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 dentistry department, dentist-therapist, dentist-orthopedist
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
Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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Reviews 10

I would like to express my deep gratitude to Alexey Andreevich and his assistant, unfortunately I forgot to clarify her name) They are simply masters of their craft, I have never had such pleasant visits to the dentist, absolute professionals in their field, they removed two wisdom teeth at once, I did not even notice how the process went. The doctor explained everything, answered all questions and gave recommendations, and the whole process took place during a pleasant conversation. I recommend everyone to contact only him!
25.11.2024
Kuleshov Kirill Dmitrievich
As a patient, I can see the doctor's attention and attitude during the appointment and pain relief. What I saw was that Yukova M.R. is a responsible, attentive and caring doctor who helped me save a tooth from extraction. Today, during an appointment, another dentist-orthopedist in another clinic took a picture and praised the work and asked for contacts where and who treated this tooth. Top class! Thank you again!!!
09.11.2024
Sagidova S.P.
Valentina Frantsevna is the only doctor I have trusted with my teeth for several years now. An excellent specialist, a professional in her field, always an ideal result. I am very glad that I found my doctor! I recommend
19.10.2024
Semenova Elena Alexandrovna
Thanks to Elizaveta Andreyevna for the treated teeth. A wonderful, sensitive, caring, very attentive doctor. I liked her as a specialist, she found all the problem teeth, treated them without causing pain. I highly recommend the dentist. The quality of her work is top notch!
19.08.2024
Marina Aksenova
Thank you very much to Dr. Omar for the parental happiness that the doctor gave us!... Where and to whom we took Maxim... We had hysterics, both our Maxim and we were under enormous stress. In other clinics, doctors sang songs to him, danced and showed him all kinds of cartoons, everything was useless. They only told us to do general anesthesia..... And now we get to Dr. Omar.... MAGIC!!!.... Maksimka leaves the doctor with her teeth cured and makes an appointment to meet again as soon as possible!.... So we cured all our teeth with a smile and great gratitude. Every week he asks to meet with the doctor, just to see if new holes have appeared there..... DOCTOR FROM GOD!!!.... I wish there were more such doctors, not only for children, but also for adults. With great respect and love, your regular clients clinics (Zaitsev sisters, Tatiana and Elena)
05.08.2024
Zaitseva Tatyana
An excellent doctor. The easiest way to remove an eight. fast and low-traumatic operation. Easy and painless recovery. All this thanks to the golden hands of the doctor.
31.07.2024
Sergey
I came to Elena Nikolaevna with acute toothache, 07/28/2024. The tooth was badly damaged, it was difficult to eat and sleep. Thanks to Elena’s careful treatment and approach, I began to feel much better. Very attentive doctor, one of the best dentists in my life. Thank you very much for your welcome.
28.07.2024
Lerskaya Nadezhda Evgenievna
Great doctor! This is something amazing, such a non-traumatic removal! Just some miracles!
26.07.2024
Julia K.
I went to Sergei Olegovich to remove my eights. The case was difficult: they did not erupt, grew strictly horizontally, sat deep in the gums, and even very close to the nerves. I was terrified of deleting them. First, I came to Sergei Olegovich for a consultation. He looked at my picture, immediately described all the nuances of the extraction, and advised me to remove the teeth under sedation, which I am very happy about. At the second appointment, I was put to sleep and I woke up without teeth and without memories of the operation. Sergei Olegovich described all the “side effects” of rehabilitation by day, when what will hurt and how, when there will be swelling and what to do in these situations. Everything happened exactly according to the timing that he predicted. Within a week, all the swelling went down and everything went away. I definitely recommend this doctor.
12.07.2024
Inna
I was looking for a doctor’s appointment with a microscope. I'm glad I ended up with Olesya Kayinbekovna. Great specialist, polite, balanced! I am grateful to her for her genuine desire to help.
12.07.2024
Ruslan
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K+31 on Lobachevskogo

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Orshanskaya, 16/2; Ak. Pavlova, 22

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