At Idea Dental in Istanbul, Turkey, All-on-6 treatment replaces a full arch of teeth with a fixed bridge supported by six dental implants. Our indicative price for All-on-6 is £3,100–£6,200 per jaw, depending on the implant brand and the prosthetic material. When the implants are stable enough, a fixed temporary bridge is fitted on the day of surgery, and the permanent bridge follows after a healing period of around 3–6 months.
Tooth loss directly affects quality of life, self-confidence and social interaction. Removable dentures were once the standard solution, but reduced chewing force, bone loss and difficulties in use have made implant-supported fixed bridges the preferred option for many patients. This guide explains how All-on-6 works, who it suits, how it compares with All-on-4 and what it costs.
What is All-on-6?
All-on-6 is a surgical procedure that uses six dental implants placed at strategic points to support a full dental arch in the upper or lower jaw. The implants are positioned to distribute chewing pressure across the jawbone. Six implants provide additional support points, but the stability of the restoration also depends on bone quality, implant distribution and bridge design. Once the implants are in place, a fixed prosthesis (bridge) is screwed onto them, giving the patient teeth that look and feel close to natural ones.
Benefits of All-on-6
- More support points: Six implants provide additional points for distributing chewing forces. The benefit depends on their positions, the available bone and the bridge design.
- Additional support points: If an implant fails, the dentist assesses whether the remaining implants can safely support the bridge. The bridge may need modification or temporary removal, and further treatment may be required.
- Fixed teeth, often on the same day: In suitable patients, a fixed temporary bridge is fitted on the day of surgery, so you do not leave the clinic without teeth.
- Natural chewing and speech: The bridge does not move like a removable denture and needs no adhesive, and an upper bridge leaves the palate uncovered.
- Protection of the jawbone: Implants transmit chewing forces to the bone, which helps limit the bone loss that follows tooth loss and supports the lips and cheeks.
- Long-term solution: With good hygiene and regular check-ups, the implants can stay in function for many years, and the bridge can be repaired or replaced when needed.
Advanced Technology Behind Our All-on-6 Dental Implant Treatment
Successful All-on-6 dental implant treatment involves careful implant positioning, adequate bone support and appropriate prosthetic planning. Our digital workflow combines 3D imaging, computer-assisted treatment planning, guided surgery and customized full-arch restorations to create a treatment plan tailored to each patient's anatomy and clinical needs.
What are the characteristics of the implants and prostheses used in the All-on-6 system?
Characteristics of the implants used in the All-on-6 system
The implants form the foundation of the system and have the following characteristics:
- Number and positioning: Six dental implants are placed in each jaw to support a full dental arch, at points that distribute chewing pressure to the bone in the most balanced manner.
- Material and biocompatibility: Implants are typically made from biocompatible titanium. Titanium is resistant to corrosion and forms a direct structural bond with bone tissue (osseointegration).
- Geometric design and surface: Implants are usually root-shaped with a threaded design. Their surfaces are micro-textured, for example sand-blasted or acid-etched, to encourage the attachment of bone cells.
- Placement angle: Posterior implants may be tilted to make use of the available bone and avoid anatomical structures such as the sinus cavities or nerve canals. The angle depends on the patient’s anatomy and the surgical and prosthetic plan.
- Stability: The mechanical retention of the implant at the time of placement (primary stability) and its biological integration during healing (secondary stability) are both critical for success.
- Implant brands: The implant options in our price guide are Osstem, Medentika and Straumann. The selected brand should be named in your written treatment plan.
Characteristics of the prostheses used in the All-on-6 system
- Types of prostheses: All-on-6 uses a fixed full-arch bridge that the patient cannot remove. A fixed hybrid bridge combines prosthetic teeth and gum-coloured material on a supporting framework. Implant-supported removable overdentures are a separate treatment option.
- Framework: Milled titanium, cobalt-chromium alloys or zirconia frameworks are used to enhance durability and passive fit.
- Superstructure: Zirconia, ceramic, porcelain or acrylic resin is chosen for aesthetics and function.
- Retention method: The prosthesis is typically screwed onto the implants (screw-retained), which allows the dentist to remove it for maintenance when necessary.
