All-on-4 is a revolutionary full-arch dental implant solution that replaces all teeth in the upper or lower jaw using only 4 Nobel Biocare dental implants. Developed in 1995 by Dr. Paulo Malo, it has transformed the field of implant dentistry by enabling patients to leave the clinic with a provisional fixed bridge—often within 24 hours of surgery. This treatment has become so popular over the last two decades that it is now the treatment solution of choice for edentulous patients. The All On 4 technique is minimally invasive, easy maintained, cost-effective and has extremely high success rates compared to other traditional full jaw implant methods.
The treatment consists of placing only 4 dental implants per jaw, in strategic positions , and No bone grafting required, to support a full set of upper or lower teeth. The teeth are fixed to the implants and can only be removed by a dentist. This fixed bridge gives patients the ability to have a strong bite, eat comfortably while achieving great esthetic results all in just 24 hours, without the need for bone grafting, nerve repositioning and at a fraction of the cost compared to the traditional full jaw implants. By eliminating the need for bone grafting (Graft less Option), patients not only save time and cost compared to traditional bone grafting procedures, but also have a much more predictable outcome and can have a brand new set of teeth in just 24 hours.
Thanks to its 30+ years of clinical success, standardized worldwide training, and extensive research confirming high survival and satisfaction rates. If you value long-term reliability, cost transparency, and a solution supported by decades of peer-reviewed data, choose a Malo Certified clinic—like ours at Bangkok Smile Dental Clinic—where you can trust every step to align with the original All-on-4 standards set by Dr. Paulo Malo.
Why Bangkok Smile? According to Dr. Paulo Maló, Dr. Sermsakul Wongtiraporn and his Bangkok Smile Dental Group share the same core values as our very own, on top of having the most outstanding dental professionals and the best clinic locations in Thailand.” And so on August 18, 2016, Bangkok Smile Dental Clinic formed an exclusive partnership with Dr. Paulo Malo and was made public with a formal Signing Ceremony held at Bangkok Smile’s Sukhumvit 5 branch.
At Bangkok Smile, We use only this authentic Malo Dental protocol with the highest success rate guaranteed, while A large number of dental clinics promote All On 4 treatment while they only have attended weekend seminars on this complex subject. They often offer reduced fees to attract patients to practice what they have learned at these seminars and many times, they promote other implant systems to justify the reduced fees. Additionally, Variations like “All on 5,” “All on 6,” or “All on X” often lack robust evidence and may unnecessarily add costs by adding more numbers of dental implants—all while deviating from the proven science that underpins the true All-on-4. Why would you want to risk your treatment with unproven All On 4 treatment?
13 Benefits of Dr. Paulo Malo's ALL ON 4TM
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Fixed and Non Removable teeth in just 24 hours
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Latest Malo Dental research protocol
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Two Set of teeth ( A provisional and a final )
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Minimally invasive surgery with only 4 implants
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No Bone grafting ( No additional time needed for healing and no additional cost )
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Can begin eating immediately
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Can chew hard food after healing
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Stops Jaw Bone Resorption
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No Sore gums
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Easy to clean and maintain
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Beautiful and natural looking teeth
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No palatal coverage on the top jaw
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Food tastes better
At Bangkok Smile Dental Clinic, we understand that opting for a full-arch replacement is a significant decision—one that affects not only your oral health but also your quality of life. Here’s why our All-on-4 service stands out:
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Exclusive Malo Accreditation in Thailand. We’re the only clinic in Thailand officially certified by Dr. Paulo Malo, the pioneering mind behind the famous All-on-4 protocol. This means our procedures adhere to the original, research-backed techniques recognized worldwide.
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Global Standard of Care. Our protocols mirror those at Malo Dental in 20 countries globally—ensuring consistent excellence, from pre-operative planning to aftercare.
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Highly Trained All on 4 Specialists. Our All-on-4 team undergoes rigorous training directly under Dr. Malo’s faculty. This ensures we stay current with new innovations, advanced materials, and refined surgical techniques.
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State-of-the-Art Facilities We’ve invested in cutting-edge dental technology, including 3D imaging systems, sedation dentistry options, and an in-house dental laboratory which is ISO9001 certified to ensure precise, predictable outcomes.
