All-on-4 and All-on-6 Dental Implants
Dental implantation using the All-on-4 and All-on-6 protocols is an option for restoring a full dental arch in cases of complete tooth loss or when severely damaged teeth need to be removed. The method involves placing a fixed prosthesis supported by 4 or 6 dental implants.
This solution may be considered as an alternative to removable dentures. It helps restore chewing function, smile aesthetics and comfort during speech. The appropriate protocol, the number of implants, the need for preparation and the timing of prosthetic rehabilitation are determined individually by the doctor after examination and cone beam computed tomography of the jaws.
At the dental departments of the Medical Initiative Medical Center in Minsk, patients can receive a consultation on dental implantation and comprehensive planning of implant-supported prosthetic treatment.
All-on-4 and All-on-6 Dental Implants in Minsk
What Are All-on-4 and All-on-6?
All-on-4 and All-on-6 are protocols for full dental arch rehabilitation. A fixed prosthetic construction is attached to four or six implants placed into the jawbone.
With the All-on-4 protocol, two implants are usually placed in the frontal area, while two additional implants are placed in the posterior areas at an angle. This approach helps use the available bone volume and, in some clinical cases, may allow treatment to be performed without additional surgical procedures.
With All-on-6, six implants are used. A greater number of supports may provide additional stability for the prosthesis and a more even distribution of chewing load. This option may be recommended in certain anatomical conditions, in cases of increased chewing load or when additional prosthetic stability is required.
Important: the possibility of implant placement and the choice of method are determined only after diagnostics. In some cases, preliminary treatment, tooth extraction, oral sanitation or bone grafting may be required.
All-on-4 or All-on-6: Which Option Should You Choose?
The choice between implantation on 4 or 6 implants depends on the volume and density of bone tissue, the condition of the mucosa, jaw anatomy, the presence of remaining teeth, bite characteristics and the patient’s general health.
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Comparison Criteria |
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Number of support points |
4 implants: usually 2 are placed in the frontal area, and 2 more in the posterior areas at an angle. |
6 implants: usually 2 are placed in the frontal area and 4 in the posterior jaw segments. |
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Bone volume |
May be considered in cases of mild or moderate bone atrophy. The angled position of posterior implants may sometimes allow the existing bone volume to be used. |
May be recommended when there are conditions for placing an additional number of implants and when stronger support for the prosthesis is required. |
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Load distribution |
The load is distributed between four supports. |
Additional supports may contribute to a more even distribution of chewing load. |
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Stability of the construction |
When properly indicated, it provides reliable fixation of the temporary adaptation prosthesis. |
Six supports may provide additional stability for the prosthetic construction. |
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Who it may be suitable for |
Patients with complete tooth loss, provided there are indications based on diagnostic results. |
Patients whose clinical situation requires a larger number of supports for the prosthesis. |
Benefits of Full-Arch Implant-Supported Prosthetics
All-on-4 or All-on-6 dental implantation may help restore the dental arch and avoid the use of removable dentures. Possible benefits of this treatment include:
- fixed prosthesis attached to implants;
- restoration of chewing function;
- improved smile aesthetics;
- no need to remove the prosthesis at night;
- absence of a bulky base covering the palate, unlike some removable dentures;
- possibility of placing a temporary adaptation prosthesis within a short period of time, if clinically indicated;
- support of facial soft tissues by restoring bite height;
- possibility to plan treatment using CBCT and digital technologies.
The treatment outcome, the timing of temporary and permanent prosthesis placement, as well as the need for additional procedures, depend on the initial clinical situation.
Who Is All-on-4 and All-on-6 Implant Treatment Suitable For?
Prosthetic rehabilitation on 4 or 6 implants may be recommended for patients in the following cases:
- complete absence of teeth in the upper or lower jaw;
- absence of teeth in both jaws;
- presence of severely damaged or mobile teeth that cannot be preserved;
- significant discomfort when using removable dentures;
- need for comprehensive restoration of the dental arch;
- desire to receive a fixed prosthetic construction, provided there are indications for implantation.
The final decision on the possibility of treatment is made by the doctor after examination, CBCT analysis, assessment of bone tissue, gums, bite and the patient’s general health.
Contraindications and Limitations
Dental implantation has contraindications and requires a preliminary assessment of the patient’s health. Temporary limitations may include acute inflammatory processes in the oral cavity, exacerbation of chronic diseases and insufficient oral hygiene.
Conditions requiring special attention from the doctor include:
- decompensated diabetes mellitus;
- blood disorders and coagulation problems;
- severe systemic diseases;
- radiation therapy in the head and neck area;
- acute infectious and inflammatory processes;
- pregnancy — for planned surgical procedures;
- age before completion of jaw growth.
Each case is considered individually. If the patient has concomitant diseases, the implantologist may recommend an additional consultation with a relevant medical specialist.
