{"key":"op_390_PT","page":{"url":"https://us-uk.bookimed.com/clinics/country=portugal/procedure=all-on-4-dental-implants/","procedure":{"id":390,"slug":"all-on-4-dental-implants","name":"All-on-4 Dental Implants","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"dental","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"dentistry","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":248,"iso":"PT","name":"Portugal"},"currency":"USD","data_date":"2025-05-12"},"pages":{"clinics_url":"https://us-uk.bookimed.com/clinics/country=portugal/procedure=all-on-4-dental-implants/","cost_url":"https://us-uk.bookimed.com/clinics/country=portugal/procedure=all-on-4-dental-implants/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":9600,"to":13000,"avg":{"value":9707,"method":"median","source":"offers"},"us":{"from":15000,"to":28000},"uk":{"from":10000,"to":23000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Lisbon","from":9600}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"standard","min":9707,"max":9707,"median":9707,"count":1}]},"comparison":[{"country_iso":"UA","from":3500,"to":6200},{"country_iso":"FR","from":11500,"to":18000},{"country_iso":"GB","from":10000,"to":23000},{"country_iso":"US","from":15000,"to":28000},{"country_iso":"IL","from":12000,"to":19000},{"country_iso":"TR","from":1500,"to":5500},{"country_iso":"MX","from":5000,"to":9400},{"country_iso":"DE","from":9500,"to":15500},{"country_iso":"CA","from":17500,"to":25000},{"country_iso":"AE","from":7500,"to":12500},{"country_iso":"TH","from":8000,"to":12200},{"country_iso":"PL","from":4500,"to":5900},{"country_iso":"KR","from":9000,"to":15500},{"country_iso":"CZ","from":7500,"to":9000},{"country_iso":"AT","from":11500,"to":18000},{"country_iso":"ES","from":6000,"to":10100},{"country_iso":"IT","from":8500,"to":14500},{"country_iso":"CN","from":4300,"to":8000},{"country_iso":"AU","from":17500,"to":26000},{"country_iso":"IN","from":4000,"to":6200},{"country_iso":"MY","from":6500,"to":10500},{"country_iso":"VN","from":3700,"to":7500},{"country_iso":"BR","from":5100,"to":7800},{"country_iso":"AL","from":1800,"to":5300},{"country_iso":"AZ","from":6000,"to":7200},{"country_iso":"BG","from":4900,"to":7800},{"country_iso":"CO","from":8000,"to":9500},{"country_iso":"CR","from":11700,"to":16500},{"country_iso":"DO","from":4600,"to":13500},{"country_iso":"EC","from":15000,"to":18000},{"country_iso":"EG","from":5000,"to":6500},{"country_iso":"GE","from":1900,"to":7800},{"country_iso":"HU","from":4800,"to":6700},{"country_iso":"KZ","from":9000,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"RO","from":2700,"to":8000},{"country_iso":"SG","from":31300,"to":43600}],"base_country":"US","base_is_fallback":false},"savings":{"pct":36,"variant":">=15%"},"package":{"included":["Abutment + abutment screw","Consultation with a dentist","Consultation with a doctor","Consumable materials","Crown(s)","Dental implant(s)","Follow-up examination","Language assistance","Local anesthesia","Temporary prosthesis"],"excluded":["Accommodation is not included","Transfer is not included"],"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":3,"items":[{"id":3662,"name":"CPRO Dental Clinic","city":"Lisbon","rating":5,"reviews_count":1,"accreditations":{"status":"missing","reason":"not_collected"},"rank":1,"has_procedure":true,"why_ranked":"Doctors have performed 900+ procedures with BioHorizons implants. 98% of patients recommend this clinic for All-on-4 treatments. 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TEMOS-accredited clinic with 90–98% success rate.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":1,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":2573,"slug":"lisbon","name":"Lisbon","clinics_count":1,"price_from":9600,"profile":{"city_type":"Capital city of Portugal","access":["Lisbon Airport (LIS), 7 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Lisbon","https://simple.wikipedia.org/wiki/Lisbon_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":1,"active_with_related":1,"hospital_nights_median":0,"days_in_country_median":{"status":"missing","reason":"fewer than 10 offers with hotel days"},"top_offers":[{"id":"642aac051c21a776d509ad42","clinic_id":3662,"clinic_listed":true,"price":9707,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Consultation with a doctor","Local anesthesia","Follow-up examination","Language assistance","Crown(s)","Dental implant(s)","Abutment + abutment screw","Consumable materials","Consultation with a dentist","Temporary prosthesis"],"excluded":["Accommodation is not included","Transfer is not included"],"other_services":"The Price 8.750 Eur corresponds to All-on-4 dental treatment per Arch and includes: Implants installment (BioHorizons Implants - USA) ; Temporary Prosthesis and Definitive Prosthesis. 