All-on-4 and All-on-6 are the two most common full-arch implant solutions for patients who have lost most or all of their teeth. Both replace an entire arch with a fixed, non-removable bridge — but the number of implants, the bridge design, and the clinical indications differ meaningfully. This guide explains exactly what each option involves and which is right for you.
What Is All-on-4?
All-on-4 was developed by Dr. Paulo Maló in collaboration with Nobel Biocare in the late 1990s and early 2000s. The concept is elegant: use 4 implants per arch (2 placed straight at the anterior, 2 placed at a 30–45° angle posteriorly) to support a full-arch fixed bridge — all in a single surgery, with immediate loading (teeth the same day).
The tilted posterior implants are the key innovation. By angling the rear implants, surgeons can avoid the maxillary sinus (upper jaw) and the inferior alveolar nerve (lower jaw) — dramatically reducing the need for bone grafting. This makes All-on-4 viable for many patients with significant bone loss who would otherwise need extensive pre-implant grafting procedures.
The standard All-on-4 bridge is a 12-tooth prosthesis (supporting the aesthetically and functionally important teeth visible when smiling and eating).
What Is All-on-6?
All-on-6 follows the same principle — full-arch rehabilitation with implant-supported bridge — but uses 6 implants rather than 4. The additional implants provide:
- Greater load distribution: Force from biting and chewing is spread across 6 contact points rather than 4
- Redundancy: If one implant fails to integrate (rare), the remaining 5 can still support the prosthesis
- Compatibility with larger bridges: All-on-6 is frequently used with a 28-tooth zirconia bridge (full arch), not just 12 teeth
- Reduced stress per implant: Each implant carries less force, potentially extending long-term prosthesis longevity
All-on-6 typically requires better bone quantity (or bone grafting) since placing 6 implants provides less flexibility to work around anatomical constraints than the tilted All-on-4 configuration.
All-on-4 vs All-on-6: Direct Comparison
| Feature | All-on-4 | All-on-6 |
|---|---|---|
| Implants per arch | 4 | 6 |
| Teeth in bridge | 12 (standard) | 12–28 (full arch possible) |
| Bone grafting needed? | Rarely — tilted implants avoid anatomy | Sometimes — depends on bone volume |
| Same-day teeth? | Yes | Yes |
| Bite strength capacity | Good | Excellent |
| Antalya cost (per arch) | £5,500–£7,000 | £7,000–£9,000 |
| UK cost (per arch) | £15,000–£20,000 | £18,000–£25,000 |
| Treatment complexity | Standard | Moderate |
| Best for | Most patients, bone-loss patients | Heavy biters, bruxism, full 28-tooth bridge |
Which Should You Choose?
Choose All-on-4 if:
- You have significant bone loss and want to avoid bone grafting
- You want the most cost-effective full-arch solution
- You have a normal bite force (no confirmed bruxism)
- A 12-tooth aesthetic bridge meets your needs
Choose All-on-6 if:
- You have confirmed bruxism (teeth grinding) or a very strong bite
- You want a full 28-tooth zirconia bridge (all teeth, not just the visible 12)
- You have sufficient bone volume in the posterior regions
- You want maximum redundancy and load distribution
- You are willing to invest an additional £1,500–£2,000 per arch for the upgrade
The Full-Arch Process at Taki Dent, Antalya
At Taki Dent, full-arch rehabilitation (All-on-4 or All-on-6) follows a two-trip protocol:
Trip 1 (5–7 days in Antalya)
- CBCT 3D scan and digital treatment planning
- Extraction of any remaining failing teeth
- Implant placement surgery (Nobel Biocare Active or Parallel CC)
- Immediate loading: temporary acrylic bridge fitted same day
- Return to UK with functional temporary teeth
Osseointegration at Home (3–6 months)
Implants fuse with jawbone. Normal eating with temporary bridge. Remote monitoring via WhatsApp.
Trip 2 (3–4 days in Antalya)
- CBCT scan to confirm osseointegration
- Digital impressions for permanent zirconia bridge
- In-house CAD/CAM laboratory fabrication (24–48 hours)
- Permanent zirconia bridge fitted — fly home
Conclusion
All-on-4 is the right choice for the majority of full-arch patients — it handles most clinical situations elegantly, avoids bone grafting, and delivers outstanding aesthetic and functional results. All-on-6 is the upgrade for patients with very high bite demands or who want the full 28-tooth bridge. Both are available at Taki Dent using Nobel Biocare implants at 70–80% below UK costs. Get your personalised assessment via Offerqo.
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