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All-on-6® is a full-arch dental solution designed to replace an entire upper or lower set of teeth using six dental implants as the foundation. Unlike removable dentures that rest on the gums, the All-on-6® prosthesis is anchored to implants surgically placed in the jaw. This creates a stable, fixed arch that behaves more like natural teeth—allowing patients to bite, chew, and speak with greater confidence and comfort.
The approach prioritizes structural support and distribution of chewing forces across multiple implants. With six points of retention, the prosthesis achieves increased stability and a broader base of support compared with fewer-implant designs. That extra support can be particularly beneficial for patients who place a premium on function and longevity, or for those whose jaw anatomy makes additional implant anchorage advantageous.
All-on-6® is often presented as a long-term solution rather than a temporary fix. While individual treatment plans vary, the implant-supported arch is intended to provide reliable everyday function and an improved sense of oral security. For patients in Bellerose and surrounding communities, the technique is an option when a fixed, low-maintenance replacement is the preferred path over traditional removable prosthetics.
The most obvious distinction between All-on-6® and conventional dentures is permanence: a denture is removable and relies on gum tissue and adhesives for retention, while an All-on-6® arch is fixed to implants. This difference affects daily life—fixed implant bridges eliminate the need for adhesives and the associated concerns about slippage, sore spots, or changes in speech that can come with conventional dentures.
Compared with other implant-supported protocols like All-on-4®, the All-on-6® approach uses two additional implants to expand the load-bearing network. Those extra implants can help distribute forces more evenly across the jaw and may reduce stress on individual fixtures. Depending on bone volume and patient-specific biomechanics, this can translate to improved stability and potentially fewer long-term complications.
Another practical benefit is maintenance: cleaning an implant-supported prosthesis typically mirrors normal oral hygiene—brushing, flossing, and routine professional checkups—rather than the nightly removal and soak cycles required by many dentures. While hygiene requirements remain important to guard against gum disease and peri-implant issues, the care routine is straightforward and integrates well into most patients’ daily habits.
Treatment begins with a comprehensive evaluation that includes a clinical exam, digital imaging, and a review of medical and dental history. These diagnostic steps help the clinician understand jawbone quality, gum health, and any anatomical considerations that influence implant placement. From there, a customized treatment plan maps out the implant positions, the timing of temporary prostheses, and steps required to reach a final restoration.
In many cases, patients can receive a provisional set of teeth on the same day as implant placement. This immediate provisionalization restores aesthetics and basic function while the implants integrate with the jawbone—a biological process called osseointegration that typically takes several months. Once integration is complete and healing has stabilized, the temporary arch is replaced with a definitive prosthesis designed for long-term wear.
Throughout the process, the clinical team coordinates surgical and restorative phases to ensure accuracy and patient comfort. Use of digital planning tools and precise surgical guides can improve implant positioning and predictability. Additionally, careful follow-up appointments monitor healing, prosthetic fit, and oral health to support favorable outcomes and timely transitions between provisional and permanent appliances.
Good candidates are patients who need full-arch tooth replacement and seek a fixed, implant-supported solution rather than removable dentures. Adequate jawbone volume and healthy gum tissue are important, although the All-on-6® technique can often be adapted for a range of anatomical situations. A thorough clinical assessment will determine whether the bone can support six implants or if adjunctive procedures are necessary.
Medical factors such as uncontrolled systemic conditions, smoking habits, or medications that affect bone metabolism can influence candidacy and healing. These considerations are discussed openly during consultation so the care team can recommend strategies to optimize success, such as smoking cessation or coordination with a patient’s physician when systemic health issues are present.
Patients should also consider lifestyle and functional goals. Those who prioritize strong chewing ability, minimal prosthesis movement, and a fixed restoration for day-to-day life are often well aligned with the advantages of All-on-6®. The final decision is collaborative: the dentist explains the benefits and limitations, and the patient selects the path that best supports their oral health and quality-of-life objectives.
