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Which Is Better All-On-4 Or All-On-6 Dental Implants?

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  • Jul 03, 2025
  • 3 min read
  • DDS Cihat BÜYÜKGEBİZ
Which Is Better All-On-4 Or All-On-6 Dental Implants?

All-on-4 Vs All-on-6 Dental Implants: Which One Is Right for You?

Both treatments offer a fixed, natural-looking, and functional solution to replace missing teeth and will help you restore your smile and quality of life. The important thing is to choose the one that best suits your needs.

If you decide on one of the two treatments. You will need to know the main differences between All-on-4 and All-on-6 treatments, which treatment is more suitable for your case and which one will provide more lasting results for you. In the following paragraphs you will find the information you need to make your decision.

Criteria for determining which All-on-4 or All-on-6 implants would be best for you:

Bone density and suitability:

  • All-on-4 is often the preferred choice for patients with moderate to advanced bone loss because the angled implants can bypass weaker bone areas, often avoiding the need for bone grafts.
  • All-on-6 is ideal for patients with better bone density, as it requires more implant sites. However, it may not be suitable for those with significant bone atrophy unless bone grafting is performed first.
Which is better for you?
  • If you have bone loss, All-on-4 may be a more conservative option.
  • If you have a stronger bone structure, All-on-6 may provide better stability.

Stability and chewing efficiency:

  • The All-on-6 offers greater stability thanks to the extra implants, making it ideal for patients who require a stronger bite force (especially for harder foods such as nuts or steak).
  • All-on-4 also offers excellent stability but may have a little more flexibility compared to All-on-6, which some patients can easily adapt to.

Longevity and durability:

  • Both solutions are long-lasting (usually 15-20+ years with proper care).
  • All-on-6 may last longer as the additional implants reduce the stress on each implant, reducing the risk of wear over time.
  • All-on-4 is also durable but may require more frequent checks to ensure even pressure distribution.

Cost and treatment time:

  • All-on-4 is generally more affordable (about 20-30% less than All-on-6) because it requires fewer implants and less surgical time.
  • The initial cost of All-on-6 is higher but may offer better long-term value for patients who need extra support.
  • Both procedures can usually be completed in a single day (immediate loading implants), but recovery times vary.
Is the extra cost of All-on-6 worth it?
  • If you are on a budget, All-on-4 is a more cost-effective solution.
  • If you prioritize maximum durability and longevity, All-on-6 may be worth the investment.

Surgical procedure and recovery:

  • All-on-4 involves less surgery (fewer implants) and may have a slightly faster recovery.
  • All-on-6 requires more implant placements, which may mean a longer surgery time but not necessarily a longer recovery.
  • Both procedures use minimally invasive techniques, and most patients experience mild discomfort for a few days.

All-on-4 vs. All-on-6: which is right for you?

Consideration

All-on-4

All-on-6

Best For

Moderate bone loss

Good bone density

Stability

High

Very high (better for hard foods)

Bone Graft Needed?

Rarely (angled implants help)

Possibly (if bone density is low)

Chewing Strength

Good

Excellent

Cost

More affordable

Higher investment

Procedure Time

Slightly faster

May take longer

Longevity

15+ years (with care)

20+ years (with care)

Ideal Candidate

- Wants cost-effective option
- Has some bone loss

- Prioritizes maximum strength
- Has good bone structure


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