All on Six/All on 6

The All-on-6 dental implant procedure is the most perfect solution for creating a complete fixed dental prosthesis, attached to the maxilla (upper) or mandible (lower) with six titanium implants integrated into the gums and evenly distributed along the jaw.

This orthodontic treatment, which has the advantage of being able to be placed even in cases of low jawbone density, is intended for patients with completely or partially edentulous mouths, in one or both jaws, or those with advanced decay of a significant number of teeth.

The All-on-6 procedure is carried out in two sessions spaced approximately four months apart, allowing the implants to integrate perfectly into the bone and gums. During this period, a temporary prosthesis is attached to the implants.

The Advantages of the

All-on-Six Method

  • The solution does not require more invasive bone grafting.
  • It prevents the deterioration of the jawbone that occurs when there are no natural or artificial teeth roots
  • In addition to a natural aesthetic appearance, All-on-6 dental implants ensure effective and long-lasting chewing.
  • ALL-on-6 is fixed and durable: it does not require the use of adhesives, remains stable, and it does not deteriorate over the years.
  • Shorter recovery time.
  • Lower costs compared to alternative implant treatment techniques.
  • The placement of a bridge with a simulated gum layer does not require sinus lifting surgery after implant installation.

Four steps for

All-on-6 dental implant procedure

Initial examination and consultation with the patient

A 3D scan is required in order to assess the quality of the jawbone and determine the feasibility of implant placement. After the consultation, we will provide you with details outlining your personalized treatment plan, which includes information about the treatment steps, timeframe, anticipated costs, and we will schedule your treatment/intervention.

Teeth extraction and implant placement

Using an X-ray image to assess the bone’s condition, the implantologist will select six different anchoring points strategically placed to ensure optimal solidity and stability of the prosthetic arch. Following that, the gums will be incised, the jawbone drilled, and titanium implants placed. These implants will be covered with a recovery cap, aiding screws in integrating into the bone and gum environment. This surgical procedure is conducted under anesthesia (either local or general, depending on the case).

Creation and placement of the temporary prothesis

During the same session, based on the 3D image of the treated jawbone, a temporary prosthesis is crafted and fixed. This prosthesis will be worn for several months while the implants integrate with the bone and gums.

Fixing the final prothesis

In the second session, after a period of 2 to 6 months, once the implants have perfectly integrated, and the healing process is complete, the final prosthesis is secured onto the implants with six titanium screws. This prosthesis consists of an arch crafted from simulated gum tissue, onto which 10 to 12 teeth made of zirconium, ceramic, or porcelain are securely mounted.

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Questions & Answers

Do I need an orthopan (tomogram) or a 3D scan?

For consultations regarding the All-on-Six procedure, it is necessary to bring a 3D scan since a precise assessment of the installation plan be determined only based on it. The 3D scan provides essential information about the width and height of the bone.

The lower age limit, as well as for implant placement, is 18 years, while there is no upper age limit.

Dental implants are typically placed under local anesthesia, minimizing any discomfort during the procedure. It is possible to experience a mild level of pain after the intervention, which can be alleviated with pain relievers.

The main alternatives to implants are prostheses and bridges. Dentures are far behind implants in terms of functionality, and bridges are a destructive method since healthy teeth need to be ground down to fix the bridge.

After the installation of dental implants, the behavioral rules are similar to those following other minor surgical interventions: consuming soft and mashed food, using cold compresses, avoiding physical exertion and hot beverages. Smoking should be avoided as well.

The “All-on-4” method is specific in that the teeth of one jaw are anchored to four implants. Due to the special implantation technique, this is an ideal therapy for patients with insufficient jawbone. In the All-on-4 method, implants are placed in the front part of the jaw, where the highest bone volume is present. It is mostly used for the reconstruction of the lower jaw, resulting in a shortened dental arch, meaning a reduced number of teeth in the jaw.

Case Studies