- Customised design: Prostheses are manufactured using digital scans and CAD/CAM technology to fit the patient’s facial structure, smile line and speech.
What is the difference between All-on-4 and All-on-6?
- Number of implants: All-on-4 uses four implants per jaw; All-on-6 uses six.
- Support and stability: The two additional implants provide more anchor points and help to distribute chewing forces more evenly across the jawbone.
- Bone needs and suitability: A CBCT (cone beam computed tomography) scan helps assess bone availability and anatomical structures. All-on-6 requires suitable bone at six planned sites. All-on-4 may avoid grafting in selected patients by tilting the posterior implants, but suitability depends on the available bone and the prosthetic plan.
- Cost and surgical procedure: All-on-4 uses fewer implants and components and is generally less expensive. Surgical complexity and recovery depend on implant positioning, extractions and any grafting, as well as the number of implants.
| Feature | All-on-4 | All-on-6 |
|---|---|---|
| Cost | Generally lower for comparable materials | Generally higher for comparable materials |
| Surgical complexity | Depends on anatomy and additional procedures | Depends on anatomy and additional procedures |
| Bone grafting need | May be avoided in suitable cases | Depends on bone availability at all six planned sites |
| Hygiene | Daily cleaning beneath the bridge and around four implants | Daily cleaning beneath the bridge and around six implants |
| If one implant fails | Bridge support must be reassessed; modification or further treatment may be needed | Bridge support must be reassessed; the remaining five implants may not be sufficient |
More implants do not automatically mean a higher implant survival rate. The ITI consensus on implant numbers for full-arch fixed prostheses reports no statistically significant difference in implant survival between restorations supported by fewer than five, five or more than five implants. Implant distribution, bone support and prosthetic design also guide treatment selection.
All-on-4 or All-on-6? The right choice depends on your bone volume, bite force and long-term stability needs. After reviewing your 3D scan, we recommend the safest and most comfortable option for you. Send us your X-ray for a free treatment plan.
When should you choose All-on-6?
- Sufficient bone mass and density: If your jawbone is wide and strong enough to hold six implants, you may be a good candidate for All-on-6.
- Additional support points: Six implants provide more anchor points. Their benefit depends on implant distribution, bone support and bridge design; implant number alone does not guarantee better outcomes.
- Strong chewing force: If you have very strong chewing muscles, six implants can offer greater stability.
If bone volume is limited, especially at the back of the jaw, All-on-4 may be the better option. For a wider comparison, see our guide to full mouth dental implants in Turkey.
All-on-6 procedure step by step
Preparation and digital planning
All-on-6 begins with meticulous planning. In the initial stage, the dentist assesses the patient’s general health and oral anatomy.
- 3D imaging: Using CBCT and panoramic X-rays, the density and volume of the jawbone are examined in detail.
- Strategic positioning: The implant positions are determined digitally to distribute chewing pressure evenly across the bone and to avoid critical anatomical structures such as the sinuses and nerve pathways.
- Impressions and models: Intraoral scans and working models are prepared so that the prosthesis matches the facial structure and smile line.
Surgery
On the day of the operation, local anaesthesia, sedation or, in some cases, general anaesthesia is used for the patient’s comfort.
- Tooth extractions: Any loose, infected or unsaveable teeth are extracted during the operation.
- Implant placement: Titanium implants are placed into the jawbone at the six planned points. The posterior implants may be angled to make better use of the available bone and to avoid the sinuses and nerve canals. If there is still not enough bone for six implants, bone grafting, a sinus lift or All-on-4 may be recommended instead.
- Primary stability: The success of the implants depends on how firmly they are anchored in the bone at the time of placement.
Fitting of temporary prostheses (the ‘same-day teeth’ concept)
One of the main advantages of the All-on-6 technique is that the patient does not usually leave the clinic without teeth. If the implants are placed with sufficient stability, a temporary fixed prosthesis is screwed onto them on the day of surgery. This temporary prosthesis preserves the patient’s appearance and allows them to chew soft foods.
