All-on-6 Dental Implants Turkey

An All-on-6 quote will always come in higher than an All-on-4 one. That part is obvious. What people usually want to know, once they've seen both figures, is whether those two extra implants would earn their keep in their own mouth, and whether their jaw has room for them in the first place.

You'd think that step would always happen. It doesn't. Taking everything out and starting from scratch is easier to plan, and frankly easier to sell, but for a fair number of patients it's more than they need.

Is All-on-6 right for you?

Who's it for? Mostly people who've lost the teeth in one jaw, or are about to, and are fed up with the idea of a denture. You'll need a decent amount of bone towards the back, or be prepared to have some added. If you smoke heavily, have diabetes that isn't well controlled or grind your teeth at night, you can still have it done. We'll just plan more carefully, and you may go home with a night guard. One more thing: you'll be cleaning under that bridge every day for years. Be honest with us if that's not going to happen.

Where the extra two go

Picture the arch from above. Two implants sit at the front, two around the premolars, and the last pair goes further back, usually somewhere near the first molars. That back pair is what you're paying for. Without them, the rear teeth of the bridge stick out past the last implant with nothing underneath, and that overhang is where full arches tend to run into trouble. The All-on-4 page goes into the mechanics if you're curious.

Unfortunately, the molar region is also where bone goes first once the teeth are out. In the upper jaw, the sinus is right above those spots. In the lower jaw there's a nerve running underneath, and an implant has to stop well short of it. Someone who lost their back teeth a decade ago may simply not have that bone left. You can want six implants very much and the scan will still have the final say.

All-on-4 vs All-on-6 when the bone is thin

It's one of the most common talks we have at planning. Say your scan shows thin bone behind the premolars. To fit six, it would have to be thickened first, with a sinus lift up top or a ridge graft below.

Occasionally the graft and the implants go in together. When the shortfall is bigger, the graft usually needs months on its own before anything can be placed in it, and for someone flying in for treatment that can mean an extra trip.

At that point you're not really choosing between four and six. You're choosing between four implants now, in bone you already have, and six later, in bone that's been rebuilt for them. A 48-year-old who expects to wear this arch for decades will often take the wait. Someone older, or with a health condition that makes every extra operation a bigger deal, will often take the four. Both are defensible plans. Ask the surgeon to talk you through each one properly before you pick.

If you're leaning towards the graft route, find out what you'll be wearing in the meantime. Sometimes a fixed temporary can go onto the front implants straight away. Sometimes it's a removable denture for a few months. It sounds like a small point. Living with it for months, it isn't.

Straight, tilted or both

The name only tells you how many implants there are. It says nothing about the angles.

Where the bone is good right to the back, the surgeon can place all six upright. Where it thins out earlier, the back two get tilted forward, which is exactly how All-on-4 works, and that lets them reach further along without grafting. Plenty of plans end up somewhere in between: four upright at the front, two tilted behind.

Angling an implant isn't a corner being cut, by the way. Tilted implants have been used in full-arch work for more than twenty years, and in suitable bone the research generally shows them holding up about as well as straight ones.

What you want is six solid supports spread as far along the jaw as your bone allows. The exact layout is secondary. If your quote just says "six implants" and nothing more, ask to see where they'll actually go. Any properly planned case can show you that on the 3D scan.

Upper and lower don't have to match

A lot of people assume both jaws get the same treatment. Often they don't.

The top jaw has softer, more porous bone than the bottom one. An implant up there simply gets less grip. Surgeons compensate by adding more. Six on top and four on the bottom is a very common combination, because the dense bone at the front of the lower jaw grips four implants firmly.

Sometimes the scan points the other way, and that's fine too. Each jaw gets planned according to what's in it. If your quote has an identical number for both, it's fair to ask whether someone actually decided that or whether it came bundled that way.

One piece or several

With four implants, the arch is always one bridge. With six, there's occasionally a second option: splitting the arch into two or three sections, each screwed onto its own implants.

The appeal is practical. A chip in one section means remaking that section, not the whole arch. The pieces are smaller and easier for the lab and the dentist to handle. And if one implant ever misbehaves, the fix stays in that corner of the mouth.

