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All-on-6 vs. All-on-8: Which Full Arch Dental Implant Is Best For You?

All-on-6 vs. All-on-8 alternatives is the dilemma many patients face when looking for full arch restoration.

If you’re torn between these two options, wondering which one gives you the best bang for your buck, comfort, and long-term stability, you’re not alone.

What’s The Difference Between All-on-6 and All-on-8 Dental Implants?

All-on-6 uses 6 implants, good for patients with sufficient bone density, cost effective. All-on-8 uses 8 implants, more stable and force distribution, good for high bone density and optimal function. It depends on individual bone density, budget and desired outcome, All-on-8 gives you more long term stability.

Veçori Të gjitha-në-6 Të gjitha-në-8
Numri i Implanteve 6 implants (2) 8 implants (4)
Stabiliteti Ideal for patients with sufficient bone density (2) Provides superior stability and force distribution (4)
Long-term Outcomes 10-year survival rate of up to 95% (1) 15-year survival rate of up to 98% (4)
Kërkesat për densitetin e kockave Suitable for patients with adequate bone density (2) Requires more bone volume due to additional implants (4)
Kostoja Generally more cost-effective (2) Higher upfront cost but may offer long-term savings (4)

Numri i Implanteve dhe Stabiliteti

The number of implants used in full arch restoration affects the stability and longevity of the prosthesis.

Here’s a breakdown of the implant configuration for All-on-6 and All-on-8:

All-on-6 Implant Configuration

  • Stability and Support: All-on-6 uses 6 implants, strategically placed for maximum stability and support.

    Good for patients with sufficient bone density (1).
  • Vendosja e implantit: Implants placed in the anterior and posterior regions of the jaw, force distribution is even and minimizes implant failure.
  • Normat e suksesit: All-on-6 has high success rates, 10 year survival rate up to 95% (1).

All-on-8 Implant Configuration

  • More Stability: All-on-8 uses 8 implants, more stable and force distribution.

    Good for patients with high bone density and optimal function and aesthetics.
  • More Support: The two extra implants in All-on-8 give more support, especially in the posterior region, which is critical for chewing function.
  • Long-term Outcomes: All-on-8 has excellent long-term outcomes; a 15-year study shows 98% survival rate (4).
Të gjitha në 8 implante dentare

Long term Stability

  • Dendësia e kockave: Both All-on-6 and All-on-8 require sufficient bone density for implant placement.

    Patients with insufficient bone density may need bone grafting.
  • Force Distribution: Force distribution across the implants is critical for long term stability.

    All-on-8 has better force distribution with the extra implants, reduces implant failure.
  • Maintenance and Care: Maintenance and care is important for both All-on-6 and All-on-8 implants.

    Good oral hygiene and regular dental check ups can extend the life of the implants.

Recovery and Treatment Timeline

Knowing the recovery and treatment timeline for All-on-6 and All-on-8 dental implants is important for planning and expectation. Here’s a breakdown of the healing process for each:

All-on-6 Healing

  • Ngarkimi i menjëhershëm: All-on-6 can be loaded immediately; patients can have temporary dentures fitted on the same day as surgery (2).
  • Healing Period: All-on-6 healing period is 3-6 months, during which the implants integrate with the bone (5).
  • Osseointegration: Osseointegration is critical for the long-term success of All-on-6 implants; early loading does not compromise osseointegration (5).
All on 6 vs all on 8 dental implants

All-on-8 Healing

  • Ngarkimi i vonuar: All-on-8 may require delayed loading; temporary dentures are fitted after 2-3 months (4).
  • Extended Healing Period: The all-on-8 healing period can be up to 6 months or more to allow full integration of the implants with the bone (4).
  • Rimodelimi i kockave: The All-on-8 healing process involves significant bone remodeling, which is critical for the long-term success of the implants.

Përshtatshmëria

Eligibility for All-on-6 and All-on-8 dental implants is important for success. Here’s a breakdown of the eligibility requirements for each:

Dendësia e kockave

  • Cilësia e kockave: Both All-on-6 and All-on-8 require sufficient bone density and quality.

