All On Sıx Dental Implant Treatment

What is All on Six Implant?

All on Six implant is a treatment concept applied to patients who are completely edentulous (toothless) in the lower or upper jaw or whose existing teeth must be extracted. It involves a fixed full-arch prosthesis on 6 implants. While the classical method plans a single implant for each missing tooth, in this technique, only six implants placed in strategic regions of the jaw serve as the foundation for a bridge that supports all teeth.

In this system, implants are placed in the strongest and safest regions of the jawbone. This ensures chewing forces are distributed evenly, increases the prosthesis's stability, and provides the patient with the comfort of a fixed, non-removable solution that is close to natural teeth. In many cases, advanced surgical procedures (such as extensive bone grafts, sinus lifts) may not be necessary.

We can summarize All on Six for the patient as follows:
"Six implants in one jaw, topped with a fixed and aesthetic bridge carrying all your teeth."

This technique is a modern, fast, and long-lasting solution, especially for patients who have been using full dentures for a long time, have experienced bone loss, and want to restore both their smile aesthetics and chewing function simultaneously. With correct planning and good surgery, it provides highly satisfying results both functionally and aesthetically.

What is All on Four Implant?

All on Four implant is a treatment approach that enables the creation of a fixed full-arch prosthesis in one jaw using only 4 implants for patients who are fully edentulous or whose teeth must be extracted. The most critical point here is the angled (tilted) placement of the implants, especially those in the back regions. This allows for the maximum utilization of the available bone volume without damaging the sinuses and nerve canals.

The goal of the All on Four concept is to provide a fixed prosthesis with fewer implants. In many cases, implants are placed on the same day as the extractions, and fixed temporary teeth can be attached on the same day. Thus, the patient is not left without teeth during the treatment process and can continue their daily life much more comfortably.

Some advantages of this technique include:

• Less surgical intervention and shorter operation time,

• In many cases, it does not require advanced bone grafting,

• It is often more advantageous in terms of cost compared to classic multiple implant treatments.

In summary, All on Four is an evidence-based treatment concept that offers a fast, functional, and aesthetic fixed teeth solution for patients with suitable jawbone conditions.

What are the differences between All on 4 and All on 6 implants?

All on 4 and All on 6 are essentially two different treatment concepts from the same family; both aim for a fixed prosthesis in a fully edentulous jaw. However, there are significant differences between them in terms of biomechanics, planning, and indication.

The most fundamental difference, as understood from their names, is:

• All on 4: Uses 4 implants in one jaw,

• All on 6: Uses 6 implants in one jaw.

This numerical difference directly affects force distribution and the durability of the prosthesis. Because All on Six has more implants, chewing forces are spread over a wider area; this can be safer, especially for patients with strong jaw forces, a history of bruxism, or where more intensive use is expected.

All on Four is advantageous in cases with limited bone volume, where we want to avoid approaching the sinus or nerve area, and where we aim to keep surgery minimal. All on Six, on the other hand, can provide more support and long-term stability for patients with sufficient bone volume.

In summary:

• All on Four: Fewer implants, less surgery, generally more economical.

• All on Six: More support, more balanced force distribution, higher potential for long-term comfort.

The choice of which technique to use should be decided by evaluating bone condition, systemic health, occlusion, and patient expectations together.

Who is a candidate for the All on Six implant technique?

The All on Six implant technique is preferred especially for fully edentulous patients or individuals whose existing teeth are planned for extraction due to poor prognosis. This technique is ideal for patients who have sufficient bone volume in certain areas of the jaw and are seeking a fixed prosthesis and a long-term solution.

The suitable patient profile generally has the following characteristics:

• Complete edentulism in the lower or upper jaw, or a situation where tooth extraction is necessary,

• Sufficient bone thickness and height in the jawbone, especially in the canine and premolar regions,

• Good level of oral hygiene habits and the motivation to maintain them,

• For systemic diseases like controlled diabetes, doctor's approval and stable general health.

Heavy smoking, uncontrolled diabetes, history of radiotherapy, severe osteoporosis are factors that can negatively affect success. In these patients, the indication must be carefully determined, and alternative treatment options should be considered if necessary.

In short, the All on Six implant technique is a highly successful treatment option for patients who:
"Want to achieve fixed, aesthetic, and strong teeth; have suitable bone volume, and can maintain regular check-ups and care."

Who is a candidate for All on 4/6 implants?

All on 4 and All on 6 implant concepts are modern solutions developed for patients who cannot receive classic fixed prostheses, cannot achieve comfort with removable dentures, and are fully edentulous or about to have their teeth extracted.

These systems can be applied to;

• Patients who have no teeth left in their lower or upper jaw,

• Those whose teeth must be extracted due to advanced decay, periodontal breakdown, or trauma,

• Those who experience confidence issues with speaking, chewing, or social life with removable dentures,

• Individuals who say, "I don't want to be toothless, I want something fixed," and have high aesthetic concerns.

However, the following points must always be evaluated in every candidate patient:

• General health status (e.g., uncontrolled diabetes, severe cardiac problems),

• Medication use (especially anticoagulants, bisphosphonates),

• Bone volume and quality (detailed analysis with CBCT),