Transparency note: Mapa Health is a patient coordinator based in Istanbul, licensed by the Turkish Ministry of Health (licence AK-0456), and not a dental clinic. Treatment is carried out by dentists at vetted partner clinics. This page is for information, has a commercial background and does not replace a dental examination.
Quick answer: All-on-4 is a fixed full-arch bridge carried by 4 implants in one jaw. It is planned when most or all teeth in a jaw are missing or cannot be saved. The treatment needs two trips to Istanbul: about 3 days for the implants and a fixed temporary bridge, and about 5 days for the final bridge, with 3 to 6 months of healing in between. The package on this page starts at £3,250 per jaw. Mapa Health coordinates the plan, appointments, transfer and hotel; the treatment itself is carried out by the partner clinic.
What is All-on-4?
All-on-4 replaces all teeth of one jaw with a fixed bridge that is screwed onto 4 implants. The patient cannot remove the bridge; it is brushed like natural teeth and also cleaned underneath with special brushes.
All-on-4 is a solution for a jaw with few or no remaining teeth. If only single teeth are missing, a single dental implant is the right topic. If your own teeth are healthy and only their look bothers you, veneers or crowns are planned instead.
Implants, temporary bridge and final bridge: what the treatment consists of
The implants. 4 titanium implants are placed in the jaw under local anaesthesia, on request with sedation. Mapa Health coordinates treatments with implant systems from Straumann and Nobel Biocare, among others.
The temporary bridge. On the first trip you receive a fixed temporary bridge, so you do not go home without teeth. It is lighter than the final bridge and is meant for the healing period.
The final bridge. After 3 to 6 months of healing the final bridge is made, tried in and fitted. It is usually made of zirconia or of a metal framework with ceramic or acrylic teeth; the material is named in the written plan.
Teeth that have to be removed. Remaining teeth that cannot be saved are removed on the first trip, usually in the same session as the placement of the implants. Which teeth that concerns is decided by the dentist after the 3D X-ray.
All-on-4 or All-on-6: the difference at a glance
| All-on-4 | All-on-6 |
| Implants per jaw | 4 | 6 |
| Bone | often possible with less bone, because the rear implants are placed at an angle | needs more bone, also at the back of the jaw |
| Load | the bridge rests on four points | the load is spread over six points |
| Price | lower, fewer implants | higher, more implants |
| Usually right when | bone is limited, especially in the lower jaw | there is enough bone and strong chewing forces are expected |
Whether four or six implants make sense is decided by the treating dentist at the partner clinic after the 3D X-ray. More implants are not automatically better; the decisive factor is the bone. Ask for a written plan that names the number of implants, the implant system and the bridge material. More on the alternative: All-on-6.
Is the treatment painful and how long does healing take?
The implant is placed under local anaesthesia. You feel pressure but normally no pain during the procedure. Swelling and soreness for a few days afterwards are normal and are treated with the prescribed medication.
The implant then needs time to fuse with the bone. This takes 3 to 6 months, usually longer in the upper jaw than in the lower jaw. During this time you eat soft food at first and avoid smoking, because smoking is one of the main reasons implants do not heal in.
The final bridge is fitted on the second trip, once the implants have healed in. Until then you wear the fixed temporary bridge and eat soft food at first.
Process and stay in Istanbul
Before the trip: You send recent photos of your smile and, if available, a panoramic X-ray. The team at the partner clinic assesses every tooth. You receive a written plan with material, number of teeth, schedule and price before you book.
Trip 1: 3 days in Istanbul
- Day 1: Arrival, examination, 3D X-ray (CBCT)
- Day 2: Placement of the implants, fixed temporary bridge
- Day 3: Check-up, flight home
At home: healing: 3 to 6 months. The implants fuse with the bone. You wear the temporary teeth, eat soft food at first and avoid smoking. Check-ups by photo and video call.
Trip 2: 5 days in Istanbul
- Day 1: Arrival, healing check
- Day 2: Digital scan
- Day 3: Try-in of the final bridge
- Day 4: Fitting of the final bridge
- Day 5: Bite check, flight home
Typical timings for guidance. The treating dentist at the partner clinic sets the exact plan after an X-ray and examination. If treatments such as decay treatment, a root canal or implants are needed first, the stay is longer or a second trip is planned. You can work out your schedule in the dental trip planner.
Cost: what the package includes and what determines the price
The All-on-4 package from Mapa Health starts at £3,250 per jaw. The binding price is stated in the written treatment plan you receive before booking.
Included in the package: laboratory costs, examinations with 3D tomography and panoramic X-ray, local anaesthesia, medication, transfers between airport, hotel and clinic, hotel with breakfast during treatment, and support in your language. Not included: the flight.
What determines the total price: the number of jaws, the implant system, the material of the final bridge and any preliminary treatment such as tooth removal or bone grafting. Two trips mean two flights; plan for them. A detailed price overview is on the page All-on-4 Turkey cost.
Risks and when All-on-4 is not suitable
An honest coordinator also says when All-on-4 is not the right answer, or not yet.
- Untreated gum disease (periodontitis) is treated first, because it endangers the implant.
- Smoking clearly increases the risk that an implant does not heal in. Stopping before the procedure and staying smoke-free afterwards improves the outlook.
- Poorly controlled diabetes and some medications, for example for osteoporosis, need to be discussed with the dentist and your doctor beforehand.
- If there is too little bone, bone grafting is needed first or another solution is chosen.
- An implant can fail to fuse with the bone. In that case it is removed and, after healing, usually placed again.
After the procedure, swelling and bruising are possible for a few days. Contact the clinic if pain increases after the third day, if you have a fever or if the implant feels loose.
How Mapa Health works: coordinator, not clinic
Mapa Health is not a dentist and not a clinic but a patient coordinator licensed by the Turkish Ministry of Health (licence AK-0456). The licence authorises Mapa Health to support international patients and to coordinate treatments at healthcare facilities; it does not make Mapa Health the treatment provider.
- The partner clinic examines you, makes the diagnosis, chooses the material and carries out the treatment.
- Mapa Health prepares the documents, sends you the written plan and organises transfer, hotel, appointments and support in your language.
- The price follows from the scope of treatment set by the dentist. You receive it in writing before booking.
Since 2020 Mapa Health has accompanied more than 500 international patients. You can check the reviews on Trustpilot (4.5 out of 5 from 108 verified reviews) yourself before deciding.
Aftercare, care and written commitments
Written commitments on material and workmanship are given by the treating partner clinic, not by Mapa Health. You receive the exact terms in writing before treatment: duration, scope and exclusions, for example accidents, lack of care or teeth grinding without a night guard. A replacement usually requires another trip to Istanbul.
Care decides how long the restoration lasts: brush the bridge twice a day, clean underneath it with interdental brushes or an oral irrigator and have a professional cleaning twice a year. A dentist should check the bridge once a year. With good care and regular check-ups the implants often last decades; the bridge may need repair or replacement sooner.