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All-on-6 Dental Implants

Name: All-on-6 Dental Implants
Creator: Dore Medical Editorial Board
Published: 2026-05-11

A stronger foundation with 6 implants and more balanced load distribution. A stable and long-lasting prosthetic solution for complete edentulism cases, especially in the upper jaw where bone support is critical.

Medically reviewed. Last updated: May 18, 2026.

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What Is All-on-6?

All-on-6 is a full-arch implant treatment in which fixed teeth for one jaw are supported by six dental implants. It can be thought of as a reinforced version of the All-on-4 technique. It works on the same principle: patients who have lost all their teeth receive fixed teeth in a single session. The key difference is that the number of load-bearing implants is increased from four to six.

When two additional implants are added, chewing forces are distributed over a wider area along the jawbone. The load on each individual implant is reduced, support at the back ends of the bridge is increased, and a more stable structure is achieved in the long term. For patients with sufficient jawbone, this difference provides a clear advantage in terms of treatment longevity. Additionally, if one implant encounters a problem in the future, the remaining five implants can continue to support the bridge.

All-on-6 is particularly preferred for patients with good jawbone density, strong chewing forces, and bruxism (teeth grinding) habits. Before treatment, the jawbone is examined in detail with 3D tomography, and sinus cavities and the inferior alveolar nerve are mapped. If there are teeth that need to be removed, tooth extraction and implant placement can be performed in the same session.

After surgery, a temporary fixed prosthesis is fitted the same day or within a few days. The osseointegration period lasts 3 to 6 months. Once integration is complete, the temporary prosthesis is removed and a permanent prosthesis made of zirconia or hybrid material is placed. Patients with teeth grinding habits are recommended to use a night guard to protect their prosthesis. Annual checkups and regular dental scaling extend the life of the implants. For pricing, you can visit our dental implant cost calculator page.

Treatment Process

Alternative Treatments

All On Six dental implants are one of the approaches considered for fixed prosthetic planning in patients with complete edentulism or advanced tooth loss. However, there is no single correct method for every patient. When jaw bone structure, anatomical limitations, overall health status, and patient expectations are evaluated together, different treatment options may be more suitable. At Doredent, all appropriate alternatives are shared with the patient before creating a treatment plan, and the least invasive and most suitable approach is determined together.

🦷 All On Four Implants

A fixed prosthesis is planned with 4 implants in the same jaw. It is considered for cases with adequate bone support and suitable for solutions with fewer implants. Click to review the All On Four page.

🔩 Conventional Multiple Implants

Independent bridges are planned with 8 or more implants. It requires more implant placement and a longer treatment period. It is considered for patients with adequate bone support. Click to review the dental implant treatment page.

🌿 Sinus Lift-Assisted Implants

In cases with insufficient bone height in the upper jaw, the sinus floor is elevated to create a suitable foundation for implants. The treatment period may be extended, and an additional surgical step is required.

⚓ Zygomatic Implant-Assisted Solution

In cases with severe bone loss in the upper jaw where conventional implants cannot be placed, a fixed prosthesis is planned with long implants anchored to the cheekbone. It is applied in suitable cases at Doredent.

🧷 Implant-Supported Removable Denture

A denture that can be attached to and removed from 2-4 implants is planned. It requires fewer implants compared to a fixed solution, and removable use is involved. It is an honest alternative for patients with a limited number of implants or those not suitable for fixed solutions.

🦴 Conventional Complete Denture

A full denture supported by the gums and palate without implant placement. It does not require surgery and is the least invasive option. It does not provide a fixed-use feeling and requires an adjustment period.

Doredent's approach: Treatment selection is not made based solely on implant count. Jaw bone structure, systemic health status, patient expectations, and long-term care conditions are evaluated together. Unnecessary surgery is not recommended in cases where a solution can be achieved with fewer implants, and in advanced cases, the patient is clearly informed about appropriate alternatives.

Risks and Complications

All-On-6 dental implant treatment has a high success rate, but like any surgical procedure, it carries certain risks and possible side effects. Most of these risks can be controlled through proper patient selection, careful surgical planning, and following post-treatment instructions. At Doredent, we discuss all possible risks openly with you before treatment.

🩹 Post-Surgical Swelling and Bruising

Placing 6 implants at once creates an extensive surgical area. Swelling, bruising, and tenderness may be noticeable for the first 3 to 5 days. These are managed with ice packs and prescribed medication.

