Written By
Dr. Ali İlker Baştan
Oral and Maxillofacial Surgeon
All-on-6 is a full-arch implant treatment designed for patients who have lost all or most of their teeth in one jaw. Rather than replacing each tooth individually, six implants are carefully placed into the upper or lower jaw to securely hold a permanent, fixed bridge.
The placement isn't random. These six implants are positioned based entirely on your unique bone structure and bite force. Once they heal and become fully stable in the jawbone, they support a custom set of teeth that restores your ability to chew naturally, speak clearly, and maintain your facial proportions.
However, we don't automatically recommend All-on-6 as a "one-size-fits-all" solution. Every mouth is different. Dr. Ali İlker Baştan always takes the time to evaluate your 3D CBCT scan, bone density, and overall medical history first. Based on that detailed assessment, he will guide you toward the most predictable and reliable option for your smile—whether that turns out to be All-on-4, All-on-6, or traditional single implants.
At Dera Dental, All-on-6 treatment is personally evaluated and planned by Dr. Ali İlker Baştan (DDS, MSc, PhD), an oral and maxillofacial surgeon with approximately 25 years of clinical experience in complex implant dentistry.
Dr. Baştan oversees your entire treatment journey, from the initial surgical stage through to the fitting of your final prosthesis. This continuity of care is crucial for full-arch rehabilitation, as it ensures that implant positioning, bite balance and the design of your new teeth are planned together from the beginning.
We do not believe in a one-size-fits-all approach. Rather than routinely recommending the same number of implants or the same prosthetic material to every patient, we carefully evaluate the available bone volume and density, the ideal distribution of implants across the jaw, gum and periodontal health, bite forces, any history of teeth grinding or clenching, the condition of the opposing teeth, general health and medical history, and the patient’s long-term cleaning and maintenance requirements.
Usually two visits: approximately 5 days for the surgical stage and 7 days for the final prosthetic stage. The timeline may vary according to the individual treatment plan.
All-on-6 treatment starts from €6,700 per arch. The final price depends on the implant system, prosthetic material and whether additional procedures such as bone grafting or sinus lifting are required.
We provide a lifetime warranty for the implant body and a 5-year warranty for the final prosthesis, subject to the conditions stated in our Guarantee Policy. Trauma, accidental damage, poor oral hygiene and failure to follow the recommended maintenance programme may fall outside the warranty terms.
All-On-6 Per Jaw
All-On-6 Per Jaw
All-On-6 Per Jaw
Dera Dental is a boutique clinic rather than a high-volume dental tourism centre. Every single full-arch implant case is personally planned and followed by Dr. Ali İlker Baştan (DDS, MSc, PhD).
Our treatment philosophy is based on preserving your maintainable natural teeth whenever possible. We select the number of implants according to your true clinical needs, rather than applying the same generic package to everyone. If an All-on-4 solution is sufficient for your jaw, we do not automatically recommend All-on-6. Similarly, if six implants wouldn't provide the required support due to bone loss, heavy bite forces, or anatomical limitations, Dr. Baştan will recommend the necessary additional surgical or prosthetic measures to ensure long-term success.
The position of your implants and the design of your final prosthesis are always planned together. We pay particular attention to implant distribution, soft-tissue support, facial aesthetics, speech, bite balance, and how easily you will be able to clean beneath the restoration.
This highly individualized approach is especially important if you are dealing with severe bone loss, previous implant complications, bruxism (teeth grinding), periodontal disease, or complex bite relationships.
All-on-6 may be considered if you are completely edentulous (missing all teeth in one jaw) or if your remaining teeth cannot be predictably saved, provided you have sufficient bone volume to support six appropriately distributed implants.
Compared to an All-on-4 design, two additional implants can provide broader support and distribute functional forces across more implant sites. However, All-on-6 is not automatically superior for everyone. Placing more implants is only beneficial when the available bone, implant positions, and final prosthetic design allow those implants to contribute effectively.
Before deciding between All-on-4 and All-on-6, Dr. Ali İlker Baştan (DDS, MSc, PhD) carefully evaluates your 3D CBCT scan to assess bone volume and density. He considers your jaw size, any anatomical limitations, and how the implants can be optimally distributed. Your bite forces, any history of teeth grinding (bruxism), the condition of your opposing teeth, and the potential need for bone grafting or sinus lifting are all critical factors. He also plans ahead for the final prosthetic design and how easily you will be able to maintain your oral hygiene.
