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Treatment Guide · All-on-6 Dental Implants
All-on-6 — maximum stability, full-arch confidence.
The complete guide to All-on-6 dental implants in Antalya — for patients who want the strongest possible full-arch implant solution, the best long-term durability for heavy bites, and the most evenly distributed chewing forces of any modern implant treatment.
Reviewed by Prof. Dr. Emre Şeker · Founding Surgeon at Dentarma · 30,000+ implants placed since 2005 · PhD in implant biomechanics · Updated 2026.
01 · The Basics
What is All-on-6, exactly?
All-on-6 is a full-arch dental implant treatment that supports a complete set of teeth on six strategically placed implants — providing maximum long-term stability, the most evenly distributed chewing forces, and the strongest possible foundation for patients who want full-mouth confidence for life.
All-on-6 evolved from the All-on-4 protocol as clinicians sought even greater long-term stability for patients with sufficient bone availability. By adding two more implants to the four-implant All-on-4 design, the chewing forces during eating are distributed across six anchor points instead of four — significantly reducing the load on each individual implant and increasing the long-term durability of the entire arch.
For patients with sufficient bone density, heavy bite forces, or who prioritise the strongest possible long-term outcome, All-on-6 is the gold standard. It’s particularly preferred for the lower jaw, where bite forces are highest and the additional implants provide measurably better force distribution.
At Dentarma, every All-on-6 case is personally placed by Prof. Dr. Emre Şeker — whose PhD in implant biomechanics specifically covers the force distribution patterns and surgical placement that make full-arch implant treatments succeed for decades.
The result is a permanent, fixed bridge of teeth supported by six implants per arch. You leave the clinic with same-day temporary teeth attached to the implants, return three to six months later for the final zirconia bridge, and walk away with the most durable full-arch implant solution available today.
02 · The Anatomy
Six implants, more anchor points.
All-on-6 uses six implants strategically distributed across the jaw — typically two front, two middle, and two back. The additional middle implants are the key difference from All-on-4: they create extra anchorage points along the length of the arch, distributing chewing forces more evenly across the entire bridge.
Two of the six implants are typically tilted at angles to maximise bone engagement, while the four others are placed vertically into the densest parts of the jaw. This combination delivers the strongest possible foundation for full-arch restoration.
- Front implants — vertical placement in the densest front jaw bone for primary stability.
- Middle implants — strategic placement distributing chewing forces along the bridge length.
- 3 Back implants — angled where needed to anchor into thick bone while distributing biting pressure.
- 4 Even force distribution across all six implants — the lowest individual implant load of any full-arch treatment.
6
The science of load distribution.
Six implants aren’t just two more than four — they fundamentally change how chewing forces are distributed across your jaw. Here’s the biomechanics behind why All-on-6 delivers measurably better long-term outcomes for the right patients.
When you bite down on something hard — a steak, an apple, a piece of toast — the force generated by your jaw muscles can exceed 200 pounds per square inch on the back molars. With a full-arch implant bridge, that force has to travel through the bridge, into the implants, and into your jaw bone.
The fewer the implants, the more force each one absorbs individually. With four implants, each takes 25% of the load on average. With six implants, each takes only 16.6% — roughly a third less stress on each implant.
Why this matters long-term
For most patients with healthy bone and average bite forces, both All-on-4 and All-on-6 work excellently. But for patients with heavy chewing forces, severe grinding (bruxism), or who simply want maximum long-term reliability, the difference adds up over decades. Lower individual implant load means slower wear, less stress on the bone, and reduced risk of late-stage implant failure.
This is why All-on-6 is particularly recommended for the lower jaw, where biting forces are highest and the bone is denser. The lower jaw gets the most use during chewing, and the additional implants pay back across decades of use.
Long-term clinical studies consistently show All-on-6 implant survival rates above 98% at 10 years, with even better outcomes for the lower jaw. Prof. Dr. Şeker’s PhD in implant biomechanics specifically covers this force distribution analysis — calculating exactly where each of your six implants should sit to deliver the maximum lifespan for your individual case.
