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All-on-4 implant treatment with fixed prosthesis application in Maltepe
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All-on-4 and All-on-6 Implants: A Complete Guide to Permanent Solutions for Full Edentulism

Uzm. Dt. Aykut Gürel — Ağız, Diş ve Çene Cerrahisi Uzmanı

Ağız, Diş ve Çene Cerrahisi Uzmanı

Çene cerrahisi uzmanı Aykut Gürel, İstanbul Üniversitesi mezunu olup uzmanlık eğitimini Marmara Üniversitesi Ağız, Diş ve Çene Cerrahisi Anabilim Dalı'nda tamamlamıştır. Dental implantoloji, zigomatik implant cerrahisi ve dijital cerrahi planlama alanlarında çalışmaktadır.

Marmara Üniv. UzmanıDental İmplantolojiDijital Cerrahi
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Bu içerik Uzm. Dt. Aykut Gürel tarafından hazırlanmıştır. Yalnızca bilgilendirme amaçlıdır; klinik muayene yerine geçmez.

Son güncelleme: March 18, 2026

March 11, 2026Last updated: March 18, 20267 min
Medical AccuracyExpert ReviewedUp-to-Date

If you have lost all your teeth or your remaining teeth are no longer functional, you may want to eliminate the hassle of removable dentures. All-on-4 and All-on-6 implant treatments are among today's most successful methods for those seeking a fixed, permanent solution for full-arch edentulism.

All-on-4 and All-on-6 Implants: A Permanent Solution for Full Edentulism

Important Information: Thanks to these treatments, you can wake up every morning confident that your teeth are in place, eat whatever you like, and smile with confidence.


What Is the All-on-4 Implant System?

All-on-4 is a revolutionary method that enables a fixed prosthesis to be attached to four implants placed in the jawbone. Developed by Nobel Biocare, the greatest advantage of this technique is that the angled placement of the posterior implants typically eliminates the need for bone grafting.

Key Features of All-on-4:

  • Only 4 implants are placed per jaw
  • Posterior implants are placed at a 30-45 degree angle
  • A temporary prosthesis can often be fitted on the same day
  • The need for bone grafting is minimal

What Is the All-on-6 Implant System?

All-on-6 is an advanced method that provides greater support by using six implants. It is particularly preferred for the upper jaw or in situations requiring higher masticatory force. This method distributes chewing forces over a wider area, ensuring long-lasting prosthesis durability.

Advantages of All-on-6:

  • Maximum stability with 6 implants
  • Better distribution of chewing forces
  • More reliable results in the upper jaw
  • Greater long-term durability

All-on-4 vs All-on-6: Which One Should You Choose?

FeatureAll-on-4All-on-6
Number of Implants46
Bone RequirementLessMore
CostMore economicalHigher
Chewing ForceAdequateStronger
Upper Jaw SuitabilityGoodExcellent
Treatment DurationShorterSlightly longer

Which Treatment Is Right for You? This decision should be based on your jaw structure, bone density, and expectations. The most suitable option is determined through a detailed examination and 3D tomography. Contact Us for a Consultation

Who Is Eligible for These Treatments?

Ideal Candidates:

  • Patients who have lost all their teeth
  • Patients with most teeth compromised
  • Patients dissatisfied with removable dentures
  • Patients who want fixed teeth but have insufficient bone
  • Those seeking both aesthetic and functional solutions

Limiting Conditions:

  • Uncontrolled diabetes
  • Heavy smoking (more than 1 pack per day)
  • Use of medications affecting bone metabolism
  • History of radiotherapy

However, most of these conditions can be managed with appropriate preliminary treatments. You can learn about our special approaches for smokers.

Treatment Process: Step by Step

1. Detailed Examination and Planning

  • Intraoral examination and medical history review
  • 3D dental tomography scan
  • Precise positioning through digital implant planning
  • Detailed explanation of treatment options

2. Surgery Day

  1. Preparation: Local anesthesia or sedation is administered
  2. Implant Placement: Precise placement with guided surgery
  3. Temporary Prosthesis: Fitted on the same day in suitable cases
  4. Follow-up: Post-operative check-up and instructions

3. Healing Period (3-6 Months)

  • Osseointegration: Implants fuse with the bone
  • Regular Check-ups: At weeks 1, 2, 4, and 6
  • Diet Program: Gradual transition starting with soft foods
  • Oral Hygiene: Special cleaning instructions

