All-on-4 dental implants abroad

All-on-4 is a full-arch restoration. Four implants are placed in the jaw, two upright at the front and two angled at the back, and a single fixed bridge is secured onto them. Angling the back implants lets a surgeon anchor into bone that is still dense, which is why the technique is often discussed with people who have been told they do not have enough bone for a conventional implant bridge.

It is fixed, not removable. That is the practical difference from a denture: the bridge comes off only in a dentist's chair, and you clean it in place.

The figure on a quote is driven mostly by a set of choices inside the plan, not by the country on its own. When you put two quotes side by side, line these up first.

• Implant brand and the abutment system.
• The material of the final bridge: acrylic on a metal frame, or zirconia.
• Whether the quote covers one arch or both.
• Extractions, bone grafting or a sinus lift, where they are needed.
• The temporary bridge worn during healing, and the final bridge that replaces it.
• Scans, consultations and follow-up appointments.
• Anything beyond treatment: transfers, hotel nights, interpreting.

That last line is where quotes stop being comparable. A price marked all-inclusive package and a price marked treatment only are answering different questions, so read the basis before you read the number. Current prices per clinic, each with the basis it is quoted on, sit in the clinic listing on this page and change as clinics update them.

Two families of material cover most cases, and the difference shows up both in the price and in how the bridge behaves years later.

• Acrylic on a titanium frame: lighter, repairable chairside, and the teeth wear faster.
• Zirconia: harder and more stain resistant, and a repair usually means remaking the section.
• Hybrids: a zirconia or metal frame carrying composite teeth, sitting between the two.

Ask which material a quote assumes. It is one of the most common reasons two quotes for what looks like the same treatment are far apart.

All-on-4 is aimed at a fairly specific situation. You are likely to be a candidate if you recognise most of this.

• Significant tooth loss in one or both jaws, or teeth that cannot be saved.
• Enough bone in the front of the jaw to anchor the angled implants, which the scan confirms.
• Healthy gums, or gum disease that has been treated first.
• A preference for something fixed rather than a removable denture.

Clinics are more cautious where there is heavy smoking, untreated bruxism, uncontrolled diabetes, or recent head and neck radiotherapy. None of these is an automatic no, but each one changes the plan, so raise them at assessment.

Reviews are most useful for the things patients agree on rather than for the score. Look for what people say about the handover: who they reached when something needed adjusting after they got home, how long a remake took, and whether the final bridge matched what was quoted.

On Flymedi a clinic's FlymediScore, its Trustpilot rating and its review count are three separate measures. We keep them separate rather than blending them into a single number, so read them as three answers to three different questions.

When you ask for an all-inclusive figure, ask specifically whether it includes each of these.

• The initial consultation and diagnostic scans.
• Extractions, grafting or a sinus lift.
• The temporary bridge, and the final bridge as a separate line.
• The second trip: flights, accommodation and transfers for the fitting visit.
• Follow-up appointments and any adjustments.
• Medication prescribed after surgery.

Flymedi is a comparison and coordination service, not a clinic. What that means in practice.

• Vetted clinics: we list clinics that meet international accreditation standards and we hold their credentials on file.
• Comparable quotes: quotes come back on the same basis, so you are comparing like with like.
• One coordinator: a single point of contact across scheduling, travel and the clinic.
• Aftercare that is written down: what the clinic covers after you fly home is agreed before you go, not after.