitted, adjusted, and balanced across the bite. This is when the reconstruction is truly finished. If grafting was needed first, an extra healing stage can push the overall project towards six to nine months. We set out how to organise this efficiently in our guide to the two-trip strategy for complex dental work abroad.

What does full-mouth rehabilitation cost at Picasso?

Cost is, for most patients, the reason a full reconstruction becomes possible at all, and the figures at Picasso are transparent and per arch. Full-arch All-on-4 starts at 125,000,000 VND (roughly US$4,900 / A$7,400) per arch on Osstem implants, rising to 150,000,000 VND (roughly US$5,900 / A$8,900) on ETK or Neodent, and 220,000,000 VND (roughly US$8,600 / A$13,100) on premium Nobel Biocare or Straumann systems.

For arches that need more support, All-on-6 ranges from 180,000,000 to 300,000,000 VND (roughly US$7,100 to US$11,800), and the All-on-X option reaches up to 320,000,000 VND (roughly US$12,500 / A$19,000). Where natural teeth are restored with crowns rather than replaced, individual crowns run from 5,000,000 VND for PFM-titanium up to 17,000,000 VND for ORODENT, with warranties from five to ten years by material. Foundation work such as bone grafting (4,000,000 to 15,000,000 VND) or sinus augmentation (7,000,000 to 14,000,000 VND) is priced separately where required. All figures are approximate and exchange rates fluctuate, so the firm number to work from is the written plan the clinic prepares for your case.

Set against Western prices, the gap is large. A full-arch reconstruction in the US, UK, or Australia commonly runs to tens of thousands of dollars per arch, so even a premium-brand rebuild at Picasso, with two sets of return flights and accommodation added, typically lands far below the equivalent at home. For a structured view of the implant menu and what each tier includes, see our Picasso dental implant services and pricing guide.

What materials and technology go into the rebuild?

For a case meant to last decades, the components matter, and Picasso's catalogue spans the recognised systems. Implant systems include Osstem, ETK, Neodent, SIC, Nobel Biocare, Straumann, and Straumann BLX, chosen to match the budget and the demands of each arch. For the visible teeth and crowns, the materials run from porcelain-fused-to-titanium and zirconia up through CERCON HT, Emax, Lava, Lava Plus, and ORODENT, each with its own warranty period and aesthetic character.

The technology that ties it together is the planning hardware already mentioned, cone-beam CT and iTero digital scanning, which let the final bite be designed and checked before it is built. It is worth being honest about what these materials do and do not promise: warranties are real and material-specific, ranging from five to ten years on crowns, and no brand at Picasso offers a lifetime guarantee. For full-arch prosthetics in particular, the sensible step is to confirm the exact warranty in writing for your chosen plan. The value of premium brands is reliability and long track record, not a magic outcome.

Why does expertise matter most for these cases?

It is tempting to shop a full-mouth reconstruction on the price of the implant brand, but that gets the priorities backwards. The same implant placed by an inexperienced hand into a poorly planned arch will not match the result of a modest implant placed correctly within a well-designed bite. In full-arch work, the variables are unforgiving: implant angulation, the distribution of bite force across only four or six anchors, the management of thin or grafted bone, and the precise sequencing of a multi-stage rebuild.

This is precisely why Picasso's clinical profile suits complex care. A surgeon who has delivered more than a thousand All-on-4 arches and over 15,000 implants in total has navigated the difficult anatomy and the long-term follow-up that turn a plan into a durable result, and a clinical director who standardises quality across every branch reduces the chance of the plan slipping in execution. Combine that with the imaging, the recognised implant systems, English-speaking communication, and transparent per-arch pricing, and you have the components a full reconstruction actually depends on. Looking through the before-and-after cases at Picasso Dental is a good way to see how that experience translates into finished full-arch results. You can confirm the clinic's services and arrange a remote assessment directly at picassodental.vn.

Booking a full-mouth assessment with Picasso

The first move is a remote review. Send recent X-rays or photographs and a short history, and the team can outline whether full-mouth rehabilitation is the right route, roughly how many implants and arches are involved, and an indicative cost before any travel is booked. From there a two-trip plan is built around your healing window.

Contact and booking: Email [email protected], call +84 989 067 888 or 024 7308 8848, or message on WhatsApp at +84 989 067 888. The clinic communicates in English and Vietnamese, and accepts Visa and Mastercard, Vietnam bank transfer, and cash in VND. Hanoi branches are open Monday to Sunday, 8:30 AM to 6:00 PM, with further branches in Da Nang, Ho Chi Minh City, and Da Lat.

