All-on-4 Dental Implants in Tirana, Albania
Replace an entire arch of failing or missing teeth with a fixed, non-removable prosthesis supported by just four implants — provisional teeth placed the same day, final smile delivered in a second visit.
Full Mouth Restoration — Both Arches
The most comprehensive implant treatment available: All-on-4 on both the upper and lower arch simultaneously, placing all implants in a single surgical session and delivering provisional teeth the same day. One trip, full transformation — at a price that represents extraordinary value compared to any Western European clinic.
provisional teeth included vs €24,000–€44,000 in Western Europe Get a Quote
What is All-on-4?
All-on-4 is a full-arch implant solution where a complete set of fixed teeth — upper or lower — is supported by exactly four strategically placed implants. The two front implants are placed vertically; the two posterior implants are tilted at an angle of up to 45°, maximising contact with available bone and often eliminating the need for bone grafting.
The tilted implant design is the key innovation: it allows the prosthesis to be supported at four widely distributed points even in patients who have experienced significant bone loss — making All-on-4 accessible to patients who have worn dentures for years and have been told conventional implants are not possible without extensive grafting.
- Full arch of fixed teeth on just 4 implants
- Often possible without bone grafting
- Provisional teeth placed the same day as surgery
- Fixed — not removable like dentures
- Nobel Biocare or MegaGen implant systems
- Saves 60–70% vs equivalent treatment in Western Europe
Provisional teeth placed the day of surgery
At Kocaqi Dental, All-on-4 cases include the placement of provisional (temporary) teeth on the same day as implant surgery in eligible cases. You arrive with failing or missing teeth — you leave with a full set of fixed provisionals. The final prosthesis in your chosen material is delivered during your second visit, after the healing period.
- Provisional teeth fitted the same day as implant placement
- You leave the clinic with a functional, aesthetic smile
- Provisionals protect the implants during osseointegration
- Allows you to evaluate aesthetics and function before the final prosthesis
- Final prosthesis delivered at visit 2 — after full healing
- No period of wearing removable dentures between visits
Your All-on-4 Journey
All-on-4 vs other full-arch solutions
Understanding where All-on-4 fits relative to the alternatives helps you and your clinical team make the right decision for your specific situation.
| Factor | All-on-4 | All-on-6 | Conventional Denture |
|---|---|---|---|
| Number of implants | 4 per arch | 6 per arch | 0 |
| Fixed vs removable | Fixed — permanent | Fixed — permanent | Removable daily |
| Bone graft needed | Rarely | Sometimes | Never |
| Same-day teeth | Yes — provisionals | Yes — provisionals | Yes |
| Prevents bone loss | Yes | Yes | No — accelerates it |
| Chewing function | ~95% of natural | ~98% of natural | ~25% of natural |
| Kocaqi price (per arch) | From €3,180 | From €4,800 | From €400 |
Who is All-on-4 right for?
All-on-4 is specifically designed for patients who are missing most or all teeth in one or both arches, or who have multiple failing teeth that cannot be restored. A CBCT cone beam scan determines suitability with precision at your first appointment.
Good candidates — All-on-4 works well if you have…
- Most or all teeth missing in an arch
- Multiple failing teeth that cannot be individually restored
- Worn dentures you want to replace permanently
- Moderate bone loss — tilted implants maximise available bone
- Good general health and non-smoker (or willing to quit)
- Realistic expectations about provisional vs final result
- A desire for a fixed, non-removable solution
Additional considerations…
- Severe bone loss in specific areas — may need bone grafting or zygomatic implants instead
- Heavy uncontrolled bruxism — occlusal splint and material selection important
- Uncontrolled diabetes — must be stabilised before surgery
- Active smokers — significantly increases failure and complication risk
- Patients wanting maximum load distribution — consider All-on-6
All-on-4 step by step — from first contact to final smile
Two visits to Tirana. Everything else happens at home. Here is exactly what the treatment journey looks like for an international patient.
Online Consultation & Case Assessment
Send us your existing X-rays (panoramic or CBCT if available) and photographs of your smile. We assess your bone volume, confirm whether All-on-4 is appropriate, and provide a fully itemised written quote within 24 to 48 hours. If you need both arches treated, we include the package price clearly. No commitment required at this stage.
