All-on-6 Dental Implants: When Six Implants Beat Four
All-on-6 uses six implants per arch for extra stability and bone support. See how it compares to All-on-4, who benefits, and what treatment looks like in Orange County.
All-on-6 is a full arch dental implant technique that supports a complete row of replacement teeth on six implants instead of four. The two extra implants spread biting force across more of the jaw, which adds stability, protects bone, and suits patients with stronger bone volume. Dr. Ryan Savage offers full arch implant treatment at Savage Smile in Orange, CA.
Why add two more implants?
Every implant acts like an anchor for the fixed bridge on top. With six anchors per arch, chewing pressure is distributed more evenly, which reduces stress on each implant and on the prosthetic itself. That usually means less flexing of the bridge, lower risk of screw loosening, and a more natural bite feel, especially in the back teeth where chewing forces are highest.
All-on-6 vs All-on-4: how to think about it
Neither option is universally better. All-on-4 uses angled rear implants to work around limited bone, so it often avoids bone grafting and can cost less. All-on-6 needs more bone height and width but rewards it with extra support and long-term stability. The deciding factors are your CBCT scan, bone density, bite force, and how many teeth the final bridge needs to carry. Our All-on-X overview explains the whole treatment family.
Who is a good All-on-6 candidate?
All-on-6 tends to fit patients who have adequate jawbone volume, a strong bite or history of grinding, a wider smile that shows more back teeth, or concerns about maximizing long-term implant stability. Patients with significant bone loss may still qualify after grafting, or may be better served by All-on-4. A 3D scan and exam settle it, not a rule of thumb.
What treatment looks like
- Consultation with 3D imaging and a full arch treatment plan
- Implant placement, often with a same-day fixed temporary bridge
- Healing period of about 3 to 6 months while implants integrate
- Delivery of the final custom bridge, matched in shade and shape to your face
FAQ
How long do All-on-6 implants last?
The implants themselves can last decades with good hygiene. The bridge on top typically serves 10 to 15 years or more before it needs replacement or refurbishment.
Is All-on-6 stronger than All-on-4?
With adequate bone, six implants distribute force better and add redundancy. But in patients with limited bone, a well-planned All-on-4 is the more predictable choice. Strength comes from planning, not just the implant count.
Can I still get All-on-6 if I wear dentures now?
Often yes. Long-term denture wearers may have bone loss, so grafting or an All-on-4 approach may be recommended after your scan. If your goals are cosmetic and your teeth are healthy, porcelain veneers may be the better path.
Find out which full arch option fits you
Dr. Savage will review your scan and goals and give you a straight answer on All-on-4 vs All-on-6. Call Savage Smile at (714) 997-8497 or message "SAVAGE SMILE" to Dr. Savage on Instagram to get started.