🦴 Implant Failure (Osseointegration Failure)

An implant failing to integrate with the bone is rare but possible. With All-On-6, even if one of the 6 implants is lost, the remaining implants can continue to support the prosthesis. If needed, a new implant can be placed after healing.

🦠 Infection

There is a risk of infection developing at the surgical site with any implant surgery. This risk is minimized through antibiotic use, sterile surgical conditions, and maintaining good oral hygiene.

⚡ Nerve Damage

Placing implants near the mandibular nerve in the lower jaw can lead to numbness or tingling in the lip or chin area. This risk is minimized by planning implant positions in advance using digital CT imaging.

🫁 Sinus Complications

Placing 6 implants in the upper jaw covers a broader anatomical area. There is a risk of perforating the sinus membrane in areas close to the sinuses. This risk is controlled through detailed CT analysis and careful surgical technique.

🔧 Prosthetic Complications

Mechanical issues such as loose screws, prosthesis fracture, or wear can occur over time. These are managed through regular checkups and, when necessary, screw tightening or prosthesis replacement.

🪥 Peri-Implantitis

This is inflammation that develops in the gum and bone tissue around the implant. Poor oral hygiene and smoking are the most important risk factors. It can be prevented with regular checkups and proper care.

📉 Long-Term Bone Loss

Bone loss around the implant at a physiological level can occur over the years. Uncontrolled peri-implantitis or excessive loading can accelerate this loss. Regular X-ray checkups allow for early intervention planning.

Doredent's approach: The success rate for All-On-6 treatment is reported in the literature to be between 94% and 98%. The 6-implant structure provides an additional safety margin in case of implant failure, as the prosthesis can continue to be supported by the remaining implants. Risks are minimized through pre-treatment digital CT imaging, bone density analysis, and detailed clinical assessment. We strongly recommend that you stop smoking before and after surgery.

Who Is a Good Candidate?

All-on-6 dental implant treatment provides a fixed, long-lasting solution for patients who have lost most or all of their teeth. The wider support base created by 6 implants offers an advantage in cases requiring greater mechanical strength. However, All-on-6 is not suitable for every patient. Proper patient selection is one of the most important factors determining the long-term success of the treatment. The following patient profiles represent the groups most commonly evaluated for All-on-6 treatment.

😁 Patients with Complete Tooth Loss

For patients who have lost all their teeth in the upper or lower jaw, All-on-6 offers a fixed, strong, and balanced solution through the wide support area created by 6 implants.

Six implants help distribute chewing forces more evenly.
Eliminates the loss of quality of life caused by years of tooth loss.
No palatal coverage means your sense of taste remains unaffected.
Transition to fixed teeth across the entire jaw is planned in a single treatment process.

🦷 Patients Requiring Tooth Extractions

For patients whose remaining teeth cannot be saved due to severe decay, advanced gum disease, or fractures, All-on-6 enables transition to a fixed solution after extraction.

Extraction and implant surgery are often planned in the same session.
Six implants provide stronger support in the wide gaps created after extractions.
Time without teeth is minimized.
Treatment is completed before jawbone resorption begins.

🪥 Patients Dissatisfied with Removable Dentures

For patients who have worn dentures for years but experience issues such as movement, chewing difficulty, loss of taste, and social anxiety, All-on-6 offers a stable and reliable fixed solution supported by 6 implants.

Eliminates the movement and fear of your denture falling out.
Most foods, including hard foods, can be eaten comfortably.
Your prosthesis does not shift during speech, increasing your confidence.
The limitations dentures place on your social life come to an end.

💪 Patients Requiring Stronger Support

In patients with a wide jaw structure, strong chewing habits, or cases where an All-on-4 structure would not provide adequate support, a 6-implant structure creates more balanced load distribution.

Ensures the prosthesis is equally supported across all areas in a wide jaw structure.
Helps distribute strong chewing forces across more implants.
Reduces mechanical load on the prosthesis and implants over the long term.
Creates a more secure foundation in cases where 4 implants would be borderline.

🧑‍⚕️ Elderly Patients Seeking Fixed Teeth

There is no upper age limit for All-on-6 treatment. As long as your general health is suitable, it can be successfully applied in elderly patients and significantly improves quality of life.

Can be applied even in patients in their 70s and 80s.
Improved nutrition quality in older age supports overall health.
Contributes to continued social life and smile confidence.
When the patient's general health is suitable for surgery, treatment can be easily planned.

About Immediate Loading (Same-Day Temporary Teeth)

The "same-day teeth" promise often heard in All-on-6 treatment promotions is real, but it is not possible for every patient. In this approach, known as immediate loading, a temporary fixed prosthesis is placed the same day the implants are inserted, and the patient does not leave the clinic without teeth. However, this is only applied in suitable cases.

