All-on-6 dental implants are a full-arch solution, but are they for you?
Find out the advantages and disadvantages to make an informed decision about your teeth.
What are the Pros and Cons of All-on-6 Dental Implants?
All-on-6-Zahnimplantate use 6 implants per arch to support a full set of teeth. Pros: stability, chewing, aesthetics, bone preservation. Cons: higher cost (€20,000-€30,000 per arch), complex surgery, bone grafting. Better load distribution and suitable for various bone conditions, full-arch restoration solution.
Advantages of All-on-6 Dental Implants
More Stability and Support
All-on-6 dental implants are more stable for full-arch restorations.
6 implants strategically placed for the teeth.
This way the load is better distributed than traditional dentures or fewer implant solutions(1).
Patients have more bite force and can eat a wider range of foods.
The stability reduces the prosthesis movement during daily activities.
Kauen Funktion
All-on-6 implants chew better than conventional dentures.
Studies show that patients with All-on-6 implants can have up to 90% of natural tooth chewing function (2).
This means better nutrition and digestion.
Patients can eat tough or crunchy foods without discomfort or fear of losing their teeth.
The chewing function is overall better for oral health and quality of life.
Aesthetics and Confidence
All-on-6 implants have a natural-looking smile like real teeth.
The prosthetic arch is custom made to match the patient’s facial features and desired look.
Unlike removable dentures, All-on-6 implants don’t slip or click during speech or laughter.
Patients have more self-esteem and social confidence after All-on-6 implants (3).
The fixed prosthesis eliminates the need for denture adhesives or embarrassing slipping.
Knochenkonservierung
All-on-6 implants preserve jawbone density and structure.
The implants stimulate the jawbone, preventing bone resorption that occurs with tooth loss or traditional dentures.
Long-term studies show that All-on-6 implants can preserve up to 95% of the existing bone over 10 years (4).
This bone preservation keeps the facial aesthetics and prevents the sunken look of long-term denture wear.
The bone stimulation also contributes to the long-term success and stability of the implants.
| Advantage | Beschreibung |
|---|---|
| Superior Stability and Support | The six strategically placed implants provide a robust foundation for prosthetic teeth, ensuring better load distribution compared to traditional dentures or fewer implant solutions[1]. |
| Enhanced Chewing Function | Patients with All-on-6 implants can achieve up to 90% of natural tooth chewing function, significantly improving their ability to eat a wider variety of foods[2]. |
| Improved Aesthetics and Confidence | The prosthetic arch is custom-designed to match the patient’s facial features, providing a natural-looking smile. Patients report increased self-esteem and social confidence after receiving All-on-6 implants[3]. |
| Knochenkonservierung | All-on-6 implants help maintain jawbone density and structure. Long-term studies show that these implants can preserve up to 95% of the existing bone structure over 10 years[4]. |
Disadvantages of All-on-6 Dental Implants
Higher Upfront Cost
All-on-6 dental implants are an expensive upfront investment.
The average cost in Europe is between €20,000 and €30,000 per arch(5).
This includes the surgical procedure, implants, and the final prosthesis.
While expensive upfront, many patients find the long-term benefits worth it.
Some clinics offer financing options to make the treatment more affordable.
More Complex Surgery
All-on-6 is a more complex surgery than traditional implants or dentures.
The procedure takes 2-3 hours per arch under local anaesthesia or sedation.
Patients may have some postoperative discomfort and swelling for a few days.
A skilled and experienced implant dentist is essential for good results and minimal complications.
The surgery is more complex, so there is a slightly higher risk of complications than other dental procedures.
Knochentransplantation
Some patients may need bone grafting before All-on-6 implant placement.
15-20% of All-on-6 patients need some kind of bone augmentation (6).
Bone grafting adds to the overall treatment time and cost.
Grafting is determined during the initial consultation and CT scan.
In some cases, tilted implants can avoid extensive grafting.
Patient Testimonials All-on-6 implants
Qualität des Lebens
All-on-6 dental implants improve patients quality of life in many ways.
Many patients have more self-esteem and social confidence after All-on-6 implants (3).
They can eat a broader range of foods and overall have better health.
Better speech clarity; no more denture slipping during conversations.
All-on-6 implants can restore facial structure and the sunken look of tooth loss.
The fixed implants eliminate the daily hassle of removable dentures.
Adjustment Period
Patients have a short adjustment period after All-on-6 implants.
The initial healing process takes about 1-2 weeks, during which patients may feel some discomfort.
Patients are advised to follow a soft food diet for several weeks post-surgery.
Speech patterns may change temporarily, but most patients adapt within a few days to weeks.
Some patients have an adjustment period with oral hygiene routines, learning to clean around the new implants.
The full osseointegration process where the implants fuse with the jawbone takes about 3-6 months (5).
Schlussfolgerung und wichtige Erkenntnisse
All-on-6 dental implants are a proven solution for full arch restoration.
They offer more stability, better chewing, and are natural looking.
The treatment preserves the jawbone and can last 20–30 years with proper maintenance.
Higher upfront costs are offset by long-term benefits and less need for replacements.
Patients have a significant quality of life and self-confidence improvement.
More complex than other options, All-on-6 implants can work with most bones.
Requires careful planning and execution by experts.
Good oral hygiene and maintenance are key.
FAQ
Referenzen
- Tallarico M et al. Immediate loading of fixed cross-arch prostheses supported by flapless-placed supershort or long implants: 1-year results from a randomised controlled trial. Eur J Oral Implantol. 2018;11(3):295-306.
- Soto-Peñaloza D et al. The all-on-four treatment concept: Systematic review. J Clin Exp Dent. 2017;9(3):e474-e488.
Artikel: Das All-on-Four-Behandlungskonzept: Systematische Überprüfung
- Patzelt SB et al. The all-on-four treatment concept: a systematic review. Clin Implant Dent Relat Res. 2014;16(6):836-855.
Artikel: Das All-on-Four-Behandlungskonzept: eine systematische Überprüfung
- Maló P et al. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: A longitudinal study with 10 to 18 years of follow-up. Clin Implant Dent Relat Res. 2019;21(4):565-577.
- Lopes A et al. Clinical and radiographic analysis of a fixed prosthesis supported by four implants according to All-on-4 concept. J Prosthet Dent. 2017;118(2):153-158.
- Babbush CA et al. The All-on-4 immediate function treatment concept with NobelActive implants: a retrospective study. J Oral Implantol. 2011;37(4):431-445.
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