Dental implants have become a trusted solution for replacing missing teeth, especially for individuals seeking full-arch restoration. Two popular systems—All-on-4 and All-on-6 dental implants—offer fixed alternatives to traditional dentures using strategically placed titanium posts. While both approaches can restore function and aesthetics, they differ in technique and long-term outcomes.
If you're wondering, "Which is better: All-on-4 or All-on-6 dental implants?", the answer depends on your oral health, bone density, functional needs, and treatment goals. In this article, the dental professionals at Springhill Dental Health Center explore the key differences to help guide your decision—based on clinical evidence and experience in restorative dentistry.
What Are All-on-4 Dental Implants?
The All-on-4 technique involves placing four dental implants into the jawbone—two near the front and two angled toward the back. These support a full arch of prosthetic teeth. This method was developed to offer a stable solution for patients with reduced bone volume, often minimizing the need for bone grafting.
Advantages:
Requires fewer implants (4 per arch)
Often avoids bone grafting
Reduced surgery and recovery time
Cost-effective compared to traditional implants
This approach is frequently recommended for patients with moderate bone loss or those seeking a shorter treatment timeline. However, each case must be evaluated individually.
What Are All-on-6 Dental Implants?
All-on-6 implants follow a similar concept but utilize six implants per arch for enhanced support. This system distributes bite forces more evenly and may offer greater long-term stability in certain cases.
Advantages:
Improved load distribution
May support stronger bite force
Enhanced prosthetic stability
Potential for better long-term outcomes
Patients with sufficient bone volume may benefit from the added support, particularly those who prioritize function and durability.
Key Differences Between All-on-4 and All-on-6 Implants
Understanding the differences can help you discuss treatment options more effectively with your dental provider.
Support and Stability
All-on-4 provides reliable support for most daily functions but may be less ideal for patients with high bite pressure.
All-on-6 offers broader distribution of force, which may translate to greater prosthetic stability over time.
Bone Requirements
All-on-4 is often recommended for patients with diminished bone density, particularly in the posterior regions of the jaw.
All-on-6 typically requires a higher bone volume and may involve bone grafting for optimal placement.
Surgical Complexity
All-on-4 is less invasive and can often be completed with fewer surgical interventions.
All-on-6 may involve a more complex surgical process, especially if bone augmentation is needed.
Aesthetic and Functional Outcomes
Both methods use custom-made prosthetics that are designed to match the natural appearance of teeth and gums. From a functional perspective, patients with higher chewing demands may notice improved performance with All-on-6.
Cost Considerations
All-on-4 is generally more cost-effective due to fewer implants and reduced surgery time.
All-on-6 involves more implants and, in some cases, additional procedures—affecting the overall treatment cost.
While cost is an important factor, treatment decisions should prioritize long-term success and patient-specific needs.
Who Is a Candidate for Each Procedure?
Every patient’s mouth is different, and no one solution fits all. At Springhill Dental Health Center, candidacy is evaluated using 3D imaging, dental exams, and health history assessments.
All-on-4 May Be Appropriate For:
Patients with moderate to advanced bone loss
Individuals seeking a faster treatment plan
Those looking for a fixed solution with minimal surgery
All-on-6 May Be Appropriate For:
Patients with good bone volume and structure
Individuals seeking increased stability for long-term use
Those willing to invest in additional surgical steps for optimal function
Final candidacy should be determined by a qualified dental professional after comprehensive diagnostics.
Potential Risks and Limitations
Like all surgical procedures, both All-on-4 and All-on-6 come with potential risks. These may include implant failure, infection, discomfort, or prosthetic adjustments over time. While success rates are high for both systems, patient compliance with oral hygiene and follow-up care significantly influences outcomes.
At Springhill Dental Health Center, we emphasize patient education and informed consent before proceeding with any dental implant treatment.
So, Which Is Better: All-on-4 or All-on-6 Dental Implants?
There is no one-size-fits-all answer. The best option depends on:
Your current bone structure
Long-term functional needs
Personal health status
Budget and timeline
Lifestyle habits
Both systems offer life-changing results when placed by an experienced team and maintained with good oral hygiene.