4. Permanent Prosthesis Phase

  • Impressions: Precise digital impressions
  • Try-in Sessions: Color, shape, and function verification
  • Delivery: Zirconia or hybrid prosthesis placement
  • Adaptation: Final adjustments

Recovery Process and Maintenance

First Week:

  • Pain management: Prescription pain relievers
  • Swelling management: Cold compress application
  • Diet: Liquids and soft foods
  • Hygiene: Soft brush and antibacterial mouthwash

First Month:

  • Gradual diet: Transition to semi-solid foods
  • Follow-up appointments: Weekly monitoring
  • Activity: Avoid strenuous sports

Long-Term Maintenance:

  • Daily cleaning: Use of special implant brushes
  • Water irrigator: Cleaning under the prosthesis
  • Regular check-ups: Professional cleaning every 6 months
  • Avoiding bad habits: Smoking, biting hard objects

Longevity Note: With proper care, All-on-4 and All-on-6 prostheses can last 15-25 years. The implants themselves are permanent for life.


Advantages and Disadvantages

Advantages:

  • Fixed solution: No removable denture discomfort
  • Natural appearance: Aesthetically excellent results
  • Strong chewing: 80-90% of natural tooth strength
  • Bone preservation: Stops bone resorption
  • Speech comfort: No pronunciation problems
  • Confidence boost: Comfort in social life

Points to Consider:

  • Surgery required: However, minimally invasive
  • Initial cost: Economical in the long run
  • Adaptation period: A few weeks of adjustment
  • Regular maintenance: Special hygiene requirements

Current Price Ranges

Factors affecting pricing:

Implant Brand:

  • Premium brands: Nobel Biocare, Straumann
  • Quality alternatives: Osstem, Megagen
  • Domestic production: Adin, TBR

Prosthesis Material:

  • Zirconia: The most aesthetic and durable
  • Hybrid (Metal+Porcelain): Economical option
  • PMMA Temporary: For the healing period

Additional Procedures:

An in-clinic examination is required for exact pricing. A personalized treatment plan is prepared for each patient. Book an Appointment Now


The Derya Dental Clinic Difference

Our Technological Infrastructure:

  • 3D Tomography: Precise diagnosis and planning
  • CAD/CAM System: Digital prosthesis fabrication
  • Surgical guides: Millimetric precision
  • Intraoral scanner: Comfortable impression-taking

Our Expert Team:

  • Oral and Maxillofacial Surgery Specialist: Spec. Dt. Aykut Gurel
  • 15+ years of experience: Thousands of successful implant cases
  • Continuing education: Up-to-date techniques and materials
  • Patient-centered approach: Personalized treatment plans

Our Service Quality:

  • Lifetime warranty: For implants
  • 5-year warranty: For prosthesis workmanship
  • 24/7 support: Accessibility in emergencies
  • Transparent pricing: No hidden costs

Get Information via Our WhatsApp Line


This content is for informational purposes only and does not replace medical diagnosis or treatment. Please consult a qualified healthcare professional for decisions regarding your oral and dental health.

Frequently Asked Questions

Answered by our specialist

What is the main difference between All-on-4 and All-on-6?
All-on-4 uses 4 implants, while All-on-6 uses 6 implants. All-on-6 provides more support and is especially preferred for the upper jaw. It distributes chewing forces over a wider area, delivering more stable long-term results.
Can teeth be fitted on the same day?
Yes, if bone quality and implant stability are adequate, a temporary prosthesis can be fitted on the same day. This is called "immediate loading." A soft diet program is followed for the first 3-6 months.
I smoke. Can I still receive treatment?
Smoking negatively affects implant success but does not completely prevent treatment. It is recommended that you quit or at least reduce your daily consumption before treatment. For detailed information, read our article on smoking and implants.
I have insufficient bone. Can it still be done?
One of the greatest advantages of All-on-4 and All-on-6 techniques is that they can be performed even in patients with bone deficiency. Thanks to angled implant placement and utilization of anatomical structures, bone grafting is not required in most cases.
How long does the prosthesis last?
The implants are permanent for life. The prosthetic component can last 15-25 years with proper care. After this period, only the superstructure may need replacement while the implants remain in place. Regular check-ups and good oral hygiene extend longevity.

Have questions about your treatment?

Consult our specialist doctors. Book an appointment and get a personalized treatment plan.

Expert Team15+ Years ExperienceMaltepe, Istanbul – Easy access, free parking