All-on-6 vs the alternatives — which is right for you?
Most patients arriving at Dentarma have weighed All-on-6 against All-on-4 and traditional dentures. Here’s an honest comparison of how All-on-6 stacks up across the criteria that matter.
| CRITERION | ALL-ON-6 | ALL-ON-4 | REMOVABLE DENTURES |
|---|---|---|---|
| Number of implants | 6 per arch | 4 per arch | ✗ None |
| Force distribution | ✓ 16.6% per implant | 25% per implant | N/A |
| Long-term durability | ✓ Maximum | ✓ Excellent | ✗ Replaced every 5–8 years |
| Best for heavy grinders | ✓ Yes — primary choice | ~ Possible with night guard | ✗ Damages dentures fast |
| Best for lower jaw | ✓ Strongly preferred | ~ Adequate | ✗ Often loose |
| Same-day fixed teeth | ✓ Yes, immediately | ✓ Yes, immediately | ✗ No dentures |
| Bone grafting often needed | ~ Sometimes for severe loss | ✓ Avoided in most cases | N/A |
| Long-term success rate | ✓ 98–99% at 10 years | 97–99% at 10 years | Replaced every 5–8 years |
| Cost Turkey | From £4,200 / arch | From £3,400 / arch | From £400 / arch |
| Lifetime cost | ✓ Single investment | ✓ Single investment | ✗ Replaced every 5–8 yrs |
33%
05 · The Strength Advantage
Six implants, one third less stress.
The mathematical advantage of All-on-6 over All-on-4 is straightforward but powerful. With four implants supporting a full-arch bridge, each implant absorbs approximately 25% of the chewing load. With six implants, each absorbs only 16.6% — roughly a third less stress per implant.
For most patients with average bite forces, this difference is academic — both All-on-4 and All-on-6 deliver excellent outcomes. But for patients with strong jaw muscles, heavy grinding habits, or simply a desire for the most durable possible solution, the math compounds across decades of use.
Less individual stress per implant means slower wear of the implant-bone interface, lower risk of late-stage failure, and measurably better long-term outcomes for the right patients. It’s the engineering choice when long-term reliability matters more than minimum cost.
From first WhatsApp to final smile.
All-on-6 treatment is split across two visits to Antalya — visit one for surgery and same-day temporary teeth, visit two (3–6 months later) for the final permanent zirconia bridge. Same overall timeline as All-on-4, with one extra implant placement procedure on day two.
Free
Consultation
Send X-ray + photos via WhatsApp. Treatment plan and quote within 24 hours.
3D Planning
CBCT scan, surgical guide created. Final plan reviewed personally by Prof. Dr. Şeker.
Surgery
Extractions if needed, four implants placed, same-day temporary fixed bridge fitted.
Recovery
Hotel rest, follow-up appointments, soft food. You fly home with temporary fixed teeth.
Healing at Home
Osseointegration in the UK. Wearing comfortable temporary fixed teeth throughout.
Final Bridge
Return to Antalya. Final zirconia bridge fitted. You leave with permanent teeth.
UK Aftercare
Annual check-ups in Glasgow, Surrey or Croydon. Lifetime implant guarantee.
What healing actually feels like.
All-on-6 healing is comparable to All-on-4 — the surgery is slightly longer due to placing six implants instead of four, but the recovery experience is essentially the same. Most patients return to normal eating, working and exercise within 3–7 days of surgery.
Days 1–3
Immediate post-surgery
Mild swelling, light bleeding, and discomfort manageable with prescribed painkillers. Soft food only — soups, smoothies, mashed potato. Most patients describe pain as significantly less than expected.
Days 4–7
Initial soft tissue healing
Swelling subsides, gums begin closing around the implants. Return to softer normal foods. Most patients fly home around day 7 with their temporary fixed teeth working comfortably.
Weeks 2–6
Surface healing complete
Stitches dissolve naturally. Gums fully heal around the implant sites. You can resume all normal activities — work, exercise, social events. Most foods now manageable on the temporary bridge.
