All-on-6 dental implants is a game changer for those with multiple missing teeth.
If you’re considering this treatment but not sure if you’re eligible, you’re not alone – many patients wonder about the specific requirements and suitability factors.
Who Can Get All-on-6 Dental Implants?
All-on-6-Zahnimplantate is for patients with multiple missing teeth and sufficient jawbone density in the molar area. Ideal candidates are generally healthy and non-smokers or willing to quit. This is for those replacing remaining teeth with implants or can’t use traditional dentures. Some medical conditions may not be suitable.
Medical Requirements for All-on-6 Candidates
Bone Structure Requirements
Bone Structure Requirements Sufficient bone density is key for All-on-6 dental implants.
Patients need adequate jawbone volume in the molar area.
Minimum 5mm bone width and 10mm bone height(1).
Bone grafting may be required for some candidates to meet these requirements.
3D imaging is used to assess bone quality and quantity before treatment(2).
Allgemeine Gesundheit
Good general health is important for All-on-6 implant success.
Patients should be disease free.
Well controlled diabetes does not necessarily rule out candidates(3).
A healthy immune system is important for healing after surgery.
Some medications may affect eligibility talk to your dentist.
Oral Prerequisites
Healthy gums are key for implant integration.
Active periodontal disease must be treated before implant placement.
Good oral hygiene is important for long term implant success.
Existing tooth decay should be treated before the procedure.
Patients with bruxism history may need extra considerations(4).
| Requirement Category | Specific Criteria | Bedeutung |
|---|---|---|
| Struktur der Knochen | Minimum bone width of 5mm and height of 10mm[1] | Critical |
| Allgemeine Gesundheit | ASA I or II, well-controlled diabetes acceptable[3] | Hoch |
| Mundgesundheit | No active periodontal disease, good oral hygiene[4] | Essential |
You’re an Ideal Candidate If
Dental Conditions
Multiple missing teeth or full-arch tooth loss.
Not happy with traditional dentures.
Sufficient bone density or willing to have bone grafting.
No active gum disease or severe decay in remaining teeth.
Patients with failing teeth that need to be extracted are often good candidates(5).
Lebensstil-Faktoren
Non-smokers or willing to quit for the treatment period.
Commitment to good oral hygiene.
Can attend follow up appointments regularly.
Realistic expectations of the treatment.
Will follow post-op care instructions.
Age and Health Requirements
Adults with fully developed jawbones (18 years or older).
No upper age limit if overall health is good.
Well controlled chronic conditions do not necessarily rule out candidates.
Can undergo minor oral surgery.
Positive attitude towards dental treatment can help(6).
All-on-6 Not Suitable For
Medical Contraindications
Uncontrolled diabetes can affect implant success rates.
Patients with severe autoimmune disorders may be at higher risk.
Active cancer treatment may affect healing.
Certain blood disorders may complicate surgery and recovery.
Individuals with severe osteoporosis may not be suitable(4).
Lifestyle Restrictions
Heavy smokers are at higher risk of implant failure.
Excessive alcohol consumption can impede healing and osseointegration.
Drug abuse can cause complications and reduce treatment effectiveness.
Can’t maintain good oral hygiene should reconsider.
Those with severe bruxism may need extra interventions(5).
Andere Optionen
Traditional dentures for those with insufficient bone density.
Partial dentures for those missing only a few teeth.
Single tooth implants for those with single tooth loss.
All-on-4 implants as an alternative with less bone requirements.
Bridge work for those not suitable for extensive implant surgery(6).
Pre-Treatment Consultation Process
Medical Exams
Full health assessment to rule out contraindications.
Blood tests to check for systemic conditions that affect bone healing.
Medications that can affect osseointegration.
Cardio health check to ensure fit for surgery.
Bone density scan to check jawbone density and quantity(2).
Dental Exams
Full mouth X-rays and 3D imaging for oral structure analysis.
Periodontal exam to check for gum disease.
Examination of remaining teeth condition and prognosis.
Bite analysis to plan implant placement and restoration.
Soft tissue evaluation for aesthetic outcome(3).
Treatment Plan
Customised treatment plan for each patient.
Discussion of bone grafting or sinus lift required.
Immediate loading vs delayed loading(6).
Temporary prosthesis during healing phase if needed.
Treatment timeline and expected outcome(5).
Schlussfolgerung & Key-Takeaways
All-on-6 implants is an option for many with full arch tooth loss.
Sufficient bone density and good overall health.
Non-smokers or willing to quit have better success rate.
Pre-treatment assessment is essential.
Some medical conditions and lifestyle restrictions may not be suitable.
Other options if not suitable for All-on-6.
Good oral hygiene and follow up is key to long term success.
Talk to an implant dentist today.
FAQ
Referenzen
- Babbush CA, Kutsko GT, Brokloff J. The all-on-four immediate function treatment concept with NobelActive implants: a retrospective study. J Oral Implantol. 2011;37(4):431-445.
- Maló P, de Araújo Nobre M, Lopes A, Ferro A, Gravito I. All-on-4® Treatment Concept for the Rehabilitation of the Completely Edentulous Mandible: A 7-Year Clinical and 5-Year Radiographic Retrospective Case Series with Risk Assessment for Implant Failure and Marginal Bone Level. Clin Implant Dent Relat Res. 2015;17 Suppl 2:e531-e541.
- Tallarico M, Meloni SM, Canullo L, Xhanari E, Polizzi G. Guided surgery for single-implant placement: A critical review. Int J Oral Maxillofac Implants. 2016;31(1):9-20.
Artikel: Guided Surgery for Single-Implant Placement: A Critical Review
- Soto-Peñaloza D, Zaragozí-Alonso R, Peñarrocha-Diago M, Peñarrocha-Diago M. 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, Bahat O, Reynolds MA, Strub JR. The all-on-four treatment concept: a systematic review. Clin Implant Dent Relat Res. 2014;16(6):836-855.
Artikel: The All‐on‐Four Treatment Concept: A Systematic Review
- Chrcanovic BR, Albrektsson T, Wennerberg A. Immediate nonfunctional versus immediate functional loading and dental implant failure rates: a systematic review and meta-analysis. J Dent. 2014;42(9):1052-1059.
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