WHAT TO CHOOSE ALL ON 4 OR ALL ON 6? All on 4 vs. All on 6
It’s an eternal question that faces a patient who needs an entire dental implant solution for restoration of full arch teeth. So today, we wanted to share The Uncali Dental Clinic experts’ opinion about these treatments.
The choice between All-on-4 and All-on-6 depends on the individual’s jawbone density, oral health, and specific needs. Both treatments provide a full arch of fixed teeth, but there are some key differences that may make one approach more suitable than the other.
Key Differences
- Number of Implants:
- All on 4: Utilizes four implants per arch, with two implants positioned in the front and two angled at the back to maximize support, even in areas with reduced bone density.
- All on 6: Adds two more implants per arch, totaling six implants, providing additional stability and support, especially for patients with low bone density or those needing extra reinforcement.
- Stability and Support:
- All on 4: This method provides good stability, especially for patients with adequate bone structure, but is more efficient in areas with significant bone loss since fewer implants are used.
- All on 6: Offers even greater stability and distributes the biting force more evenly across six implants, which can be beneficial for patients who need stronger support due to moderate bone loss or who desire extra durability.
- Bone Density Requirements:
- All on 4: Designed to work well in areas with moderate bone loss, as the two back implants are angled to use the available bone effectively, often eliminating the need for bone grafting.
- All on 6: May require more bone density, as more implants need sufficient support. However, it is also suitable for patients with moderate bone density who can benefit from the added stability of extra implants.
- Cost:
- All on 4: Generally more cost-effective because fewer implants are required, which reduces surgical and material costs.
- All on 6: Typically more expensive than All-on-4 due to the additional implants, but it may be worth the investment for patients who need or want extra durability.
- Longevity and Durability:
- All on 4: Known to last many years with proper care, though some patients may require adjustments or replacements over time.
- All on 6: The additional implants can enhance durability, especially for patients with higher bite forces, potentially offering a slightly longer lifespan with reduced wear and tear.
Which is Better?
- All on 4 may be ideal for patients with significant bone loss who wish to avoid bone grafting, or those looking for a cost-effective, full-arch solution.
- All on 6 may be preferable for those with moderate to good bone density, or patients who want added stability and durability in the prosthetic arch.
A dental consultation with 3D imaging is usually required to determine the best choice, as the decision depends on an individual’s jawbone structure, health, and budget. Both treatments provide highly functional, natural-looking results, restoring confidence and quality of life. Contact us to learn which is better for you – simply by filling the form!