Months 1–3
Active osseointegration
Bone cells migrate to the titanium implant surface and form new bone matrix. Implants become increasingly stable. You wear the temporary fixed bridge throughout — fully functional, looking natural.
Months 3–6
Full integration achieved
Bone-to-implant contact reaches maximum stability. Implants are fully osseointegrated and ready to support the permanent zirconia bridge. Time to fly back for visit two.
Are you a good candidate for All-on-6?
All-on-6 is the right choice when you have sufficient bone density and want the strongest, most stable full-arch implant solution available. If you’ve been quoted All-on-4 elsewhere but want maximum long-term reliability, you’re likely a strong candidate for the upgrade.
Sufficient bone density
Healthy jaw bone with good height and width across the entire arch. Confirmed via your panoramic X-ray during free consultation.
Heavy bite forces or grinding
Strong jaw muscles, history of grinding (bruxism), or simply someone who eats steak regularly. The extra implants distribute force better.
Lower jaw treatment
The lower jaw faces the strongest biting forces. All-on-6 is the preferred protocol for full-arch lower jaw cases when bone allows.
Long-term reliability priority
You want the strongest possible foundation that will last decades. Willing to pay the modest premium over All-on-4 for measurable durability gains.
Generally good health
Most chronic conditions (controlled diabetes, heart conditions, blood pressure) are manageable. We screen all medical history during consultation.
Mature jaw structure
Generally over 18 years of age, with fully developed jaw bones. No upper age limit — we treat patients into their 80s with All-on-6.
Non-smoker or willing to quit
Smoking significantly reduces implant success rates. We strongly recommend stopping at least 2 weeks before surgery.
Realistic expectations
All-on-6 is a 4–6 month process from start to finish. The same-day teeth are temporary — the final permanent bridge comes at visit two.
Six reasons UK patients choose All-on-6.
Six anchor points, distributed force.
Each implant absorbs only 16.6% of chewing forces vs 25% with All-on-4. 33% less stress per implant means slower wear and measurably better long-term outcomes for the right patients.
Engineered for strong jaws.
Patients with heavy chewing forces, severe grinding (bruxism), or strong jaw muscles benefit measurably from the additional implants. Significantly lower long-term failure risk for heavy biters.
The preferred protocol for the lower jaw.
The lower jaw faces the strongest biting forces. With sufficient bone density (which most patients have in the lower jaw), All-on-6 is the gold standard for full-arch lower jaw treatment.
Proven by 20-year clinical data.
Long-term studies show All-on-6 implant survival rates above 98% at 10 years. Slightly higher than All-on-4 in long-term follow-up, particularly for the lower jaw and patients with strong bite forces.
You never go without teeth.
Same-day fixed temporary bridge fitted at the surgery appointment. You leave the clinic with a complete smile on the same day your implants are placed. No denture-wearing during healing.
Premium quality, Antalya pricing.
Same Straumann Neodent® implants. Same surgical protocol. From £4,200 per arch in Antalya vs £15,000–£20,000 in UK private clinics. The price difference reflects clinic operating costs, not clinical quality.
10 · Risks & Realities
All-on-6 risks, and how we manage them.
All-on-6 is one of the most studied full-arch implant treatments in modern dentistry. Decades of clinical data confirm high success rates — but it’s still surgery, and surgery has risks. Here’s an honest look at the real ones.
An individual implant doesn’t integrate.
Occurs in 1–3% of All-on-4 cases over 10 years. Causes: smoking, uncontrolled diabetes, suboptimal initial placement, or low-quality implants.
The fixed bridge cracks or fractures.
Rare with monolithic zirconia bridges (less than 2% in 10 years). Possible with severe untreated grinding or biting on extremely hard objects.
We use only premium Straumann Neodent® implants placed personally by Prof. Dr. Şeker. Failed implants are replaced free of charge under our lifetime guarantee.
Final bridges made from premium German zirconia (1200 MPa strength). Custom night guard provided to all heavy grinders. 10-year warranty on the bridge.