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All of our Health professionals are very experienced and are licensed under the OMD (accredited by the Ordem dos Médicos Dentistas - Portugal).","is_package":true}],"related_packages":{"status":"missing","reason":"not_collected"},"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Edentulous jaw (upper or lower arch)","Failing dentition needing full-arch extraction (periodontitis, decay)","Poor fit or dissatisfaction with conventional dentures","Reduced posterior bone volume"],"contraindications":["Uncontrolled systemic disease (e.g., poorly controlled diabetes)","Recent or ongoing head and neck radiotherapy to the jaw","IV bisphosphonate or antiresorptive therapy with osteonecrosis risk","Active uncontrolled periodontal disease or oral infection (until treated)","Heavy smoking or severe bruxism (relative)","Insufficient bone where grafting or zygomatic options unfeasible (relative)","Pregnancy (elective surgery usually deferred)"],"operation_hours":{"min":2,"max":4,"unit":"hours","qualifier":"One arch surgery including implant placement and immediate provisional bridge; extractions may extend duration."},"anesthesia":["local","local_sedation"],"sessions_or_stages":{"sessions":{"min":2,"max":4,"unit":"visits","qualifier":"One arch, immediate load: surgery, impression visit, optional try-in, final delivery. 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Final delivery may fall after 6 months if delayed."},"hospital_nights":{"status":"not_applicable"},"treatment_conditions":["outpatient"],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"From surgery: return to light daily activities as early soreness and swelling settle. Soft diet and oral care continue."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"From one-arch surgery. Fly after local bite, wound and bridge check; book any remaining 7-14-day review at destination."},"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Office work after single-arch All-on-4 surgery; swelling and discomfort usually settle within the first week."},"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Light activity first; strenuous exercise once swelling and bleeding risk have settled."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Typical time to final prosthesis after osseointegration; immediate-load provisional bridge is usually fitted at surgery."},"result_longevity":"Implants can last many years with good hygiene and maintenance; the prosthesis may need repair or replacement sooner than the implants.","main_risks":["Swelling, bruising and bleeding","Infection","Implant failure or failed osseointegration","Peri-implantitis over time","Prosthesis fracture or screw loosening","Nerve irritation or numbness","Sinus perforation (upper jaw)","Speech or bite adaptation difficulties"],"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Per patient over 1-5 years: implant loss requiring removal or prosthesis failure, one arch, immediate load. Minor events excluded."},"revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Per patient over 1-5 years: unplanned surgery for implant removal/replacement or prosthesis remake. Excludes routine repairs and planned final exchange."},"success":{"metric":"Implant survival","value":97,"horizon":"About 5 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"No visible external scars; small intraoral gum incisions heal without noticeable marks.","pain":"Procedure is done under anesthesia with little pain; moderate soreness and swelling for 3-5 days, usually managed with standard analgesics.","preparation":["Clinical exam, panoramic X-ray and CBCT scan","Medical and oral health review; treat infection or gum disease","Treatment planning and digital or model-based prosthesis design","Arrange soft food diet and aftercare supplies","Stop smoking before and after surgery","Fast only if sedation is planned"],"recovery_timeline":[{"phase":"Days 0-3","description":"Peak swelling, mild oozing and soreness; provisional fixed bridge in place. Light walking fine from day 1.","restrictions":["Cold compresses","Liquid or very soft diet","No strenuous exercise","Do not remove the provisional bridge"]},{"phase":"Days 4-14","description":"Swelling and bruising subside; sutures dissolve or are removed. Light exercise from weeks 1-2.","restrictions":["Soft diet","Gentle oral hygiene per instructions","Avoid smoking"]},{"phase":"Weeks 2-12","description":"Gradual return to softer solid foods while implants integrate. 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it","scope":"treatment_type","source":{"url":"https://connect.aaid-implant.org/blog/dental-implant-questions-to-ask-before-choosing-an-implant-dentist","host":"connect.aaid-implant.org","quote":"Not all dentists are thoroughly trained and experienced in implant dentistry.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team who will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check how aftercare will be coordinated after you go home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Loose or wobbly implant","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants","host":"my.clevelandclinic.org","quote":"A loose or wobbly implant","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Pus around the implant","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants","host":"my.clevelandclinic.org","quote":"Pus (infection) around the implant","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Pain not improved by medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Pain that doesn’t improve with medication.