Conditions required for immediate loading:

The implants must demonstrate sufficient primary stability in the bone (securely anchored to the bone)
Adequate jawbone density
Favorable general health condition of the patient
Absence or control of excessive chewing forces such as bruxism
Clinical and radiological evaluation that supports immediate loading

At Doredent, immediate loading is not a standard practice for all patients. Whether this approach is suitable for your case is determined by the clinical evaluation and 3D CT scan at your initial examination. In cases where immediate loading is not suitable, the standard approach is applied: a healing period is allowed after surgery, and then the prosthesis is planned. This is not a treatment failure, but a conscious clinical decision that ensures the long-term result.

Who Requires Additional Evaluation?

In some situations, additional evaluation, preparation, or different planning is required before All-on-6 treatment. This does not mean the treatment cannot be performed; in most cases, it means an additional step must be added to the treatment or certain conditions must first be met.

Patients with uncontrolled diabetes: In patients whose blood sugar is not well controlled, the healing process is prolonged and complication risk increases. Treatment is planned after diabetes is brought under control.
Patients with active gum disease: If periodontal infection is present, dental scaling, curettage, and if necessary, advanced periodontal treatments are completed first.
Heavy smokers: Smoking negatively affects osseointegration and increases the risk of peri-implantitis in the long term. Quitting smoking before and after major surgery such as All-on-6 is strongly recommended.
Patients with very advanced bone loss: Although the standard All-on-6 approach provides a solution in most bone loss cases, very severe losses may require different approaches such as additional bone grafting, sinus lifting, or zygomatic implants.
Patients taking bisphosphonates: In patients using this group of medications for osteoporosis, jawbone healing can be compromised. Additional evaluation is required based on the type, dose, and duration of medication use.
Patients who have received head and neck radiotherapy: Bone healing may proceed differently in areas with a history of radiotherapy. Special planning and additional precautions are taken in these patients.
Uncontrolled bruxism: In patients with severe nighttime teeth grinding habits, prostheses may be damaged sooner than expected. Night guard use and bruxism management are planned before treatment.
Serious systemic diseases: Patients with uncontrolled heart disease, advanced kidney failure, or those receiving immunosuppressive therapy require coordinated evaluation with a physician before surgery.

All these conditions are evaluated at your initial examination. At Doredent, All-on-6 treatment is performed only when clinically appropriate and when conditions that support long-term success are met. In unsuitable cases, alternative treatment options are honestly recommended to the patient and appropriate referrals are made.

After Treatment

The success of All On Six implant treatment depends not only on the surgery itself but also on proper management of the post-treatment process. Adherence to the healing period, oral hygiene habits, and regular check-ups directly affect long-term success. Below are all the stages from post-surgery to the transition to permanent prosthesis.

🕐 First 24 Hours

This is the most critical period immediately after surgery. Bleeding, minor oozing, and swelling are normal. During this time, you need to take the right steps to allow your body to begin the healing process.

Apply ice to the surgical area from the outside at regular intervals (20 minutes on, 20 minutes off).
Take prescribed pain relievers and antibiotics regularly.
Consume only warm, soft, and liquid foods.
Do not smoke (strictly forbidden for at least 72 hours).
Avoid spitting and using straws, as these can disrupt clot formation.

📅 First Week

Swelling typically peaks on days 3-5 and then begins to subside. Bruising may appear on the cheek and jaw area, which is normal. Protecting the surgical site is your priority throughout the first week.

Continue with a soft food diet (soup, yogurt, purees, pudding).
Do not brush the surgical area; clean other areas with a soft toothbrush.
Rinse gently with prescribed mouthwash; do not rinse vigorously.
Stitches are usually removed on days 7-10.
Avoid physical exertion and heavy lifting.

🦴 First 3 Months (Osseointegration Period)

During this period, the implants fuse with your jawbone (osseointegration). This is the most critical stage of the treatment. In appropriate cases, a temporary fixed prosthesis continues to be used during this process.

Avoid hard, crunchy, and sticky foods.
If you have a temporary prosthesis, consume only soft to medium-textured foods.
Maintain oral hygiene regularly and carefully.
Smoking directly and negatively affects osseointegration success.
Attend dental check-ups at the specified intervals.

🏗️ 3-6 Months (Permanent Prosthesis Stage)

After the implants have fully integrated with the bone, the process of creating the permanent prosthesis begins. During this stage, impressions are taken and the color, form, and fit of the prosthesis are planned according to your facial structure.

