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](/gecici-protez-nedir-ne-kadar-sure-kullanilir) 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](/sigara-ve-dis-implant).

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](/kemik-grefti-ve-sinus-lifting) 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.

How much does All-on-4 cost in Istanbul vs the UK?

A single-arch All-on-4 in Istanbul costs **£4,100–7,300 / €4,800–8,500** (TRY 80,000–120,000), compared to **£15,000–20,000** in the UK or **€18,000–25,000** in Germany. That is a saving of roughly **60–70%** for the same materials and surgical technique. Both arches: TRY 160,000–240,000 (£8,200–14,600 / €9,600–17,000).

How long do I need to stay in Istanbul for All-on-4?

The surgical visit is **5–7 days**: arrival, CBCT, surgery on day 2, three days of post-op review and bite adjustment of the temporary prosthesis, and travel home on day 7. The final prosthesis is fitted at a **second visit of 3–5 days**, 4–6 months later. Some patients have the final prosthesis made by their local dentist using the digital files we provide, but the second Istanbul visit is recommended for the best fit.

Will I leave Istanbul with teeth?

Yes — in suitable cases (most cases) we fit a **same-day temporary fixed prosthesis** during the surgical week. You leave Istanbul with a complete, fixed set of teeth and travel home with no gaps. The final prosthesis is made at the second visit after osseointegration is complete.

Do you accept international patients for All-on-4?

Yes. We provide written estimates in EUR or GBP, support with travel and accommodation coordination, airport transfer, and 12 months of WhatsApp / email follow-up after you return home. Translation is provided throughout your visit. Our four dentists work in English at B2 level. See our [Dental Tourism Istanbul guide](/en/dental-tourism-istanbul) for the full process.

What if I have a problem after I return home?

We provide 12 months of WhatsApp and email follow-up at no extra cost. You receive detailed clinical notes and X-ray copies in English so any local dentist can step in for routine concerns. For warranty cases (e.g., implant failure within the manufacturer warranty), we cover the cost of the replacement implant; you arrange a return visit for placement.

Which implant brand do you use for All-on-4?

We tailor the brand to your bone quality, immediate-loading needs and budget. **Straumann SLActive** is preferred for atrophic cases or where same-day temporary teeth are critical (highest primary stability). **Megagen Anyridge** offers similar primary stability at a lower price point. **Osstem TS IV SA** is the value option for standard cases. All brands carry a manufacturer lifetime warranty on the implant body.

Is bone grafting needed for All-on-4?

In most cases, **no** — that is the central advantage of All-on-4. The two posterior implants are placed at a 30-45° angle, which lets them anchor in available bone without sinus lift or graft. Where atrophy is severe, we may add a sinus lift, a small graft or a [zygomatic implant](/en/blog/zigomatik-implant) for one or two positions. The CBCT scan tells us in advance.

Can I combine the surgical visit with a holiday?

Cautiously, yes — **after** the surgical week. During the 5–7 day surgical block, light walking and light sightseeing are fine; heavy meals, hot tubs, alcohol and strenuous activity should be avoided for 48–72 hours after surgery. Many patients build a 10-12 day trip with the second half spent exploring Istanbul.

What is the success rate of All-on-4?

Long-term studies show **5-year survival of 94–98%** and **10-year survival of 91–95%** for the angled-implant technique (Maló et al., systematic reviews 2019). Success depends on bone quality, surgical technique, immediate-loading discipline, and aftercare. Smoking, uncontrolled diabetes and poor hygiene reduce success rates. ---

All-on-4 / All-on-6 Implants Istanbul

What Is All-on-4 / All-on-6 in 60 Seconds?

🌍 For international patients: This page covers cost, eligibility, the 5-7 day treatment block, return travel for the final prosthesis, and how to send your X-rays for a written estimate. See also our Dental Tourism Istanbul guide for travel and accommodation logistics.

All-on-4 / All-on-6 Implants Istanbul — Permanent Solution for Full Edentulism

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. At our Maltepe clinic, the procedure is led by Dr. Aykut Gürel — Oral & Maxillofacial Surgeon, and is part of our medical tourism programme for international patients.

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?

Feature	All-on-4	All-on-6
Number of Implants	4	6
Bone Requirement	Less	More
Cost	More economical	Higher
Chewing Force	Adequate	Stronger
Upper Jaw Suitability	Good	Excellent
Treatment Duration	Shorter	Slightly 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

Preparation: Local anesthesia or sedation is administered
Implant Placement: Precise placement with guided surgery
Temporary Prosthesis: Fitted on the same day in suitable cases
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

All-on-4 / All-on-6 Cost in Istanbul (2026)

By Configuration

Treatment	Implants	Single Arch (TRY)	Approx. £ / €	Both Arches (TRY)	Approx. £ / €
All-on-4	4 per arch	80,000 – 120,000 ₺	£4,100 – 7,300 / €4,800 – 8,500	160,000 – 240,000 ₺	£8,200 – 14,600 / €9,600 – 17,000
All-on-6	6 per arch	100,000 – 150,000 ₺	£5,150 – 9,200 / €6,000 – 10,700	200,000 – 300,000 ₺	£10,300 – 18,400 / €12,000 – 21,400
Implant-supported overdenture	2–4 per arch	40,000 – 80,000 ₺	£2,050 – 4,900 / €2,400 – 5,700	80,000 – 160,000 ₺	£4,100 – 9,800 / €4,800 – 11,400

