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20 surgical operatories25+ super-specialists4.8 Trustpilot verified reviews17 speciality departmentsStraumann, Nobel Biocare, OsstemLifetime WarrantyAAID, AACD, BACD, ISO 9001:201524/7 care coordinationAirport transfer, hotel, visa guidance
Stunning Dentistry

All-on-6 Dental ImplantsSix-Implant Full-Arch Reconstruction for Maximum Load Distribution

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From the Doctor's Desk ,Stunning Dentistry

Overview

All-on-6 exists at the intersection of two clinical realities: four implants are structurally sufficient for many full-arch cases, and structurally insufficient for others. When a patient presents with a larger arch, a heavy masticatory force profile, or a bone geometry that produces an excessive A-P spread cantilever on four implants, adding two additional anchorage points resolves the mechanical problem without grafting, staging time, or a fundamentally different surgical approach. All-on-6 is not All-on-4 with extras, it is the correct protocol for a different patient population.

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Why Choose Stunning Dentistry for All-on-6

The cost reality. All-on-6 at Stunning Dentistry costs substantially less than the same six-implant protocol in the New Zealand private market, enough that the total including return flights and accommodation typically remains well below the local treatment fee alone. The implant systems are identical; the difference is the cost structure, not the standard of care. The exact figure depends on your case and is confirmed in a written, itemised quote after diagnosis. For the New Zealand-versus-Stunning comparison, financing options, and a personalized quote, see Cost & Finance.

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What Is All-on-6?

All-on-6 is a full-arch implant reconstruction protocol placing six endosseous implants to support a complete fixed dental prosthesis. Implant placement varies by anatomy: typically four anterior and premolar fixtures with two posterior, or three on each side of the arch. The six-implant configuration eliminates or substantially reduces the distal cantilever present in four-implant designs, distributing occlusal load across a wider anchorage base.

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Why Six Implants?

The functional case for six implants over four is mechanical. In All-on-4, the prosthesis necessarily extends distally beyond the last implant, creating a cantilever that transmits torque to the abutment-implant interface. This is manageable in moderate bone with moderate bite forces. In patients with strong masseter and temporalis activity, the cantilever torque accumulates over time into accelerated marginal bone loss and prosthetic screw loosening.

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Long-Term Survival Data

Marginal bone loss in six-implant configurations averages 0.9 mm at 5 years vs 1.1 mm for four implants in matched patient populations. In patients with heavy bite forces, the difference is larger and clinically significant over a 10-year horizon.

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Digital imaging and CBCT planning

Who Is a Candidate?

All-on-6 candidacy overlaps substantially with All-on-4 candidacy, with specific additional indications. You are likely an All-on-6 candidate rather than All-on-4 when your arch width exceeds the standard for four-implant optimal positioning, your bite force profile indicates heavy masticatory load, your bone supports posterior implant placement, or you require first-molar occlusal contact that cannot be achieved without excessive cantilever on All-on-4.

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Immediate Loading

Immediate loading with six implants provides superior provisional stability compared with four, the additional anchor points increase the rigidity of the prosthesis-implant assembly and reduce micro-motion during the critical first 8 weeks of osseointegration. In softer bone (Type III–IV, Lekholm & Zarb classification), six implants may be the threshold for safe immediate loading where four would require staging.

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Benefits

All-on-6 delivers the same-day fixed prosthesis, graftless protocol, and 4–6 month definitive timeline as All-on-4, with reduced cantilever stress, improved first-molar position support, and a redundancy buffer if a single implant requires review. The mechanical advantages translate into lower long-term prosthetic maintenance costs and lower marginal bone loss accumulation in high-load patients.

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Recovery Timeline

PhaseTimeframeWhat HappensYour Responsibility
Surgical DayDay 0Six implants placed, provisional fixedAccompanied transport, no driving
Acute HealingDays 1–7Swelling peaks Day 2–3Ice, liquid to soft diet, prescribed rinse
Early IntegrationWeeks 2–10Osseointegration across six implantsSoft diet, interdental brush daily at all six sites
Provisional ReviewWeek 10ISQ measured at all six implants, occlusion checkedAttend review, report mobility or pain
Definitive ImpressionsMonths 3–4Digital or conventional impressions for definitive prosthesisAttend all impression and try-in appointments
Definitive FitMonths 4–6Monolithic zirconia or hybrid prosthesis fittedAttend fit, follow occlusal protocol
12-Month ReviewMonth 12Periapical X-rays at all six sites, bone levels measuredAttend review, maintain cleaning protocol

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Recovery Timeline

Complications

All-on-6 biological complications mirror All-on-4: peri-implantitis (5-year incidence ~7–11%), implant fracture (<0.5%), and sinus proximity in posterior maxillary cases. The six-implant configuration reduces mechanical complications: prosthetic screw loosening is less frequent because per-implant load is lower, and cantilever-related bone loss is reduced. However, six implant sites require consistent maintenance, hygiene compliance is correspondingly more important.

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What This Costs

How much does All-on-6 cost?

The final cost of an All-on-6 arch is determined by your case, so it is confirmed in a written, itemised quote after diagnosis rather than priced from a web page. At Stunning Dentistry the all-inclusive fee sits well below the New Zealand private-market fee for the same six-implant protocol.

The cost of an All-on-6 reconstruction is driven by the variables that define your case: the implant system selected (from Osstem TSIII through to Straumann SLActive), the prosthesis material (a PMMA hybrid through to monolithic 5Y-TZP zirconia), whether one arch or both are treated, the sedation pathway, and the number and complexity of any remaining extractions. None of that can be priced accurately before imaging, and a figure quoted before your CBCT is an estimate, not a treatment plan.

