The All-on-Six protocol is a surgical-prosthetic approach aimed at restoring full-arch function and oral health using six titanium implants supporting a fixed bridge.
Clinical outcomes for any surgical procedure vary between individuals. It is recommended that you consult your clinician for detailed information before proceeding.
Clinical process data
Data is for informational purposes; individual examination is required.
Titanium Implants
For full-arch restoration
Clinical Steps
From assessment to restoration
Surgical Session
All six implants placed in one session
Osseointegration Period
Varies by individual bone structure
01
Following an intraoral examination and medical history review, 3D cone beam CT (CBCT) provides three-dimensional analysis of bone volume, nerve canals and vascular anatomy.
02
CT data is transferred to planning software where the position, angle and depth of the six implants are determined virtually. A surgical guide may be produced by 3D printing or CAD/CAM where indicated.
03
All six implants are placed in a single session under local anaesthesia. Sedation is considered based on clinical assessment and patient preference.
04
Where implant stability is clinically confirmed, a temporary fixed prosthesis may be placed on the day of surgery or shortly after. Timing depends on individual conditions.
05
Once osseointegration is confirmed radiologically, a permanent zirconia or high-strength acrylic bridge is delivered. Maintenance method and review intervals are explained in detail.
This flow is intended for patient education; sequence, additional preparation and review intervals are adjusted according to individual examination findings.
01
Clinical Assessment
All-on-Six requires a thorough clinical assessment for patient selection. In addition to examination findings, medical history, medication use, smoking habits and bone structure are key components. The topics below summarise the main areas addressed during the appointment; the final decision can only be made by the clinician.
02
Digital Planning Infrastructure
Cone beam computed tomography (CBCT) provides three-dimensional visualisation of bone volume, nerve canals and vascular anatomy. This data is transferred to planning software where the six implant positions are determined virtually. A surgical guide supports accurate placement of the planned positions during surgery.
03
Clinical Approach
All-on-Six planning is shaped by detailed evaluation of examination findings, imaging, patient expectations and alternative options. Before a treatment decision is made, the patient is comprehensively informed about the process, potential risks and alternative protocols.
04
Post-treatment Care
The long-term course of All-on-Six treatment depends on post-surgical care and regular clinical review. The soft diet and oral hygiene protocol specified for the initial weeks should be followed carefully.
All-on-Six uses six implants, All-on-Four uses four. Both protocols offer different load distribution and support points; which is recommended depends on bone structure, anatomical conditions and examination findings as assessed by the clinician. Neither is superior to the other.
Posterior implant positioning is planned based on available bone volume; an additional grafting procedure may be required in some cases. This decision is based on 3D imaging findings.
The fixed bridge is secured to the implants with screws or cement; it is not removable and cannot be taken out by the patient during daily care.
Smoking can adversely affect bone-implant integration and long-term soft tissue health. The clinician will conduct an individual assessment and provide guidance on this matter.
A soft diet is recommended during the temporary prosthesis period. The scope of diet following permanent restoration is determined by the clinician based on individual healing response.
Review appointments are scheduled at intervals determined by the clinician to monitor implant and bridge health; frequency is shaped by individual circumstances.
The form pathway includes data protection consents; treatment decisions follow clinical examination and informed consent.
Form pathway
The contact form starts the appointment request together with the selected treatment area.
01
Choose a contact or appointment request.
02
A brief note about your current situation prepares the assessment.
03
Notice and consent steps are completed within the form.
Related Treatments
You can review adjacent topics that support the All-on-Six decision-making process within the same flow.