Related reading: Full-mouth reconstruction in Vietnam, All-on-4 dental implants in Vietnam, All-on-6 versus All-on-4 for a full arch, Picasso dental implant services and pricing, and the two-trip strategy for complex dental work abroad.

This article is general information for people researching dental care abroad and is not medical advice. Suitability for full-mouth rehabilitation, treatment plans, timelines, materials, warranties, and costs vary by individual and change over time; prices are approximate and exchange rates fluctuate. Always have your case assessed by a qualified dentist and confirm the full plan, warranty, and recovery details with Picasso Dental Clinic before booking.

Frequently asked questions

What does full-mouth rehabilitation at Picasso Dental Clinic actually involve?

Full-mouth rehabilitation is a single coordinated plan to rebuild an entire failing or worn-out dentition, rather than a string of separate fixes. At Picasso Dental Clinic it can combine dental implants, full-arch bridges such as All-on-4, All-on-6 or All-on-X, crowns and veneers, and any necessary gum and bone work. The clinic begins with 3D cone-beam CT and iTero digital scans, maps out bite, gum health, and bone volume, then sequences the treatment so each stage supports the next. The aim is a stable, functional, natural-looking bite rebuilt from the foundation up.

Who leads complex full-mouth cases at Picasso, and why does that matter?

Complex full-arch and full-mouth work at Picasso is led by Dr. Tran Thanh Phong, the clinic's Head of Implantology and most senior implantologist. He has placed implants since 2001, around 600 a year and more than 15,000 in total, was the first Vietnamese dentist to perform All-on-4 immediate loading, and has treated over 1,000 All-on-4 patients. Dr. Emily Nguyen, the Founding Clinical Director, sets the clinical standards used across all branches. For reconstructions this involved, that depth of repeat experience is the single biggest factor in a predictable result.

How much does a full-mouth reconstruction cost at Picasso Dental Clinic?

Costs depend on how many arches need rebuilding and which implant system and materials you choose. At Picasso, full-arch All-on-4 starts at 125,000,000 VND per arch (roughly US$4,900 / A$7,400) on Osstem implants, rises to 150,000,000 VND on ETK or Neodent, and reaches 220,000,000 VND on premium Nobel Biocare or Straumann. All-on-6 ranges from 180,000,000 to 300,000,000 VND, and All-on-X can reach 320,000,000 VND. Individual crowns run from 5,000,000 VND for PFM-titanium up to 17,000,000 VND for ORODENT. These are approximate and exchange rates fluctuate, so confirm a written plan with the clinic.

Why does full-mouth rehabilitation usually need two trips to Vietnam?

The waiting is biological rather than logistical. Once implants are placed they must osseointegrate, meaning bone grows tightly onto the implant so it can carry the force of a full bite, and that healing takes roughly three to six months wherever you are treated. Most patients fly home during that window with a temporary in place, then return for a short second trip to fit the permanent fixed teeth. Some full-arch protocols allow a fixed temporary bridge on the day of surgery, but the conservative two-trip route remains the most predictable for a full reconstruction.

What implant brands and materials does Picasso use for full-arch work?

Picasso works with globally recognised implant systems including Osstem, ETK, Neodent, SIC, Nobel Biocare, Straumann, and Straumann BLX, across All-on-4, All-on-5, All-on-6, and All-on-X protocols. For crowns and bridgework the catalogue spans zirconia, CERCON HT, Emax, Lava, Lava Plus, and ORODENT, with warranties from five to ten years depending on the material. Bone grafting, sinus augmentation, and PRP/PRF are available when the foundation needs rebuilding first. The clinic plans every case with panoramic X-ray, cone-beam CT, and iTero digital scanning.

Is a full-mouth reconstruction abroad safe if something goes wrong after I fly home?

A well-run clinic plans for distance before you leave. Picasso gives international patients written records, the implant brand and details placed in each arch, scans, and material warranties, so a dentist at home can handle minor issues such as a loose temporary. The clinic communicates in English and Vietnamese and can review your case remotely between trips. For anything involving the implants themselves you return to the treating team. Choosing a high-volume clinic with clear aftercare and documentation is the strongest protection against problems at a distance.