It won't suit everyone. The implants need to be in the right places, the bite has to allow it, and a single-piece arch is easier to line up perfectly. Plenty of clinics only make one-piece arches. If sections interest you, raise it before the final bridge is designed. Afterwards, it's too late. It's also one of those questions that tells you something about the clinic: a team that has thought it through will explain why they would or wouldn't do it in your case.

All-on-6 cost in Turkey: what the extra price buys

The price list above goes from €3,700 per arch with the Swiss system up to €7,200 with Straumann, and both arches start from €7,400. Every option is dearer than the All-on-4 equivalent, simply because there are two more implants in it.

Then there's the long view. Say an implant fails ten years from now. With four, the bridge normally comes off and the whole thing gets rebuilt, with a new implant, more healing and quite possibly a new bridge. With six, the bridge can often carry on while the one problem site is sorted out. Most implants don't fail, and nobody plans for it. Still, one rebuild of a four-implant arch can easily cost more than going with six in the first place would have.

The list also hides a less obvious trade. Six implants from a mid-range brand can come out roughly level with four from a premium one. In good bone, we'd generally lean towards more implants. In poor bone, a premium surface designed to bond faster in difficult conditions may matter more than the count. Ask the surgeon for both figures and which they'd pick for your scan. Clinics in the UK, Ireland or the US typically charge several times as much for All-on-6, premium brands included, which is why so many people look at All-on-6 in Turkey. Whoever you get a quote from, check two things on it: the name of the implant system, and whether both the temporary and the final bridge are included.

Teeth in a day and All-on-6 recovery

Most people leave on surgery day with a fixed temporary bridge screwed in. Your face will swell for a few days and you might bruise. Your menu for a few weeks is anything you could cut with a fork: soup, eggs, flaky fish, soft pasta. Leave crusty bread and nuts for later. That temporary bridge is there to protect the implants while the bone grows onto them, so don't test it on a steak.

You come back a few months later for the permanent one, normally zirconia, or porcelain on a metal frame. That visit takes a few appointments: fitting, tweaking the bite, and a look at how you're getting on with cleaning round each implant.

All-on-6 before and after photos and reviews

When you're looking at All-on-6 before and after photos, check whether it's the final bridge in the after shot or still the temporary. Then look at the face. Do the teeth suit it, or are they just very white and very even? An X-ray is worth asking for as well, because that's the only way to see where the six implants really sit. As for reviews, the ones written a year or so later tell you more than the excited ones from week one.

Can you add implants later?

"Could I do four now and add two when I've saved up?" It's a fair question, and technically the answer can be yes, if the bone at the back allows it.

The complication is the bridge. It's built around the exact positions of the implants underneath, so adding two more normally means making a new one to fit all six, plus the surgery and healing for the extra implants. Add that together and it tends to cost more than doing six at the outset. If you already have a feeling you'll want six eventually, tell us at the planning stage. The plan can then be shaped around that from the start.

More implants, more to look after

Six implants give the arch more support. They don't make cleaning any easier. Every implant is one more spot where gum meets bridge, and every one of those spots needs attention each day.

We're talking a minute or two extra, not a new hobby. It matters more if your hands aren't what they used to be, say with arthritis. Mention it early if so. Some cleaning tools are far easier to grip than others, and a design you can't keep clean isn't a good design for you.

How long does All-on-6 last?

The page above puts the expected service life of All-on-6 at around fifteen years. That's an average. Some arches go well past it, some don't. Bone quality, a heavy bite, sloppy cleaning or missed check-ups can all shorten it.

Age changes the maths. At 45, this arch may have to see you through thirty years or more, probably with a replacement bridge at some point. Over that stretch, every bit of extra support counts, and six gives you more of it. At 78, with thin bone, the priorities shift: less time in the chair, a quicker route to fixed teeth, something simple to look after. Four can be the kinder option there, and a surgeon who's being straight with you will say so.

Two questions usually settle it. Does my bone reach the spots six implants need, and if not, what would it take? And how long do I need this arch to last? Upper jaw too thin for four or six? Then we'd talk about zygomatic implants. And it's worth stepping back one more time to ask whether a full arch is needed at all. People are often surprised how many of their own teeth can be kept, which is where our full mouth dental implants page begins.