Cost Comparison: Istanbul vs UK / Germany / Switzerland

Region	All-on-4 (one arch)	You save (vs Türkiye)
United Kingdom	£15,000 – 20,000	~60–70%
Germany	€18,000 – 25,000	~65–70%
Switzerland	CHF 25,000 – 35,000	~70–75%
Türkiye (Derya Dental Clinic)	£4,100 – 7,300 / €4,800 – 8,500	—

🌍 EUR / GBP equivalents are based on the May 2026 exchange rate. We provide a written estimate in your preferred currency, fixed for 60 days, before treatment.

What's Included in the Estimate

Pre-treatment 3D CBCT scan and digital surgical planning
All necessary tooth extractions (if any)
4 or 6 implants (Straumann / Nobel Biocare / Megagen / Osstem)
Same-day temporary fixed prosthesis (PMMA, milled in-house)
Final zirconia or hybrid acrylic prosthesis at second visit
All clinical visits during the surgical week
Translation support throughout the visit
Airport transfer coordination (partner provider)
Hotel partnership rates (5–10 minutes from clinic)
12 months remote WhatsApp / email aftercare

Factors That Change the Estimate

Factor	Effect on cost
Implant brand — Straumann SLActive vs Megagen Anyridge vs Osstem TS	+20% to baseline
Final prosthesis material — Monolithic zirconia vs hybrid acrylic	+15% (zirconia)
Bone grafting — usually avoided with All-on-4, sometimes needed	+8,000 – 18,000 ₺
Sinus lift — for upper jaw with severe bone loss	+12,000 – 20,000 ₺
Zygomatic implants — for advanced atrophy	+25,000 – 50,000 ₺
Post-op night guard — if bruxism is present	+2,000 – 4,000 ₺

Treatment Timeline — Two Visits Over 4-6 Months

Visit 1 — Surgical Week (5–7 days in Istanbul)

Day	What happens
Day 1	Arrival, consultation, 3D CBCT scan, final treatment plan, written estimate confirmation
Day 2	Surgery: extractions (if any) + 4 / 6 implant placement + immediate temporary fixed prosthesis (in suitable cases)
Day 3	Post-op review, pain / swelling check, soft-food guidance
Day 4	Rest day; light walking permitted
Day 5	Bite adjustment of temporary prosthesis
Day 6	Final post-op review; clinical notes and X-ray copies provided in English
Day 7	Travel home; aftercare communication via WhatsApp / email begins

Healing Period (3-6 Months — At Home)

Osseointegration completes over 3–4 months (lower jaw) or 4–6 months (upper jaw)
WhatsApp / email follow-up at intervals
We coordinate with your local dentist if any concern arises
Soft / medium consistency diet; no hard biting on the temporary

Visit 2 — Final Prosthesis (3–5 days in Istanbul)

Day	What happens
Day 1	Examination, review of healing
Day 2	Final impression / digital scan, shade and form selection
Day 3–4	Lab fabrication of final zirconia or hybrid prosthesis
Day 5	Try-in, bite adjustment, final fitting; aftercare handover

💡 Some patients prefer to have the final prosthesis at their local dentist (we provide all necessary STL files and clinical documentation). However, the second visit in Istanbul is recommended — fit and bite are easier to perfect with the same surgical team.

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

Academic References

Maló P, de Araújo Nobre M, Lopes A, Ferro A, Botto J. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: a longitudinal study with 10 to 18 years of follow-up. Clinical Implant Dentistry & Related Research. 2019;21(4):565-577. PubMed
Soto-Peñaloza D, Zaragozí-Alonso R, Peñarrocha-Diago M, Peñarrocha-Diago M. The all-on-four treatment concept: Systematic review. Journal of Clinical and Experimental Dentistry. 2017;9(3):e474-e488. PubMed
Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clinical Oral Implants Research. 2012;23 Suppl 6:22-38. PubMed
Heitz-Mayfield LJA, Salvi GE. Peri-implant mucositis. Journal of Periodontology. 2018;89 Suppl 1:S257-S266. PubMed

Last updated: 3 May 2026 — Clinical review: Spec. Dt. Aykut Gürel.

Dental Tourism Istanbul — Full medical tourism guide
Dental Implant Complications — Failure signs and aftercare
Implant Brands and Types — Brand comparison
Dental Implant Prices 2026 — All implant configurations
Zygomatic Implants — For advanced bone loss

Ready to plan your All-on-4 / All-on-6 treatment? Send a panoramic X-ray or smile photo via WhatsApp — we respond within 24 hours with an initial assessment and written EUR / GBP estimate within 24-48 hours of receiving X-rays. International patients welcome. Contact us or learn more on the Dental Tourism Istanbul page.

Related Treatment Pages

Treatment Prices

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