    Patients with insufficient bone density may need bone grafting (3).
  • Bone Volume: Bone volume is also a factor. All-on-8 may require more bone volume because of the extra implants (4).
  • Resorbimi i kockave: Patients with significant bone resorption may not be suitable for either option and may need other treatment.
Dental smile

Medical Conditions and Considerations

  • Systemic Conditions: Certain systemic conditions like diabetes and osteoporosis can affect dental implants.

    Patients with these conditions may need to be assessed on a case-by-case basis (5).
  • Local Factors: Local factors like periodontal disease and smoking can also affect dental implants.

    Patients with these factors may need additional treatment before implant placement (6).
  • Psychological Factors: Psychological factors like anxiety and fear can affect patient compliance and satisfaction.

    Patients with these concerns should be addressed before treatment.

Success Rates and Long term Outcomes

Knowing the success rates and long term outcomes of All-on-6 and All-on-8 dental implants is important for decision making. Here’s a breakdown of the success statistics for each:

All-on-6 Success

  • Complication Rate: All-on-6 complication rate is low, 3.5% of patients had implant failure (2).
  • Kënaqësia e pacientit: Patient satisfaction with All-on-6 is high, 95% of patients were satisfied with their treatment (5).

All-on-8 Success

  • Long-term Stability: All-on-8 implants have shown excellent long-term stability; a 10-year study showed 96% survival (4).
  • Humbja e kockave: Bone loss with All-on-8 is minimal, 0.5 mm over 5 years (4).
  • Functional Outcomes: Functional outcomes for All-on-8 are better; patients experienced significant improvement in chewing function and overall quality of life (3).
Periudha kohore All-on-6 Success Rate All-on-8 Success Rate
5 Years 92% (2) 95% (4)
10 Years 95% (1) 98% (4)
15 Years Nuk është specifikuar 98% (4)

Përfundim & Çështje kryesore

Pikat kryesore:

  • Customized Approach: All-on-6 or All-on-8 depends on bone density, budget and desired outcome.
  • Stability and Functionality: All-on-8 has better stability and force distribution, good for patients who want optimal functionality and aesthetics.
  • Kostoja: All-on-6 is more cost effective, but All-on-8 may be cost effective in the long run by reducing future repairs and replacements.

konkluzioni:

In conclusion, both All-on-6 and All-on-8 is a full arch restoration option, each with its own advantages and considerations. By knowing the difference in implant design, cost, recovery time, eligibility and success rates, patients can make a decision that suits their needs and goals.

FAQ

Referencat

  1. Malo P, de Araújo Nobre M, Lopes A, Ferro A, Gravito I. A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up. J Clin Periodontol. 2011;38(1):1-8.
    Neni: Një studim gjatësor i mbijetesës së implanteve All-on-4 në mandibulë me deri në 10 vjet ndjekje
  2. Malo P, de Araújo Nobre M, Lopes A, Ferro A, Gravito I. The All-on-4 treatment concept Rationale and clinical report. J Clin Periodontol. 2006;33(6):428-434.
    Neni: The All-on-4 treatment concept Rationale and clinical report
  3. Branemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O, Ohman A. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg. 1977;11(Suppl 16):1-132.
    Neni: Implante të integruara me osteokondrozë në trajtimin e nofullës pa dhëmbë. Eksperiencë nga një periudhë 10-vjeçare
  4. Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981;10(6):387-416.
    Neni: Një studim 15-vjeçar i implanteve osseointegruese në trajtimin e nofullës pa dhëmbë
  5. Buser D, Mericske-Stern R, Dula K, Lang NP. Clinical experience with one-stage, non-submerged dental implants. Adv Dent Res. 1999;13:153-161.
    Neni: Clinical experience with one-stage, non-submerged dental implants
  6. Lekholm U, Zarb GA. Patient selection and preparation. In: Branemark PI, Zarb GA, Albrektsson T, eds. Tissue-Integrated Prostheses: Osseointegration in Clinical Dentistry. Chicago, IL: Quintessence Publishing; 1985:199-209.
    Neni: Tissue-Integrated Prostheses: Osseointegration in Clinical Dentistry
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