All-on-4 in Turkey: a full set of fixed teeth in a single day, from €4,500.
Four titanium implants per arch — two axial and two tilted — supporting a fixed bridge fitted right after surgery. The benchmark solution for full-arch tooth loss, popularised by Nobel Biocare, performed in Istanbul by surgeons dedicated to full-arch implantology. English-speaking follow-up from our EU office in Ris-Orangis, France.
All-on-4 in Turkey starts at €4,500 per arch at Elybe Clinic (4 implants + a fixed provisional bridge in reinforced resin, Osstem brand), compared to €15,000 in France, €13,500 in Belgium and €22,000 in Switzerland for the exact same protocol. The technique places four titanium implants per jaw — two of them tilted up to 45° — so a complete fixed bridge can be screwed in within 24 to 48 hours, with no bone graft needed in 80% of cases. First stay 5-7 days, second stay 4-5 days three to six months later for the definitive prosthesis.
The All-on-4 protocol in 4 steps
Developed in the 1990s by Dr Paulo Maló with Nobel Biocare, the All-on-4 technique remains today the most documented protocol for full-arch edentulism. Here is how Elybe Clinic delivers it.
3D assessment
Panoramic X-ray and cone beam CT scan. Bone density analysis and precise digital planning of each implant angulation.
Surgery
Placement of the 4 implants under local anaesthesia (or conscious sedation). 2 axial anterior, 2 posterior tilted up to 45°. Around 90 minutes per arch.
Provisional bridge
Immediate impression, CAD/CAM milling on the same day, fitting of the reinforced resin bridge within 24-48 h. You leave with fixed teeth.
Final bridge
Second stay at 3-6 months: high-precision digital impressions, fabrication of the porcelain-fused-to-metal or full-zirconia bridge, definitive screw retention.
Why 4 implants are enough
The trick lies in tilting the two posterior implants (up to 30-45°). This angulation makes it possible to:
- bypass areas of resorbed bone (maxillary sinus, alveolar nerve) — and therefore avoid a graft in 80% of cases;
- broaden the supporting polygon of the bridge and increase mechanical stability;
- distribute chewing forces over a larger bone surface.
The result: a clinical success rate of 98.2% at 10 years in the reference studies (Maló et al., Nobel Biocare).
All-on-4 vs All-on-6 vs All-on-8
The three protocols share the same goal (full edentulism, fixed bridge) with key nuances:
- All-on-4: moderate to good bone, immediate loading possible, the most cost-effective. Our default recommendation.
- All-on-6: 2 extra posterior implants, better-distributed load, ideal for borderline bone or mild bruxism.
- All-on-8: premium version for moderate osteoporosis, severe bruxism or patients seeking maximum longevity.
All-on-4 Turkey vs France, Belgium, Switzerland
Elybe Clinic all-inclusive prices (surgery + 4 implants + bridge). Stay packages cover the 4/5★ hotel, VIP transfers and English-speaking interpreter.
The expertise of a team specialised in full-arch rehabilitation
Surgeons trained in the Maló protocol
Team dedicated to full-arch implantology, more than 600 All-on-X procedures per year, Nobel Biocare and Straumann certifications.
Systematic 3D planning
Guided surgery using cone beam CT and dedicated implant software. Angulations calculated to the degree before entering the OR.
Immediate loading included
The provisional bridge is fitted within 24-48 h at no extra cost. You never leave Istanbul without fixed teeth.
Written lifetime guarantee
Lifetime manufacturer guarantee on the 4 implants, 5 years on the final bridge. Free annual remote check-ups.
Elybe patient results
Two stays, three to six months apart
Stay 1 — Surgery + provisional bridge
5 to 7 days. Arrival, 3D scan, surgery under local anaesthesia or sedation, immediate loading at 24-48 h, post-op checks, return home with a fixed smile.
3 to 6 months — Osseointegration
Healing at home, soft diet, monthly photo check-ins, remote follow-up handled by our EU office in Ris-Orangis.
Stay 2 — Final bridge
4 to 5 days. Digital impressions, aesthetic try-in, fitting of the porcelain-fused-to-metal or full-zirconia bridge, bite adjustment.
Lifetime follow-up
Named guarantee certificate, free annual photo check-ups, night protection guard included, lifetime warranty on the implants.
All-on-4 Turkey: everything you need to know
At Elybe Clinic, All-on-4 starts at €4,500 per arch (Osstem + resin bridge), or €6,500 in the Straumann version with a ceramic final bridge. A double arch costs €8,800, compared to €28,000-€44,000 in France or Switzerland for the same protocol.
Yes — that is the whole point of the protocol. The fixed provisional bridge is screwed onto the 4 implants within 24 to 48 hours of surgery. You leave Istanbul with fixed, aesthetic, functional teeth. A soft diet is recommended for 3 months to protect osseointegration.
First stay: 5 to 7 days in Istanbul for surgery, immediate loading and post-operative checks. Second stay: 4 to 5 days, 3 to 6 months later, for the digital impressions and fitting of the final ceramic bridge.
All-on-4 is the standard when enough bone remains: 4 implants are sufficient and immediate loading is possible. All-on-6 adds 2 posterior implants to spread the load — useful for moderate bone density or bruxism. All-on-8 is reserved for demanding cases: osteoporosis, severe bruxism, maximum longevity.
Three world-class brands: Straumann (Switzerland), Nobel Biocare (Sweden, inventor of the protocol) and Osstem (South Korea). All show a success rate above 98% at 10 years. The final choice is discussed during the remote consultation, based on your budget and bone status.
The main advantage of All-on-4 is to avoid grafting in 80% of cases, thanks to the tilted posterior implants (up to 45°) which bypass resorbed bone. If a graft is needed, it is performed in the same clinic, starting at €400.
Lifetime manufacturer guarantee on the 4 titanium implants. 5-year guarantee on the final ceramic bridge against manufacturing defects. A named traceability certificate is handed over at the end of your stay, with annual remote follow-up from the EU office in Ris-Orangis, France.
Informational content — not a substitute for medical advice from a qualified dentist. All-on-4 has contraindications (heavy active smoking, uncontrolled diabetes, severe osteoporosis). A prior consultation is essential.
Related procedures & resources
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