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Patient-Centric Approach. We combine compassionate care with transparent communication. Every step of your journey—from initial exam to follow-up—is tailored to your specific dental needs and personal goals.
Whether you’re dealing with loose dentures, multiple missing teeth, or chronic dental issues, Allon-4 at Bangkok Smile offers a fast, reliable, and high-quality path to a renewed smile
Dr. Paulo Malo Global Dental Network dentists have been trained, tested and supervised directly by Dr. Paulo Malo and his clinical faculty team of residential training programs in Europe. In addition to this extensive training, Dr. Paulo Malo faculty spend several months every year to update and oversee his Dentists to ensure the latest treatment protocols are being followed while measuring the success rate of each case.
Unfortunately, many other clinics that claim to be an expert in All On 4, have only spent a weekend at a seminar to get an overview of this complex treatment. Yet, they reduce their fees and substitute dental implant brands to further reduce cost to attract patients so they can gain additional experience in this complex and life changing treatment solution. When you visit a network office from Dr. Malo Paulo, you are insured that you are receiving the most trained professionals in offering All On 4 treatment. Bangkok Smile is the only official partner clinic with Dr. Paulo Malo in Thailand.
While many dental clinics offer “All-on-4,” our original Malo Protocol is different, as it involves specific surgical implant positions, strict prosthetic guidelines, the immediate loading and ongoing quality control. This ensures higher success rates, validated by decades of clinical data
Success Rate of Malo Dental All-on-4TM Protocol in Implant stage and Prosthesis stage.
According to the study published by JADA, The official journal of American Dental Association, the success rate among 245 patients studied over a 10-year period from 2001-2011 was 94.8% for dental implants and 99.2% for dental prosthesis
Questions you must ask your dentist before making decision for your ALL ON 4
Questions you must ask before an ALL ON 4 or any dental Implant treatment
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Other CLINICS
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Dr Paulo Malo global dental network in Thailand
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Do you offer 2 weeks, 4 weeks, 1 month, 2 month and 3 month follow up included in the original fee at my home country? *For Australia residents
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No |
YES |
Are you part of the Malo Dental |
No |
YES |
Are you using exclusive Nobel Biocare, the originally designed dental implant specifically for ALL ON 4 by Dr. Paulo MALO |
No |
We only use Nobel Biocare due to the specific design requirement |
Do you provide me the certificate of authenticity and the serial numbers for all of dental implants used in my mouth? |
Some do Some DONT |
YES |
Who manufactures my dental prosthesis (Bridge)? |
Non Malo Dental certified Lab |
All Dental bridges are fabricated by Malo Dental in-house ISO 9001 Dental laboratory |
Are your dental technician certified by Malo Dental in manufacturing ALL ON 4 Prosthesis? |
No |
YES |
How many months of full time training have you received directly from Malo Dental? |
Short Course Training |
full time Initial Training Direct with Dr Paulo Malo |
Would I be able to have my desired shape, shade and style of teeth for my ALL ON 4? |
N/A |
Dr Paulo Malo All on 4TM protocol offers 12 styles of teeth with more than 26 shades of teeth to choose from |
Would I have a dedicated VIP team to look after me? |
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YES |
Do you offer payment options? |
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YES |
Dr. Paulo Malo is a globally respected figure in dental implantology. He founded the Malo Clinic in 1995 and spearheaded the research that gave birth to the All-on-4 concept. His contributions revolutionized how dentists manage edentulous cases. Key points include:
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Innovation & Research: Countless peer-reviewed studies confirm the efficiency and stability of the Malo Protocol.
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Global Network: Official Malo Clinics exist worldwide—each clinic rigorously trained and tested to maintain uniform standards.
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Quality Assurance: By selecting a Malo-accredited clinic, you avoid the pitfalls of “weekend-seminar” versions of All-on-4, which can use inferior materials or techniques.
