Bone volume, sinuses, nerves and the possibility of keeping some teeth
Fixed full arch
All-on-6 dental implants
A fixed full-arch prosthesis supported by six implants planned to distribute the loads, when the anatomy and the medical situation allow it.
Duration
Surgery often 2 to 4 hours; complete treatment over several months
Six implant supports to carry a full arch
The All-on-6 treatment is a full-arch rehabilitation solution for patients who have lost all the teeth of a jaw, or whose remaining teeth cannot be preserved.
The All-on-6 concept organises the position of six implants around a complete prosthetic plan. Their distribution, their stability and the bone quality determine whether an early provisional prosthesis is possible.
- Prosthetic plan designed before surgery
- Supports distributed across the arch
- Immediate provisional only under certain conditions
The benefits
- Complete fixed prosthesis supported by six planned implants
- Fixed prosthesis custom-designed for the treated jaw
- Planning of a full rehabilitation of the jaw
- Force distribution designed according to the bone and the occlusion
- Can improve chewing and stability compared with a removable denture
- Aesthetics, phonetics and function adapted to the individual project
- Rapid provisional prosthesis possible only in selected cases
- Prosthetic maintenance and repairs possible when the system is followed up
Contraindications
- Infection, cavities or active periodontal disease to treat before surgery
- Insufficient bone volume or quality possibly requiring a graft or a different strategy
- Uncontrolled diabetes or unstabilised general disease
What the practitioner assesses
Occlusion, prosthetic space and lip support
Hygiene, smoking, general health and ability to maintain the prosthesis
The treatment process
Clinical, bone and prosthetic assessment
Examination of the teeth and gums, cone beam scan, study of the bone volume, the sinuses, the nerves and the occlusion. Preservable teeth and possible infections are evaluated before the decision.
Planning of the implants and the prosthesis
The plan combines the implant positions, the shape of the prosthesis, lip support, the occlusion and the areas to keep accessible for cleaning. A graft is discussed when the bone is insufficient.
Placement of the six planned implants
Six implants are placed according to the surgical and prosthetic plan. Their actual position can be adapted during the operation if the anatomy or the bone quality requires it.
Provisional prosthesis when conditions allow
A fixed provisional prosthesis can be installed if sufficient stability is obtained and if the chewing constraints can be controlled. Otherwise, a transitional solution and delayed healing are preferred.
Healing, check-ups and final prosthesis
The implants and tissues are monitored during healing. After osseointegration, impressions and try-ins allow the final prosthesis to be made. Maintenance visits and daily cleaning under the prosthesis remain essential.
Technology and materials
Digital planning of the full arch
Merging the scan, the impressions and the prosthetic plan makes it easier to prepare the surgery and the prosthesis. The final decision depends on the stability obtained clinically.
The implant system is selected according to each patient’s clinical situation.
Frequently asked questions
Are the provisional teeth fitted on the same day?
This may be considered if the stability of the implants, the occlusion and the general condition are compatible. It is not automatic.
How is an All-on-6 prosthesis cleaned?
Cleaning goes underneath the prosthesis using interdental brushes, suitable floss or a water flosser as recommended, together with professional check-ups.
Related treatments
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