All-on-4 patients at Delia Dental Clinic choose between three packages, and the implants are the same in all three: four implants per arch, the same abutment set and the same temporary teeth. What changes is the final prosthesis that sits on top, which is made of high strength acrylic, metal ceramic or zirconia.
The final prosthesis, often called a bridge, is the fixed set of teeth screwed onto your implants. It is not a traditional bridge that relies on the neighbouring teeth, and no natural tooth is filed down to support it. The temporary teeth and the final teeth are also not two types of bridge. They are two stages of the same treatment, one worn while you heal and one made once healing is confirmed.
The choice is not a simple ladder from good to best. Zirconia is heavier and harder than acrylic, so it is not automatically right for a jaw with severe bone loss, and acrylic is not a budget compromise but a clinical option for patients whose bone cannot carry a heavy prosthesis. The dentist makes the call after a CBCT scan and an examination.
This guide compares what each final prosthesis is made of, who it tends to suit, how it behaves over the years and what each package costs, so you can weigh it against any other quote before booking flights to Hanoi or Ho Chi Minh City.
Quick Answer
All-on-4 packages at Delia Dental Clinic share the same four implants and temporary teeth. They differ in the final prosthesis: acrylic is lightest but wears and needs repair, while metal ceramic and zirconia last longer but weigh more. On Osstem, Package 2 costs $1,400 more than Package 1 and Package 3 costs $1,800 more. Your bone and bite, confirmed on CBCT, decide which fits.
What All Three All-on-4 Packages Have in Common
Every All-on-4 package starts from the same surgical base, so the implants themselves are not what separates Package 1 from Packages 2 and 3. Each package covers the following:
- Four implants in the brand you choose
- Four abutment sets, each made up of a multi unit abutment, a healing cap and a cylinder
- Immediate temporary teeth, made of acrylic on a bar
- One final prosthesis, which is where the three packages differ
Sinus lift, bone grafting, sedation and any other treatment found at examination are billed separately. If your upper jaw has lost height, a sinus lift may be part of your plan, and the bone grafting cost guide explains how that changes a quote.
The temporary teeth are identical across the packages and are built to protect the implants while they heal, not to last. The packages only diverge on the second trip, once healing is confirmed, when the final prosthesis is made from a scan of your healed result.
How the Three Final Prostheses Compare
The table sets the three final prostheses side by side. These are general characteristics of each material, and how they apply to you is confirmed after examination.
| Criteria | Package 1: Acrylic | Package 2: Metal Ceramic | Package 3: Zirconia |
|---|---|---|---|
| Final prosthesis | One connected piece of high strength acrylic, screw retained | Individual ceramic teeth over metal, fixed on a titanium framework | Individual zirconia teeth, fixed on a titanium framework |
| Weight | Lightest | Heavier than acrylic | Heavier than acrylic |
| Wear and chipping | Wears down, can chip or crack over time | Ceramic layer can chip, metal base is stable | Highly resistant to wear and staining, though no material is immune to fracture |
| Service expectation | Shortest, periodic repair or replacement is realistic | Long term | Long term, designed for the longest service of the three |
| Often considered when | Bone loss is severe and the jaw needs a light prosthesis | Bone is adequate and a durable restoration is wanted | Bone is adequate and maximum durability and appearance are wanted |
| Price per arch (Osstem example) | $4,500 | $5,900 | $6,300 |
The pattern that matters is the trade between weight and durability. Acrylic gives the lightest prosthesis and the most forgiving load on weak bone, at the cost of faster wear. Metal ceramic and zirconia give harder wearing teeth, at the cost of more weight on the implants. That trade sits at the heart of any acrylic vs zirconia All-on-4 comparison, and it is why the right answer changes from patient to patient.
Which Final Prosthesis Fits Your Bone and Bite
The package follows the clinical picture, not the other way round. The CBCT scan and examination show how much bone is available, how hard you bite and whether you grind, and those findings steer the recommendation.
When an Acrylic Prosthesis Is the Clinical Choice
Package 1 uses a high strength acrylic prosthesis that is screwed onto the implants. It is the lightest of the three, which matters when a jaw has lost so much bone that it cannot comfortably carry a heavier restoration. In that situation a light All-on-4 bridge for bone loss can be the safer plan, even though acrylic teeth wear down and can chip or crack over time.
Patients choosing this option should expect periodic maintenance, and repair or replacement of the prosthesis is a realistic part of the long term picture. It is a clinical option for specific bone conditions rather than a lower tier, although the lower price is a real benefit for patients whose dentist considers it suitable.