Risk 03 · Speech Adaptation
Slight speech changes during adaptation.
A common short-term side effect — affects around 30% of patients in the first 2–4 weeks as the tongue adjusts to the new bridge thickness.
Risk 04 · Hygiene Challenge
Cleaning underneath the fixed bridge.
The fixed bridge sits slightly above the gum, creating a small space underneath that requires specific cleaning techniques to prevent peri-implant inflammation over time.
Reading aloud at home for 10 minutes daily resolves it for most patients within 2–4 weeks. Bridge thickness optimised by Prof. Dr. Şeker for individual oral anatomy.
Detailed home care training included. Custom interdental brushes, water flossers, and cleaning protocols tailored to your bridge design. Annual UK check-ups catch hygiene issues early.
Risk 05 · Peri-implantitis
Long-term gum disease around implants.
A long-term risk caused by poor oral hygiene around the implants. Causes bone loss and eventual implant failure if untreated.
“Premium” upgrades or extras added on arrival.
A common Turkey clinic risk — not clinical, but financial. The most common patient complaint in dental tourism.
Annual UK aftercare check-ups in Glasgow, Surrey or North Croydon catch peri-implantitis early. Patient education on home care included with every treatment.
Your written quote is fixed before you commit. The only changes happen if a clinical issue not visible on your X-ray is discovered — and only with your written agreement first.
Real All-on-6 cases, real patients.
Every case below is a Dentarma All-on-6 patient who has consented to share their transformation. No stock photography. No AI. No retouching.
340+ verified reviews. 4.8 stars. Twenty years.
All-on-4 pricing, fixed in writing.
Every Dentarma All-on-4 package is all-inclusive — covering four Straumann Neodent® implants, same-day temporary fixed bridge, final zirconia bridge, hotel accommodation for both visits, VIP transfers, all medications, and UK aftercare. The price you’re quoted is the price you pay.
Everything else you might want to know.
All-on-6 vs All-on-4 — which is right for me?
It depends on bone availability and bite forces. All-on-6 is the right choice when you have sufficient bone density across the arch, are a heavy grinder, want maximum long-term stability, or are treating the lower jaw (which faces the strongest biting forces). All-on-4 is preferable when you have moderate to significant bone loss in the back of the jaw or want to avoid bone grafting. We assess your X-ray during free consultation and recommend honestly — neither is universally “better,” they’re optimised for different patients.
Why pay more for All-on-6 if All-on-4 already works?
For most patients with average bite forces, both work excellently long-term. The case for All-on-6 is strongest for: heavy grinders (bruxism), patients with strong jaw muscles, lower jaw treatment, and patients prioritising maximum long-term reliability. The math is straightforward — six implants distribute chewing forces across more anchor points, reducing individual implant stress by roughly a third. Over 20+ years, that translates to measurably better outcomes for the right patients.
Will I really leave with teeth on the same day?
Yes. Every Dentarma All-on-6 case includes same-day fixed temporary teeth attached directly to the six newly placed implants. You go from arrival without teeth (or with failing teeth) to leaving the clinic that same day with a complete fixed bridge. The temporary bridge wears for 3–6 months while bone integrates with the implants, then is replaced with the final permanent zirconia bridge at visit two.
Do I need bone grafting for All-on-6?
Possibly — depends on your individual bone availability. All-on-6 requires sufficient bone density across the entire arch for six implants to anchor securely. If you have significant bone loss in the back of the jaw, we may recommend either bone grafting first, or All-on-4 as the better alternative. We confirm this from your panoramic X-ray during free consultation, and any grafting needed is itemised transparently in your written quote upfront.
Is All-on-6 painful?
Surgery is performed under local anaesthesia, so the procedure itself is painless. The surgical session is slightly longer than All-on-4 due to placing six implants instead of four, but most patients describe post-operative discomfort as significantly less than expected — comparable to a routine extraction. Prescribed painkillers handle the first 2–3 days, and most patients are back to soft food by day 3.
How long do All-on-6 implants last?