CBCT Scan, Final Planning & Pre-Surgical Preparation
A full cone beam CT scan maps your bone volume, density, nerve positions, and sinus anatomy in three dimensions. Using this data, we confirm the exact implant positions, angles, and lengths digitally before any surgery takes place. Any remaining unsalvageable teeth are extracted at this appointment if not already done, and a surgical guide is prepared for precise implant placement.
Implant Surgery & Provisional Teeth Fitted Same Day
All four implants are placed under local anaesthesia in a single surgical session lasting approximately 2 to 3 hours per arch. Primary stability is assessed immediately — and in eligible cases, the provisional prosthesis is connected the same day. You leave the clinic with a fixed set of provisional teeth. The provisional allows you to eat, speak, and smile while the implants integrate — with no period of wearing removable dentures.
Post-Surgical Review & Departure
A review appointment checks healing, occlusion, and your comfort with the provisionals. Minor adjustments are made if needed. You receive full written aftercare instructions, a soft-food dietary guide for the first 6 weeks, and direct WhatsApp access to your treating dentist. You return home with fixed provisional teeth and a confirmed schedule for visit 2.
Osseointegration
The implants fuse permanently with the jawbone during a healing period of 3 to 6 months. You live normally during this time — eating, speaking, and smiling with your provisional teeth in place. Progress photos and remote check-ins via WhatsApp keep our team updated. Refinements to the provisional are handled remotely in most cases.
Final Prosthesis Fitting & Handover
Integration is confirmed clinically and radiographically. The provisional prosthesis is removed and the final restoration — fabricated in our in-house laboratory in Zirconia, hybrid ceramic, or acrylic-on-titanium depending on your case — is fitted, adjusted, and permanently secured. Bite, aesthetics, and function are confirmed before you leave. Your 10-year guarantee documentation is issued at this appointment.
Provisional and final prosthesis options
All-on-4 involves two prostheses: a provisional placed on the day of surgery, and a definitive final restoration placed at visit 2. Material for the final prosthesis is selected based on your clinical situation, aesthetic goals, and budget.
Provisional Prosthesis (Acrylic)
Placed immediately after implant surgery in eligible cases. The provisional serves two purposes: it gives you functional teeth during the healing period, and it allows you to evaluate the aesthetics, tooth length, and shape before the final prosthesis is fabricated. Any adjustments to the design are incorporated into the final restoration based on your feedback during the healing period.
Final Prosthesis — Material Selected Per Case
The definitive prosthesis is fabricated in our in-house laboratory after full osseointegration is confirmed. Material options include full-arch Zirconia (most durable, most aesthetic), hybrid ceramic-acrylic on a titanium framework (lighter, more shock-absorbing), or reinforced acrylic on titanium. The right choice for your case is discussed at your consultation based on bite forces, aesthetic requirements, and bone volume.
All-on-4 Cost in Albania
All prices below include implants, abutments, provisional teeth, and final prosthesis. No hidden costs. Your personalised written quote is confirmed before any treatment begins.
| Package | Kocaqi — Tirana | Western Europe avg. | Saving |
|---|---|---|---|
| All-on-4 — Single arch (upper or lower) | from €3,180 | €12,000 – €22,000 | ~75% |
| ⭐ All-on-4 — Both arches (upper + lower) | €6,180 | €24,000 – €44,000 | ~75% |
| Nobel Biocare implants (upgrade from MegaGen) | Get a quote | Included in price | — |
| Final Zirconia prosthesis upgrade | Get a quote | €3,000 – €6,000 extra | ~70% |
| Bone Grafting if needed (per site) | from €150 | €500 – €1,500 | ~70% |
Base prices use MegaGen implant system. Nobel Biocare is available at a small supplement per arch. The final prosthesis material (acrylic, hybrid, or full zirconia) is quoted individually based on your case. All costs are confirmed in writing before treatment begins — no surprises.
Why patients choose Kocaqi for All-on-4
Provisional Teeth Same Day
Eligible patients leave surgery with fixed provisional teeth already in place. No period of wearing loose dentures, no waiting weeks to be able to eat properly. You arrive with a problem — you leave with a smile.
Nobel Biocare & MegaGen
Every All-on-4 case uses internationally certified implant systems — Nobel Biocare or MegaGen. Both are used in leading clinics across Europe. Both carry manufacturer guarantees. You know exactly what is placed in your bone, and you can verify it anywhere in the world.
