All on six implants

All-On-6 Dental Implants

Losing natural teeth is an emotionally stressful situation. Besides the impairment of eating ability, it also lowers self-esteem, impacts speech, and causes facial sagging that makes you look older.

All on Six Dental Implants offer a breakthrough for a natural-looking, high stability, and functional restoration compared to the conventional removable denture.

Dulwich Dental Office is a leading implant dental centre with over 30 years of experience and 5000+ implant cases completed. Our implant experts are dedicated to replacing your missing teeth with an aesthetic, natural-looking, and retentive restoration.

What is all on six implants?

All on Six Dental Implants technique is a surgical solution for full mouth rehabilitation, where six implants are embedded in the jaw bone to act as a base for a fixed prosthesis.

There are three main components in the All on Six Dental Implants: implants, abutments, and prosthetic restoration.

The six screws or implants are titanium made, which is a highly biocompatible material with the jaw bone and soft tissue around. Our expert surgeon professionally plans these implants to be placed at different places and angles to allow for equal force distribution. They act as an anchor for the restoration.

Titanium abutments represent the connection between the restoration and the implants embedded in the jaw bone.

A prosthetic restoration comprises a titanium

framework covered by a sturdy acrylic resin layer. The framework supports artificial teeth constructed from porcelain or zirconia to give a natural smile look.

All on six implants

Who is an ideal candidate for an all on six implant?

Completely edentulous patients.

Patients looking for better stability of their complete dentures.

Patients with no medical conditions contraindicating surgery (bleeding tendency, diabetes)

Patients with sufficient bone height and density

Pros of All on Six Dental Implants

  1. Create more strength and better support for the final restoration than all-on-4 implants and conventional removable dentures.
  2. Natural looking.
  3. Highly stable, so worries that the denture may become loose or fall, which causes embarrassment.
  4. Permanent solution for completely edentulous patients who experience nausea with conventional complete dentures.
  5. Less costly than the conventional 8-implant technique.
  6. Easy to clean and maintain.
  7. Durable and robust
  8. No diet limitations as with complete dentures.
  9. Prevent bone loss, unlike conventional complete dentures that cause bone resorption.

Cons of All on Six Dental Implants

  1. Costlier than all-on-4 implants.
  2. As with all surgical procedures, it may involve some risks: bleeding, nerve damage, swelling, and pain.
  3. Diet limitation for the first six months after surgery.
  4. Long healing time. It may take up to 4-6 months to complete healing and fabricate the final restoration.
  5. It may require an additional step of bone graft if there is insufficient bone height and width.

All on six implant procedure at Dulwich Dental Office

1. Consultation and assessment:

Our expert team, led by Dr. Javier Perez, will conduct a series of examinations assessing all the parameters related to the implant site to decide the most suitable treatment plan.

A thorough intra-oral examination will take place as a start. This step assesses whether any additional dental procedure is needed, such as extracting any remaining roots (if existing).

A cone beam CT is mandatory to collect all the required data for careful treatment planning about bone density, width, and approximation to any vital structures.

The collected data will help choose the most appropriate implant location, direction, length, and width. Also, to evaluate if an additional step of bone graft procedure is needed.

This meticulous data collection procedure and treatment planning ensure implant success.

Our team will discuss the final treatment plan with you to share the procedure steps and the expected outcome. Also, detailed post-operative instructions will be provided and explained to you.

If you have any questions at this step, don’t hesitate to ask and share all your fears.

2. Surgical procedure: 

The surgery is performed under local anesthetics. The procedure takes about 2-4 hours.

The six implants are secured in their places, followed by a temporary resin denture placement to aid during healing until the final denture construction. But in some cases, the final restoration is fabricated and inserted on the same day.

Follow the post-operative instructions carefully during the healing period to ensure successful implant healing and integration with the surrounding bone.

All on six implants

3. Final prosthesis:

The final prosthesis insertion may take up to 6 months until complete healing and osteointegration around the implants. The Final prosthesis is screwed to the implant abutments to act as a fixed restoration that you cannot remove by yourself.