An implant-supported arch requires ongoing care to maintain oral health and implant longevity. Regular professional visits allow the dental team to evaluate soft tissues, check implant stability, and manage any issues early. At home, consistent cleaning practices—brushing, interdental cleaning around the implant fixtures, and attention to the interface between the prosthesis and gums—help reduce the risk of inflammation and preserve surrounding tissues.
Prosthetic materials and design choices also influence long-term outcomes. Well-fitted frameworks, proper occlusion (bite) adjustments, and high-quality restorative materials contribute to durability and patient satisfaction. Over time, minor adjustments or relines may be needed to ensure continued comfort and function as the oral environment changes with aging and normal wear.
It is important to set realistic expectations: while All-on-6® provides a stable, fixed replacement, implants require biological integration and conscientious care. With proper maintenance and routine dental oversight, many patients experience excellent function and a meaningful improvement in day-to-day life. The skilled teams at local practices, including the office of David M. Goldberg, DDS, work with patients to support successful, long-lasting rehabilitations.
In summary, All-on-6® offers a fixed, implant-based approach to full-arch tooth replacement that emphasizes stability, function, and a simplified care routine compared with removable dentures. If you are exploring comprehensive options for restoring a full upper or lower arch, contact us to learn more about how this technique may fit your needs and to schedule a consultation with the team at the office of David M. Goldberg, DDS.
All-on-6® is a full-arch tooth replacement method that secures a complete prosthetic arch on six dental implants placed in the jaw. The implants act as stable anchors that support a fixed bridge, allowing the prosthesis to function much more like natural teeth than removable dentures. This fixed approach improves chewing, speech and day-to-day comfort because the arch is retained by multiple implant points rather than relying on adhesives or suction.
The procedure depends on careful planning and precise implant placement so chewing forces are distributed across the jaw. After surgical placement, implants undergo osseointegration, a biological process in which bone bonds to the implant surface to create long-term stability. Once healing is confirmed, the provisional arch is replaced by a final prosthesis that is designed for routine use and longevity.
All-on-6® differs from traditional removable dentures because it is a fixed restoration anchored directly to dental implants, eliminating the need for adhesives and reducing the risk of slippage or sore spots. Compared with dentures, implant-supported arches provide improved bite force and a more natural feel for eating and speaking. Maintenance for an implant-supported arch more closely resembles routine oral hygiene than the nightly removal and soaking associated with many denture systems.
Compared with All-on-4®, All-on-6® uses two additional implants to expand the load-bearing network and increase the base of support. Those extra implants can distribute occlusal forces more evenly and may be advantageous when jaw anatomy or biomechanical considerations call for additional anchorage. The optimal protocol depends on individual bone volume, implant angulation and the functional goals established during treatment planning.
Good candidates for All-on-6® are patients who need full-arch tooth replacement and prefer a fixed, implant-supported solution rather than removable dentures. Adequate jawbone volume and healthy gum tissue are important factors, although bone augmentation or other preparatory procedures can sometimes make the technique feasible for more patients. Systemic health issues, tobacco use and certain medications that affect bone healing are evaluated during the consultation because they can influence candidacy and the healing timeline.
A thorough diagnostic workup, including clinical examination and digital imaging, determines whether six implants are appropriate or if an alternative strategy is preferred. The care team will review medical history, current oral health and functional goals to develop a personalized treatment plan. When necessary, specialists such as periodontists or oral surgeons collaborate to optimize conditions for predictable implant integration.
Treatment begins with a comprehensive assessment that typically includes a medical and dental history review, intraoral exam and digital imaging such as cone beam CT scans to evaluate bone structure. The clinician uses these diagnostics to create a surgical plan and, when appropriate, a surgical guide to position implants precisely. Planning also outlines whether immediate provisionalization is possible and what preparatory steps, such as extractions or grafting, might be required.
On the day of surgery the team places the six implants and, in many cases, fits a provisional prosthesis to restore aesthetics and basic function while osseointegration occurs. The integration phase generally requires several months of healing, during which the implants bond to the bone and the tissues mature. After healing, the provisional is exchanged for a definitive prosthesis that is adjusted for occlusion, fit and long-term function, with follow-up visits scheduled to monitor outcomes.
