All-On-4 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 implants offer a breakthrough for a natural-looking, high stability, and functional restoration compared to the conventional removable denture.

What is all on six implants?

All on six 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 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.

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

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

  1. Completely edentulous patients.
  2. Patients looking for better stability of their complete dentures.
  3. Patients with no medical conditions contraindicating surgery (bleeding tendency, diabetes)
  4. Patients with sufficient bone height and density

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.

As a start, a thorough intra-oral examination will take place. This step is for the assessment if any additional dental procedure is needed, such as extraction of 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.

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:

1. Within the first six months, avoid hard food until the complete healing of the implants.

2. Quit smoking and avoid alcohol and acidic beverages.

3. 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.

4. Schedule follow-up visits every six months to monitor the condition of your implants and restoration and address any problems as early as possible.

Pros of all on six 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. Stability: no 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. Eat what you want: no diet limitations as with complete dentures.
  9. Prevent bone loss, unlike conventional complete dentures that cause bone resorption.

Pros of all on six 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. It may take up to six months to deliver the final restoration until complete healing occurs.
  5. It may require an additional step of bone graft if there is no sufficient bone height and width.

FAQs

The surgery and the temporary prosthesis are completed in one day, while the final prosthesis may take up to six months.

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. Keep away from abrasive toothpaste and hard toothbrush.

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.

Smile gallery

1418
5000
+

Implants Completed

11
30
+

Years Combined Experience

14
100
%

Satisfaction Rate

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Testimonials

The Dentist, Hygienist, Dental Nurses & Especially the Receptionist staff are very Polite, Friendly & most importantly they try to fit you in quickly in the event of an emergency. Recently I couldn’t get the time of work for an emergency appointment for my 81 year old Mum so I called an Uber for her & told the receptionist this. The young Black Lady called me when she ordered & place my Mother in a cab – so she went above & beyond her duties with a lot of Customer Care & Respect for my Mother- Thank You so much

Zehra M.

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.

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

Vince A.

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.

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

Tom C.

I have recently finished an invisalign program with Pooja at dulwich dental office and couldn’t be happier. The treatment was easy and pain free and the results are great. Pooja’s experience and friendliness made me feel at ease throughout. I would 100% recommend for anyone considering similar treatment.

Toby B.

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

Dentist Pooja Pillay is excellent and was very patient with me as I I took a long time (years!) deciding whether or not to take the plunge and have Invisalign to straighten my teeth. It didn’t take too long and was easier than I thought it would be. Pooja kept a close eye on how it was all progressing and we even went a bit longer with it just to really perfect the result. I’m delighted with the outcome. Everything was included in the price, even the extra aligners and appointments when we decided to go on a bit longer. All staff at the practice have been excellent. Highly recommend.

Susie F.

I had my Invisaligns done by Dr Pillay and she really took the time to make sure my teeth are lovely and straight. She has always been available with any queries or follow up treatment I needed – and made me feel well looked after from the beginning and end of the treatment. I really recommend seeing her if you want to get Invisaligns done.

Stella C.

Dr. Cavan is super attentive and thoughtful and great at putting is patients at ease. I hate going to the dentist but havent dreaded it once. Everyone is super friendly and clinic is nice. I could not recommend more.

I am undergoing a course of Invisalign treatment with Dulwich Dental Office and I am so pleased with the results, even at this early stage. It is great that I can take the braces out to eat and clean my teeth. I am looking forward to the end result.

Sienna M.

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These treatments use specalist technology, need more involved care, or are for a specific group of patients, like children.

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From smile makeovers and tooth whitening to invisibraces. We offer a wide range of cosmetic services to guarantee a great smile in 6 months

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Dulwich Dental Office is a renowned clinic that delivers a high-quality dental care service in East Dulwich. Call: 0208 6933339

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