Non-removable prosthesis on 6 implants

04-10-24

What are the All-on-6 implants?

All-on-6 implantation is a system that allows the restoration of all teeth on the upper or lower jaw within 1-3 days. To secure a bridge prosthesis consisting of 12–14 crowns, surgeons put 6 titanium implants into the jawbone. With the All-on-6 protocol, two implants are placed in the central part of the jaw, two on the sides, and the remaining ones in the area of the molars. These last ones are positioned at a 45° angle to bypass the maxillary sinuses. Before the introduction of this method into dental practice, the All-on-4 technology existed, which is still used today. The main difference from All-on-6 is clear from the name — four implants were installed instead of six.

 

Indications

This method is recommended for patients who are completely missing teeth in one or both jaws at the same time. It allows for the placement of a temporary prosthesis immediately after implant installation, ensuring quick adaptation and restoration of chewing function.

The All-on-6 technology is suitable for patients with insufficient bone volume and density, as six implants provide reliable fixation even with limited bone. The procedure is also used in cases of periodontitis, and osteoporosis. With such conditions, other implantation methods are contraindicated, as they require a certain bone volume and density, which may not be available due to progressive changes in the bone structure and surrounding tissues.

 

Contraindications

The procedure is not performed on patients with significant bone tissue destruction in the lower jaw and complete destruction in the upper jaw. Other contraindications include:

  • Malignant tumors of any location
  • Decompensated somatic diseases
  • Diabetes mellitus
  • Autoimmune diseases
  • Active phase of tuberculosis
  • Immunodeficiency conditions

 

Age of the patients for implantation

Age for dental implantation does not have strict limits, but several factors should be considered:

  • For individuals under 18, implantation is usually not performed because the growth and development of the jaws are not yet complete
  • For those aged 20 to 65, implantation is a fairly common and effective procedure. The bone tissue and surrounding structures are fully developed, making the procedure possible if there are no contraindications
  • For elderly patients over 65, implantation is performed if the general health is good and there is sufficient bone tissue. It is important to consider overall health, the presence of other diseases, and the ability of the bone tissue to regenerate

 

Important !   At any age, before performing implantation, it is necessary to thoroughly assess the condition of the bone tissue, the patient's general health, and potential contraindications to ensure a successful outcome and minimize the risk of complications.

 

In which case the doctor uses All-on-4 and All-on-6 techniques?

Both methods belong to the category of immediate load techniques. They are used for patients with complete tooth loss as well as significant tooth destruction.

The All-on-4 method involves placing four implants in each jaw. A prosthesis is then immediately attached to them, allowing the patient to get new, beautiful teeth in just few hours. This method has few contraindications and is well-suited for elderly individuals or patients with mild bone atrophy. However, the method has a downside: it is not reliable enough for those with strong chewing muscles who are accustomed to eating hard food.

For such individuals, such as young men, the All-on-6 implantation can be an ideal solution for tooth restoration. The greater number of implants provides a wider and more even distribution of the load on the bone tissue, which not only prevents atrophy but also promotes bone regeneration. Additionally, the All-on-6 system has long-term usage.

 

How many teeth are placed on 6 implants?

As we noted above, a full non-removable dental prosthesis is typically placed on 6 implants, which includes 12-14 teeth.

 

How much does a permanent prosthesis on 6 implants cost in Yerevan?

In Yerevan, the price for a non-removable prosthesis on the All-on-6 system can vary depending on the patient and case complexity. On average, the cost starts from $3,500 to $5,500 per jaw. More expensive options, such as implants from Swiss or Israeli manufacturers, may cost more.

 

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