Post-operative care

  • Within the first six months, avoid hard food until the complete healing of the implants.
  • Quit smoking and avoid alcohol and acidic beverages.
  • Care and maintenance: follow the suggested oral hygiene instructions on how to clean your restoration to keep a radiant smile for a long time and avoid gums inflammation underneath the restoration. These include:
    • Regular brushing and flossing are essential in your daily routine. Brush twice daily, mainly after meals, and floss at least once.
    • Water picks are advantageous to help remove any remaining food particles.
    • The use of antiseptic mouthwashes.
    • Use a soft toothbrush and avoid abrasive toothpaste.
  • Schedule follow-up visits every six months to monitor the condition of your implants and restoration and address any problems as early as possible.

All on Six Vs All on Four Dental Implants

All on Six and All on Four Dental Implants are similar in the concept of placing multiple dental implants to support a full arch restoration. However, they differ in the following aspects:

  • The All on Six procedure requires six dental implants, whereas the All on Four procedure relies on only four implants.
  • All on Six dental implants provide improved load distribution, as the forces are distributed across six implants rather than four.
  • The All on Six dental implant procedure is more complex and typically requires bone augmentation, whereas the All on Four dental implant procedure usually does not necessitate bone grafting.
  • All on Six dental implants are more expensive than All on Four dental implants

The choice between All-on-Six and All-on-Four dental implants depends on several factors, including the amount of existing bone, cost, and patient expectations. After a comprehensive assessment, our implant specialists will recommend the most suitable option for you.

FAQs

All on Six Dental Implant is an innovative solution to restore a full arch of missing teeth using 6 dental implants strategically placed to retain a complete denture.

A conventional complete denture involves tissue-born retention through the adhesion between the fitting surface of the denture and the edentulous ridge. The retention of an ALL on Six restoration depends mainly on the implant fixtures embedded inside the jawbone. Thus, the retention on an All on Six implant restoration is higher and has fewer negative effects on the underlying ridge.

All on Six Dental Implants involve the insertion of 6 dental implants while All on 4 depend only on 4 implants. Both techniques are successful. However, the All ON Six Dental implant technique provides a more favourable stress distribution.

The surgery and the temporary prosthesis are completed in one day, while the final prosthesis may take up to six months. This long time is required for the complete healing and osseointegration between the jawbone and implant surface.

According to the condition and your preferences, a fixed or a removable restoration can be constructed. A fixed restoration is attached to the dental implants using screws and can only be removed by our dental professionals. Removable restorations involve complete dentures with special attachments that fit over the abutment’s heads of the implant, it can be removed for cleaning and during sleep as with conventional dentures.

During the first three to six months, it is essential to avoid hard food until complete healing. There are no additional limitations.

It is possible to experience some pain, swelling, and bruising after surgery. Use the prescribed painkillers. These symptoms will disappear within a few days.

Mainly brush twice and use dental floss once daily after meals. A water pick is valuable to remove any remaining food particles under the prosthesis that may lead to inflammation. Avoid abrasive toothpaste and hard toothbrush.

With proper care and maintenance, All on Six Dental Implants can last a lifetime.

The average cost for an All on 6 Dental Implant is £14,559. Consult our implant experts to learn more about our payment plans.

Our All On Six Expert Dr Javier Perez

dr-javier-perez

Dr Javier Perez

Dental Implant and Oral Surgeon
Lic Odont, PG Cert (Implant), MClinDent (Implant), Dip Oral Surg RCS (Eng), PG Cert Cons Sed
GDC No: 225487
Special interest in Oral Surgery & Dental Implants

Dr Javier Perez graduated in dental surgery in 2010.

His clinical practice is focused on dental implants and oral surgery, from simple single tooth replacements to complex reconstructions involving both soft and hard tissues.

Dr Javier has completed a Masters in Implant Dentistry MClinDent (Implant) in London over three years and was awarded a diploma in Oral Surgery from the Royal College of Surgeons of England, one of the most prestigious colleges in UK.
Dr Perez has trained in Oral Surgery at the Maxillofacial Unit in the Queen Victoria Hospital NHS Foundation Trust in South England. He is at the forefront of dental implants and oral surgery regularly attending National and International conferences to develop his skills and learn about the latest trends in Implantology.

