All-on-4 or All-on-6: Which Dental Implant Should You Choose?

When most or all of the teeth in an arch are missing, the All-on-4 and All-on-6 techniques let you rebuild a full, fixed dental arch supported by a small number of implants, avoiding removable dentures and reducing both time and cost compared to placing an implant for every missing tooth. The most common question remains: which one should you choose?

What is All-on-4

All-on-4 is an implant technique that replaces an entire dental arch using only 4 implants per side, placed at a strategic angle to make the best use of available bone, even when it is limited. It is often the preferred solution for patients who want to avoid complex bone grafting and are looking for faster healing times.

  • Strengths: less invasive surgery, faster recovery, generally lower cost, suitable even with limited bone without the need for bone regeneration;
  • To consider: with only 4 support points, chewing load distribution is slightly lower than with All-on-6.

What is All-on-6

All-on-6 follows the same principle but uses 6 implants per arch, distributing the chewing load across more support points. It’s the recommended solution when more bone is available and maximum long-term stability is desired, especially for patients with a heavily loaded jaw.

  • Strengths: greater stability and load distribution, superior long-term durability, suitable for cases with more available bone;
  • To consider: a slightly more extensive procedure and generally higher cost compared to All-on-4.

Direct comparison

All-on-4 All-on-6
Number of implants per arch 4 6
Surgical invasiveness ★★★★ ★★★
Recovery time ★★★★ ★★★
Stability and load distribution ★★★★ ★★★★★
Suitable with limited bone ★★★★★ ★★★
Cost ★★★★★ ★★★

Which one to choose based on your case

Generally speaking:

  • All-on-4 is often the best choice for patients with limited available bone who want to avoid bone regeneration procedures and are looking for faster recovery times at a lower cost;
  • All-on-6 is preferable when more bone is available and maximum long-term stability is a priority, especially in cases of heavy chewing load.

The final decision is always made together with the dentist after the examination and 3D CT scan, evaluating available bone volume, overall oral health, and any specific patient needs.

Indicative prices

Treatment Indicative price
All-on-4 (per arch) from € 4,500
All-on-6 (per arch) from € 5,980

Not sure which solution is right for you? Send us a photo or an X-ray: our team will recommend the best solution for your case, with no obligation.

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