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Records the operation actually carried out, which the home doctor needs for follow-up","document":"discharge summary","source":{"url":"https://standards.nhs.uk/published-standards/core-information-standard/implementation-guidance?page=38","host":"standards.nhs.uk","quote":"The discharge summary should include the operation which was actually carried out","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local","local_sedation"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Office work after single-arch All-on-4 surgery; swelling and discomfort usually settle within the first week."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Per 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Healing reviews listed separately."},"stages":[{"code":"surgery_provisional","label":"Extractions if needed, four implants and immediate provisional bridge","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery; reference event for later timing."}},{"code":"final_impression","label":"Final impression after soft tissue and implant healing, if the lab requires it","after":{"min":90,"max":150,"unit":"days","qualifier":"After surgery; depends on healing and lab protocol."}},{"code":"final_bridge","label":"Final prosthesis delivery","after":{"min":105,"max":180,"unit":"days","qualifier":"After surgery; typically 2-4 weeks after impression for lab fabrication."}}],"qualifier":"One arch, adequate stability. Delayed loading, grafting and two arches excluded. Final delivery may fall after 6 months if delayed."},"success":{"metric":"Implant survival","value":97,"unit":"percent of implants","horizon":"About 5 years","population":"Edentulous adults, one arch, four implants, immediate provisional bridge; per implant, not per patient","evidence_status":"limited"},"techniques":[{"name":"One-arch immediate-load All-on-4 with provisional fixed bridge","suits_whom":"Patients with adequate bone for primary implant stability","recovery":"Soft diet continues while implants integrate; provisional bridge worn until final prosthesis."},{"name":"Delayed loading","suits_whom":"Patients with low primary stability or needing grafting","recovery":"Removable temporary denture during healing; longer wait for fixed teeth."},{"name":"Computer-guided immediate-load placement","suits_whom":"Cases planned digitally for precise placement","recovery":"Often less swelling; similar healing timeline."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"One arch surgery including implant placement and immediate provisional bridge; extractions may extend duration."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the jaw (if available)","Front and side photos of face and smile","Photos of current teeth or denture","List of blood thinners and bisphosphonates"],"travel_trips":{"min":2,"max":3,"one_trip_possible":false,"qualifier":"Typical stay 3-7 days; final bridge needs a return trip after 3-6 months."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the dentist's training in implant dentistry, since not all dentists have it","scope":"treatment_type","source":{"url":"https://connect.aaid-implant.org/blog/dental-implant-questions-to-ask-before-choosing-an-implant-dentist","host":"connect.aaid-implant.org","quote":"Not all dentists are thoroughly trained and experienced in implant dentistry.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team who will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check how aftercare will be coordinated after you go home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Loose or wobbly implant","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants","host":"my.clevelandclinic.org","quote":"A loose or wobbly implant","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Pus around the 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Much Does All-on-4 Dental Implants Cost in Portugal?","kind":"content"},{"text":"Your Benefits and Guarantees with Bookimed","kind":"content"},{"text":"Your personal Bookimed medical coordinator","kind":"content"},{"text":"All-on-4 Dental Implants Packages in Portugal — November 2026","kind":"content"},{"text":"Discover the Best All-on-4 Dental Implants Clinics in Portugal: 3 Verified Options and Prices","kind":"content"},{"text":"All-on-4 Dental Implants Overview in Portugal","kind":"content"},{"text":"Our Doctors","kind":"content"},{"text":"Video Stories from Bookimed Patients","kind":"ui"},{"text":"Related Articles","kind":"ui"},{"text":"Share this content","kind":"ui"},{"text":"Fast Facts about All-on-4 Dental Implants","kind":"content"},{"text":"Get a free consultation","kind":"ui"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}