Ultimately, in some cases, a carefully planned All-on-4 restoration may be far more appropriate and successful than forcing six implants into unfavorable positions just for the sake of numbers.
All-on-6 may be suitable for patients who have lost all or most of their teeth in one arch, or whose remaining teeth have a poor long-term prognosis. Candidates must have sufficient bone in appropriate implant positions or be suitable for any additional bone procedures required.
General health, medication use, smoking, periodontal condition, oral hygiene and the ability to attend regular maintenance appointments must also be considered. Suitability cannot be determined from photographs alone; clinical examination and CBCT evaluation are required.
Patients taking anticoagulant or antiplatelet medication require an individual medical and surgical risk assessment. These medications must not be stopped, reduced or changed without consultation with the prescribing physician or cardiologist.
Before All-on-6 surgery, Dr. Baştan evaluates the type of medication, the reason it was prescribed, the extent of the planned surgery and any relevant laboratory findings. When necessary, the treatment protocol is coordinated with the patient’s physician.
The decision is not based on a single universal INR threshold. It depends on the medication, the patient’s medical condition and the complexity of the planned procedure..
Dental implant treatment may be considered for patients with diabetes when their condition is adequately controlled. HbA1c may be requested as part of the preoperative assessment because poor glycaemic control can be associated with delayed healing, infection, peri-implant inflammation and less predictable osseointegration.
There is no single HbA1c value that determines suitability in every patient. Dr. Baştan evaluates the patient’s current glycaemic control, medical history, medication, healing capacity and the extent of the planned surgery. Elective treatment may be postponed if diabetes is poorly controlled, and medical consultation may be requested.
According to the American Dental Association (ADA), dental implant treatment is generally considered safe and predictable in patients with well-controlled diabetes, while poorly controlled diabetes may result in delayed healing and a less predictable outcome.
All-on-6 treatment is usually completed over two visits to Istanbul. The first visit generally requires approximately 5 days for examination, surgery, temporary prosthetic procedures and postoperative checks.
After a healing period that commonly lasts approximately 3–6 months, the patient returns for the final prosthetic stage. We generally recommend approximately 7 days for impressions or scanning, try-ins, bite adjustments and final fitting.
Additional visits or a longer stay may be required if extensive bone reconstruction, sinus surgery, staged implant placement or other complex procedures are necessary.
Some patients can receive six implants without major additional surgery, while others may require extractions, bone grafting, ridge correction, sinus lifting or periodontal treatment. The need for these procedures is determined after CBCT evaluation and clinical examination.
Additional surgery is not recommended routinely. It is performed only when required to obtain appropriate implant positioning, stability, hygiene access or long-term prosthetic support.
Upper Jaw (Maxilla)
In the upper jaw, the available bone may be limited by sinus expansion and bone resorption following tooth loss. Depending on the planned implant positions, Dr. Baştan may use appropriately angled implants, perform a sinus lift or recommend another implant configuration.
Angled implants do not automatically eliminate the need for sinus augmentation. The decision depends on the available bone, implant length, prosthetic design and anatomical safety margins.
Lower Jaw (Mandible)
In the lower jaw, implant planning must consider the inferior alveolar nerve canal and the mental foramina. Implant positions and angulations are selected using CBCT imaging to obtain suitable support while maintaining appropriate safety distances from these anatomical structures.
Bone grafting or ridge augmentation may be required if the jaw is too narrow or has irregular bone loss. In severe cases, a staged approach may be safer than placing all implants during one procedure.
All-on-6 uses six implants to support one fixed full-arch prosthesis replacing all teeth in the upper or lower jaw. Conventional implant treatment may instead use individual implants and separate crowns or bridges to replace one or several missing teeth.
In an All-on-6 restoration, multi-unit abutments may be used to correct implant angulation and provide a common connection for a screw-retained full-arch prosthesis. A temporary fixed prosthesis may be attached after surgery when sufficient primary implant stability and suitable clinical conditions are present.
All-on-6 is intended for full-arch rehabilitation and is not appropriate for patients who only need one or a few teeth replaced.
