The All-on-6 dental implant procedure is the creation of a complete dental prosthesis, anchored to the jawbone (top) or mandible (bottom) by six titanium implants, integrated into the gum and evenly distributed along the jaw. An arch, topped with false gums and ceramic or porcelain dentures, completes the device by screwing onto the six implants embedded in the jaw. This orthodontic treatment, which has the advantage of being able to be implanted even on a low volume of jawbone, is intended for patients whose mouths are completely or partially edentulous in one or two jaws, or who have advanced deterioration of many teeth. It corrects a bite defect, restoring more harmonious proportions to the lower face.

The ALL-on-6 procedure is usually performed in two sessions about four months apart while the implants integrate perfectly into the bone and gums. During this time, a temporary prosthesis is attached to the implants. The ALL-on-6 solution avoids the more invasive bone grafting and offers a faster recovery time and lower cost than other implant treatment techniques. In addition, the creation of a bridge with a false gum overlay does not require post-implant surgery like a sinus lift. If the jawbone is too thin, too weak or degraded, a bone graft will be prescribed. Usually created with synthetic biocompatible material, it reinforces the bone on which the implant will be implemented.

Unlike dentures, All-on-6 treatment is fixed and permanent : it does not require the use of adhesives, it does not move and it does not deteriorate over the years. If a traditional dental implant is used to replace isolated damaged teeth, this system is aimed at replacing a complete set of teeth on the upper and/or lower jaw. Most importantly, it avoids the deterioration of the jawbone that occurs when there are no natural or artificial tooth roots. In addition to a natural aesthetic appearance, ALL-on-6 dental implants also provide permanent, efficient and long-lasting chewing, allowing patients to enjoy life to the fullest.

Depending on the condition of the patient’s teeth, several configurations of prosthesis or bridges screwed onto six implants are available. If the bone condition of the patient’s jaws permits, a bone filling or sinus lift may not be necessary. In cases of old edentulous premolars, a bone filling may be optimal. In these cases, a first session is necessary before implanting the screw anchors.

The ALL-on-6 is performed on healthy bone and consists of implanting six titanium anchors evenly distributed in the jaw, so that the chewing thrust is well balanced throughout the prosthesis. An arch, made of false gum tissue and on which 10 to 12 zirconia, ceramic or porcelain teeth are mounted, will then be fixed on the implants with six titanium screws. Once the bridge is fixed in this way, it can be kept for at least 10 years, and up to 30 years, provided that good dental hygiene is followed. The patient’s teeth will then be aligned in a natural and aesthetic way, and he or she will be able to chew with ease.

The first step in setting up an ALL-on-6 is to prepare the place for the six dental implants, with an eventual bone graft to reinforce the anchoring of the implants, and a surface treatment to facilitate the bone integration. Using an x-ray to observe the bone condition and with a digital surgery guidance, the implantologist will select six different anchor points, strategically placed to ensure the best strength and stability of the prosthetic arch. He will then incise the gums, drill the jawbone and insert the titanium implants, which will be covered with a recovery cap, helping the screws to integrate into their bone and gum environment. This operation is performed under anesthesia. Most patients are able to return to their normal lifestyle the day after this first operation.

After 2 to 6 months, once the implants are perfectly integrated and the healing completed, a second session will allow the final prosthesis to be fixed, custom-made by the prosthetist according to the 3-D images during the patient’s convalescence.

All on six implant technique is an innovative surgical solution for those patients who have lost most, if not all of their teeth and suffer from their loose dentures. The All on six provides a surgical treatment option for replacing a full set of teeth in the upper or lower (or both) jaw with just six dental titanium implants  placed precisely at strategic positions and at certain angle. This will serves as a solid foundation to support a fixed full bridge (anchored by six implants to the jaw) that is natural looking, stable, durable and stays permanently fixed in place providing the functionality and bite quality that you would expect from natural teeth.

During the same session, a 3D image of the treated jawbone will allow the dental surgeon to create a prosthesis with a set of temporary teeth that will be worn for several months while the implants integrate with the bone, and for an optimal healing of the gum healing. This way, the patient will not remain toothless during the healing phase.