Implants dentaires All-on-6 are the solution for people with multiple missing teeth. If you’re considering this procedure, you might be wondering what the process and timeline are.
What is the All-on-6 Dental Implant Procedure?
The All-on-6 dental implant procedure uses 6 titanium implants to support a full arch of prosthetic teeth. This is a permanent solution for multiple missing teeth, more stable and functional than traditional dentures. The process is implant placement, osseointegration and fitting a custom prosthesis, 4-6 months from start to finish.
Initial Consultation and Treatment Planning
Planning The initial consultation for All-on-6 dental implants is key to a successful outcome.
This phase involves several steps to make sure the treatment is tailored to you.
Dental Assessment and Imaging
The process starts with a full dental assessment, including detailed imaging such as 3D CT scans.
These scans give us a precise view of your jawbone structure to determine where the implants will be placed.
According to a study, proper planning increases the success rate of implant procedures, up to 98% when planning is done correctly (1).
Customized Treatment Plan Development
Development Based on the assessment we develop a personalized treatment plan.
This plan outlines the whole process from implant placement to final prosthesis fitting.
Personalization is key as every patient’s oral anatomy and health conditions are different.
Studies show that tailored treatment plans reduce complications and patient satisfaction (2).
Cost and Financing Options
Options Understanding the cost is important. The cost of All-on-6 implants can vary depending on the materials used and location.
On average in Europe this procedure can cost between €12,000 to €25,000 per arch (3).
We have various financing options to make this life changing procedure accessible so that financial constraints don’t stop you from getting your new smile.
| Phase | Duration | Description |
|---|---|---|
| Consultation initiale | 1-2 weeks | Dental assessment, imaging, and treatment plan development |
| Pose d'un implant | 2-4 hours | Surgical procedure to place six titanium implants |
| Temporary Prosthesis Fitting | Same day as surgery | Immediate fitting of temporary prosthesis |
| Cicatrisation et ostéo-intégration | 3-6 months | Period for implants to fuse with jawbone |
| Final Prosthesis Fitting | 2-3 appointments | Impressions, adjustments, and installation of permanent prosthesis |
The All-on-6 Surgical Process
The All-on-6 surgical process is a complex procedure that requires precision and skill.
Let’s break it down step by step.
Preparation and Anesthesia
Before the surgery starts proper preparation is key.
The procedure is usually done under local anesthesia or intravenous sedation (4).
In some cases general anesthesia can be used depending on the patient’s preference and medical history.
Before the surgery patients may receive antibiotic prophylaxis.
A study reported that patients were given amoxicillin (2g) one hour before the procedure and a chlorhexidine digluconate 0.2% mouthwash rinse (3).
Pose d'un implant
The implant placement is the most critical part of the All-on-6 process.
Using 3D imaging and computer guided surgery we place 6 titanium implants in the jawbone (3).
Two implants are placed vertically in the anterior region and 4 implants are placed at an angle of up to 45 degrees in the posterior region.
This angled placement uses the available bone to the maximum and provides excellent stability for the prosthesis (2).
The surgery takes usually 2 to 4 hours (7).
This technique often eliminates the need for bone grafting even in patients with significant bone loss as the implants are placed and angled in such a way (5).
Temporary Prosthesis
Immediately after the implant placement a temporary prosthesis is fitted.
So patients can leave the dental office with a functional and aesthetically pleasing set of teeth on the same day as the surgery (6).
The temporary prosthesis is designed based on the 3D images taken during the planning phase.
It’s attached to the implants and provides immediate functionality while the permanent prosthesis is being crafted (3).
This immediate loading approach not only increases patient satisfaction but also helps the healing process by stimulating the bone around the implants.
Recovery and Healing Timeline
The recovery and healing process after All-on-6 dental implant surgery is a critical phase and requires patience and attention.
Let’s break it down step by step.
First Week (Immediate Post-Surgery)
In the first week after the surgery patients usually experience some swelling, bruising and minor discomfort (4).
These are normal and can be managed with the prescribed medication and cold compresses.
Follow your dentist’s post-op instructions carefully during this time.
For the first few days stick to a liquid and pureed food diet to avoid straining the newly placed implants (3).
This will help reduce sensitivity in your jaw and promote healing. Soups, yoghurt and compotes are good options during this period.
Osseointegration Period (4-6 months)
The osseointegration process where the implants fuse with your jawbone is a critical phase that takes 3-6 months (1).
During this time you need to maintain good oral hygiene to prevent infections and to ensure smooth healing.
Brush twice a day, use mouthwash and consider using a water flosser as recommended by your dental team (3).
You will need to stick to a soft food diet during this period and gradually introduce harder foods as advised by your dentist.
This will minimize stress on the newly placed implants and help the healing process (2).
Temporary Prosthesis Phase
During the osseointegration period you will be fitted with a temporary prosthesis.
This will give you functional teeth while your final restoration is being crafted (7).
The temporary prosthesis is custom made to fit your mouth comfortably and securely so you can eat, speak and smile with confidence during the healing phase.
Please note that although you will have functional teeth you should still be careful and follow your dentist’s guidelines for diet and oral care.
Regular follow up appointments will be scheduled to monitor your progress and make any necessary adjustments to ensure comfort and function (6).
Final Prosthetic Placement
After the healing and osseointegration period it’s time for the final phase of your All-on-6 journey: the placement of your permanent prosthesis.
This is the stage where everything comes together for the perfect fit, function and aesthetics of your new smile.