When a Metal Ceramic Prosthesis Fits
Package 2 fixes individual ceramic teeth over metal onto a titanium framework. The metal base gives the structure its stability, and the ceramic surface looks more natural than acrylic. It suits patients with enough bone to carry a heavier prosthesis who want a durable restoration.
The ceramic layer is the weak point, since it can chip under heavy or uneven biting, so the bite is checked carefully at the fitting. A chip is a prosthesis issue and does not by itself mean the implants have failed, but the repair route depends on the design and is worth asking about in the written plan.
When a Zirconia Prosthesis Fits
Package 3 uses individual zirconia teeth fixed on a titanium framework. Zirconia is highly resistant to wear and staining, which is why patients who want the most durable result and a polished appearance often choose an All-on-4 zirconia bridge. It is still heavier than acrylic and can be harder on natural teeth in the opposing arch, so it is matched to patients with adequate bone and a controlled bite.
Patients who clench or grind should talk about a night guard after implants and crowns whichever package they choose, because no material is immune to heavy forces.
How Each Final Prosthesis Holds Up Over the Years
No final prosthesis is permanent. Acrylic teeth are the most likely to need attention first, with wear showing up as flattened or stained teeth and the occasional chip. Metal ceramic and zirconia are designed for longer service, but chipping, a loose screw or wear on the biting surface can still occur. How often a prosthesis needs maintenance depends on your bite, your cleaning and your habits more than on the package label.
This guide does not quote a fixed number of years for any final prosthesis, because service life depends on the case. Ask for the lifespan and warranty terms for the prosthesis in writing. The prosthesis, the abutments and the implant fixtures carry separate terms, which the guide on implant warranty versus prosthetic warranty explains. Daily cleaning matters in all three packages, and the steps are covered in how to clean under an All-on-4 bridge when you live overseas.
What Each Package Costs at Current Delia Offer Prices
Prices are Delia offer prices per arch in USD, current as of October 2026, and they depend on the implant brand you choose.
| Implant brand | Package 1: Acrylic | Package 2: Metal Ceramic | Package 3: Zirconia |
|---|---|---|---|
| Osstem | $4,960 | $5,960 | $6,260 |
| Dentium | $5,360 | $6,360 | $6,660 |
| HIOSSEN | $5,960 | $6,960 | $7,260 |
| ETK | $6,160 | $7,160 | $7,460 |
| SIC | $6,560 | $7,560 | $7,860 |
| NEODENT GM Helix Neoporos | $6,560 | $7,560 | $7,860 |
| NEODENT GM Helix Acqua | $6,960 | $7,960 | $8,260 |
| Straumann SLA | $8,760 | $9,760 | $10,060 |
| Straumann SLActive | $9,360 | $10,360 | $10,660 |
| NOBEL | $8,760 | $9,760 | $10,060 |
| NOBEL ACTIVE | $9,360 | $10,360 | $10,660 |
Each price covers the four implants, the abutment sets, the immediate temporary teeth and the final prosthesis for that package. It does not cover sinus lift, bone grafting, sedation or other treatment identified after examination. On Osstem, Package 2 sits $1,400 above Package 1 and Package 3 sits $1,800 above it, so moving from metal ceramic to zirconia adds $400.
Other implant systems are priced on top of their own base, and the step between packages should not be assumed to match the Osstem figures. Ask for the price of your chosen brand across all three packages before comparing, so you are looking at the same arch, the same inclusions and the same brand on both sides.
How Travel Support Changes the Real Gap
Travel support narrows the price gap for patients who qualify, so the net price after support is a fairer comparison than the headline price alone.
| Support | Value by brand | How it works |
|---|---|---|
| Flight support | $500 to $900 | Packages 2 and 3 only, covers two trips, deducted from the bill |
| Hotel support | $200 to $300 | All packages, covers two trips, deducted from the bill |
| Airport transfer | $40 | Arranged by Delia Dental Clinic, not deducted from the bill |
| Visa support | $60 | Deducted from the bill, conditions confirmed in writing before you book |
| HIFU skin rejuvenation gift | $300 | Ho Chi Minh City branch only, not deducted from the bill |
Flight support runs from $500 on Osstem and Dentium to $700 on HIOSSEN, ETK, SIC and NEODENT Neoporos, $800 on NEODENT Acqua and Straumann SLA, and $900 on Straumann SLActive, NOBEL and NOBEL ACTIVE. Hotel support is $200 for every brand except Straumann SLActive, NOBEL and NOBEL ACTIVE, which carry $300. Treating two arches, or one arch plus cosmetic crowns, still counts as one support entitlement at the highest level and is not doubled.
Every package also comes with a free blood test package valued at $80, a free consultation with the main dentist valued at $95 and a free X-ray and CBCT package valued at $38.
