All-on-6 explained: fixed teeth on six implants

For people who have lost most or all of their teeth, or whose remaining teeth are failing, a full arch of fixed teeth on implants can be a life-changing alternative to dentures. All-on-6 is one of the established ways to do it.

The idea in one sentence

Six implants are placed along the jaw, and a single fixed bridge carrying a full set of teeth is attached to them.

Why not one implant per tooth?

Replacing every tooth with its own implant would mean many more implants, more surgery and higher cost, often with no real benefit. A full-arch bridge spreads the load across a carefully chosen number of implants. The implants are positioned where the bone is best and where they best support the arch.

How it compares with a denture

A conventional denture rests on the gums. It can move when you eat or speak, may need adhesive, and is taken out to clean. Over time, the bone under a denture tends to shrink, which can make the fit worse.

An All-on-6 arch is fixed to the implants. It does not move, it is not removed at night, and it is cleaned in the mouth. Many people describe the difference as feeling like they have their own teeth again, though everyone’s experience is individual.

All-on-6 or All-on-4?

All-on-4 uses four implants instead of six. Both follow the same principle. The choice depends on the bone, the shape of the jaw, the bite and the design of the arch. It is a clinical decision made for each patient after imaging, not a question of one concept being better than the other. You can read more on the All-on-6 and full-arch page.

Who it may suit

• People with most or all teeth missing in one jaw.
• People whose remaining teeth are failing and cannot be predictably saved.
• Denture wearers who want something fixed.

Suitability depends on bone, gum health and general health, and is confirmed after examination and imaging.

What the treatment involves

Treatment starts with a consultation, imaging and careful planning of both the implants and the new arch. On the day of surgery, any remaining teeth that cannot be kept are removed and the implants placed under local anaesthesia. When the implants are stable enough, a temporary fixed arch may be fitted soon afterwards. After a healing period of some months, the final arch is made, fitted and adjusted.

Living with a fixed arch

A fixed arch needs daily cleaning around and under it, using tools you are shown when it is fitted, and regular professional reviews. Over the years, parts can wear or chip and may need maintenance. Looked after properly, it is designed to serve for many years.

The practice’s work

The case library includes All-on-6 restorations from the practice, photographed in the clinic, including a full-arch case sequence. Clinical outcomes vary between patients, and these are examples, not promises.

If you are considering a full arch, a consultation is the place to start.