Consultation is Key
Choosing between All-on-4 and All-on-6 implants is a decision that should be made in collaboration with a trusted dental provider. At Springhill Dental Health Center, Mobile, AL, our implant dentists have years of experience helping patients restore their smiles using evidence-based techniques and personalized care.
If you're considering full-arch dental implants and wondering “Which is better All-on-4 or All-on-6 dental implants?”. We're here to help. Book Your Implant Consultation Today!
Restore your smile with confidence—backed by expert care and honest advice!
FAQs
What is the success rate of All-on-4 and All-on-6 implants?
Both options have high success rates—typically over 95% when placed by experienced clinicians and maintained properly. Long-term success depends on factors like oral hygiene, smoking habits, and systemic health.
Can I get implants if I have bone loss?
Yes, many patients with bone loss are candidates for All-on-4 implants because of the angled placement technique. All-on-6 may still be an option but could require bone grafting to ensure adequate support.
Are these implants removable?
No, both All-on-4 and All-on-6 systems are fixed implant-supported prosthetics. They are not removable by the patient and are designed to remain stable in the mouth, functioning like natural teeth.
Will I receive teeth the same day?
In many cases, patients receive a temporary prosthesis on the same day of surgery, especially with the All-on-4 protocol. Final restorations are placed after healing, typically 3–6 months later.
Which option is more natural-feeling or better for chewing?
Both systems restore chewing ability and feel natural once healing is complete. All-on-6 implants may offer better performance for individuals with stronger bite forces due to increased stability and force distribution.
What kind of maintenance is required?
Routine dental visits every 6 months, daily brushing with a soft-bristled brush, and the use of floss or water flossers are recommended. Even though implants don’t decay, the surrounding gum tissue must be kept healthy.
Is one option better for younger patients or seniors?
It depends on bone structure and lifestyle. Younger patients with stronger bone may opt for All-on-6 for long-term durability. Seniors with limited bone density or medical conditions might benefit from the less invasive All-on-4 option.
How do I know which treatment is right for me?
A dental implant consultation—including X-rays, digital scans, and a medical review—is the best way to determine whether All-on-4 or All-on-6 is appropriate for your condition.
Our expert team is dedicated to helping you regain your smile and enjoy the benefits of a complete, healthy set of teeth. Trust us to deliver the care and precision needed for a successful dental implant experience, and take the first step toward revitalizing your oral health today.
We are Dental Implant Specialists in Mobile, AL
Dental implants offer a permanent solution for missing teeth, combining functionality with aesthetics to restore your smile. At Alabama Dentist, we utilize advanced techniques to ensure implants integrate seamlessly with your jawbone, providing a stable and secure foundation for replacement teeth. Designed to look and feel like natural teeth, implants allow you to eat, speak, and smile with confidence. With proper care, they can last a lifetime, making them a durable and effective choice for improving oral health. Whether you’re missing a single tooth or multiple teeth, dental implants provide a reliable way to enhance your quality of life.
What our Patients say about us
Testimonials
My visit was incredible. I had my “All on Four” appliances cleaned, and it was a painless and thorough experience. Dr. Scott and all his staff are very friendly. During the cleaning, Mary was gentle and let me know everything she was doing and how it would feel. She gave me tips on how to clean my implants/appliances better and gave me a small brush to do the underside more effectively. Dr. Scott and Mary suggest cleanings take place every 3 months so I will be back in December.
Dr. Byron Scott is a highly-trained and accomplished dentist. He attended The University of Alabama School of Dentistry and subsequently completed numerous Advanced Studies and Trainings. Dr. Scott is Board-Certified by The Academy of General Dentistry and has earned Mastership status (MAGD), an honor shared by only 1% of dentists. He has numerous memberships and associations, including Diplomate status with The American Board of Oral Implantology (D-ABOI) and The International Congress of Oral Implantologists (D-ICOI). Overall, Dr. Scott has dedicated his life and career to helping patients improve their oral health through expert dentistry. His goal is to help each patient keep their smile healthy, attractive, and comfortable for the duration of their lifetime.