All on 6 Dental Implants Treatment
What is All-on-6 Dental Implant Treatment?
All-on-6 is a special way to treat people who have lost all of their teeth or a lot of them with implants. This method involves putting six dental implants in the upper or lower jaw in a way that lets a fixed denture support the whole dental arch. The main goals of this treatment are;
- To make chewing as close to how natural teeth work as possible
- To fix problems with speech
- To make a smile look natural and young again
- To greatly improve the quality of life for patients
For patients who are completely edentulous or have lost a lot of teeth, all-on-6 implant treatment offers unique solutions. This new way of doing things promises a lot more than just replacing teeth; it will greatly improve patients' quality of life.
Our patients often say, "I wish I had done this sooner," about all-on-6 treatment, which is one of the most complete options available in modern dentistry. All-on-6 treatment helps patients with a lot of different problems:
Full answers to functional problems:
Great chewing ability:
After treatment, patients can easily chew almost all foods, even hard-shelled nuts. Patients who wear dentures no longer have the problem of "not being able to chew slippery foods."
A big improvement in speech, for example:
Fixed prostheses fit perfectly with how the tongue moves, getting rid of speech problems like "slurring." Patients can see a clear improvement in their speech within the first week of treatment.
Three times more biting force:
The biting force is much stronger than with regular dentures. You can bite comfortably with up to 50 kg/cm² of force, especially on your front teeth.
Effects on the structure of bones and jaws:
Protecting against losing bone:
Implants that are attached to bone stop the process of bone resorption that starts after a tooth is lost. A decrease in bone loss of 80–90% has been seen in follow-ups after 5 years.
Staying away from more surgery:
With the right angles, implants can be safely placed even near the sinus cavities and the mandibular canal. This means that you won't need as many extra procedures, like bone grafting.
How to make atrophic jaws work:
Even when a lot of bone has been lost, it is still possible to get good results by using the remaining bone tissue wisely.
Good for your looks and your mind:
Smiles that are completely natural:
Prostheses are made to fit each person, from the colour of the gums to how clear the teeth are. There is great harmony between the gums and teeth, especially in the front.
Effect on facial rejuvenation:
Lip fullness and cheek contours are kept by keeping bone support. On average, patients look 5 to 10 years younger after treatment.
A new start in social life:
After treatment, patients say they feel more comfortable smiling in public and are more likely to join in on social activities.
Benefits over traditional methods:
Saving time:
With All-on-6, the wait time for classic implant treatments can go from 6 to 8 months to just 72 hours. The patient can get their temporary prosthesis the same day.
Economic benefit:
When you add up the costs of single tooth implants, they are a much cheaper choice. The cost benefit is especially clear when two jaws need to be treated.
How easy it is to use:
Because it has a fixed structure, you don't have to take it out and put it back in. Taking care of them every day is like taking care of natural teeth.
All-on-4 and All-on-6 implant systems are two important fixed prosthesis options for treating jaws that are completely edentulous. Both methods work well for fixing toothlessness in the upper or lower jaw, but the main difference between them is the number of implants used and how well they work and where they can be used.
All-on-4 uses four implants (two straight in front and two angled in back) in one jaw, while All-on-6 uses six implants.
- All-on-4 is better for people with a lot of bone loss; all-on-6 is better for people with moderate atrophy because it means they don't have to have more surgery (like sinus lifting).
- All-on-6 uses more implants, which spreads out the forces more evenly, lowers stress, and better prevents bone loss in the long run.
- All-on-6 has less plaque buildup, gum inflammation, and pocket depth.
- All-on-6 is usually more expensive, but it can make the whole treatment process easier by getting rid of the need for extra procedures like bone grafting.
All-on-6 dental implant therapy essentially means that six dental implants are strategically placed in a single jaw (upper or lower) and a fixed prosthesis is installed on these implants.
The All-on-6 treatment process generally includes the following steps:
Initial Assessment and diagnosis (clinical and radiographic examination):
- Before the treatment is initiated, a comprehensive assessment of the patients overall oral health and the condition of the jawbone is done
- At this point, advanced imaging techniques such as panoramic X, rays (OPG) and especially cone beam computed tomography (CBCT) are conducted. CBCT serves the purpose of not only evaluating the appropriateness of implant placement but also the closeness of the implant to the vital anatomical structures (e. g. , maxillary sinus, nasal floor, and inferior dental nerve) by conducting a three, dimensional morphological and qualitative analysis of the bone.
- The patient's medical background, habits (such as smoking and tooth grinding), and presence of systemic diseases (such as uncontrolled diabetes and osteoporosis) are thoroughly reviewed as these may contribute to implant failure.
- From these assessments, the decision is made whether the patient is a good candidate for the All-on-6 treatment.
Treatment planning:
After assessing the radiographic images and completing a clinical examination, the dental specialist formulates an individualized treatment schedule. This plan will detail the precise implant positions, directions, and the design of the artificial teeth.