In-House CBCT Scanning
Precise implant placement in an All-on-4 case — where the posterior implants are tilted to exact angles — requires 3D imaging. Our in-house CBCT scanner provides the data needed for accurate surgical planning without relying on 2D panoramic X-rays alone.
In-House Laboratory
Both the provisional and final prosthesis are fabricated on-site. Direct dentist-technician communication ensures the final result matches the aesthetics and function of the provisional you approved during the healing period — no guesswork, no delays.
10-Year Written Guarantee
All implants and prostheses placed at Kocaqi Dental carry a formal 10-year written guarantee. This is documented in your patient record and valid regardless of where you live. It covers implant failure, prosthesis fracture, and material defects.
Full Remote Case Management
Between visits 1 and 2, your case is managed remotely. Progress photos, bite checks, and any concerns about the provisionals are handled via WhatsApp with your treating dentist — not a call centre. Visit 2 is scheduled only once integration is confirmed.
All-on-4 — your questions answered
How long does All-on-4 treatment take in total?
The total treatment spans two visits separated by a healing period of 3 to 6 months. Visit 1 takes 3 to 5 days (CBCT scan, surgery, provisional fitting, post-surgical review). Visit 2 takes 2 to 3 days (integration check, final prosthesis fitting). Everything between the two visits is managed remotely from home. Most patients complete the entire treatment within 4 to 7 months from first consultation to final prosthesis.
Does All-on-4 hurt?
The surgery is performed under local anaesthesia — you will feel pressure but no sharp pain during the procedure. Most patients describe post-surgical discomfort similar to a tooth extraction: soreness and swelling for 3 to 5 days, manageable with prescribed pain relief and anti-inflammatories. Many patients are surprised by how manageable the recovery is relative to the scale of the procedure.
What can I eat after All-on-4 surgery?
During the first 6 weeks (osseointegration phase), a soft-food diet is essential — the provisional prosthesis must not be subjected to heavy biting forces while the implants are integrating. Soft foods, yoghurt, pasta, fish, eggs, and cooked vegetables are all fine. After the final prosthesis is fitted at visit 2, you can return to a fully normal diet — including hard foods — with your fixed permanent teeth.
What is the difference between All-on-4 and All-on-6?
All-on-4 uses 4 implants with the posterior two tilted at an angle to maximise available bone — often possible without grafting and at a lower cost. All-on-6 uses 6 implants for greater load distribution, preferred when bone volume allows and maximum long-term stability is the priority. Both deliver a fixed result. The right choice is determined by your CBCT scan data and clinical assessment — not personal preference alone.
How long do All-on-4 implants last?
The implant fixtures themselves are designed to be permanent — Nobel Biocare and MegaGen systems report 10-year survival rates of 95%+. The prosthesis on top will typically need replacement or refurbishment after 10 to 15 years depending on the material. All implants placed at Kocaqi Dental carry a 10-year written guarantee covering both fixture and prosthesis.
Can I get All-on-4 if I have been told I don't have enough bone?
The tilted implant design of All-on-4 is specifically intended to maximise use of available bone — particularly in the anterior jaw where bone is typically denser and more abundant. Many patients told they cannot have conventional implants are suitable for All-on-4 without grafting. For cases with very severe bone loss in the upper jaw, zygomatic implants are an alternative. A CBCT scan at your first appointment answers this question definitively.
Is All-on-4 safe to do abroad?
Safety in implant surgery depends on the implant brand, imaging quality, surgical expertise, and aftercare protocol — not the country. At Kocaqi Dental we use Nobel Biocare and MegaGen implants (the same systems placed in leading European clinics), plan with in-house CBCT imaging, and provide full remote aftercare with documented written guarantees. We recommend asking any clinic you consider to confirm in writing the implant brand, batch number, and guarantee terms before proceeding.
Replace your failing teeth — permanently
Send us your panoramic X-ray or CBCT scan (or just photos if you don't have them) and a brief description of your situation. We'll assess your case, confirm whether All-on-4 is appropriate, and provide a full itemised quote — including the both-arches package if applicable — within 24 to 48 hours.
Both arches from €6,180 · Provisional teeth same day · Nobel Biocare & MegaGen · 10-year guarantee · 2 trips only