All-on-Four and All-on-Six implant systems, which enable the placement of fixed prostheses in cases of complete edentulism by placing only four or six implants in the jawbone, are used with a high success rate at Avrupadent’s Izmir clinics. These advanced implant solutions, which allow for aesthetic and functional results in a shorter time, are an ideal option, especially for patients experiencing bone loss. Choose Avrupadent to improve your quality of life with All-on-Four & All-on-Six implant treatment in Izmir.
What are All-on-Four and All-on-Six Implants?
All-on-Four and All-on-Six implants are treatment methods that offer modern and permanent solutions for missing teeth. In the All-on-Four technique, the implants are placed at an angle, optimizing bone utilization and reducing the need for grafts. The All-on-Six technique, on the other hand, is supported by six implants and provides stability, especially in the upper jaw regions exposed to intense chewing forces. These techniques, which became widespread with the FDA’s approval of titanium implants in 1982, offer a less invasive option than traditional dentures and allow patients to use their dentures the same day.
How Do All-On-Four and All-On-Six Implants Work?
All-on-Four and All-on-Six implant systems aim to restore full dental arches in edentulous patients, providing functional and aesthetic results using a minimal number of implants. All-on-Four offers durable denture support to the jawbone with four implants, while All-on-Six offers greater stability with six implants. Both methods maximize the use of existing bone structure, providing a comfortable solution for the patient.
Key features of All-on-Four and All-on-Six implants:
- Provides stability
- Provides broad load distribution
- Provides functional aesthetics
- Reduces the need for bone grafts
The inclined placement of All-on-Four posterior implants evenly distributes the stress generated during chewing between the implants. The addition of two posterior implants in All-on-Six provides greater resistance to chewing forces, increasing the long-term durability of the prosthesis.
When Are All-On-Four and All-On-Six Implants Used?
All-on-Four and All-on-Six implant techniques offer effective options for replacing edentulous patients. These two techniques offer different advantages depending on the patient’s needs and jawbone condition. Here are the details explaining the uses of All-on-Four and All-on-Six implants:
- For edentulous patients
- When resistance to chewing stress is required
- When bone quality and quantity are limited
- To maintain an aesthetic appearance after extractions
- For patients who are psychosocially dissatisfied with dentures
- For patients seeking rapid results
All-on-Four stands out because it can be completed in a single surgical session and reduces the need for bone grafts. If the patient’s gum and bone condition do not provide sufficient support for All-on-Six implants, All-on-Four implants, which require less bone, are used. The All-on-Six technique is preferred for patients requiring larger fixed prostheses and chewing function.
Who Are All-On-Four and All-On-Six Implants Not Suitable For?
While All-on-Four and All-on-Six implants offer effective methods for replacing missing teeth, they may not be suitable for every patient. Contraindications for these implant systems are determined based on the patient’s specific health condition and anatomical features. Absolute contraindications include conditions that cannot be treated, while relative contraindications require special attention.
Absolute Contraindications
- Insufficient bone volume
- Serious systemic health problems
- Chronic infections
- Uncontrolled osteoporosis
Relative Contraindications
- Smoking
- Advanced age
- Poor oral hygiene
- Psychological conditions
Specific Anatomical Considerations
- Sinus pathologies
- Dental anatomy
This Candidates for All-on-Four and All-on-Six implants are determined by considering contraindications. Because each individual’s jawbone structure and general health are different, a meticulous evaluation process is necessary to determine suitable candidates.
All OHow Are Four-on-Four and All-on-Six Implants Applied?
All-on-Four and All-on-Six implant methods are innovative dental treatment techniques designed to create a complete dental arch with a minimum number of implants. In both methods, a personalized treatment plan is developed for the patient, and a careful evaluation process is conducted before and after the procedure.
- Pre-procedure evaluation
- Preparation of treatment plan
- Local anesthesia or sedation
- Tooth extraction (if necessary)
- Implant placement
- Immediate loading (if appropriate)
- Healing and osseointegration process
- Permanent prosthesis placement
- Post-procedure care recommendations
- Long-term follow-ups
These methods offer individuals experiencing tooth loss the opportunity to have healthy, aesthetically pleasing, and functional teeth. All-on-Six is particularly recommended for areas subject to intense pressure, such as the upper jaw, because it provides high stability during chewing.