Surgical procedure (implant placement):
- The choice of anesthesia, local or general, depends on the patient's health and preference.
- In the operation, the dentist makes an incision in the gum to reveal the bone of the jaw and six titanium dental implants are placed in a careful manner. Titanium is a material that is biocompatible and bone, friendly, which is why it can last a very long time when used in dental implants.
- In addition to ensuring maximum stability, the implant angles are optimized to get the most out of the existing bone without the need for additional bone grafting. For instance, posterior (rear) implants may be angled at 30, 45 degrees.
- The flapless (sutureless) surgical approach might be a preferred option because it is associated with minimal postoperative pain, less swelling, and it also allows the prosthesis to be loaded immediately.
Immediate loading and temporary prosthesis:
- In many All-on-6 applications, a temporary fixed prosthesis can be fitted immediately (on the same day) or shortly after the implants are placed. This allows patients to be quickly rehabilitated both aesthetically and functionally.
- The temporary prosthesis is typically prepared by modifying the patient's existing prosthesis or using digital workflows (photogrammetry and 3D printing/milling). Traditionally, heat-activated polymethyl methacrylate (PMMA) or chemically activated PMMA is used. Prostheses produced using CAD/CAM offer higher flexural strength and fracture toughness.
- This temporary prosthesis provides comfort and functionality to the patient during the healing period.
Healing period, osseointegration (bone fusion) process:
- In a lot of All-on-6 cases, a temporary fixed prosthesis can be put in right away (on the same day) or soon after the implants are put in. This lets patients get better quickly, both in terms of looks and function.
- Making the temporary prosthesis usually involves changing the patient's current prosthesis or using digital tools like photogrammetry and 3D printing or milling. People usually use heat-activated polymethyl methacrylate (PMMA) or chemically activated PMMA. CAD/CAM-made prostheses are stronger and less likely to break.
This temporary prosthesis makes the patient more comfortable and functional while they heal.
Permanent prosthesis stage:
After osseointegration is achieved:The prostheses fabricated in special dental laboratories are fitted. The aim is to achieve maximum aesthetics and function with zirconium or porcelain, based materials.
Post-All-on-6 care and follow-up process:
Things to consider after treatment:
Daily care routine:
- Special cleaning tools:Implant, specific soft, bristle brushes and interdental cleaners should be used.
- Cleaning technique: The area of the prosthesis, gum junction should be thoroughly cleaned.
- Antibacterial mouthwash: Daily oral hygiene should be enhanced with products that the dentist has recommended.
Expert examinations:
Check-ups are necessary every three months during the first year, and every six months in the following years.
For sustained success
When using prostheses on a daily basis, keep the following in mind:
- Steer clear of tough foods.
- Use a night guard if you have bruxism (teeth grinding).
- Keep yourself safe from traumatic situations.
Advantages:
The fixed prosthesis system made by carefully placing six dental implants gives patients functionality and comfort that is very similar to that of natural teeth. The following are the main benefits of this new way of treating:
Better mechanical balance and function:
The six implants work together to make a support system that gives the prosthesis great stability. Because of this, patients can:
- Chew hard and fibrous foods without pain
- Talk without their prosthesis slipping
- Smile comfortably, just like they could with natural teeth.
A minimally invasive approach:
By putting the implants in the right places in the body:
- There is a 70% lower need for bone grafting.
- No need for sinus lift surgeries
- The surgery takes less time and causes less trauma
Immediate functionality:
After surgery;
- Temporary prostheses can be put on the same day;
- Patients can start eating normally within 48 hours;
- Aesthetic concerns are quickly taken care of;
Results that look natural:
- Custom-made prostheses that fit the shape of your teeth and gums;
- A pink gum line that looks natural;
- Make the smile line look younger
Effect on bone preservation:
When implants are put in place with bone, they stop bone resorption that starts after a tooth is lost, stop facial contours from collapsing, and keep the body's long-term anatomical integrity.
Simple to use:
No need to take out or put back in the fixed prosthesis system;
- No need for adhesive;
- Makes life easier;
A solution that will last a long time:
High-quality titanium implants;
- Can last for 20 years or more with proper care;
- Works well with bone tissue;
- Has a high success rate;
Disadvantages:
Price:
The cost of starting this treatment is higher than the cost of mobile prostheses. But when looked at over a longer period of time:
- There is less of a need to replace prostheses
- It stops more treatments from happening because it protects bones.
- It improves quality of life.
- It is a cost-effective solution.
Factors that increase the risk of surgery:
When done by surgeons with a lot of experience:
- There is a 1% to 3% chance of getting an infection.
- The chance of nerve damage is very low
- Modern methods make sure that bleeding is controlled
- Risks are kept to a minimum through thorough pre-evaluations
Requirements for bone structure:
When there isn't enough bone volume, other treatments like bone grafting or sinus lifting are looked into.
The first 48 hours after the operation:
- Rest: We tell our patients to get a full day of rest on the first day. Patients should sleep with their heads up.