Many patients receive an immediate provisional arch on the same day as implant placement, which restores appearance and provides basic chewing ability during healing. Immediate provisionalization depends on factors such as primary implant stability, bone quality and the overall treatment plan determined during preoperative evaluation. When immediate provisionals are not advisable, a temporary removable solution or a staged approach may be used until implants achieve sufficient stability.
A same-day provisional is intended for short-term use while osseointegration progresses and is not the final restoration. Patients should expect follow-up appointments to monitor healing and make adjustments to the provisional as needed. Once integration is complete, the clinician will deliver a final prosthesis designed for long-term function and comfort.
Surgical implant placement is typically performed using local anesthesia combined with conscious sedation options when needed to promote comfort and reduce anxiety. The specific anesthesia approach is tailored to the patient’s medical history, the extent of the procedure and personal comfort preferences discussed during the consultation. Careful intraoperative monitoring and experienced clinical support help ensure a safe and controlled treatment environment.
After surgery, short-term discomfort and swelling are common and are managed with recommended medications, cold packs and temporary diet modifications. The team provides postoperative instructions that cover oral hygiene, activity restrictions and signs that warrant prompt clinical attention. Routine follow-up visits allow the clinician to assess healing, address concerns and adjust pain management if necessary.
Daily home care is crucial to maintain tissue health around implants and preserve the prosthesis. Patients should follow a regimen of twice-daily brushing, interdental cleaning around implant abutments and careful attention to the interface between the prosthesis and the gums to prevent plaque buildup. Using recommended tools, such as interdental brushes or water flossers, helps clean hard-to-reach areas and supports long-term peri-implant health.
Professional maintenance is equally important and includes regular hygiene appointments, periodic clinical evaluations and occlusal checks to monitor wear and fit. Over time, minor adjustments, component tightening or relines may be required to sustain comfort and function. Consistent follow-up allows early detection of issues such as inflammation or mechanical wear so they can be managed before more significant problems develop.
As with any surgical procedure, All-on-6® carries risks that include infection, delayed healing and, in rare cases, implant failure. Nerve injury or sinus complications are potential concerns depending on implant location, but careful imaging and surgical planning reduce these risks. Peri-implantitis, a bacterial inflammatory condition around implants, can occur if oral hygiene and maintenance are inadequate.
Prosthetic complications such as screw loosening, wear of restorative materials or the need for occlusal adjustments can also arise over time. Many complications are preventable or manageable with proper planning, meticulous surgical technique and a structured maintenance program. Early recognition and timely intervention by the clinical team are key to preserving implants and the supporting tissues.
The longevity of an All-on-6® solution depends on factors such as bone quality, prosthetic materials, patient hygiene and regular professional care. Dental implants themselves can remain stable for decades when properly placed and maintained, while the prosthetic teeth may require periodic maintenance, component replacement or refinishing due to normal wear. Lifestyle factors, systemic health and adherence to hygiene routines influence long-term outcomes.
Routine maintenance includes scheduled hygiene visits, clinical examinations of soft tissues and implant stability checks, and occasional adjustments to bite or prosthetic components. Timely management of minor issues helps prevent progression to more serious complications and extends the service life of the restoration. Working closely with the dental team ensures the prosthesis continues to function comfortably and predictably over time.
To begin, call (718) 347-6262 or visit the practice at 247-06 Union Turnpike, Bellerose, NY 11426 to schedule a consultation and diagnostic appointment. During the visit the team will review your medical and dental history, perform a clinical exam and obtain digital imaging to evaluate bone structure and soft tissues. This initial assessment forms the basis of a personalized treatment plan that outlines the recommended steps and clinical timeline.
The consultation is an opportunity to discuss expectations, ask questions about surgical and restorative phases, and coordinate any necessary specialist involvement. The clinicians will explain the diagnostic findings, describe potential preparatory procedures if needed, and outline follow-up care so you understand what to expect at each stage of treatment. If you decide to proceed, the team will schedule the necessary appointments and provide preoperative instructions to prepare for surgery.
