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All-on-6 oral rehabilitation - Tooth replacement with implants

All-on-6 tooth replacement – Oral rehabilitation in 3 weeks

Fast and economical oral rehabilitation with All-on-6 tooth replacement

Introduction – What options are available for replacing missing teeth? – What is All-on-6 tooth replacement? – What are the differences between All-on-4 and All-on-6 dental restorations? – How long does creating a complete set of All-on-6 dentures take? – What is the cost of All-on-6 oral rehabilitation? –  What are the advantages of All-on-6 tooth replacement? – What are the disadvantages of All-on-6 dental restorations? – Summary”

Introduction

Before we delve into All-on-6 tooth replacement and implant-based oral rehabilitation, let’s review the current state of dental health. The extent of dental problems significantly depends on geographical location, age, lifestyle, and social situation. According to a World Health Organization (WHO) survey, 70-80% of adults suffer from tooth decay. Dental issues are the third most common chronic disease worldwide. Based on a 2019 survey by the National Dental Institute (OFI), 75% of Hungarian children aged 12 have cavities, and 80% of adults suffer from some form of periodontal disease. Among those over 65, one in five has no teeth, and more than half have missing teeth. While there may be variations in these numbers, it is clear that dental issues represent a serious health problem for humanity.

What options are available for replacing missing teeth?
Although this article primarily discusses the All-on-6 dental prosthesis, it is necessary to briefly review what dental replacement options are available for tooth loss. The simplest solution, which does not require surgical intervention, is the traditional dental replacement, which can be a crown, bridge, or complete denture. The other, technologically significantly more modern solution is the implantation of an implant or dental implant-based dental replacement. It can also be a crown, bridge, or complete denture. There are three main methods for the latter:

1. Dental implant-based crown, bridge, or complete denture, the latter being oral rehabilitation.
2. All-on-4 dental prosthesis, oral rehabilitation.
3. All-on-6 dental prosthesis, oral rehabilitation.

The last two solutions are used exclusively in the case of oral rehabilitation, i.e., when there is complete tooth loss or, which is the most common, there are still teeth in the oral cavity, but they are unsuitable for further dental care. A tooth should only be saved if it is a long-term solution for the patient and does not require continuous, conservative treatments.

What is All-on-6 tooth replacement?
The All-on-6 dental implant technology is used exclusively for oral rehabilitation when no tooth in the oral cavity is suitable for further dental treatment and won’t work long term. We insert six implants into the tooth bone per jaw during the surgery. The six implants provide adequate stability for the complete, permanent denture we attach to them. Before the intervention, we carefully plan the exact location of the implants to insert, and only then do we proceed with the dental implantation. The All-on-6 dental prosthesis is a perfect, cost-effective solution for those struggling with complete tooth loss or whose existing teeth are unsuitable for prosthetic care and who want to regain their natural biting and chewing function.

What are the differences between All-on-4 and All-on-6 dental restorations?
The most significant difference between the two dental prosthesis techniques is the number of implants we insert. In the case of All-on-4, we use only four implants per jaw; the two rear implants are larger and have an inclined angle, thus ensuring more excellent stability. In the case of All-on-6 dental prosthesis, we implant six implants per jaw; in this case, the two rear implants are also perpendicular to the jawbone.

The All-on-4 complete dental prosthesis is an excellent choice for those who want a quick and more affordable solution to replace their missing teeth and have an adequate amount and quality of jawbone stock. The slightly more expensive All-on-6 dental prosthesis is necessary when the quality and quantity of the bone structure are adequate but not as excellent as expected in the case of All-on-4.

How long does creating a complete set of All-on-6 dentures take?
Our institution was among the first to recommend this type of dental prosthesis solution to our patients, and we have been regularly performing All-on-6 oral rehabilitation and creating complete dentures using this method ever since. Although the essence of the procedure has not changed, the tools and technology are constantly evolving. Implantologists performing such dental implantation have extensive theoretical knowledge and practical experience.

The All-on-6 dental tooth replacement oral rehabilitation takes place in three phases, over three visits, and lasts approximately three weeks.

First Visit
– Consultation and examinations
– Anesthesia, if required by the patient. (The cost of anesthesia is not included in the All-on-6 oral rehabilitation price, but you may request it; in this case, its cost will be included in the quote.)
– Remove teeth that are unsuitable for further treatment. (The price includes the removal of a maximum of five teeth. If we have to remove more than five teeth, we will add their cost to the total price.)
– Preparation of the six implants for insertion.
– Insertion of six implants.