Final Impressions and Adjustments
Once the implants have fully integrated with the jawbone we take impressions of your mouth.
These impressions are used to create your custom made permanent prosthesis.
Advanced 3D imaging techniques ensure precise measurements for a perfect fit (4).
During this phase we may make minor adjustments to get everything aligned and comfortable.
This is crucial for long term success and patient satisfaction.
Permanent Prosthesis Installation
The installation of your permanent prosthesis is the final stage.
The prosthesis is made from high quality materials such as porcelain or ceramic (6).
The procedure involves attaching the prosthesis to the implants using special abutments.
The abutments are designed to connect the implants to the prosthesis for stability and longevity.
Bite Verification and Comfort Check
After installation we do a thorough bite verification to ensure your new teeth function properly.
This is critical to prevent chewing or speaking issues.
We also do a comfort check to make sure the prosthesis feels natural in your mouth.
Minor adjustments can be made at this stage to get you comfortable and the fit of your new teeth optimal.
Note: The success rate of All-on-6 implants is very high. Studies have shown 98.8% survival rate after 1 year (4).
| Care Aspect | Instructions |
|---|---|
| Diet | Stick to liquid and pureed foods. Soups, yoghurt, and compotes are recommended. Avoid hot foods and drinks. |
| Hygiène bucco-dentaire | Rinse with chlorhexidine digluconate 0.2% mouthwash. Gently brush teeth with a soft-bristled toothbrush. Avoid the surgical sites. |
| Pain Management | Take prescribed pain medications as directed. Apply cold compresses to reduce swelling. |
| Activity Restrictions | Avoid strenuous physical activities. Rest with your head elevated. Do not smoke or consume alcohol. |
| Follow-up | Attend scheduled post-operative appointments. Contact your dentist if you experience severe pain, bleeding, or fever. |
Maintenance and Long Term Care
Proper maintenance is key to the longevity and success of your All-on-6 implants.
With proper care they can last a lifetime and give you a permanent solution for missing teeth.
Daily Cleaning Routine
Good oral hygiene is essential for the health of your All-on-6 implants.
Use a soft bristled toothbrush and non abrasive toothpaste to clean your implants at least twice a day.
A water flosser can be very effective for cleaning around the implants and under the prosthesis (2).
For extra care use an antimicrobial mouthwash to reduce the risk of infection around the implant sites (3).
This extra step will help keep your gums healthy and complication free.
Regular Check up Schedule
Regular dental check ups are critical to monitor the health of your All-on-6 implants.
Schedule bi-annual appointments for professional cleaning and implant maintenance (3).
During these visits your dentist will check for any signs of complications like peri-implantitis and make sure the implants are integrating well with the bone.
These regular check ups are critical for early detection and prevention of potential problems for long term success of the implants.
Expected Lifespan and Maintenance
With proper care and maintenance All-on-6 dental implants can last a lifetime.
Studies have shown the success rate of dental implants after 10 years is over 90% (4).
But individual results may vary depending on oral hygiene, overall health and lifestyle habits.
To get the most out of your All-on-6 implants avoid habits that can put excessive force on them.
This includes not chewing ice, not biting your nails or using your teeth to open packages (3).
If you grind your teeth at night use a custom made night guard to protect your implants from excessive pressure (2).
By following these maintenance tips and working with your dentist you can enjoy your All-on-6 implants for years to come.
| Maintenance Aspect | Recommendations |
|---|---|
| Daily Cleaning Routine | Brush twice daily with a soft-bristled toothbrush and non-abrasive toothpaste. Use a water flosser to clean around implants and under the prosthesis. |
| Recommended Products | Use an antimicrobial mouth rinse to reduce infection risk. Consider a custom-made night guard if you grind your teeth. |
| Dental Check-up Frequency | Schedule biannual appointments for professional cleaning and implant maintenance. |
| Lifestyle Habits to Avoid | Refrain from chewing on ice, biting nails, or using teeth to open packages. Avoid smoking as it can negatively impact implant health. |
| Durée de vie prévue | With proper care, All-on-6 implants can last a lifetime. Success rates are over 90% after ten years. |
Conclusion et points clés à retenir
Principaux enseignements :
- All-on-6 implants is a permanent solution for multiple missing teeth.
- The procedure involves 6 titanium implants strategically placed to support a full arch of prosthetic teeth.
- 4-6 months from initial consultation to final prosthesis placement.
- Regular maintenance and good oral hygiene.
All-in-all All-on-6 implants is a game changer in dental restoration. Patients get a stable, functional and beautiful solution for multiple missing teeth.
FAQ
Références
- 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.
- Maló P, et al. A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up. J Am Dent Assoc. 2011;142(3):310-320.
- Patzelt SB, et al. The all-on-four treatment concept: a systematic review. Clin Implant Dent Relat Res. 2014;16(6):836-855.
Article : Le concept de traitement "tout sur quatre" : une revue systématique
- Soto-Peñaloza D, et al. The all-on-four treatment concept: Systematic review. J Clin Exp Dent. 2017;9(3):e474-e488.
Article : Le concept de traitement "tout sur quatre" : Revue systématique
- Tallarico M, et al. Immediate versus early loading of 6.5 mm-long flapless-placed single implants: a 4-year after loading report of a split-mouth randomised controlled trial. Eur J Oral Implantol. 2015;8(2):179-190.
- Lopes A, et al. Clinical and radiographic analysis of a 4-implant-supported fixed prosthesis using the All-on-4 concept. J Prosthet Dent. 2017;118(2):153-158.
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