Book a Consultation on Dental Implants at the Medical Initiative Medical Center
Phone numbers for appointments:
+375 29 666 98 07
+375 17 364 98 07
You can book an appointment with an oral surgeon for dental implantation on our website by requesting a callback, as well as via the Telegram bot by filling out a short form and providing your contact details.
Appointments are held at:
Minsk, Y. Kolas St., 42
How Are All-on-4 and All-on-6 Dental Implants Placed?
Treatment is carried out in stages. The exact plan depends on the clinical situation, but usually includes the following steps.
1. Consultation and Diagnostics
The doctor performs an examination, collects the patient’s medical history and assesses the condition of the teeth, gums and bite. Cone beam computed tomography of the jaws is performed to plan implantation.
CBCT allows the doctor to assess the volume and density of bone tissue, the location of anatomical structures and select the optimal positions for implant placement.
2. Treatment Planning
Based on the diagnostic results, the doctor determines whether implantation is possible, how many implants are required and whether additional preparation is needed.
If necessary, oral sanitation, treatment of inflammation or extraction of teeth that cannot be restored may be performed.
3. Implant Placement
At the surgical stage, the doctor places 4 or 6 implants according to the previously prepared treatment plan. Pain control and the type of anesthesia are selected individually, taking into account the patient’s condition and the scope of treatment.
4. Temporary Prosthetics
If clinically indicated, a temporary adaptation prosthesis may be manufactured and fixed. The possibility of immediate loading is determined by the doctor after implant placement and assessment of their primary stability.
5. Permanent Prosthetics
After the implants have integrated and the tissues have stabilized, the temporary construction is replaced with a permanent prosthesis.
The material and type of prosthetic construction are selected individually. Metal-ceramic, zirconia dioxide or other materials may be used.
How Long Do Implants and Prostheses Last?
The service life of implants and the prosthetic construction depends on the patient’s general health, quality of oral hygiene, load on the prosthesis, regularity of preventive check-ups and compliance with the doctor’s recommendations.
To maintain the treatment result, it is important to undergo professional oral hygiene regularly, visit the dentist for check-ups and use the recommended care products for the prosthetic construction.
All-on-4 and All-on-6 Dental Implants in Minsk
At the Medical Initiative clinic, patients can receive a consultation on tooth restoration with dental implants. The doctor will assess the clinical situation, review CBCT results and suggest possible treatment options, taking into account the condition of the dentofacial system and the patient’s wishes.
Book a consultation at a convenient time to receive a personalized implant treatment and prosthetic rehabilitation plan.
Book an Appointment
Prosthetic dental treatment is provided at the dental departments of OJSC Medical Initiative in Minsk. Book a consultation at a convenient time — our specialists will help select the optimal prosthetic solution based on your clinical situation and preferences.
The dental department on Y. Kolas Street is the main department offering a full range of prosthetic services: removable, fixed and clasp dentures, metal-ceramic restorations, and zirconia dioxide constructions.
Address:
Minsk, Y. Kolas St., 42
Phones:
+375 17 364-98-07
+375 29 666-98-07
Single number: 131
Opening hours:
Mon–Fri: 08:00–21:00
Sat: 09:00–15:00
Sun: 09:00–15:00
Frequently Asked Questions About All-on-4 and All-on-6 Dental Implants
Which Is Better: All-on-4 or All-on-6?
There is no universal solution. The choice of protocol depends on the volume and quality of bone tissue, jaw anatomy, bite, expected load on the prosthesis and other factors. The appropriate option is determined by the implantologist after examination and CBCT diagnostics.
Can Teeth Be Placed in One Day?
In some clinical cases, temporary prosthetics may be performed shortly after implant placement. However, the decision on immediate loading is made individually after assessing the primary stability of the implants and the condition of the tissues.
Do Remaining Teeth Always Need to Be Removed Before Implantation?
If the teeth can be preserved and restored, the doctor will consider the appropriate treatment options. Tooth extraction is performed only when indicated — for example, if the teeth are severely damaged, highly mobile or cannot be treated.
Is It Always Possible to Avoid Bone Grafting?
No. The features of the All-on-4 and All-on-6 protocols may allow the existing bone volume to be used in a number of cases, but the need for bone grafting can only be determined after CBCT diagnostics and consultation with a doctor.
What Can I Eat After Implant Placement?
During the first days and weeks, a gentle diet with soft foods is usually recommended. Exact recommendations on nutrition and loading of the temporary prosthesis will be provided by the attending doctor after treatment.
How Should I Care for an Implant-Supported Prosthesis?
It is necessary to clean the prosthesis and the area around the implants daily using the recommended products, use special interdental brushes or an irrigator if indicated, and regularly attend preventive check-ups and professional oral hygiene appointments.