The osseointegration period
During the 3–6 months after implant placement, a biological bond forms between the titanium implant surface and the living jawbone. This process is called osseointegration.
| Time after surgery | What happens |
|---|---|
| First days | A blood clot forms around the implants and bone-forming cells start to gather on the implant surface. Swelling and discomfort ease gradually. |
| First 2 weeks | New bone begins to grow between the implant threads. The sutures are usually removed around this time. |
| Around month 3 | Your dentist reviews healing and implant stability according to the treatment protocol. Whether the temporary bridge needs removal is decided clinically. |
| Months 3–6 | The bone matures around the implants. Once stability is confirmed, impressions are taken for the permanent bridge. |
Healing time varies with bone quality, implant stability, general health and any grafting. The upper jaw may need a longer healing period, and bone augmentation can extend treatment beyond the initial 3–6 month estimate. Your dentist confirms the timing of the final bridge after assessing healing.
Fitting of the permanent prosthesis
Once bone healing is complete:
- Precision impressions: Open- or closed-tray impression techniques, or digital scans, record the exact positions of the implants.
- Material selection: The final prosthesis is fabricated from durable and aesthetic materials such as zirconia, porcelain or metal-supported acrylic.
- Fitting: The full dental arch is screwed onto the implants. This fixed structure cannot be removed by the patient; it is cleaned with a toothbrush, interdental brushes and special floss.
All-on-6 Before and After in Istanbul, Turkey
Before & after X-rays of our patient’s dental implant journey
See more patient results in our before and after gallery.
How long do you need to stay in Turkey for All-on-6?
Most patients complete All-on-6 treatment in two trips to Istanbul, 3–6 months apart:
- First visit – surgery (usually 3–5 days): Examination, 3D CBCT scan, any extractions, placement of the six implants and, when stability allows, fitting of the fixed temporary bridge.
- Healing at home (3–6 months): The implants integrate with the bone while you follow a soft diet.
- Second visit – permanent teeth (usually 5–7 days): Impressions or digital scans, try-in, and fitting and adjustment of the permanent bridge.
The exact length of each stay depends on the number of extractions, any bone grafting and whether one or both jaws are treated. It is confirmed in your treatment plan.
Who is suitable for All-on-6?
All-on-6 is not right for every patient, but it can greatly improve quality of life for those who meet certain requirements:
- Patients who have lost all their teeth or whose remaining teeth cannot be saved (terminal dentition).
- Patients who struggle with the movement, discomfort or limited chewing ability of removable dentures.
- Patients who want to restore full chewing function and the facial support lost with their teeth.
- Patients with enough bone height and width to support six implants; this is confirmed with a CBCT scan.
- Patients who can keep the prosthesis clean and attend regular check-ups to prevent inflammation around the implants (peri-implantitis).
All-on-6 requires adequate bone at all six planned implant sites. Where bone is limited at the back of the jaw, All-on-4 may avoid grafting in selected cases. Bone augmentation may be needed where bone loss is substantial; for severe bone loss in the upper jaw, zygomatic implants may be considered.
Who may not be suitable for All-on-6?
All-on-6 may not be the best treatment for every patient because of general health, oral anatomy or lifestyle factors:
- Uncontrolled diabetes: It can impair the bonding of the implant with the bone and raise the risk of infection.
- Autoimmune diseases: Conditions or treatments that alter the immune system can limit implant success.
- Cardiovascular issues: Severe heart and vascular problems may increase surgical risk.
- Blood disorders: Clotting problems can complicate surgery.
- History of radiotherapy: Recent radiotherapy to the head or neck region may adversely affect bone healing.
- Bisphosphonates: Medicines that influence bone metabolism (especially intravenous bisphosphonates) raise the risk of osteonecrosis of the jaw.
- Insufficient bone volume: Substantial bone resorption or very poor bone quality may rule out standard All-on-6.
- Smoking: Smokers have a higher risk of implant failure because soft tissue and bone heal more slowly.
- Bruxism (teeth grinding/clenching): Heavy clenching puts additional load on the implants and can lead to prosthetic fractures or implant loss.
- Poor oral hygiene: Patients unable to follow post-treatment hygiene routines are at greater risk of infection.
What should you bear in mind after All-on-6 treatment?
Long-term success depends on care both during the post-operative recovery period and after the permanent prosthesis is fitted.
The early post-operative period and medication use
- Medication: Your dentist may prescribe medication to reduce swelling, antibiotics to lower the risk of infection and painkillers for pain management.