Impressions are taken for the permanent prosthesis using digital or conventional methods.
The color, form, and bite alignment of the prosthesis are determined over several sessions.
After the permanent prosthesis is placed, a final functional and aesthetic check is performed.
The transition is typically completed within 3-6 months.

✅ Long-Term Maintenance

After All On Six treatment is completed, long-term success depends on your maintenance habits and regular check-ups. Implant-supported prostheses require a different care routine than natural teeth.

Attend regular clinical check-ups and professional cleanings every 6 months.
Using a water flosser is recommended for cleaning areas beneath the prosthesis.
Clean around the implants regularly with interdental brushes.
For patients with a history of bruxism, using a night guard is considered.
Annual X-ray checks monitor bone levels around the implants.

Doredent's approach: The post-treatment process is just as important as the surgery itself. At Doredent, we explain the post-surgical care protocol to each patient in detail, schedule follow-up appointments in advance, and establish a long-term monitoring program. If any issues arise during the healing process, we ensure patients can reach the clinic quickly.

Frequently Asked Questions

Are All-on-6 dental implants permanent?

All-on-6 dental implant treatment is a long-lasting solution. With proper planning, regular maintenance, and routine checkups, the implants can last for many years. The lifespan of the prosthesis depends on your oral hygiene, habits, and use. Regular checkups and proper hygiene practices directly affect how long your treatment lasts.

Is the All-on-6 procedure painful?

The procedure is performed under local anesthesia, so you won't feel pain during surgery. Because six implants are placed at once, you may experience swelling, tenderness, and bruising afterward. These symptoms are managed with prescribed medication and ice packs, and they typically subside significantly within 7-10 days.

What is the difference between All-on-6 and All-on-4?

The main difference is the number of implants supporting the prosthesis. All-on-6 uses six implants, which creates a wider support area and allows chewing forces to be distributed across more points. Which approach is right for you depends on your jaw bone structure, bone density, and prosthetic needs. You can review our All-on-4 page.

Can teeth be placed the same day?

In suitable cases, a temporary fixed prosthesis can be placed the same day. However, this decision depends on the stability of the implants in the bone, jaw bone density, and your overall clinical condition. When immediate loading is not appropriate, we wait for the healing period before planning the prosthesis.

Can All-on-6 be applied to everyone?

While it's a suitable option for many patients, the final decision is made after a detailed examination and imaging. Your bone level, general health, smoking habits, systemic conditions, and oral health are all evaluated together. When treatment is not suitable, we honestly present alternative treatment options.

How long does the healing process take?

The process of the implants integrating with the bone (osseointegration) typically takes 3-6 months to complete. This timeframe can vary depending on your bone density, general health, and smoking habits. Once osseointegration is complete, we proceed with the permanent prosthesis.

What materials are used in All-on-6 prostheses?

The most commonly preferred option for All-on-6 prostheses is zirconia or porcelain applied over a metal framework. Zirconia restorations provide the highest level of durability and natural aesthetics. During treatment, you first use a temporary prosthesis, and the permanent prosthesis is placed after osseointegration is complete.

Is All-on-6 better than removable dentures?

All-on-6 treatment offers stronger chewing comfort, greater stability, and a more natural experience thanks to its fixed structure. Problems with removable dentures such as slipping, movement, loss of taste, and social anxiety are eliminated with a fixed structure. Which option is more suitable for you becomes clear after your examination.

Does the implant brand matter in All-on-6 treatment?

Yes, the implant brand used is one of the factors that affects the long-term success of treatment. At Doredent, we use implant brands with CE, FDA, and ISO certifications. The brand and system to be used are determined based on your case needs after examination.

Is the same method applied to the upper and lower jaw?

Each jaw is evaluated separately. Bone density in the upper jaw is typically lower than in the lower jaw, and anatomical structures like the sinus cavity may require additional planning. In the lower jaw, the proximity of the mandibular nerve is taken into account. How many implants will be used in which jaw is determined after 3D CT imaging and clinical evaluation.

Treatment Pricing

Pricing

All-on-Six Implant Treatment Pricing

At Doredent, we offer transparent pricing for our international patients. As every case is different, the final treatment cost depends on your individual evaluation.

The cost of All-on-Six Implant Treatment varies based on factors such as the implant brand used, superstructure choice (acrylic or zirconia), and the need for additional surgical procedures. For an accurate quote, a personalized assessment is recommended.

For pricing details, reach out via WhatsApp or book your initial consultation.

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