All on four (all on 4) and all on six (all on 6) works
ALL YOU WANT TO KNOW ABOUT THE ALL-ON-4 AND ALL-ON-6 CONCEPT
All on Four (All on 4) and All on Six (All on 6) have become very popular terms in the past decade. And not without reason. These methods have allowed patients with complete toothlessness to achieve the final result – FIXED replacement of all teeth much faster and more efficiently. Without total dentures.
Candidates for All on 4 and All on 6 works are patients with complete toothlessness. As well as patients who have teeth but cannot be conservatively treated, and extraction of existing teeth is indicated (e.g., patients with terminal periodontal disease, an extremely poor situation, a small number of remaining teeth, etc.).
WHAT IS ALL ON 4, WHAT IS ALL ON 6?
All on 4 and All on 6 are procedures that involve the placement of 4 or 6 implants in one jaw, onto which artificial teeth are then placed. Artificial teeth can be made of different materials (metal-ceramics, zirconia ceramics, monolithic zirconia, etc.). But the common feature is that they are – fixed to the implants. Therefore, patients do not need to remove them from their mouths daily, as is the case with regular complete dentures.
This way, the patient gets a much more beautiful and comfortable work. A work that gives a feeling much closer to natural teeth compared to total dentures.
What our patients also gladly emphasize is the feeling of self-confidence and security. With All on 4 and All on 6 works – NO falling during speech or chewing. NO sticking. NO rubbing. And NO all the discomfort that comes with total dentures.
WHAT IS THE DIFFERENCE BETWEEN ALL ON 4 AND ALL ON 6?
As can be assumed, in the case of All on 4 works, artificial teeth are placed on 4 implants. And in the case of All on 6 works, they are placed on 6 implants.
In patients with complete toothlessness, until a few decades ago, the generally accepted opinion was that it was necessary to place 6 or 8 implants that would carry all the teeth. In the late nineties, precisely in 1998, the legendary Paulo Malo introduced an innovative method that replaced the previous practice of placing 6 or 8 implants with 4 implants. He achieved this by the technique of placing lateral implants with inclination (tilting), thereby ensuring complete stability to future work on these implants. This, already revolutionary idea brought several benefits. A smaller number of implants is for the patient:
- more financially acceptable (fewer implants – lower costs)
- more comfortable (no need for additional surgical procedures such as sinus lift)
- faster and more efficient (after sinus lift, it is necessary to wait 9-12 months)
and the result is identical – discarding the denture and fixed high-aesthetic work in the patient’s mouth.
IS ALL ON 6 STILL A BETTER OPTION?
Although Professor Malo’s innovative idea initially met with doubt and reservation from the profession, numerous studies, and then thousands and thousands of successful works have shown that the All on 4 method is absolutely safe and predictable, providing the patient with perfect functionality with phenomenal aesthetics of such work.
Of course, if the anatomical conditions allow placing 6 implants without additional complicated procedures such as a sinus lift, then All on 6 is certainly a good choice. But if the anatomy does not allow it – All on 4 is the solution that will bring the patient a perfect smile in significantly less time, with fewer visits and lower costs.