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All-on-6 Dental Implants: What Are They and How Do They Work?

A picture of a woman in a red shirt smiling with a text overlay that says All-on-6 Dental Implants

If you’re researching full-arch tooth replacement or full-mouth dental implants, you’ve likely come across terms like All-on-4 and All-on-6 dental implants.

While we’ve talked plenty about All-on-4 on our blog, not all patients are familiar with All-on-6. 

In this post, the team at Naperville Dental Specialists will be sharing everything you need to know about the technique, including:

  • What are All-on-6 dental implants?
  • What’s the difference between All-on-6 vs. All-on-4?
  • Which option is better?
  • What is the procedure like?

What Are All-on-6 Implants?

All-on-6 dental implants can replace all of the teeth in your upper or lower jaw with just six dental implants.

Instead of placing individual implants for each missing tooth, we use six implants to support a custom, fixed restoration that looks, feels, and functions like natural teeth.

How They Work

  • Six implants are placed evenly across the jaw.
  • These implants integrate with the bone to create a strong anchor for replacement teeth.
  • A custom-designed prosthetic is securely attached to your implants.
  • The result is a permanent, non-removable smile.

Unlike traditional dentures, dental implants with All-on-6:

  • Do not slip or shift
  • Do not need to be removed
  • Can be cleaned like regular teeth
  • Allow you to eat, speak, and smile with confidence
  • Look and feel natural 
  • Preserve the jawbone, helping to avoid bone loss and facial sagging

All-on-4 vs. All-on-6: What’s the Difference?

One of the most common questions we hear is, “Which is better, All-on-6 or All-on-4 dental implants?”

Both options are long-lasting, stable alternatives to dentures. However, there are a few key differences between All-on-4 vs. All-on-6:

Implant Count

The most obvious difference is in the number of implants used. All-on-4 uses four implants to support a full arch of teeth, while All-on-6 uses six implants. This means two additional points of support, which, for some patients, can create greater stability. 

Bone Density and Volume Requirements

Your jawbone plays a major role in determining which option is right for you.

  • All-on-4 is generally ideal for patients with lower bone density. The implants are placed at an angle where the jawbone is strongest, which reduces the need for bone grafting. 
  • All-on-6 typically requires more bone volume to support the additional implants.

Surgical Complexity and Bone Grafting

The number and placement of implants can influence the complexity of your procedure. Because All-on-4 involves fewer implants and doesn’t usually require bone grafting, the surgery and process are usually shorter. 

All-on-6, on the other hand, requires placing two more implants and sometimes necessitates additional procedures like bone grafting and a sinus lift. This adds to the complexity. 

At Naperville Dental Specialists, our American board-certified prosthodontist, Dr. Anthony LaVacca, uses advanced 3D imaging and digital planning to map implant placement with precision. This minimizes risks and optimizes outcomes regardless of the option you choose. 

Functionality and Force Distribution

Perhaps the biggest difference between All-on-6 vs. All-on-4 is force distribution. Research, such as this 2023 study, found that six-implant systems distribute bite forces more evenly across the jaw, which reduces strain on each individual implant and the surrounding bone. 

Because All-on-6 has better biomechanics, the technique may slightly improve long-term stability and function. This also makes it a good choice for people with bruxism who place a lot of stress on their implants. 

Benefits of All-on-6 Dental Implants

All-on-6 dental implants have a number of benefits.

1. A Strong, Stable Foundation

Six implants create a secure base. This reduces strain on each implant and may potentially improve long-term performance.

2. Natural Look and Feel

Your custom prosthetic is designed to match your facial features, bite, and smile for a seamless, lifelike appearance. 

3. Improved Function

Enjoy your favorite foods again without worrying about slipping dentures or discomfort.

4. Bone Preservation

Implants stimulate the jawbone, which helps to prevent bone loss and facial sagging over time. Because All-on-6 uses six implants instead of four, research shows it can preserve more bone structure. 

5. Fixed, Hassle-Free Solution

No adhesives. No removal. No special cleaners. Just a confident, permanent smile.

What to Expect During the All-on-6 Procedure

At Naperville Dental Specialists, Dr. LaVacca carefully plans your surgical and restorative care. 

Step 1: Consultation & Digital Planning

We use advanced 3D imaging and digital technology to evaluate your bone structure. Dr. LaVacca then designs your treatment plan using CAD/CAM software. As a bonus, you’ll get to preview your future smile before treatment even begins. 