Second Visit (One week later):
– Suture removal.
– Examination of the inserted implants based on X-ray images.
– Taking impressions for the final denture.

Third Visit (Three weeks later):
The final denture we made since the second visit is attached to the inserted implants. The All-on-6 oral rehabilitation does not require a temporary denture; the patient immediately receives a permanent denture. The complete denture is possible of zirconium or porcelain; it may be removable or fixed, but it is not removable by the patient. The All-on-6 tooth replacement requires an adequate amount and quality of bone structure and takes approximately three weeks.

What is the cost of All-on-6 oral rehabilitation?
We perform implant-based oral rehabilitation at a package price. That price has been developed for oral rehabilitation treatments and applies exclusively to these. It could be a complete set of teeth on the upper, lower, or jaws. The package price for All-on-6 oral rehabilitation is carefully calculated, free from hidden costs, considering all costs, including every cost we could price separately.

The advantages of the package price:
– Clear, transparent, and understandable total cost.
– There are no (usually later revealed) hidden costs.
– Safe, as it includes all costs.
– The package price is almost always lower than itemized pricing.

Based on the above, the calculated package price for All-on-6 oral rehabilitation is 2,300,000 HUF per jawbone. There may be some deviation from this price due to personal characteristics, so if you are interested in All-on-6 complete dentures, please request a quote. We can only provide a correct, final price based on a panoramic X-ray of no more than three months old.

What are the advantages of All-on-6 tooth replacement?
The All-on-6 tooth replacement has several advantages over other implant-based dental prostheses. However, it’s important to emphasize that its applicability is limited.
– Simpler surgical intervention. The insertion of fewer implants represents a smaller burden on the patient in every aspect.
– Fewer implants. A significant advantage is that fewer implants are needed, compared to one-phase implant-based oral rehabilitation, which requires 8-12 implants per jawbone, while All-on-6 requires only six.
– Cheaper. It’s also apparent that fewer implants generally mean lower costs.
– Faster. The implantation is done quickly, and the final denture is ready faster. During one-stage implant-based oral rehabilitation, the patient receives a long-term temporary denture, and a final denture can only be made after six months. In the case of All-on-6 oral rehabilitation, the patient receives a final denture within three weeks. That in itself is a significant advantage!
– High degree of stability. The correct insertion of the implants provides similar stability, creating the effect as we implant more than six implants.

What are the disadvantages of All-on-6 dental restorations?
For fairness, discussing the advantages and possible disadvantages is essential.
– This teeth replacement does not apply to everyone. The condition of the jawbone is of crucial importance for the All-on-6 dental prosthesis. This solution can only be applied if the quality and quantity of the jawbone meet strict requirements or if bone replacement is possible for the individual.
– Requires high-level professional knowledge and experience. Determining the location of the six implants and the insertion itself requires excellent knowledge and oral surgical expertise. Implant insertion may pose a greater risk than traditional implant-based dentures.
– Few long-term data. Although the success rate of the All-on-6 tooth replacement is promising, it is still a relatively new technology compared to traditional implant insertion. The All-on-4 procedure was developed in 1998 by Dr. Paulo Malo, a Portuguese implantologist. Nobel Biocare later joined the research and development. Not long after, they started using the All-on-6 oral rehabilitation, which began to be used more widely.
In Hungary, the All-on-6 tooth replacement technology has been used for a decade, and our institution was among the first to provide this type of dental prosthesis to patients. The procedure is constantly evolving, and implantologists are gaining more and more experience.

A trained oral surgeon determines whether you are suitable for All-on-6 oral rehabilitation. Generally, the most appropriate implant-based dental prosthesis is selectable by considering individual needs, possibilities, and characteristics.

Summary
The All-on-6 tooth replacement is an excellent solution for replacing missing teeth, as it has numerous advantages and practically only one significant disadvantage. That implant-based dental prosthesis primarily applies to those with an adequate amount and quality jawbone. Also, for those where bone deficiency is eliminable with bone replacement, if you have any further questions about the All-on-6 oral rehabilitation treatment, please contact us.

 

In our Articles section, you can find more information about dental implants, implantation with one-phase implants, and dentures with implants. Let others know in the COMMENT section if you have an opinion about what we just said. If you have any questions, please contact us, or ask iliDent AI Virtual Assistant.
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