All-on-6 implant: advantages and disadvantages

Full dental implants aka all-on-6 dental procedure is the best solution for patients with enough bone structure in the jaw. It creates a permanent prosthesis by using six dental implants. It acts as an anchor for a bridge or over-denture.

The All-on-6 is a variation of the All-on-4 technique based on the same concept but instead of four, it uses six implants that are placed in areas of the mouth with the highest bone volume. This treatment is designed for patients with enough bone structure and is an alternative to traditional dental implants because it maximises bone potential.

All-on-6 dental implant benefits

All-on-6 dental implant benefits

  • Quick recovery.
  • Enjoy eating and speaking again.
  • Pearly white smile.
  • No need for removable dentures.
  • Instantly reverses age.
  • You can bite and chew foods, just like natural teeth.
  • Lifelong solution. Dental implants are usually a permanent solution to missing teeth.
  • Bone grafting is rarely required
  • Easy home maintenance and cleaning
  • Delivers long-term results
  • Completely restored smile
  • Improves oral health

Who needs an All-on-6 dental implant?

The All-on-6 dental implant treatment is recommended for patients with full arch missing teeth. It is also for patients with partially missing teeth and want to get a full arch dental implant, by replacing the existing teeth. The All-on-6 process offers a stable, long-term, alternative to traditional dentures.

Before the full dental implants , dentist will need to examine your mouth and will want to discuss your medical history as systemic diseases can affect healing. Certain medications could also affect all on six implants treatment.

With full mouth tooth replacement option, 6 dental implants are placed at strategic intervals throughout your upper or lower arch and it is important they receive sufficient support from the surrounding bone. If you lost teeth quite a few years ago then you may have suffered significantly from missing teeth tooth bone loss.

This may also be the case if you had an advanced periodontal disease which has resulted in the destruction of the bone that used to surround your natural teeth. If you have lost bone then a full set of dental implants treatment is normally still possible as dentist can build up bone for implant levels using sophisticated bone grafting techniques.

Though every patient case is unique, implant dentist are looking at five major factors to consider  when recommending dental implant full mouth:

  • Speech Issues– If speech is a major concern, periodontists must be prepared to offer alternative treatments, such as to replace missing teeth with short-span bridges or single dental implants. This will often require more implants, more bone grafting, and more expensive prosthetics, so patients will need to be prepared for the additional treatment time and cost.
  • Bridge thickness– This can be a big problem for some patients, and sadly they often figure out that it’s a problem after surgery when the ridge has been reduced. At that point, nothing can be done to get them back to that natural-feeling transition.
  • Excessive biting force– Patients have difficulty recognizing premature or excessive occlusal contacts. They may generate excessive biting forces due to the lack of sensation.
  • Parafunction– bruxism, clenching, and irregular chewing cycles
  • High risk of caries

All-on-6 vs. All-on-4

All-on-6 vs. All-on-4

The simple procedure is low-cost and effective, making it an ideal choice. However, some may ask why they should choose All-on-6 as opposed to All-on-4? Neither of these options is necessarily better; it is a decision that should be made on a case-by-case basis. For example, if a more extensive reconstruction is needed, All-on-6 implants are a better choice because the additional implants provide additional support. However, if you do not have the additional bone mass required for the additional implants, you would be a more likely candidate for All-on-4.

Before All-on-6 dental implant procedure

The all-on-6 procedure usually does not require a bone graft. It may be necessary, depending on the patient’s bone density. It is the dentist who will evaluate and check the mouth before starting the procedure and advise you accordingly.

All on 6 Procedure

All on 6 Procedure

Assessment

dentust will conduct a thorough examination, taking x-rays and scans to assess the anatomical structures in your mouth and the extent (if any) of bone loss. If you are a suitable candidate for either procedure, impressions will be made of your mouth to send to the Laboratory who will manufacture your new teeth.

Treatment

Treatment

The procedure can be carried out under intravenous sedation or local anaesthetic. It typically takes around 2 hours per jaw. If you need to have any extractions, these can be done at the same time, and the areas around the extraction sites cleansed thoroughly. The dental implants will be inserted into the jaw. A temporary arch of teeth will be placed, which is lighter than a permanent restoration, and will allow your mouth time to heal.

Permanent Restoration

After a few months, you will return to clinic to have your permanent teeth fixed.

How long does the All-on-6 dental implant procedure take? 

The process gets over in a day — it often ranges between 2–4 hours, depending on the patient. This same-day procedure helps patients return to their work the very next day, with a beautiful smile.

Cost

Restoring a complete arch of teeth with full dental implants can require multiple teeth implants to ensure the bridge is properly supported. The exact number of implants required can vary depending on the number of teeth to be restored.