Since 2003, Bangkok Smile Dental Group has been providing exceptional dental care services to people from around the world who want two things - to obtain excellent dental care and to enjoy what Thailand has to offer for an amazing vacation holiday. The group roots back to its humble beginnings with a single clinic opposite the former-British Embassy along the Ploenchit Area which was named Bangkok Smile Dental Clinic by its owner and later on the founder of the Bangkok Smile Dental Group, Dr. Sermsakul a.k.a “Bob” Wongtiraporn.
Fast forward into the present, the group now operates 13 clinics in Thailand (11 in Bangkok City and 2 in Phuket Island). We have forged a reputation as a premier destination for advanced dental care in Southeast Asia. Key highlights of our clinic
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Expertise in Implants & Cosmetic Dentistry. We house a dedicated team of implantologists, prosthodontists, and cosmetic dentists, each with extensive training in the Malo Protocol and other cutting-edge techniques.
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Modern Amenities. Our facility integrates advanced sterilization protocols, comfortable patient lounges, and sedation dentistry options for a relaxed experience.
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Holistic Approach. Beyond technical excellence, we emphasize education, empathy, and clear communication—empowering patients to make informed decisions about their oral health.
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Recognition & Awards. Over the years, we’ve been recognized for clinical excellence, patient satisfaction, and outstanding contributions to dental tourism in Thailand.
Nana Branch
One Bangkok Branch
For over 60 years since Professor Brånemark coined the term osseointegration, Nobel Biocare has been at the forefront of innovation and technology. This eventually led the company to be recognized as the number 1 dental implant company in the world, providing innovative tooth replacement solutions to millions of patients worldwide. Continuous research and design within Nobel Biocare has helped dental professionals deliver the highest quality dental implant restorations to their patients. Implant patients now enjoy a 98.2% success rate as a result of this consistent research and development by the company.
The Land of Smiles welcomes a significant milestone in its world-class standard for dental care services. A momentous partnership between Thailand's very own Bangkok Smile Dental Group and the largest network of dental clinics - MALO DENTAL Worldwide takes dentistry into a whole new level. The partnership is fully supported by another world-leader in implant dentistry innovation – Nobel Biocare®, which ultimately seals this compelling union that truly defines what an International Center for Dentistry is in Thailand.
Thailand’s very own Bangkok Smile and MALO DENTAL’s exclusive partnership with the full support of Nobel Biocare – the world’s number 1 dental implant company, is the most brilliant integration of such significant names in the field of dentistry with one goal in mind: To define the true meaning of an International Dental Center in Thailand. Hand in hand they are committed to set the highest international standards of dental care because they all share the same core objective, which is to give quality of life back to patients by providing them with the most innovative dentistry techniques and products.
To fully comprehend how this notable collaboration can directly move Thailand closer to being the number one dental tourism hub in SouthEast Asia and of the whole world, let’s find out what these three major players in the dentistry world hold and the very reason why they joined forces together.
The exclusive partnership between Bangkok Smile and MALO DENTAL was made public with a prestigious Signing Ceremony and Soft-opening Event held at the Bangkok Smile MALO DENTAL Main Branch inside the MEDASIA Healthcare Complex last August 18, 2016. This exclusive partnership ensures that every All-on-4 procedure we perform is carried out with the original, proven protocol—backed by decades of evidence-based research.
Below is a typical treatment flow for All-on-4 at Bangkok Smile Dental Clinic:
Consultation & Assessment
- Comprehensive 3D CT x-rays and a full oral exam.
- Discussion of your medical history, concerns, and smile aspirations.
Personalized Treatment Planning
- Using the Malo Protocol, our specialists analyze bone density, jaw structure, and bite alignment.
- Virtual models help pinpoint ideal implant placement.
Implant Placement Surgery
- If necessary, we remove failing or remaining teeth.
- Four implants are placed: two vertically in the front and two tilted in the posterior region.
- A provisional bridge is often fitted within 24 hours, giving you immediate function.
Healing & Osseointegration
- Over the next 3–6 months, the implants integrate with your jawbone.
- You’ll wear your provisional bridge, which is fully functional but lighter than the final prosthesis.
Final Restoration
- Once healing is complete, we take impressions for your customized final bridge.
- This definitive prosthesis (often acrylic or zirconia on a titanium framework) offers lifelike aesthetics and long-term durability.
