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In cases of toothlessness or dissatisfaction with existing dentures, All-on-4 and All-on-6 protocols are the two main options that stand out. However, understanding the differences between these two methods is fundamental to making the most appropriate and long-lasting decision for you. Antalya has become an important center for these treatments, offering high-quality services at international standards and reasonable costs. Seçil Dental Clinic,located in Antalya, is one of the leading clinics with its experienced dentists, specialist staff, and modern technical equipment.
All-on-4 and All-on-6 are treatment protocols known as ‘same-day teeth’ that enable patients to obtain fixed teeth within a few days. The basic principle is to support a full denture through the strategic placement of titanium implants, despite significant bone loss in the posterior regions. While both are vastly superior to removable dentures, there are significant differences in their application. This comparison is based not only on the number of implants but also on the bone structure required for this number, the stability it provides, and long-term performance.
All on 4
The basis of All-on-4 protocol is the placement of 4 dental implants in each jaw arch. The two implants in the front region are positioned vertically, while the two implants in the rear regions are typically positioned at an angle of 30 to 45 degrees. This angled placement allows for the use of longer implants and avoids anatomical structures such as the sinus cavity, even if the amount of bone in the rear regions is reduced. This achieves maximum support with a minimum number of implants.
All on 6
In All-on-6 method, the number of support points for each jaw is increased to six. The implants are spread over a wider area along the jawbone and are usually placed at a more vertical angle. The two additional implants increase the area supported by the prosthesis, making the force distribution more homogeneous. This means that chewing forces are distributed more safely across a greater number of implants.
Bone density and volume are among the most important factors determining which protocol can be applied.
All on 4
One of the greatest advantages of this technique is that it often does not require additional bone grafting (adding bone powder) surgery, even in patients with advanced bone resorption. Angled implant placement allows maximum utilization of weak bone in the posterior regions. This may be the primary reason for preference among patients who wish to avoid bone grafting operations, which require a long and costly recovery process.
All on 6
In order for six implants to be placed in a vertical position, sufficient quantity and quality of bone must be present, particularly in the posterior molar regions. If the bone volume in these areas is insufficient, bone grafting may be necessary to increase bone volume in order to apply All-on-6. Therefore, a detailed bone assessment using 3D tomography is crucial in determining the appropriate method.
Your dentist will place titanium implants in the planned positions using a pre-prepared surgical guide. Four implants are placed for All-on-4, and six for All-on-6. This procedure usually takes 2-4 hours and is completed on the same day.
All-on-4 and All-on-6 processes consist of a meticulously planned series of stages. Both procedures follow a similar timeline. However, behind this rapid outcome lies a scientific and disciplined process designed to ensure long-term success. Seçil Dental Clinic in Antalya manages this process using state-of-the-art equipment, prioritizing patient comfort and safety.
The recovery process following All-on-4 or All-on-6 treatment is a natural part of your journey to fixed teeth. This process is necessary for your body to accept the new implants and establish a biological bond with them. The speed of recovery may vary depending on individual factors such as the patient's general health, age, smoking habits, and the technical complexity of the surgery.
For most patients, the healing process is determined more by the patient's individual healing capacity and the extent of the surgery (e.g., whether multiple tooth extractions are required) than by the number of implants used (4 or 6). Having more implants in All-on-6 does not automatically prolong the recovery period. Both techniques are performed using a minimally invasive approach and require similar postoperative instructions and care.
For most patients, the healing process is determined more by the patient's individual healing capacity and the extent of the surgery (e.g., whether multiple tooth extractions are required) than by the number of implants used (4 or 6). Having more implants in All-on-6 does not automatically prolong the recovery period. Both techniques are performed using a minimally invasive approach and require similar postoperative instructions and care.
Getting fixed teeth does not mean that your responsibilities regarding oral hygiene are over. On the contrary, care is critical for implants to last a long time.
As with natural teeth, the gumline of the prosthesis and the area around the implant supports should be brushed regularly. In addition to a normal toothbrush, super floss, implant interdental brushes, and water flossers are ideal for this cleaning. Preventing food buildup under the prosthesis is vital.
Patients should attend regular checkups at least twice a year. During these check-ups, the prosthesis is removed to check the health of the gums around the implants, and a professional cleaning is performed. In All-on-6, the greater space between implants may make cleaning slightly easier, but with the correct techniques, both systems can be cleaned effectively.
Both systems offer significantly superior stability compared to removable dentures.
All on 4
The stability provided by four implants is particularly high, especially due to angled placement. Decades of clinical data and studies have proven the long-term reliability of this protocol. With proper oral care and regular check-ups, successful results lasting over 20 years are possible.
All on 6
Six implants provide a wider support base for the denture. Since the force is distributed across a greater number of implants, the load borne by each individual implant is theoretically lower. This can be considered an additional advantage for long-term stability, particularly in patients with intense chewing forces or a habit of teeth grinding (bruxism).
Both methods restore a chewing capacity that is incomparably higher than that achieved with dentures.
All on 4
Patients can comfortably chew almost all foods, including hard foods such as apples and meat, immediately after treatment.
All on 6
The additional support points allow the chewing force to be distributed over a wider area. This can provide a marginal advantage, particularly noticeable with the hardest foods. However, for most patients, the chewing efficiency achieved with All-on-4 is also highly sufficient and satisfactory.
All on 4 and All on 6 cost comparison in Antalya
Key factors affecting the cost difference:
All-on-6 is more expensive than all-on-4 because it naturally requires more implants, abutments, and surgical time. The number of implants is not the only factor determining the final price. The quality of the implant brand used (Swiss, Swedish, Korean, etc.), the type of prosthesis material (acrylic teeth, porcelain-coated acrylic, or full zirconium), and the experience of the clinic's medical staff directly affect the price.
Factors such as rents, staff salaries, taxes, etc. in the country/region where the treatment will be performed are directly reflected in the treatment prices.
Especially in clinics in Turkey, where pricing is based on the Turkish lira, an additional exchange rate advantage may arise for those paying in strong currencies such as the Euro and sterling.
Like many clinics in Antalya, Seçil Dental Clinic also offers packages that include services such as hotel accommodation, airport transfers, and interpreting services in the price. This reduces the total travel cost and increases overall savings.
The answer to the question ‘Which is the right option?’ is personal and can only be given after a thorough examination. However, as a general assessment:
All-on-4 may be more suitable in the following situations:
All-on-6 may be recommended in the following situations:
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