All-on-6 has excellent long-term clinical data. Studies show 98–99% implant survival at 10 years — slightly higher than All-on-4 in long-term follow-up, particularly for patients with strong bite forces. The final zirconia bridge typically lasts 15–25 years before potential replacement. With proper aftercare, designed to last a lifetime.
Why is All-on-6 better for the lower jaw?
The lower jaw faces the strongest biting forces in your mouth — this is where your jaw muscles concentrate during chewing. Combined with the fact that the lower jaw bone is naturally denser than the upper jaw, this makes it the ideal location for six implants. The additional anchor points pay back across decades of heavier-than-average chewing stress. Most experienced implantologists prefer All-on-6 for the lower jaw when bone allows.
Can I eat normally with All-on-6?
Yes — once your final permanent bridge is in place, you can eat almost anything you’d eat with natural teeth. Steak, apples, nuts, toast — all manageable. All-on-6 actually handles tougher foods slightly better than All-on-4 due to the better force distribution. We recommend avoiding biting directly into very hard items (ice, hard sweets, bones) and not using teeth as tools — these rules apply to natural teeth too.
How do I clean All-on-6 fixed teeth?
All-on-6 fixed teeth need slightly more attention than natural teeth because of the small space between the bridge and the gum. Daily routine includes: regular brushing twice daily, water flosser (Waterpik) once daily to clean underneath the bridge, and an interdental brush as needed. Annual UK aftercare check-ups include professional cleaning of all hard-to-reach areas. We provide detailed home care training before you fly home.
Am I too old for All-on-6?
No upper age limit. We routinely treat patients in their 70s and 80s with All-on-6 when bone density allows. The deciding factors are general health and bone availability — not age. Many older patients have lived with poorly-fitting dentures for years, and the upgrade to fixed implant teeth is genuinely life-changing for them.
How long is the recovery?
Most patients return to normal activity within 3–7 days of surgery. The first 2–3 days involve mild swelling and discomfort manageable with prescribed painkillers. By day 7 you can fly home with comfortable temporary teeth. Soft food only for the first week, then gradually back to normal eating over 4–6 weeks. The full 3–6 month timeline is for bone integration — but you’re functional throughout.
Can I have All-on-6 if I have diabetes or other conditions?
Most chronic conditions are manageable. Well-controlled diabetes (HbA1c below 7.5%), heart conditions on stable medication, and managed blood pressure are not contraindications. We screen full medical history during consultation and may recommend specific pre-operative protocols. Conditions that increase risk: uncontrolled diabetes, recent radiation therapy to the jaw, certain bone-strengthening medications. All discussed honestly during consultation.
What's included in the £4,200 per-arch price?
Everything you need. Six Straumann Neodent® premium implants, same-day temporary fixed bridge, final zirconia bridge, surgery personally placed by Prof. Dr. Şeker, 4-star hotel accommodation for both visits, VIP airport & clinic transfers, all medications and post-op care, UK aftercare in Glasgow / Surrey / Croydon, and a lifetime implant guarantee. The price is fixed in writing before you commit.
Will my All-on-6 bridge look natural?
Yes — significantly more natural than dentures, and indistinguishable from natural teeth in most everyday situations. The final zirconia bridge is designed individually by our master ceramist with shade, shape, and translucency matched to your face. The temporary bridge during healing is also designed for natural appearance, though slightly less refined than the final restoration.
What happens if an implant fails years later?
If a Straumann Neodent® implant fails at any point in the future, we replace it free of charge under our lifetime guarantee. The six-implant All-on-6 design has even more built-in redundancy than All-on-4 — if one implant fails after years of use, the bridge often remains stable on the remaining five while we plan replacement. We cover the cost of replacement implant, surgery, new bridge if needed, and the flights and hotel for the return visit.
Ready for the strongest possible full-arch solution?
Send us your X-ray and a photo of your smile. We’ll respond personally within 24 hours with a written treatment plan, fixed quote, and an honest assessment of whether All-on-6 is right for your case — or whether All-on-4 would serve you better.