What are the Side Effects of All-on-Four and All-on-Six Implants?
While All-on-Four and All-on-Six implants offer permanent and reliable solutions for replacing missing teeth, some side effects and potential complications can occur. While side effects that may occur after the application of these implants can be short-lived, in some cases, long-term complications can also occur.
Immediate Side Effects:
- Swelling and mild pain
- Peripheral bruising
- Temporary speech difficulty
Possible Complications:
- Infection and peri-implantitis
- Implant failure
- Bone resorption
- Nerve damage
- Bite imbalance
- Sinus problems
- Gum recession
Long-Term Caution Requirements:
- Material fracture
- Peri-implantitis development
To increase success and minimize risks, patients should choose experienced surgeons, maintain high oral hygiene, and avoid smoking. These measures ensure the implants are healthy and functional in both the short and long term. Furthermore, regular checkups should be performed to continuously monitor the health of their teeth and jaws so that potential problems can be detected and treated early.
How Successful Are All-On-Four and All-On-Six Implants?
All-on-Four and All-on-Six implant systems offer reliable options for patients with their high success rates and longevity. Research shows that these systems maintain their effectiveness over long-term follow-up and provide successful results, particularly in patients at low risk of bone loss.
Factors affecting success rates:
- Bone density
- Oral hygiene
- No smoking
The All-on-Four system has proven its reliability with an implant survival rate of over 98% at five years and around 94% at ten years. Survival rates of up to 93% are observed, particularly in mandibular applications, while the success rate exceeds 99% for maxillary prostheses. The average marginal bone loss in this system is around 1.7 mm, and factors such as smoking are known to increase bone loss.
The All-on-Six system, on the other hand, offers greater stability thanks to additional implants and has a success rate exceeding 95% at ten years. While it provides advantages in areas such as the upper jaw arches, which experience high chewing stress, it requires ideal bone support for long-lasting results.
What Should All-On-Four and All-On-Six Implant Aftercare Be Like?
Aftercare for All-on-Four and All-on-Six implants should be meticulous to support the healing process and ensure their long-term health. To increase the success rate, both oral hygiene and lifestyle should be followed postoperatively.
Postoperative Follow-Up
- It is important to follow your dentist’s recommendations during the initial follow-up period.
Pain Management
- If you have prescription painkillers, such as ibuprofen, they should be taken as directed.
Dietary Restrictions
- After surgery, a liquid diet should be followed for 24-72 hours, followed by a soft diet for a few weeks.
Hydration
- Drinking plenty of fluids accelerates the healing process.
Oral Hygiene
- Rinse with salt water and avoid mouthwashes containing alcohol.
The first two weeks are crucial for healthy healing.It requires meticulous care for its continued existence. It is important to avoid excessive physical activity and rest during this period. The diet can gradually be expanded to include softer, more chewable foods. Smoking and alcohol consumption should be avoided, as these substances can prevent the implants from fusing properly.
In the long-term postoperative period, the osseointegration process is crucial for the implants to fully integrate with the jawbone. During this period, implant and gum health should be closely monitored with regular checkups. Additionally, regular brushing with a soft-bristled brush and the use of implant floss or water floss are recommended for maintaining oral hygiene. A diet that protects the implants by avoiding hard and abrasive foods should be adopted.
All-On-Four and All-On-Six Prices
All-on-Four and All-on-Six implant treatments are innovative methods that offer fixed prosthetic solutions for edentulous mouths. These treatments allow the fixation of all teeth using a small number of implants and offer advantages in terms of both aesthetics and functionality. Treatment costs vary depending on the technique, material, and needs;
- Number of Implants Used
The All-on-Four method uses four implants, while the All-on-Six method involves six. The All-on-Six treatment, which uses more implants, costs more due to the materials and the application time.
- Material Quality
The material used in the construction of the dentures (e.g., porcelain or zirconium) affects the price. You will pay a higher price when choosing more durable and natural-looking materials.
- Treatment Process and Additional Procedures
Patients with insufficient bone density may require procedures such as bone grafting or sinus lifts. These additional procedures can prolong the treatment process and increase the cost.
- Doctor and Clinic Specialization
Prices vary depending on the experience of the treating doctor and the clinic’s equipment.
- Geographic Location
The country or city where the treatment is performed also affects prices.
