At Sutton Advanced Cosmetic Dentistry, we provide restoration even in the absence of all teeth using the All-on-X / All-on-6 approach. We conduct a thorough diagnosis to reduce the risk of complications.
Full arch dental implants using the All-on-X / All-on-6 technology – Schedule a consultation at Sutton Advanced Cosmetic Dentistry to learn more. We are located in NYC (situated in Midtown East, a block from the Upper East Side).
All-on-6 – What is it?
All-On-X is a method for complete tooth replacement. The number of implants depends on the clinical case.
In the case of All-on-6, the doctor places:
- Two dental implants in the front part of the jaw at right angles.
- Four dental implants in the lateral parts of the jaw, securing them at angles of up to 45 degrees.
All-on-X / All-on-6 Near Me
Dr. Mojgan Fajiram and Dr. Sheila Monahemi
Cosmetic Dentist, NYC
Most doctors will place a denture after placing the implants and then wait for the implants to integrate. In our office, after extraction and implant placement, we place fixed temps, not dentures. After four months, once the implant has integrated, we remove temps and place fixed bridges.
All-on-6 at Sutton Advanced Cosmetic Dentistry
We understand that the success of implantation depends largely on the quality of diagnostics and attentive care shown to every single patient. Therefore, we conduct the following diagnostic procedures:- Computer tomography. We use the latest-generation tomography to assess bone condition and the patient’s anatomical features. The data obtained is uploaded into a computer program, reducing the risk of errors due to human factors to zero.
- Diagnostics of TMJ (temporomandibular joint). We use T-Scan and JVA analysis. These devices help evaluate the functioning of the temporomandibular joint. If any pathologies are identified, we provide TMJ treatment. This is necessary to ensure proper jaw closure after implantation and prosthesis placement. Otherwise, the patient may experience discomfort and pain.
- Fast production of dental prostheses. We use CEREC MC X, a milling machine for prosthetic creation. It allows for the quick production of anatomically accurate temporary and permanent prostheses within a single day.
Who is a suitable candidate for All-On-X?
Indications for the All-on-6 procedure:
- Complete edentulism (loss of all teeth).
- Retention of a few teeth that need to be removed.
- Bone atrophy in mild, moderate, or severe degrees.
- Porous bone tissue structure.
- Discomfort with prolonged use of a full removable denture.
- Sinus cavities or the trigeminal nerve located close to the bone.
Relative contraindications:
- The patient is under the age of 18.
- Pregnancy or lactation period.
- Chronic or other diseases in the acute stage.
Absolute contraindications:
- Impaired blood clotting.
- Cardiovascular diseases with an established pacemaker.
- Chemotherapy or radiation therapy for cancer.
Advantages of All-On-6
This method is used in complex clinical cases, and its advantages include:- Secure implant fixation with minimal risk of loosening.
- Sufficient implant quantity to restore the entire dental arch – 14 crowns.
- Even distribution of chewing load.
- Complete smile restoration in just one day.
- Minimal trauma to soft tissues, leading to faster recovery.
- No need for bone grafting and the subsequent six-month recovery period.
- Implants are placed at angles, avoiding interference with nerves or sinus cavities.
- Full dentures supported by 6 implants look like natural teeth.
The All-On-6 Procedure – Main Stages
Main stages of the All-On-X procedure include:Diagnosis
The doctor assesses the condition of the oral cavity, conducts a CT scan to determine the proper function of the TMJ (temporomandibular joint), collects patient history to clarify their preferences and identify any possible contraindications. If necessary, the doctor orders tests.
Preparation for the procedure
If needed, the doctor treats TMJ pathologies or gum inflammation. The oral cavity is cleaned of pathogenic bacteria and infection foci.
Developing a treatment plan
The information obtained from the CT scan is input into a computer program. The doctor calculates the implant fixation points and their angulation. A scheme is designed to engage suitable bone areas and avoid interference with sinus cavities in the upper jaw and the trigeminal nerve in the lower jaw.
Implant placement
The doctor creates a surgical template, a silicone cap with openings for implant placement to ensure precision. Local anesthesia or sedation is used for pain relief.
Prosthesis placement
Immediately after the procedure, the doctor attaches a temporary lightweight prosthesis. Six months after the procedure, the doctor replaces the temporary prosthesis with a permanent one.
Full Fixed Dental Prostheses
During the planning stage, the doctor creates a model of the future smile and designs crowns in a computer program to ensure they have an accurate anatomical shape and facilitate the correct jaw closure. In our office, we have our own dental laboratory and an in-house dental technician. The doctor provides the technician with a three-dimensional image of the smile, based on which the technician creates a complete prosthesis made of porcelain or zirconium dioxide, consisting of 14 crowns.Dentures Vs. All-On-6 Dental Implants
| Removable dentures | Implant-supported prosthesis | |
|---|---|---|
| Reliable fixation | The prosthesis frequently shifts. Over time, the snugness of fit decreases. It may come loose. | Securely fixed on the implants. |
| Comfort during wear | It impairs taste perception and diction, and it can cause gum irritation. | Feels like natural teeth. |
| Restoration of chewing function | Incorrectly distributes the chewing load. Pressure is placed on the gums. Chewing function is only restored to 30%. | Implants replace tooth roots. The main pressure is placed on them. Chewing load is evenly distributed. |
| Impact on the jawbone | Due to the improper distribution of load during chewing, the bone deteriorates rapidly. | The rate of bone atrophy is the same as with natural teeth. |
| Aesthetics | It is often evident that the teeth are artificial. Due to bone deterioration, facial proportions are disrupted, and wrinkles become more noticeable. | The teeth look natural. Correct facial proportions are restored. |
| Hygiene | Additional tools and means for cleaning are required. | Care is no different from the hygiene of natural teeth. |
Recovery after All-On-6
Osseointegration and the process of implant bonding with the bone takes 4-6 months. Gum tissue typically fully recovers within 1-2 weeks.During the initial 2-5 days, pain and swelling may occur. These symptoms can be alleviated with pain relievers and cold compresses. Additionally, in the first few days, there may be a slight fever and minor bleeding. Over time, the discomfort diminishes. We provide a detailed list of post-operative instructions immediately after the implant procedure.
Q&A
How do you care for implants and prostheses after placement?
Before the gums have fully healed, it’s best to use antibacterial solutions to avoid damaging the mucous membrane with a brush. Afterward, you can use a soft or medium-bristle brush and a non-abrasive toothpaste to avoid scratching the prostheses.
What is the difference between All-On-6 and All-On-4?
The main difference is the number of implants. All-On-4 involves using only 4 implants, which is more suitable for restoring the lower jaw. The bone in this area is denser and less prone to deterioration.
How does All-On-6 differ from traditional placement?
Traditional methods are not typically used for complete edentulism. The protocol involves placing one implant for one prosthesis. In the case of full tooth loss, you would need to install 14 implants, making this method very costly and invasive.
