All-On-6 Dental Implants vs. All-On-4: Which Is Right For You?

When it comes to full-arch dental restoration, two of the most revolutionary solutions are All-On-4 and All-On-6 dental implants. These advanced procedures offer patients suffering from multiple tooth loss a permanent, stable, and aesthetically pleasing alternative to dentures. At Park International Dental Implant Center, we specialize in both techniques, offering personalized care and modern implantology to restore your confident smile. However, many patients often wonder: Which is better—All-On-4 or All-On-6 dental implants? Let’s explore the key differences, benefits, and suitability of each solution to help you make an informed decision.

What Are All-on-4 Dental Implants?

All-on-4 dental implants involve placing four titanium implants strategically into the jawbone to support a full arch of prosthetic teeth. This method is especially beneficial for patients who have experienced significant tooth loss and bone deterioration. The technique uses angled implants in the posterior to maximize contact with the existing bone.

Procedure:
  • Initial consultation and diagnostics: Includes X-rays, CT scans, and impressions.
  • Treatment planning: Customized based on the patient’s jaw structure and bone density.
  • Implant placement: Four implants (two vertical in the front and two angled in the back) are inserted under local or general anesthesia.
  • Temporary prosthesis: A same-day fixed denture is placed while the implants heal.
  • Final restoration: After 3-6 months of healing, a permanent bridge is attached.
Pros of All-on-4 Dental Implants:
  • Minimally invasive procedure with fewer implants.
  • Ideal for patients with low bone density without needing grafts.
  • Faster treatment time with immediate load prosthetics.
  • More affordable than traditional full-mouth implants.
  • Reduced healing time and overall stress on the jawbone.
Cons of All-on-4 Dental Implants:
  • Less support and stability compared to more implants.
  • Not ideal for individuals with severe jawbone atrophy in certain regions.
  • Risk of overloading the implants if biting force is not evenly distributed.
  • Limited customization in implant placement due to only four anchors.

What Are All-on-6 Dental Implants?

All-on-6 dental implants use six titanium posts embedded in the jaw to provide a stronger and more stable foundation for the prosthetic arch. This approach is suitable for patients who have slightly more bone mass or can undergo grafting if needed. It ensures better load distribution and increased durability over time.

Procedure:
  • Comprehensive assessment with 3D scans and diagnostic imaging.
  • Surgical placement of six implants along the dental arch.
  • Temporary fixed prosthetics fitted the same day or shortly after.
  • Osseointegration phase of 4–6 months for healing.
  • Final prosthetic arch placed with customized aesthetic features.
Pros of All-on-6 Dental Implants:
  • Greater stability and strength due to two additional implants.
  • Enhanced load distribution reduces wear and tear.
  • Improved longevity of the prosthetic bridge.
  • Better for patients with moderate to high bone volume.
  • Increases functional efficiency in chewing and speaking.
Cons of All-on-6 Dental Implants:
  • More invasive surgery compared to All-on-4.
  • Longer healing time due to increased surgical complexity.
  • Higher cost due to additional implants and procedures.
  • May require bone grafting for optimal results.

Key Differences Between All-on-4 and All-on-6:

FeatureAll-On-4All-On-6
Number of Implants4 per arch6 per arch
Bone RequirementsLess bone neededRequires more bone density
Surgical InvasivenessMinimally invasiveSlightly more invasive
StabilityHighVery High
Longevity10–15 years or more15–20 years or more
CostLowerSlightly higher
Jawbone StimulationModerateHigher

Number of Implants: 4 vs 6

All-on-4 uses four implants while All-on-6 uses six, providing greater structural support with the latter. This difference significantly impacts the load-bearing capacity and longevity of the prosthetic arch.

Stability and Durability:

With six implants, All-on-6 offers better mechanical balance and support, making it more durable under intense pressure from chewing and daily use. All-on-4, while effective, may have limitations under excessive bite forces.

Cost Comparison: All-on-4 vs All-on-6 Cost

• All-on-4 is typically more affordable, making it a popular choice for cost-conscious patients.
• All-on-6 involves a higher investment but pays off with enhanced performance and longer lifespan of the implants.

Bone Density Requirements:

All-on-4 is suitable for patients with minimal bone volume, often eliminating the need for bone grafts. All-on-6 requires better bone quality and may involve additional procedures to build bone structure.

Recovery Time:

• All-on-4 patients generally experience faster recovery due to fewer implants.
• All-on-6 may take longer to heal, but this comes with the advantage of a more secure outcome.

Aesthetics and Longevity:

Both solutions provide excellent aesthetic results, but All-on-6 bridges tend to last longer due to improved structural integrity. All-on-4 also offers a natural appearance but may require more maintenance in the long term.

Which One Is Right for You?

Choosing between All-On-4 and All-On-6 dental implants comes down to several individual factors. Here’s how we determine the best treatment path for our patients at Park International Dental Implant Center:

  • Bone Volume and Density: If you’ve experienced bone loss in the jaw, All-On-4 may be preferable due to its angled implant technique. However, if you have sufficient bone density or are willing to undergo bone grafting, All-On-6 can provide enhanced strength and longevity.
  • Budget Considerations: While both systems offer tremendous value, All-On-4 is typically more affordable due to fewer implants and a shorter procedure. All-On-6 may require a higher upfront cost but often results in greater long-term durability, potentially lowering future maintenance costs.
  • Desired Longevity: Heavy biters or those with active lifestyles may benefit more from All-on-6 implants due to their added support. All-on-4 is ideal for moderate use and offers excellent function for most daily needs.
  • Oral Health Condition: Patients with complex dental conditions, bruxism (teeth grinding), or a history of implant failure may be better candidates for All-On-6, thanks to its improved load-bearing capacity and enhanced balance.

Conclusion: Making the Right Choice

Choosing between All-On-4 and All-On-6 dental implants depends on various factors, including your jawbone health, budget, functional needs, and aesthetic preferences. Both options are transformative, but the right one for you will depend on an in-depth consultation and professional evaluation.
At Park International Dental Implant Center, we are committed to helping you make a well-informed decision that ensures long-lasting oral health and satisfaction. Book a consultation with our implant specialists today to discover which option is best suited to you — and take the first step toward a confident, functional, and beautiful smile.


For more information or to schedule a consultation, please contact us at 9000321822 today!