At Dulwich Dental our implant team have placed over 5000 implants, often undertaking and being referred cases from other practioners. We also consult and treat cases where you may have been told that you are unsuitable for dental implants. Having assembled one of the countries leading dental implant teams we can treat the most advanced and complex cases here at Dulwich Dental Office.

Outside of work Dr Javier spends the majority of his time with his young family, recently welcoming a new son (October, 2021). He enjoys spending weekends exploring London, especially going to local food markets.

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At Dulwich Dental Office, we provide comprehensive dental care for NHS and private patients throughout Dulwich and London. Our aim is to make exceptional dentistry accessible, comfortable, and personalised for everyone who visits our practice. From simple preventive treatments to advanced smile transformations, our experienced dentists offer expert solutions tailored to your needs. Whether you need a dental examination in East Dulwich, a filling in Peckham Rye, Invisalign treatment in Dulwich, veneers in Marylebone, or full dental implants in Knightsbridge, you can rely on our skilled team for outstanding care.

Our practice offers a wide variety of treatments, including routine check-ups, hygiene appointments, fillings, crowns, bridges, veneers, braces, Invisalign, teeth whitening, composite bonding, emergency dental treatments, dentures, prosthodontics, bone grafting and implant dentistry in London. We use modern techniques to provide comfortable treatment and long-lasting results while helping patients maintain excellent oral health.

We welcome patients from Nunhead, Peckham, Old Kent Road, Camberwell and Herne Hill, many of whom choose us because of our professional service, caring environment, and commitment to patient satisfaction.

Whether you are looking for a family dentist, cosmetic dentist or specialist dental treatment in London, Dulwich Dental Office is here to help. Schedule your consultation today and take the first step towards achieving a smile you can be proud of.

Testimonials

My Children have been going to Dulwich Dental Office for years . It’s always a pleasant experience for them every one is always nice and friendly from the reception staff to the dentist.

Friendly staff and a very good turn around for appointments , next step to meet the hygienist if he’s as lovely as the rest of the staff it will be great

Wendy D.

Dr Xavier is the best orthodontist I have ever come across in London. From children to adults, he has incredible success. Myself and my wife had treatment with him and our smiles are banging! He used invisalign on us. It was so easy!

Had a tooth out which is never fun, but he was great, never even needed pain killers afterwards

Vince A.

Everyone at Dulwich Dental office is lovely, from the friendly and welcoming reception staff, right to dentist and hygienist. They do a great job, and have always made me feel comfortable, while helping me keep my teeth in good shape. I recently tried the Airflow treatment during hygienist visit and wow, totally worth it! Thanks, dental team!

Great service! Im usually so nervous when coming in to the dentist but my dentist was so pleasant and polite ! Dulwich Dental Office will definitely be my dentist for life

Tomike O.

I lost my two front teeth whilst at school and had complications for years. Unfortunately I ended up needing an implant – which I had been avoiding! I wish I had done it sooner. Dr Patel was fantastic and guided me through each stage. He was always contactable to answer any queries or concerns. Very happy with the end result and would reccomend.

Tom O.

Fantastic specialist treatment – I was heading towards eventual tooth loss, Aaron the hygienist helped me with a treatment plan and my teeth bones have regrown by 2mm and I no longer have bleeding, a remarkable turnaround in 6 months! Thank you so much. Lovely reception staff too. Thanks!

Registered and seen on the NHS within 2 weeks – amazing. Really friendly staff, would definitely recommend

Tom C.

Just seen Dr.Ho for some severe molar sensitivity i was having . I wasn’t managing to drink or eat anything very hot or cold. He did a thorough assessment like always and undertook a T scan and adjustments to bite and within half an hour my sensitivity was essentially gone!! Great service like always

Lovely staff on front desk, always welcoming and friendly, dentists are also amazing and professional- 10/10 experience every time!

A great surgery; Dr Cavan in particular spent time with me to make sure my new night guards fitted well and were up to the job

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