- Mouthwash: A chlorhexidine mouthwash may be recommended to support oral hygiene during recovery.
- Suture care: Sutures are usually removed approximately two weeks after the operation.
Diet and chewing habits
- Soft diet: During the osseointegration period (typically 3–6 months), follow a soft diet and avoid hard foods to prevent excessive strain on the implants and the temporary prosthesis.
- Bite control: Temporary prostheses may not have a metal framework, so excessive chewing forces can fracture them.
- After the permanent prosthesis: Avoid habits such as biting very hard objects to preserve the prosthesis.
Oral hygiene and home care
- Special cleaning tools: In addition to daily brushing, interdental brushes and super floss are essential to reach beneath the prosthesis and around the implants.
- Plaque control: Plaque that is not removed can lead to peri-implantitis, an inflammation of the tissues that may result in implant loss.
Regular professional check-ups
- Check-up schedule: Your dentist sets a follow-up schedule based on healing, oral hygiene and your risk of complications. Early postoperative reviews and regular professional maintenance are needed; more frequent visits may be recommended for patients with gum disease, smoking or cleaning difficulties.
- Professional cleaning: Professional examinations and plaque removal are essential for the health of the soft tissues around the implants.
- Radiographic monitoring: Periodic X-rays may be taken to monitor bone levels.
Are there any disadvantages to the All-on-6 method?
All-on-6 is an effective and durable solution for full-arch restoration, but it has specific disadvantages and limitations that you should understand before making a decision.
| Disadvantage | Description |
|---|---|
| Higher upfront cost | Six implants are used, so the initial cost is higher than for All-on-4. |
| More complex procedure | Placing additional implants in the posterior region demands advanced surgical skill. |
| Healing time | Osseointegration usually takes 3–6 months before the final prosthesis can be fitted. |
| Bone requirements | Adequate bone is needed at all six planned implant sites. Grafting or a sinus lift may be required depending on anatomy and implant distribution. |
| Higher demands on oral hygiene | Cleaning around six implants, especially at the back of the mouth, takes more care; poor cleaning increases the risk of peri-implantitis. |
| Need for an experienced team | The surgeon, prosthodontist and dental technician must all be experienced in full-arch treatment. |
| Not for all patients | Patients with severe bone loss, uncontrolled diabetes, heavy smoking or poor oral hygiene may not be suitable. |
How much does All-on-6 cost in Turkey?
At Idea Dental in Istanbul, the indicative cost of All-on-6 treatment is £3,100–£6,200 per jaw, or around £6,200–£12,400 for both jaws. The final price depends on the implant brand, the bridge material and any additional procedures, and is confirmed after an examination and 3D imaging.
The table below lists our indicative 2026 prices alongside approximate UK private-treatment estimates. The UK figures are general budgeting estimates rather than verified quotes; fees and treatment inclusions vary between providers.
| Treatment | Turkey (Istanbul) | UK (private, estimated) |
|---|---|---|
| All-on-6 (per jaw) | £3,100 – £6,200 | £12,000 – £18,000+ |
| All-on-6 (both jaws) | £6,200 – £12,400 | £24,000 – £36,000+ |
| All-on-4 (per jaw) | £2,300 – £4,600 | £10,000 – £15,000+ |
| Sinus lift (if needed) | £400 – £1,150 | £500 – £2,500 |
| Bone graft (per site, if needed) | £250 – £550 | £300 – £1,000 |
| Single implant with crown – Osstem / Medentika | £550 – £750 | £1,800 – £2,500 |
| Single implant with crown – Straumann | £700 – £1,050 | £2,500 – £3,500+ |
Prices are indicative. Your Idea Dental quote is confirmed after clinical assessment and review of the required imaging. For a UK comparison, obtain a current itemised quote covering the same implant system, bridge material and additional procedures.
Replacing a full arch with individual implants and crowns usually needs more implants and costs considerably more, which is why full-arch solutions such as All-on-6 and All-on-4 are often more cost-effective for patients missing most or all of their teeth. For other treatments, see our dental treatment cost guide.
What is included in the price?