- How to deal with swelling: Putting cold compresses on the surgical area every 20 minutes can cut swelling by 40–50%.
- Pain control: You should take the painkillers your doctor gives you on a regular basis. Usually, the pain gets a lot better within 2 to 3 days.
- Nutrition: You should eat pureed foods and drinks at room temperature. You shouldn't drink alcohol or hot drinks.
Days 3 through 7:
- Daily Activity: People who work in offices can go back to work. For jobs that are physically demanding, it is best to take an extra 3 to 5 days off.
- Restrictions on Exercise: You shouldn't lift weights or bend over. You should put off activities like swimming and running.
- Taking care of your stitches: Self-dissolving stitches go away on their own in 7 to 10 days. During a follow-up visit, the surgical sutures are taken out.
After the 2nd week:
- A transition to soft solid foods can be made.
- When chewing with a temporary prosthesis: You should avoid hard foods such as bagels and nuts. The force of chewing should be increased gradually.
- Attention should be paid to the cleaning of the prosthesis.
3-6 months (bone-implant integration):
- Radiological follow-up: At the 3 month check, up, a panoramic X, ray is taken, and bone, implant compatibility is assessed.
- Permanent prosthesis: After osseointegration is completed, zirconium or hybrid prostheses are made, with aesthetics and function being tested and final adjustments being made.
- Full activity: Sports can be resumed, travel restrictions can be lifted and regular eating habits can be restored.
| Country | Price Range (€) |
|---|---|
| 🇹🇷 Turkey BEST PRICE | €6,000 – €12,000 |
| 🇵🇹 Portugal | €15,000 – €25,000 |
| 🇩🇪 Germany | €20,000 – €35,000 |
| 🇬🇧 UK | €25,000 – €40,000 |
| 🇺🇸 USA | €30,000 – €50,000 |
Antalya Dental A.R.T Clinic can be contacted for current rates.
Does All-on-6 cause discomfort?
No, since it is carried out while sedated or under local anaesthesia. During the healing phase, there might be mild pain and swelling.
What is the number of sessions needed for All-on-6?
First session: planning and examination; second session: implant placement; third session: fitting of the prosthesis
How long does All-on-6 treatment take?
A temporary prosthesis is typically fitted within 1-3 days. A wait of 3-6 months is necessary for the permanent prosthesis.
What is the lifespan of All-on-6 implants?
They are capable of lasting 20-30 years with proper care. Both the health of the bone and oral hygiene play a role in determining their life.
Can All-on-6 be applied to those with bone loss?
Yes, it can be done without bone grafting by using angled implants and special techniques.
Is eating with All-on-6 comfortable?
Yes, it provides a chewing capacity that is almost the same as natural teeth.
How is the All-on-6 prosthesis cleaned?
The cleaning of the All-on-6 prosthesis is achieved by diligent daily oral care that includes brushing with special tools, flossing, and routine dental visits to keep the implants in good condition and healthy.
Does All-on-6 make speaking difficult?
- Mild slurring is common during the first 1, 2 weeks.
- The tongue muscles get used to the new prosthesis in 7- 10 days.
- One may experience temporary difficulty, especially with letters s, t and z
Is it possible for the All-on-6 prosthesis to break?
Risks of breakage based on materials:
- Zirconium: 2–3% after 15 years of use
- Acrylic: 8–10% (after 10 years of use)
- Hybrid: 5–7% (after 12 years of use)
If something breaks:
The implants are not broken • The prosthesis can be replaced in 3 to 5 business days
Is there an age limit for All-on-6?
- For people between the ages of 18 and 25, bone growth must be checked.
- People over 60 must have their bone density measured.
- There is no upper age limit (for healthy people)
What are the other options besides All-on-6?
- All-on-4
- Dentures that can be taken out
- Bridges made of zirconium
Is it possible to get a new All-on-6 denture?
Yes, the denture material can be replaced if it deteriorates (usually after ten to fifteen years). Only the superstructure is replaced; the implants are left intact.
Can All-on-6 be used for smile design?
Yes, the teeth's alignment, colour, and shape can be altered to create a Hollywood smile.
What substance is utilised in All-on-6 prostheses?
- Acrylic prostheses are preferred for short-term use because they are affordable and lightweight.
- Permanent prostheses are made of zirconium or full ceramic, which has a natural look and is very durable.
- Acrylic gums and a metal base make up a hybrid prosthesis that balances cost and appearance.
Can I have an MRI/CT scan after getting All-on-6?
Indeed, magnetic fields have no effect on titanium implants. However, let the radiologist know if the prosthesis (hybrid type) contains metal.
Do All-on-6 implants cause jawbone damage?
No, titanium fuses with bone and is biocompatible. Conversely, it has the effect of slowing down the resorption of bone.
What distinguishes a bridge prosthesis from an All-on-6?
Bridge prosthesis: Cutting healthy teeth is only necessary when there is partial tooth loss.
All-on-6: It provides a permanent solution without removing any teeth in cases of total tooth loss.