All-on-6 Dental Implants: What Is It, How Is It Done, Who Is It For?

All-on-6 is an advanced full arch rehabilitation method applying fixed prosthetics on 6 implants for completely edentulous patients. Differences from All-on-4, advantages and clinical results are covered with scientific data.

## What is All-on-6? All-on-6 is an advanced dental implant method that restores a completely edentulous jaw with a fixed bridge prosthesis placed on just 6 titanium implants. Considered an enhanced version of the All-on-4 concept, this approach is preferred for providing wider support area and load distribution, especially in cases with sufficient bone density. ## Differences from All-on-4 According to a comparative study published in Journal of Prosthodontics 2022: - Support: All-on-6 distributes across a wider bone surface (6 vs 4 implants) - Load distribution: 2 additional implants transmit chewing forces more evenly - Success rate: Long-term success rates are similar in both systems (94-97%) - Bone requirement: All-on-6 requires sufficient bone volume in all areas - Cost: All-on-6 is generally 20-30% more expensive - Same-day loading: Temporary prosthetics can be delivered same day with both methods ## Who Is It Suitable For? All-on-6 is particularly recommended for: - Patients who have lost or are about to lose all teeth - Patients with sufficient bone volume wanting more implant support - Patients with larger edentulous areas - Patients with high chewing forces (history of bruxism) - Patients without posterior bone deficiency for All-on-4 ## How Is It Done? Procedure Protocol ## 1. Detailed Planning Bone volume, density and anatomical structures are evaluated three-dimensionally with cone beam computed tomography (CBCT). Virtual surgical simulation is performed with digital planning software from leading implant companies. ## 2. Surgical Phase Under local or general anesthesia: - Extraction of hopeless teeth (if needed) - Bone correction procedures (alveolectomy) - Placement of 6 implants in determined positions - Anterior 4 implants typically vertical, posterior 2 can be angled - Same-day temporary prosthetics delivery (Immediate Loading protocol) ## 3. Osseointegration Process Implant integration with bone takes 3-6 months. During this period: - Soft food diet is applied - Regular check-ups are performed - Temporary prosthetics are used ## 4. Permanent Prosthetics After osseointegration, permanent prosthetics are prepared. Zirconia-supported porcelain or monolithic zirconia prosthetics are preferred for long-term durability. ## Scientific Evidence International Journal of Oral and Maxillofacial Implants 2023 meta-analysis (12 studies, 847 patients): - 5-year implant survival rate: 96.8% - 5-year prosthesis success: 98.4% - Patient satisfaction: 95.2% - Most common complication: screw loosening (4.3%), veneer fracture (3.1%) ## Recovery Process - First 24-48 hours: Swelling and mild pain expected - First 2 weeks: Soft food diet mandatory - 1 month: Light chewing activity can begin - 3-6 months: Osseointegration complete, permanent prosthetics - After 6 months: Return to normal diet ## Prices in Turkey All-on-6 costs 18,000-30,000 EUR in Europe while performed in Turkey for 4,500-9,000 EUR with original implant systems (Nobel Biocare, Straumann, Zimmer Biomet). This difference reflects operating cost differences between countries, not implant quality.
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🦷2025-05-21

All-on-6 Dental Implants: What Is It, How Is It Done, Who Is It For?

All-on-6 is an advanced full arch rehabilitation method applying fixed prosthetics on 6 implants for completely edentulous patients. Differences from All-on-4, advantages and clinical results are covered with scientific data.

What is All-on-6?

All-on-6 is an advanced dental implant method that restores a completely edentulous jaw with a fixed bridge prosthesis placed on just 6 titanium implants. Considered an enhanced version of the All-on-4 concept, this approach is preferred for providing wider support area and load distribution, especially in cases with sufficient bone density.

Differences from All-on-4

According to a comparative study published in Journal of Prosthodontics 2022:

  • Support: All-on-6 distributes across a wider bone surface (6 vs 4 implants)
  • Load distribution: 2 additional implants transmit chewing forces more evenly
  • Success rate: Long-term success rates are similar in both systems (94-97%)
  • Bone requirement: All-on-6 requires sufficient bone volume in all areas
  • Cost: All-on-6 is generally 20-30% more expensive
  • Same-day loading: Temporary prosthetics can be delivered same day with both methods

    • Who Is It Suitable For?

    All-on-6 is particularly recommended for:

  • Patients who have lost or are about to lose all teeth
  • Patients with sufficient bone volume wanting more implant support
  • Patients with larger edentulous areas
  • Patients with high chewing forces (history of bruxism)
  • Patients without posterior bone deficiency for All-on-4

    • How Is It Done? Procedure Protocol

    1. Detailed Planning

    Bone volume, density and anatomical structures are evaluated three-dimensionally with cone beam computed tomography (CBCT). Virtual surgical simulation is performed with digital planning software from leading implant companies.

    2. Surgical Phase

    Under local or general anesthesia:

  • Extraction of hopeless teeth (if needed)
  • Bone correction procedures (alveolectomy)
  • Placement of 6 implants in determined positions
  • Anterior 4 implants typically vertical, posterior 2 can be angled
  • Same-day temporary prosthetics delivery (Immediate Loading protocol)

    • 3. Osseointegration Process

    Implant integration with bone takes 3-6 months. During this period:

  • Soft food diet is applied
  • Regular check-ups are performed
  • Temporary prosthetics are used

    • 4. Permanent Prosthetics

    After osseointegration, permanent prosthetics are prepared. Zirconia-supported porcelain or monolithic zirconia prosthetics are preferred for long-term durability.

    Scientific Evidence

    International Journal of Oral and Maxillofacial Implants 2023 meta-analysis (12 studies, 847 patients):

  • 5-year implant survival rate: 96.8%
  • 5-year prosthesis success: 98.4%
  • Patient satisfaction: 95.2%
  • Most common complication: screw loosening (4.3%), veneer fracture (3.1%)

    • Recovery Process

  • First 24-48 hours: Swelling and mild pain expected
  • First 2 weeks: Soft food diet mandatory
  • 1 month: Light chewing activity can begin
  • 3-6 months: Osseointegration complete, permanent prosthetics
  • After 6 months: Return to normal diet

    • Prices in Turkey

    All-on-6 costs 18,000-30,000 EUR in Europe while performed in Turkey for 4,500-9,000 EUR with original implant systems (Nobel Biocare, Straumann, Zimmer Biomet). This difference reflects operating cost differences between countries, not implant quality.

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