Before booking, request an itemised quote that confirms the implant brand, the number of implants, the temporary bridge, the permanent bridge material and any laboratory fees. Also confirm whether scans, extractions, bone grafting or a sinus lift, anaesthesia or sedation, medication and follow-up appointments are included or charged separately. Hotel accommodation and transfers should be listed separately if arranged. Use the written quote to compare the full cost of your treatment.
Factors determining the price
- Implant brand: The implant options in our price guide are Osstem, Medentika and Straumann. Premium brands such as Straumann are more expensive than Osstem or Medentika, and with six implants per jaw the brand has a noticeable effect on the total.
- Prosthetic material: An acrylic hybrid prosthesis is generally the more economical option. Zirconia is resistant to wear and staining and typically costs more. The choice depends on the bridge design, bite forces, aesthetic preferences and maintenance needs.
- Additional procedures: Bone grafting or sinus lifting, where needed, adds to the cost.
- Expertise and technology: The experience of the surgeon and the technology used, such as guided digital surgery, also affect the cost.
To receive a personalised treatment plan and quote, contact our team and send us your panoramic X-ray or CT scan if you have one.
What is the lifespan of the All-on-6 treatment (implants and prosthesis)?
With good oral hygiene and regular professional maintenance, dental implants can remain in function for many years. The bridge and its components are subject to wear and may need repair or replacement. Their lifespan depends on the materials, bridge design, bite forces, general health and maintenance; a fixed service life cannot be guaranteed.
Frequently Asked Questions
Is All-on-6 treatment painful?
The procedure is performed under local anaesthetic or sedation, so you should not feel pain during surgery. Swelling and discomfort are common for a few days afterwards and are usually managed with the prescribed pain relief.
Will I have teeth straight away after the procedure?
Often, yes. When the implants achieve adequate stability and the clinical conditions are suitable, a temporary fixed prosthesis is fitted on the day of surgery (‘immediate loading’). If not, the fixed bridge is fitted after a healing period.
Can I remove the prostheses myself?
No. Fixed All-on-6 prostheses are screwed onto the implants and can only be removed by a dentist.
Do I need to have a bone graft?
Grafting may not be needed if there is suitable bone at all six planned implant sites. Your dentist assesses this with 3D imaging and clinical examination. Where bone is limited, grafting or a sinus lift may be required, or All-on-4 may be recommended instead.
How much does All-on-6 cost for both jaws?
At Idea Dental, All-on-6 costs £3,100–£6,200 per jaw, so treating both jaws costs around £6,200–£12,400. The final price depends on the implant brand, the bridge material and any additional procedures.
How many days do I need to stay in Istanbul?
Most patients make two trips: usually 3–5 days for the implant surgery and, 3–6 months later, 5–7 days for the permanent bridge.
Should I choose a zirconia or an acrylic bridge?
An acrylic hybrid bridge on a metal framework is generally the more economical option, but its teeth may wear and stain over time. A zirconia bridge typically costs more and is resistant to wear and staining. Appearance and durability also depend on the design and fabrication of the bridge. Your dentist will recommend a material based on your bite force, maintenance needs and budget.
Is All-on-6 suitable if I grind my teeth?
Heavy grinding or clenching (bruxism) places extra load on the implants and the bridge. Your dentist will assess your case individually and may recommend a night guard or a stronger prosthetic material.
How do I look after All-on-6 teeth?
Brush regularly and use interdental brushes and special dental floss to clean beneath the bridge and around the implants.
Will my speech change after having All-on-6 treatment?
There is usually a short adjustment period. Once you have got used to the new teeth, speech is typically clearer than with loose dentures or missing teeth.
Is there an age limit for All-on-6?
There is no upper age limit for adults whose bone development is complete; general health matters more than age.
What happens if the prosthesis breaks?
As it is secured with screws, the dentist can remove it for repair or replacement.
Do low or enlarged sinuses prevent treatment?
Not necessarily. Implants can often be placed at an angle in front of the sinus cavities; in other cases a sinus lift or zygomatic implants may be recommended.
How often should I attend check-ups?
Follow the schedule agreed with your dentist. The frequency depends on healing, oral hygiene and your risk of complications, and may change over time. Attend early postoperative reviews as well as ongoing professional maintenance appointments.
Reviewed by Spec. Dent. Gamze Kavuncu. Last reviewed: .