The procedure is performed under an anaesthesia protocol selected according to the patient and the extent of surgery, so pain should not be felt during the operation. Pressure or vibration may still be perceived.
Swelling, bruising, tenderness and temporary discomfort are normal after full-arch implant surgery, particularly when extractions or bone procedures are performed at the same time. Medication, cold application and postoperative instructions are provided to help manage these symptoms.
Recovery varies from patient to patient. We do not describe All-on-6 as completely painless, but postoperative discomfort can generally be managed with the prescribed care protocol.
Implant care should be done the same way as natural dental care. Brushing the teeth daily, flossing, and especially using an oral irrigator to remove food that may pile up under the prosthetic structure should not be neglected. Together with this, professional, periodic checkups are rather important. During a checkup, the prosthetic structure is removed if necessary. The prosthesis and the area around the implant are cleaned, and the prosthetic structure is fixed to the implants again. The patient cannot perform this procedure. As a result, professional monitoring and care are required.
All-on-6 prostheses are generally fixed to the implants with prosthetic screws and cannot be removed by the patient. They can be removed by a dentist when professional maintenance, repair or clinical examination is required.
Dental implants are designed to function for many years, but no implant or prosthesis can be guaranteed to last forever. Longevity depends on bone and gum health, oral hygiene, smoking, general health, bite forces, bruxism and regular professional maintenance.
The implant components and the prosthetic restoration do not necessarily have the same lifespan. Even when the implants remain healthy, the fixed prosthesis may require maintenance, repair or replacement because of wear, fracture, aesthetic changes or alterations in the bite.
Regular examinations allow potential problems to be identified before they become more difficult to manage.
As with any implant surgery, All-on-6 involves potential risks and limitations. These may include:
If one implant fails, the prosthetic plan may need to be modified. Whether the existing prosthesis can be adapted or must be remade depends on the implant position, timing of the complication and design of the restoration.
Dr. Baştan discusses the risks relevant to the individual patient after reviewing the CBCT scan, medical history and proposed surgical plan
When clinically appropriate, All-on-6 may offer:
The actual benefits depend on the patient’s anatomy, implant stability, prosthetic design and maintenance. All-on-6 should not be considered automatically superior to every other full-arch option.
Initial swelling and tenderness are usually most noticeable during the first few days after surgery. Soft-tissue healing generally progresses during the following one to two weeks, although recovery varies according to the number of extractions, bone procedures, general health and individual healing response.
Patients are advised to use cold packs as instructed during the early postoperative period, take prescribed medication correctly and follow a soft-diet protocol. Hard or excessively hot foods should be avoided during the initial healing stage.
Osseointegration takes longer than surface wound healing. The implants commonly require approximately 3–6 months to integrate before the final prosthesis is completed. Dr. Baştan confirms the appropriate timing based on the surgical findings and clinical follow-up.
Oral and Maxillofacial Surgeon
Patients who currently use or have previously used bisphosphonates, denosumab or other bone-modifying medications must inform the clinic before treatment planning.
The risk assessment depends on the specific medication, whether it was taken orally or intravenously, the reason for treatment, duration of use, dosage, previous jaw surgery and the patient’s other medical risk factors.
These medications can be associated with medication-related osteonecrosis of the jaw following invasive dental procedures. Suitability for implant surgery therefore requires individual evaluation and, when necessary, consultation with the patient’s prescribing physician.
A single blood test, including serum CTX, should not be presented as sufficient on its own to determine whether implant surgery is safe.
Smoking is associated with impaired healing and an increased risk of early implant failure, peri-implant disease and complications following bone augmentation. The risk may be greater in heavy smokers and in patients undergoing treatment in the upper jaw.
Patients should inform Dr. Baştan about cigarette, vaping and other nicotine use before treatment. Smoking cessation or substantial reduction may be recommended before and after surgery to support healing and improve the long-term prognosis.
A 2024 systematic review and meta-analysis indexed in PubMed found that smoking was significantly associated with an increased risk of early dental implant failure, particularly in the upper jaw.
Alcohol consumption should be discussed during the medical assessment. Patients are generally advised to avoid alcohol during the early postoperative period because it may interfere with prescribed medication, increase bleeding risk in some circumstances and negatively affect recovery. Individual instructions are provided according to the surgical procedure and the patient’s medical condition.