Introduction
Rehabilitation of missing teeth has come a long way from removable or semi-fixed complete dentures to fixed rehabilitation using dental implants.
Rehabilitation using dental implants involves various concepts for example All-on-3, All-on-4, All on 6 dental implants and All-on-8. Each has its own advantages and disadvantages.
This dental procedure is used to restructure a patient’s mouth, normally suggested when the entire upper & lower set of teeth need to be replaced.
The name All-on-6 refers to the fact that all teeth in an arch can be supported by just six implants. This technique is different from traditional implant-supported dentures, which usually require a larger number of implants.
Before proceeding into the All on 6 concept one should always give priority to proper diagnosis and treatment planning. Failure is certain if this step is skipped.
How All on 6 Dental Implants work
Six titanium implants are placed in each upper & lower jawbone to support either a cement or screw retained full arch bridge or over denture.
Like any medical procedure, dental treatments come with their own set of advantages and disadvantages that you need to know to make an informed decision before beginning your treatment.
Advantages of All on 6 Dental Implants
- Fixed, natural-looking, and functional replacement teeth that can improve eating, speaking, and smiling.
- Healthier alternative to removable dentures.
- Good option in patients with adequate bone or pneumatized sinuses.
Disadvantages of All on 6 Dental Implants
- Only possible with titanium implants
- Slightly unfavorable loading of the bone. Forces are better distributed and absorbed with 8 implants
- Food Lodgement can be seen under the prosthesis or ceramic bridge leading to bad breath, gum inflammation, improper speech & peri-implantitis.
- Bone loss around implants
- Patients frequently complain of a foreign body sensation in the mouth
- Difficulty in cleaning if minor gaps are present
All on 6 Dental Implants Procedure: A Step-by-Step Breakdown
- Blood investigations & radiographic investigations.
- Fabrication of splint if required.
- Patient preparation- Intra-oral & Extra-oral
- Sterilization
- Local anesthesia is given prior,
- Implant size and length is decided prior on the basis of investigations.
- Implants are placed after the proper drilling protocol in the jawbone,
- In cases of immediate loading temporary dental prosthesis is given within a span of 3-4 days.
- After a proper healing period of 3-4 months, Prosthetic stages are started.
- And after proper impressions, bite registration, metal trial & bisque trial the final dental prosthesis secured to the implants/ cemented onto the abutments.
Recovery and Post-Surgery Care
Some discomfort and swelling is common after surgery, but it usually subsides within a few days with the help of medications & proper follow-up.
Risks and Challenges of All-on-6 Dental Implants
Food lodgement, peri-implant mucositis, peri-implantitis, nerve damage, implant failure, aesthetic concerns related to unnatural appearance, improper implant placement leading to sinus penetration, gum exposure around the implant and high cost of treatment
What is All on 6 dental implants cost in India?
Varies by location, brand of implants & experience of dentists. It usually ranges from Rs.140 000 to Rs.360 000.
Routine Follow-Ups for Lasting Smiles
Patients are advised to visit routinely for follow-ups every 3 months for the first year & then every 6 months after that.
Maintenance by the patient decides the longevity of prosthesis.
All on 6 Dental Implants Before and After Pictures At Orthosquare
Patient No 1: Rehabilitation done using All-on-6 dental implant placement & ceramic bridge.
Abutments Placed in the Maxillary arch
Ceramic Bridge Placed in the Maxillary arch
Patient No 2: Rehabilitation done using All-on-6 dental implant placement & ceramic bridge.
Patient No 3: Rehabilitation done using All-on-6 dental implant placement & hybrid denture.
Patient No 4: Rehabilitation done using All-on-6 dental implant placement & ceramic bridge.
All-on-6 Dental Implants Reviews from Our Happy Patients
I came to orthosquare dental clinic for my implants. I got all on 6 implants done both upper and lower. I am very much satisfied with the treatment. The staff here is very helpful and experienced.
Ramakant Bhopi
I came to orthosquare dental clinic for dental implants. I am a heart patient. The doctors followed protocol regarding my heart condition that is required for dental implants. I did immediate loading implants and got my teeth within ३ days. The staff is very friendly. I am happy with my treatment.
Conclusion
Correct diagnosis and accurate implant planning are key to success in implant rehabilitation.
Successful Implant Prosthodontics is based on precise impressions and painstaking attention to detail.
A comprehensive understanding of the range of prosthetic components is essential and often gained only by clinical experience.
About Author
Dr. Chandni
B.D.S and M.D.S graduate