Take Osstem as an example. Package 1 is $4,500 and Package 2 is $5,900. If you book your own flights, $500 comes off Package 2, which lands at $5,400 and sits $900 above Package 1. Package 3 lands at $5,800, which is $1,300 above Package 1. Package 1 carries no flight support, so its price stays at $4,500. Hotel support is the same in every package, so it lowers each bill equally and does not change the gap.
Support conditions, including any advance deposit, are confirmed in writing before you book, and the final quote follows examination and CBCT.any deposit requirement, are confirmed in writing before you book, and the final quote follows examination and CBCT.
How Delia Dental Clinic Matches You to a Final Prosthesis Before You Fly
Delia Dental Clinic does not assign a package from a price list. The package follows what your bone and bite can carry, so the first step is a review of the records you already have.
Send your recent X-rays, any existing CBCT files and your current implant quote. The international patient team can read what is visible, suggest which package is worth considering, and estimate the cost and the likely travel timeline for Hanoi or Ho Chi Minh City. That remote review is a preliminary direction and not a diagnosis, because X-rays cannot show bone volume and density in three dimensions.
The final decision is made at the clinic. A CBCT scan before an implant shows the available bone, the sinus and the nerve, and the dentist then confirms the package and the number of implants. Your written plan should name the implant brand, the final prosthesis material, the framework and the warranty terms for the prosthesis, so you can compare it line by line with any other quote you hold.
Frequently Asked Questions
Can Acrylic Teeth Chip or Crack?
Yes, acrylic teeth can chip, crack and wear down over time, which is why Package 1 is expected to need periodic repair or replacement. The risk rises with heavy biting, grinding and hard foods. Many patients on this package use a night guard if they clench, and regular checkups let the dentist catch wear early. Ask what the repair process involves and what it costs before choosing this package.
Does a Heavier Zirconia Prosthesis Put More Stress on the Implants?
Prosthesis weight is one of several factors the dentist weighs, along with the framework design, the bone available and your bite force. In a jaw with severe bone loss, a lighter prosthesis may be the safer plan, which is the reason Package 1 exists. In a jaw with adequate bone, a metal ceramic or zirconia prosthesis is commonly considered suitable. The CBCT scan and examination decide this, not the package name.
Will Metal Ceramic and Zirconia Teeth Look Different?
Both can look natural, but they behave differently over time. Zirconia is highly resistant to staining and wear, and metal ceramic has a ceramic surface over a metal base. The shade and tooth shape are confirmed at the fitting stage rather than promised in advance. If appearance is your main concern, tell the team early so the design reflects it.
Will the Final Teeth Feel Different From the Temporary Ones?
They often do, because the final prosthesis is made from a scan taken after your gums have settled, while the temporary teeth were fitted on the day of surgery. The shape, thickness and bite are refined at this stage, and most of the early adjustment is about the tongue and lips getting used to the new contours. Any high spot or discomfort is checked and adjusted at the fitting before you fly home. If something still feels off after you return, send photos or a short video so the team can advise whether it needs a visit.
Can I Change the Final Prosthesis Material Later?
In general, a prosthesis can be replaced while the implants underneath remain healthy, but it is a separate procedure and it is quoted separately. Whether it is practical depends on the implants, the framework and your bone at that time. Confirm with the team for your case before choosing a package, particularly if you are considering Package 1 with the idea of upgrading later.
Why Does Package 1 Not Include Flight Support?
On the current offer sheet, flight support applies to Packages 2 and 3 only, while hotel, airport transfer and visa support apply to all three. The sheet does not give a reason, so treat it as a structural feature of the offer rather than a judgment about the acrylic option. It does mean the net price gap between packages is smaller than the headline gap. Ask for the support figures in writing for each package you are considering, because the amount also changes with the implant brand.
Planning the Rest of Your Full Arch Treatment
A few more guides cover the stages around the final prosthesis, from the temporary teeth to how the number of implants changes the plan.
- Full Arch Dental Implants Vietnam: Temporary vs Final Teeth
- All-on-4 vs All-on-6 Dental Implants in Vietnam: Which Is Right for You?
- What Can You Eat with Temporary Teeth: All-on-4 or All-on-6?
Final Thoughts
The best final prosthesis is the one your bone and bite can carry comfortably for years, and that can be the lightest option as easily as the hardest. Choosing by material name or price step alone risks teeth that do not suit the jaw underneath them.
Send your X-rays, CBCT files or existing implant quote via WhatsApp or Messenger before you book flights, and Delia Dental Clinic can suggest which package is worth considering for Hanoi or Ho Chi Minh City. The final plan and quote are confirmed after an in person examination.
