All-on-6 implantation

All-on-6 dental implantation is an advanced method that allows you to restore the dentition of the upper or lower jaw. Unlike the ALL-ON-4 procedure, this approach uses 6 implants, 4 of which are placed in the chewing areas. This support increases the initial stability and reliability of the structure by 30%.
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Comparison of All-on-6 and All-on-4 techniques

The All-on-6 and All-on-4 techniques are used to completely restore the dental arch. Both procedures involve the installation of a permanent bridge on the upper or lower jaw, but have distinctive features. Among them:

  • Installation configuration. In All-on-6, implants are positioned to maximize the use of jaw bone, providing optimal stability and load distribution. In All-on-4, implants are installed in the front and back of the jaw, which increases the load on them and increases the likelihood of unsuccessful implantation
  • Time and complexity of treatment. Due to the larger number of implants, All-on-6 requires a long healing period and is considered a more complex procedure
  • Cost. All-on-6 is more expensive due to the use of more implants and the complexity of installation

When choosing a technique, the doctor takes into account the structure of the jaw, general health, budget and patient preferences.

Comparison of All-on-6 and All-on-4 techniques

Indications for implantation

  • Significant destruction of tissue around teeth caused by periodontitis
  • Multiple tooth loss due to accident, tooth decay or gum disease
  • Thinning or damage to the dentition due to age-related changes and chronic diseases
  • Patient's desire to obtain a more reliable and durable result than bridges or prostheses
  • Insufficient quantity and poor quality of natural teeth needed to support dentures
Advantages of the technique

Among the advantages of all on 6 dental implantation, doctors highlight the following:

  • Minimally invasive and low likelihood of complications
  • No need for bone grafting due to 45 degree angular installation of side implants
  • Saving up to 40% compared to the traditional implantation method
  • Possibility of installing a temporary prosthesis immediately after surgery

The technology is excellent for the treatment of total adentia. All implants are installed simultaneously and are immediately loaded with a temporary lightweight bridge, which speeds up the process of their healing and regeneration.

Contraindications to implantation

The main contraindication to implantation is the presence of periodontal disease or caries. Doctors recommend first treating all active infections in the mouth, then performing surgery.

Other contraindications include:

  • TB in the active phase
  • Unstable diabetes
  • Immunodeficiencies
  • Blood circulation disorders
  • TMJ dysfunction
  • Severe bone tissue atrophy
  • Oncology
  • CNS diseases

Smoking is a risk factor that impairs the healing process and increases the likelihood of implant failure. Bruxism or excessive teeth grinding increases stress on the implants, so patients with such problems should not undergo surgery.

What prostheses are used during All-on-6 surgery

When the implants are fully integrated with the bone, the frameless prosthesis is replaced with a permanent one. At the same time, a prosthesis with a metal frame can serve for many years before being replaced with a permanent one.

After temporary prostheses, doctors install permanent structures. They are made from nickel-chromium alloy, titanium or zirconium. The surface of the crowns is covered with ceramic mass, zirconium dioxide, ceramic composite or metal ceramics. These prostheses have an aesthetic appearance and do not cause discomfort.

Within the framework of the All-on-6 technique, two types of adaptive prostheses are used:

  • Frameless They are plastic teeth on an acrylic base. Due to the absence of metal elements, the products are lightweight, but take up more space in the mouth
  • With a metal frame More durable and compact designs that provide maximum comfort during use
General information about the procedure

Operation steps

The all-on-6 implantation process consists of the following steps:

  1. Diagnostics. First, the orthopedic dentist performs a full examination of the patient and issues a referral for a computed tomography scan to assess the condition of the jaw bone tissue. Based on the data received, he develops an individual treatment plan and sets a date for the operation
  2. Preparation. Involves sanitation of the oral cavity, including treatment of caries, removal of plaque and damaged teeth. Then the doctor makes impressions for the future prosthesis and surgical templates for the implants. Before the operation, the patient undergoes blood and urine tests to exclude possible hidden inflammatory processes
  3. Implantation stage. The operation is performed under local anesthesia. The surgeon uses prepared templates to form depressions in the bone tissue and install implants. All six implants are fixed simultaneously
  4. Installation of a temporary prosthesis. Immediately after the operation or within three subsequent days, the patient is fitted with a temporary prosthesis, which must be worn until the implants are completely osseointegrated. The period can vary from 6 to 12 months
  5. Installation of a permanent prosthesis after complete implantation. The period depends on the location of the prostheses and the individual characteristics of the patient. Typically this stage occurs 4-6 months after implantation

The "All-on-6" technique stands out from traditional approaches due to the possibility of restoring the dentition in one operation. It is performed through minimal incisions in the gums, which reduces the likelihood of infection.

Care for a six-implant prosthesis

To care for your denture, doctors recommend using a brush with soft bristles and toothpaste with a minimal content of abrasives. The paste should contain only natural extracts and antiseptic components that help strengthen the gums and prevent the development of inflammation.

After surgery, you can eat only 2-3 hours later, when the anesthetic wears off. It is important to eat soft and crushed foods.

To get rid of swelling, you need to apply cold compresses to the implant sites for 20-30 minutes, taking periodic breaks to avoid hypothermia. It is recommended to sleep on a high pillow to reduce blood flow to the head.

Pay attention! Instead of actively rinsing the mouth, which can harm blood clots, it is recommended to take disinfectant baths with chlorhexidine. Procedures can be started 2-4 days after surgery and performed after each meal.

Antibiotics and antiseptics should be taken strictly as prescribed by a doctor. During the first week after implantation, most patients experience pain and swelling. Painkillers help cope with unpleasant symptoms.

It is also necessary to avoid overheating and hypothermia, as well as long trips and air travel. The diet should be dietary, without spicy, sour, fatty and sweet foods that irritate the mucous membrane.

Risks and complications of All-on-6 implantation

The negative consequences of installing teeth on 6 implants include:

  • Initial reactions of the body. Bleeding and minor swelling after surgery are considered normal. They usually go away on their own within 3-4 days
  • Infectious complications. If hygiene is not observed, wounds may become infected, which is manifested by purulent discharge, redness, severe swelling, pain and fever
  • Nerve damage during implant placement, causing numbness or tingling in certain areas
  • Sinusitis caused by damage to the membrane of the maxillary sinus during installation of implants in the upper jaw. The disease is accompanied by swelling of the face, headache and nasal discharge
  • Implant rejection, which is accompanied by pain and mobility of the structure. In this case, removal of the implant and repeated surgery are required

If the operation is performed correctly and subsequent careful dental care, the risks of complications are minimized.

Our doctors
Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the Department of Dentistry, dentist-therapist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Kholina
Evgenia Nikolaevna
Dentist-therapist, pediatric
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