Follow-Up & Maintenance
- Regular check-ups ensure proper healing, implant stability, and overall gum health.
- Ongoing cleanings and good home care habits help protect your investment.
Consult, X-ray
Treatment Plan
Implant Surgery
Heal, Final restore, Follow-up
The All-on-4 Malo Protocol has a documented implant survival rate exceeding 98% over 10 years or more. These statistics are supported by
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Academic Publications & Conferences: Peer-reviewed journals and global implantology meetings frequently feature Malo Protocol studies.
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Top-Tier Clinics Worldwide: Esteemed clinics such as Bexley Dental in Australia and the official Malo Clinics in Europe have successfully treated tens of thousands of All-on-4 cases.
Why patients trust it
- Minimal Procedures: Fewer implants, less bone grafting.
- Immediate Function: Walk out with a set of provisional teeth the day after surgery.
- Consistent Results: Predictable outcomes validated by long-term follow-ups.
Malo Protocol Evolutions
A defining feature of Bangkok Smile Dental Clinic is our on-site digital lab, allowing us to
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Collaborate in Real Time. Dentists, technicians, and prosthodontists work side by side, making immediate adjustments for the perfect fit.
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Streamline the Process. We can often deliver a well-fitted provisional bridge within 24 hours, eliminating typical delays from off-site labs.
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Leverage Advanced CAD/CAM. State-of-the-art milling and 3D printing ensure a high degree of accuracy, from implant placements to prosthetic frameworks.
This setup significantly enhances the patient experience, reducing overall treatment timelines and ensuring a seamless transition between surgical placement and prosthetic delivery.
Adhering to these guidelines below helps safeguard your investment, ensuring your new smile endures for many years—often for a lifetime.
Immediate Post-Op
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Some discomfort and swelling are normal. Follow prescribed medications and use cold packs as recommended.
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Adopt a soft diet to minimize stress on newly placed implants.
Provisional Period
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Continue wearing your provisional bridge, carefully cleaning around the implant sites.
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Attend scheduled check-ups to track healing and ensure no complications arise.
Final Prosthesis Placement
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After the implants fully integrate, we replace your provisional bridge with a durable, custom-designed final restoration.
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Adjustments can be made for optimal comfort and bite alignment.
Long-Term Maintenance
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Daily brushing with a non-abrasive toothpaste, as well as the use of floss or interdental brushes around the implants.
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Routine professional cleanings and implant-specific check-ups at least twice a year.
Method |
Implants Needed |
Bone Grafting |
Longevity & Comfort |
Costs |
Traditional Dentures
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None
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Not applicable
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May slip or cause gum sores.
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Low initial, but frequent relines or replacements required.
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Multiple Single Implants
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6 or more per arch
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Often required if bone volume is low
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High stability, but more surgeries
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Higher overall
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Variations like “All on 5,” “All on 6,” or “All on X”
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4 or more per arch
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May skip critical steps
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Varies; success rates not guaranteed
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Lower at first, but risky
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Authentic Malo Protocol All-on-4
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4 per arch
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Minimal/ None in most cases
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Consistent success (98%+ survival)
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Fair initial; cost effective long-term
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Key Takeaway: Only the Malo Protocol merges reduced surgical complexity, minimal grafting, immediate function, and rigorous quality control for predictable, lasting outcomes.
While the initial price tag for Malo Protocol All-on-4 may exceed that of standard dentures or imitation “All-on-4” offers, consider the long-term savings
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Fewer Surgeries: Strategically angled implants often bypass expensive grafting procedures.
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Higher Success Rate: Less risk of implant failure means fewer corrective treatments.
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Durable Solutions: A well-maintained All-on-4 can last decades, reducing future replacement costs.
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Beyond monetary gains, the ability to eat comfortably, speak clearly, and smile confidently can be life-changing—making All-on-4 a worthy, value-driven investment in yourself.
Bangkok Smile patients often describe an immediate surge in self-esteem and social comfort after transitioning from dentures or failing teeth to All-on-4. Some highlights
Such transformations go beyond cosmetics—they restore the freedom to eat, confidence to socialize, and joy in daily life