Full mouth dental implants price depends on multiple factors including:

  • Number of implants
  • If a bone graft is required (do not have a sufficient bone to anchor the post)
  • If sinus lift is required (do not have adequate levels in sinus tissues)

The total restoration treatment cost is also dependent on whether any additional procedures are required, for example, tooth extraction. All-on-6 price covers all pre-surgical workup, including cone beam CT scan, the first set of All-on-6, and the final set of All-on-6.

Recovery After the Whole Set of Dental Implants

Recovery After the Whole Set of Dental Implants

It is normal to feel some discomfort after receiving full dental implants (all on 6 dental implants), implants specialist can provide advice on using over-the-counter painkillers or will give you a prescription for pain medication.

You may need to take antibiotics and dentists might suggest using an antimicrobial mouth rinse for the first week or so after surgery. dentists will provide you with lots of information on how to care for your all on 6 dental implants, including information on cleaning and the best foods to eat for the first few days after implant restoration surgery.

Infections After Full Mouth Dental Implants Reconstructive Surgery

Development of the bacteremia around implants is one of the reasons for the failure of the full mouth tooth replacement surgery. Some dental implant failures can be due to defile from bacteria while inserting the implant post. Infections around biomaterials such as posts are difficult to treat. In most of the cases the infected implants have to be replaced.

The most common bacteria involved in failures of the full dental implant procedure are:

  • Streptococci
  • Anaerobic Gram-positive cocci
  • anaerobic Gram-negative rods

If infection risk is high (usually after sinus augmentation procedures, sinus lifts or bone grafts), dentist might order a dose of antibiotics a day before the surgery and a beta-lactamase antibiotic to be used for 5 days. In addition a 0.12% chlorhexidine rinse twice daily is recommended.

What Is the Recovery Time After the Procedure?

What Is the Success Rate for Full Mouth Implants

Most patients are able to go to work the next day after the procedure. To relieve pain, your tooth specialist can recommend over-the-counter medications. The average full mouth dental implants recovery time is between four to six months. Healing is a complex process that varies from individual to individual.

How to Clean Full Mouth Dental Implants?

If you want to ensure the longevity of your implants, you must keep your new teeth clean and bacteria and plaque free. Implants failure is generally caused by bacteria and plaque, which can lead to infection in the tissues. Maintaining proper oral hygiene is crucial.

The list of effective hygiene tips is as follows:

  • Brush at least twice a day with a soft-bristle toothbrush
  • Floss daily with unwaxed tape or implant-specific floss
  • Use a nylon coated brush to clean hard-to-reach places
  • Do not use high-abrasive toothpaste

Disadvantages of Full Mouth Implants

With the whole mouth dental implants, it is necessary to allow for adequate recovery time, a process that can take several months before the implants can be restored with permanent teeth.

During this time the all on 6 dental implants mustn’t come under any pressure that could affect their integration with the surrounding bone.

Any type of movement to the implant posts during healing could increase the risk of implant failure. Anyone who lost teeth quite some time ago is more likely to require bone grafts, adding additional time and cost to this treatment.

A complete set of dental implants pose a moderate to high infection risk. Therefore, with this whole mouth reconstruction procedure, dentists recommend a dose of antibiotics before and after the procedure.

What Is the Success Rate for Full Mouth Implants?

The success rate for this treatment is very high and full mouth implants should last for many years. With the correct care and maintenance, dental implants can have a success rate in excess of 90% after 15 years, but it is important to be aware of factors that can affect the long-term success of this treatment.

Although dental implant full mouth complications can occur, they are rare, especially when trained and experienced implant dentist perform the procedure.

Full dental implants risk factors:

  • Failure of the implants due to poor oral hygiene
  • Failure due to uncontrolled diabetes
  • Bruxism or any type of occlusal trauma could affect the longevity of your artificial teeth

Routine visits to the dentist after All-on-6 dental implant surgery

Following the procedure, patients will need to make sure to check in with their dentists often — especially in the first three months, and then two to three times annually. To prevent any complications or infections, it’s crucial to contact your dentist right away if something doesn’t feel right. Once the dental implants have stabilized, continuous care combined with good oral hygiene will render a perfect smile and excellent oral health.

Correct diagnosis and accurate implant planning are essential for success in implant rehabilitation. Precise impressions and meticulous attention to detail provide a foundation for successful implant prosthodontics. A comprehensive understanding of the range of prosthetic components is essential and often gained only by clinical experience. When patients have missing teeth, the face has a sunken appearance making the person look much older than he or she is; the ideal placement of teeth straightaway reverses age. With dental implants, it changes instantly, and a well-balanced, natural, and radiant smile is restored. The process alone would make one look at least 15 to 20 years younger!