Types of Full Arch Implants
Full arch implants is a general term to describe replacing an entire arch of teeth. You may hear the term All-on-4 used to describe this approach, however this is just one method that describes a specific full arch technique that relies on four implants to anchor the restoration. The broader term All-on-X simply means that the arch is supported by four, five, six, or more implants depending on your unique anatomy and treatment plan. Both are forms of full arch dental implants, and your Smart Arches doctor would recommend the number of implants best suited to your needs. Older implant treatments required more implants (6, 8 or sometimes more) per jaw for stability. The number of implants you may need to support an upper or lower arch will depend on your specific situation.
Another type of full arch implant is an implant-supported denture. Compared to traditional dentures which sit on top of gums, implant-supported dentures are anchored with a few implants surgically placed in the jawbone. Depending on the type you choose, these dentures can either be removable or fixed, which stay in place permanently and are cared for just like natural teeth.
How Do I Know How Many Implants I Would Need?
All-on-4® and All-on-X/All-on-6 dental implants differ primarily in the number and placement of implants used to support full-arch prosthetics. The All-on-4 procedure uses four strategically angled implants per arch, while All-on-6 employs six straight, parallel implants with two additional supports placed closer to the back of the jaw.
The additional implants in All-on-6 can provide enhanced stability and strength, which can benefit patients with very long dental arches where four implants alone might lead to fracture and breakage of the final prosthesis. The extra implants help minimize the “cantilever effect” that can cause prosthesis issues, whereas All-on-4 achieves this through slightly tilted outer implants to reduce stress on the restoration.
However, All-on-6 typically requires more existing bone for proper placement and has a higher likelihood of requiring bone grafting procedures, especially since the additional implants are positioned in the back areas of the mouth where bone is generally more limited. This increased complexity makes All-on-6 typically more expensive, due to the additional implants and their prosthetic components.
From a maintenance perspective, All-on-6 can present more cleaning challenges since there are additional implant posts that require careful hygiene care between them.
Takeaway: we would discuss which approach works best for you. Ultimately, the choice between these approaches depends on a number of factors, including a patient’s jawbone condition, oral health status, the length of their dental arch, budget considerations, and their ability to maintain proper oral hygiene around the implant sites.