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All-on-4 vs All-on-6: Which Is Right for You?

Detailed comparison of All-on-4 and All-on-6 dental implant protocols. Learn the differences in cost, durability, and suitability at Elonix Clinic Albania.

Understanding All-on-4 and All-on-6 Implant Protocols

If you are considering a full arch replacement — whether to escape dentures or replace multiple failing teeth — you have likely encountered two options: All-on-4 and All-on-6. Both are proven, highly successful implant protocols, but they serve different clinical needs. At Elonix Clinic in Albania, both options are available, and the right choice depends on your specific anatomy and goals.

How They Work

All-on-4

Four implants are placed per jaw: two straight implants at the front and two tilted at 30-45 degree angles at the back. The angled placement maximises contact with available bone, often eliminating the need for bone grafting. A full bridge of 10-12 teeth is then fixed to these four implants.

All-on-6

Six implants are placed per jaw: two straight at the front, two in the mid-section, and two angled at the back. The additional two implants provide extra support, allowing for a longer bridge of 12-14 teeth with greater load distribution.

Detailed Comparison

FeatureAll-on-4All-on-6
Number of Implants4 per jaw6 per jaw
Number of Teeth10-12 per arch12-14 per arch
Bone Grafting RequiredRarely neededSometimes needed
Surgery Time2-3 hours per jaw3-4 hours per jaw
Ideal Bone DensityModerate to goodGood to excellent
Load DistributionGoodExcellent
Long-term Success Rate95-98%97-99%
Elonix Price (per jaw)€3,200 - €4,500€4,200 - €5,800
UK Price (per jaw)€12,000 - €18,000€15,000 - €22,000

When to Choose All-on-4

All-on-4 is typically recommended when:
  • You have moderate bone loss and want to avoid bone grafting
  • You are transitioning from full dentures for the first time
  • Budget is a primary consideration
  • You want the shortest possible surgery time
  • Your upper jaw has limited bone in the back (near the sinuses)

When to Choose All-on-6

All-on-6 is typically recommended when:
  • You have good bone density and volume
  • You want maximum stability and load distribution
  • You prefer a longer bridge with 12-14 teeth
  • You have bruxism (teeth grinding) — extra implants handle the stress better
  • Long-term durability is your top priority

The Elonix Approach: Personalised Recommendations

At Elonix Clinic, the choice between All-on-4 and All-on-6 is never a one-size-fits-all decision. Dr. Kleant uses 3D CBCT scanning to analyse your jawbone density, volume, and anatomy in detail. Based on this analysis, combined with your dental history and personal goals, a specific recommendation is made.

Expert Insight

"In about 60% of cases, All-on-4 provides excellent results at a lower cost. In the remaining 40%, All-on-6 offers meaningful advantages in stability and longevity. We never upsell — we recommend what is clinically best for each patient." — Dr. Kleant, Elonix Clinic

Material Options at Elonix

Both All-on-4 and All-on-6 at Elonix Clinic are available with two bridge material options:

Acrylic Hybrid Bridge

Lightweight, repairable, and cost-effective. Good for patients who want a reliable solution at the lowest cost. Lifespan: 5-10 years before replacement may be needed.

From €3,200 per jaw (All-on-4)

Zirconia Bridge

Premium, ultra-durable, and the most natural-looking option. Resistant to staining and chipping. Lifespan: 15-25+ years. The gold standard in full-arch restoration.

From €4,500 per jaw (All-on-4)

Important: Both All-on-4 and All-on-6 require a healing period of 3-6 months between implant placement and final bridge fitting. During this time, you will wear a temporary fixed bridge so you are never without teeth.

Frequently Asked Questions

All-on-4 uses four implants per jaw while All-on-6 uses six. All-on-6 provides extra support and load distribution, ideal for patients with good bone density who want maximum stability. All-on-4 is better for patients with moderate bone loss.

All-on-4 is less expensive. At Elonix Clinic, All-on-4 starts from €3,200 per jaw while All-on-6 starts from €4,200 per jaw. Both represent savings of 60-75% compared to UK prices.

Both have excellent longevity. All-on-6 has a slightly higher long-term success rate (97-99% vs 95-98%) due to better load distribution. With proper care, both can last 15-25+ years with zirconia bridges.

All-on-6 generally requires better bone density than All-on-4. If you have significant bone loss, bone grafting may be needed before All-on-6, or All-on-4 with angled implants may be the better option. A 3D scan at Elonix will determine the best approach.

All-on-4 surgery takes approximately 2-3 hours per jaw, while All-on-6 takes 3-4 hours. Both are performed under local anaesthesia with sedation available. You receive temporary fixed teeth the same day.
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