All On 4 vs. All On 6 Dental Implants: Which Implant is Right for You?

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Beverly Hills dental implants patient getting all on 4 procedureAll on 4 vs All on 6

Updated: 03/13/2020 

Having good oral hygiene is important for maintaining a healthy body and lowering your risk factor for developing conditions like respiratory infections, heart disease, diabetes, stroke, and dementia.

For some of us that have lost teeth resulting from a physical injury or infection, and if resorting to the tooth is not realistic, dental implants are the next best option for replacement.

If you have multiple missing teeth that require more than one implants, your dentist might talk to you about choosing either All On 4 or All On 6 implants. The All On method consists of surgically placing four or six titanium implants in a specific pattern and location as sturdy anchors for dental implants. This requires less surgery and faster healing time, which makes this form of cosmetic dentistry all the more popular.

About ‘All On’ Methods

All On methods typically work best for those who need replacements all in the upper or all on the lower jaw, which is common. This type of preparation has to be very precise because the teeth have to be setup in such a way to get the right result. If the teeth are off just a little bit, the patient could face expedient discomfort and speech impediments. Teeth that shift or slip can interfere with speech, change your smile, and affect the way you eat, so it’s critical to have a good fit. For these types of specialty procedures, it is crucial to choose a provider that has had a lot of experience, or you might have less than stellar results.

All on 6 dental implants before shotGood Candidates for the Procedure

Based on their clinical expertise, your dentist will consider how much supporting bone structure remains, and review the health of your gums and any remaining teeth before they decide which system is more applicable. Careful planning and extensive surgical experience is required for the best result, so choose your dentist carefully.

Once the implants fuse to the jawbone, they will provide enough pressure to maintain your jaw’s structural integrity as daily chewing disperses pressure evenly across the implants and through to the jaw. Like your natural teeth, dental implants need regular dental checkups, but you can plan on them lasting a lifetime.

Choosing between All on 4 and All On 6

Depending on how many teeth and roots you have left will dictate what type of All-on solution is right for you. Typically patients that are missing most of their top or bottom teeth get All On 4 dental implants, and those who have the right teeth or tooth roots remaining are better candidates for All On 6 implants.

But, the decision is more complicated than just how many teeth you have left. For example, an All On 6 method requires more bone and more bone strength than an All-on-4. Still, six implants better distribute the pressure between points when the jawbone is lacking in density or quantity, so it’s always a good idea to schedule a consultation with a top cosmetic dentist to be sure you are getting the right preparation.

Your dentist will take photos, x-rays, and impressions to determine the best placement. Among other factors, the dentist will measure bone density and quality, as well as the shape and protrusion of your sinus cavity to ensure the titanium rods will fit properly. After these steps have been completed, you can move on to the procedure.

All on 6 Dental Implants After shotThe Procedure

After a thorough examination, a review of your current health status, and looking through x-ray, and complete dental records, your dentist will make a recommendation and which preparation is right for you. Next, implants that will fit your jawbone and a temporary bridge will be ordered so they can be placed on the day of your surgery.

Multiple implants typically take about two to three hours to be completed under general anesthesia. Temporary dentures or bridges are usually fitted on the day of surgery. Your permanent dentures are ordered and installed about three months after when your mouth has fully healed.


If you are missing teeth, see your local dental clinic as quickly as possible to discuss the best replacement option based on your oral health. Without teeth, your jawbone begins to break down and causes irreversible bone loss and damage to the jaw. Dental implants keep this from happening because the implant provides natural pressure to the jawbone during biting and chewing and stimulates bone growth to keep it stable.

All On 4 and All On 6 are both superior permanent solutions for people who have lost multiple teeth and want to regain their smile. As compared to other methods, the adjustment time is short, and the success level is exceptionally high. For more information about dental implants procedures in Beverly Hills, please contact Arthur Glosman DDS.

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