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Step-by-Step

Day 1, CBCT and Six-Implant Planning: Cone-beam CT acquired and analysed. Six implant positions are planned against arch anatomy in coDiagnostiX or Nobel Clinician software, maximising A-P spread and minimising cantilever. The surgical guide is fabricated from this plan.

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The treatment procedure

Aftercare

All-on-6 aftercare requires access-based cleaning at six implant-abutment interfaces. The prosthesis is fixed and non-removable by the patient, daily maintenance uses interdental brushes (1.0–1.5 mm) and water flosser at each site, plus a soft electric toothbrush on prosthetic surfaces.

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Aftercare Responsibility Split

TaskFrequencyWhoHow
Daily brushing (all prosthetic surfaces)Twice dailyPatientSoft electric toothbrush
Interdental brush at each abutmentDailyPatient1.0–1.5 mm at each of 6 sites
Water flosser irrigationDailyPatientMedium pressure, all six gingival margins
Professional ultrasonic scalingEvery 6 monthsHome dentistSubgingival access at all six abutments
Periapical X-rays (six sites)AnnuallyHome dentistSix periapical films
Screw torque checkAnnuallyHome dentist or Stunning Dentistry15–25 Ncm per abutment
Prosthesis removal and deep cleanEvery 3–5 yearsStunning Dentistry or prosthodontistFull removal, clean, reinsertion

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Myths vs Reality

"Six implants means more risk than four."

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Myths vs Reality

People Also Ask

How much does All-on-6 cost?

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Ask Your Doctor

1. What is my planned cantilever length on All-on-4, and does it exceed the threshold indicating All-on-6?

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For New Zealand Patients

All-on-6 in the New Zealand private market carries a substantial per-arch fee, reflecting prosthodontist specialist rates, New Zealand city overheads, and laboratory fees for zirconia fabrication. Regional insurance does not cover implant-based prosthetics. Wait times for specialist consultation run 3–6 months in Auckland and Wellington, longer in smaller cities and rural provinces. The New Zealand-versus-Stunning cost comparison is set out in full on Cost & Finance.

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Decision Framework

QuestionIf YesIf No
Is the New Zealand fee within your budget without financial strain?Consider New Zealand clinicEvaluate Stunning Dentistry
Does your CBCT confirm six-implant bone availability without grafting?All-on-6 graftless indicatedDiscuss grafting or alternative
Is your bite force profile heavy (bruxism, large masseter, broken restorations)?All-on-6 is the correct choiceAll-on-4 may be sufficient
Do you require molar-position occlusal contacts?All-on-6 indicatedAll-on-4 may be adequate
Are you prepared for two trips (10–14 days + 5–7 days)?ProceedDiscuss consolidated trip protocol

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Decision Framework

Pre-Travel Checklist

ItemStatus
CBCT scan from New Zealand dental clinic (if available) sent in advance
Full medical history form completed and submitted
Medications list including bisphosphonates, blood thinners, diabetes medications
Bite force history discussed (bruxism, broken restorations, night guard history)
New Zealand dentist briefed and willing to receive handover documentation
Return flights booked: minimum 12 days for surgical trip, 5 days for definitive
Accommodation arranged (Dental Angel can coordinate)
Travel insurance covering dental complications confirmed
Soft food provisions planned for post-surgical week
Emergency contact number for Stunning Dentistry saved

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Ready to Start?

Every case is planned by a named lead clinician and backed by a written Lifetime Warranty. Share your scans or a photo for a no-obligation clinical assessment.

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Specialist-only treatment planning

  • Remote file review before travel
  • Evidence-led treatment checkpoints

No waiting list for eligible cases

  • Remote file review before travel
  • Evidence-led treatment checkpoints

Trip coordinated with care timeline

  • Remote file review before travel
  • Evidence-led treatment checkpoints

Our Partners

StraumannNobel BiocareOsstem3MLava EstheticCERECDigital Smile DesignPhilips ZoomDürr DentalBiolaseInvisalignStraumannNobel BiocareOsstem3MLava EstheticCERECDigital Smile DesignPhilips ZoomDürr DentalBiolaseInvisalign

Why Us

1,000+ international patients4.8 Trustpilot - verified reviews25+ super-specialistsStraumann · Nobel Biocare · OsstemAAID · AACD · AAO · BACD · ISO 9001:2015Lifetime implant warrantyAirport transfer · hotel · visa guidance20 surgical operatories24/7 CRM supportSame-day teeth protocols1,000+ international patients4.8 Trustpilot - verified reviews25+ super-specialistsStraumann · Nobel Biocare · OsstemAAID · AACD · AAO · BACD · ISO 9001:2015Lifetime implant warrantyAirport transfer · hotel · visa guidance20 surgical operatories24/7 CRM supportSame-day teeth protocols

Frequently Asked Questions

Can I qualify for All-on-6 if I've been told I need bone grafting for regular implants?

Possibly. All-on-6 is a graftless protocol in most cases. CBCT evaluation determines whether your posterior bone supports six-implant placement without augmentation. Some patients told grafting is required for conventional implants are graftless All-on-6 candidates.

What happens if one of the six implants fails after I return to New Zealand?

Single implant failure in a six-implant arch is assessed for prosthesis redistribution. The prosthesis can typically be maintained on five implants while the failed site is evaluated for re-implantation. Your New Zealand dentist receives emergency protocols in the handover documentation.

How many trips to India does All-on-6 require?

Two trips. The first trip (10–14 days) covers CBCT, surgery, provisional fitting, and initial healing review. The second trip (5–7 days) at 4–6 months covers definitive prosthesis impressions and fitting.

Is the All-on-6 prosthesis different from All-on-4?

The prosthesis design differs in abutment positioning and support geometry. All-on-6 prostheses can provide molar-position support, reducing or eliminating the distal cantilever that All-on-4 prostheses carry. ---

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