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Guide · All-on-4 / All-on-6 / All-on-X

Fixed teeth on four implants.

A complete guide to the All-on-X concept: how it works, who it is for, how long it lasts and what the literature says. All in one place, no marketing.

In brief

All-on-4 is a method in which a whole dental arch is carried by four implants, the two at the back tilted to make use of the bone you already have. In suitable patients, temporary fixed teeth are fitted as a rule within 24 hours, often without bone grafting.

4 to 6
implants per arch
24 h
to temporary teeth
20+ years
of published results
Prices

Fixed teeth for a whole jaw.

These are starting prices and apply to one jaw. The exact amount depends on the condition of the bone and the extent of the work, which we know after an examination and 3D analysis. The first examination is free and without obligation.

The final fixed restoration is included. Not only the temporary bridge you receive straight away, but also the permanent restoration made after healing. The exact amount is stated in the written plan you receive after the examination.

All-on-4

from 10,000 €
per jaw

All-on-6

from 12,000 €
per jaw

All-on-X

from 15,000 €
per jaw

Prices are indicative and do not constitute an offer. You receive the exact treatment plan and amount in writing after the examination.

Book a free consultation
The basics

What All-on-4 is and how it works.

With complete tooth loss, or when the remaining teeth can no longer be saved, a whole arch can rest on just a few implants. With All-on-4 that means four implants, two at the front and two tilted at the back, carrying a fixed bridge. The tilt of the back implants makes use of the bone that is available, so in many cases lengthy grafting is avoided.

All-on-6 uses six implants and makes sense with a larger jaw, or when we want the load spread more widely. All-on-X is the umbrella name for the concept of a fixed arch on several implants, because the exact number depends on the findings. Which variant is right is decided only after an examination and a 3D analysis.

Comparison

All-on-4, All-on-6 and All-on-X.

MethodNumber of implantsWho it is forKey advantage
All-on-44 per archA toothless jaw, avoiding bone graftingFewer implants, a faster and simpler route to fixed teeth
All-on-66 per archA larger jaw, a need for extra stabilityA more even spread of the load
All-on-Xdepends on the findingsIndividual cases after a 3D analysisA plan tailored to the real condition of the bone
What the data says

Evidence from peer reviewed literature.

  • 98.8%BridgeA longitudinal study by Maló et al. (10 to 18 years of follow-up) reported cumulative survival of the prosthetic work of 98.8%.1
  • 99%+ImplantsA systematic review by Soto-Penaloza et al. reports implant survival above 99% after more than 24 months of follow-up.2
  • 94 to 98%Long termA more recent review reports cumulative implant survival of between 94 and 98% over periods of six to eleven years, with no significant difference between axial and tilted implants.3
1. Maló P, de Araújo Nobre M, Lopes A, et al. The All-on-4 concept for the completely edentulous mandible: a longitudinal study with 10 to 18 years of follow-up. Clin Implant Dent Relat Res. 2019;21(4):565-577. link
2. Soto-Penaloza D, et al. The all-on-four treatment concept: Systematic review. J Clin Exp Dent. 2017;9(3):e474-e488. link
3. Gaonkar SH, et al. Survival of axial and tilted implants in the All-on-four concept: a systematic review. J Indian Prosthodont Soc. 2021. link
The percentages are averages from studies and do not guarantee the outcome for any individual patient. Success depends on assessment, hygiene and regular check-ups.
dr. Zdenko Trampuš
Pioneer of implantology · founder

All-on-4 is not magic, and it is not the solution for everyone, but for a great many patients without teeth it is a reliable route back to fixed teeth. We always make the decision after an examination.

Common questions

All-on-4, frequently asked questions.

Do I really get teeth the same day?

In suitable patients we fit a temporary fixed bridge as a rule within 24 hours. The condition is sufficient initial stability of the implants, which is assessed during the procedure. The final restoration is made once healing is complete.

Do I need bone grafting?

Often not. The tilted back implants make use of the bone you already have, so extensive augmentation is avoided in many cases. Where bone loss is pronounced, we consider Zygoma or pterygoid implants.

How long does All-on-4 last?

Published studies follow cases for more than ten years, with high survival rates. In practice, longevity depends on hygiene, check-ups and habits such as smoking.

How much does it cost?

The price depends on the number of implants, the materials and the extent of the work, so we set it after an examination. The first examination and assessment are free.

Are you a candidate for All-on-4?

Find out at a free consultation. We look at your situation and tell you honestly what your options are.