Step 2: Implant Placement

Dr. LaVacca will use a 3D surgical guide to precisely place six implants in the jaw. 

Step 3: Temporary Teeth

If you’re a candidate for immediate loading, you’ll receive temporary replacement teeth the same day as your dental implant surgery. 

Step 4: Healing & Final Restoration Design

Over the next few months, the implants will integrate with your jawbone. While you’re healing, Dr. LaVacca will work with a top ceramicist to create custom prosthetic teeth that mimic natural enamel down to the way they reflect light. 

Step 4: Enjoy Your Permanent Smile

Dr. LaVacca will attach your permanent restoration to your implants. You’ll leave the office with a stunning, stable smile. 

All-on-6 Dental Implants Before and After

One of the most rewarding aspects of treatment is the transformation. If you’ve ever looked at All-on-6 dental implants before and after pictures, then you know just how dramatic the results can be. 

After getting All-on-6 dental implants, patients experience:

  • A significant improvement in smile aesthetics and function
  • Restored support for their facial structure
  • Increased confidence

How Much Do All-on-6 Dental Implants Cost?

The cost of All-on-6 dental implants varies depending on several factors, including your oral health and bone structure, whether extractions or other additional procedures are needed, and the practice you visit. 

While All-on-6 may have a higher upfront investment than some alternatives, many patients find the long-term value, durability, and quality of life improvements make it well worth it.

The best way to get an accurate estimate is with a personalized consultation. At Naperville Dental Specialists, we offer transparent pricing and flexible financing options to make treatment work for your budget. 

Am I a Candidate for All-on-6 Dental Implants?

You may be a good candidate if you:

  • Are missing most or all teeth in one or both arches.
  • Are tired of removable dentures.
  • Have sufficient jawbone density (or are open to grafting if needed).
  • Your gums are relatively healthy.
  • Are in good overall health.

Dr. LaVacca will evaluate your specific case and determine whether All-on-6 dental implants are the right solution for you.

How Do I Find All-on-6 Dental Implants Near Me?

If you Google, “All-on-6 dental implants near me,” you’ll find a number of providers. However, not all implant dentists are the same. 

Seeing a board-certified prosthodontist like Dr. LaVacca ensures you get the highest quality of care from a specialist with advanced training in replacing missing teeth. 

Why Choose Naperville Dental Specialists for All-on-6?.

At Naperville Dental Specialists, Dr. LaVacca has the unique ability to handle both the surgical and restorative aspects of the procedure. 

He also works alongside a team of general dentists and specialists, including a board-certified dental anesthesiologist. This means we can handle every step of your All-on-6 dental implants, from extractions to the placement of your final restoration. 

What Sets Us Apart:

  • True multi-specialty care (no referrals or hopping between practices)
  • Advanced 3D imaging and digital planning for precision and safety
  • Custom-designed restorations for optimal aesthetics and function
  • Coordinated treatment approach for even the most complex cases

All-on-6 vs. All-on-4: Which Is Right for Me?

When comparing All-on-6 vs. All-on-4, there’s no one-size-fits-all answer.

  • All-on-4 may be ideal if you have less bone density or want a quicker, more cost-effective solution without grafting. 
  • All-on-6 may be better if you want maximum stability and/or if you grind your teeth or have high bite forces. 

The right choice depends on your bone density and preferences. An experienced implant dentist can help you make the best decision for your unique needs. 

Book a Consultation for All-on-6 Dental Implants in Naperville

If you’re considering All-on-6 dental implants in Naperville, Dr. LaVacca and our experienced team can help. 

We’ll walk you through your options, answer your questions, and design a treatment plan tailored specifically to you.

Schedule your consultation at Naperville Dental Specialists today and take the first step toward a confident, permanent smile.

 

Sources:

  1. Pandey, A., Durrani, F., Rai, S. K., Singh, N. K., Singh, P., Verma, R., & Kumar, J. (2023). Comparison between all-on-four and all-on-six treatment concepts on stress distribution for full-mouth rehabilitation using three-dimensional finite element analysis: A biomechanical study. Journal of Indian Society of Periodontology 27(2), p 180-188. DOI: 10.4103/jisp.jisp_278_22
  2. Sharaf, M.A., Wang, S., Mashrah, M.A., Xu, Y., Haider, O., & He. F. (2024). Outcomes that may affect implant and prosthesis survival and complications in maxillary fixed prosthesis supported by four or six implants: A systematic review and meta-analysis. Heliyon 10(3). https://doi.org/10.1016/j.heliyon.2024.e24365.

 

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