All on 6 is an implant protocol for patients missing most or all of the teeth in one jaw, in which a full arch of fixed teeth is supported using 6 implants. Developed as a logical extension of the All on 4 protocol, it shares the same core principle — a fixed, full denture supported by a minimal number of implants — but uses additional implants to create a wider support base and more balanced load distribution.

Using 6 implants, particularly in patients with more favourable bone volume and density, allows chewing forces to be distributed more evenly across the implants. This reduces the load carried by any single implant, which can theoretically further lower the risk of implant failure over the long term. A 6-implant structure also provides a margin of safety: in the rare event that one implant is lost, the remaining 5 can continue to temporarily support the denture — an option that's more limited when only 4 implants are used.

All on 6 is generally preferred for the upper jaw, since upper jawbone is naturally less dense than lower jawbone, and additional implants can provide a safer load distribution. That said, it can be applied to either jaw, and your dentist determines the ideal number of implants for your specific bone structure after 3D imaging.

When choosing between All on 4 and All on 6, your dentist considers not just bone volume but also your biting habits, jaw muscle strength, the condition of your opposing teeth, and your overall oral structure. For example, in cases where the opposing jaw has natural teeth generating strong bite force, having more support points on the implant side (All on 6) may be a safer long-term choice. Conversely, in cases where both jaws are treated with implants, the opposing bite force is more balanced, so All on 4 is often sufficient.

This clinical decision-making process is entirely individualised, and there's no single "correct" answer. Our goal is to present all options transparently, without pressure, and to reach the decision best suited to your bone structure, lifestyle and budget together. We find that patients make the most confident decisions when they understand not just the immediate cost difference, but also how each protocol is likely to perform over years of daily use.

This page covers how All on 6 differs from All on 4, who it's better suited for, the clinical steps involved, the recovery process, and pricing in Alanya.

All on 6 is particularly considered for patients who:

During assessment, your dentist reviews panoramic X-rays and 3D tomography images together to determine which implant count best suits your bone quality. In some cases, a mixed treatment plan may be recommended — for example, 6 implants in the upper jaw and 4 in the lower — reflecting the fact that each jaw's anatomy must be assessed independently.

Based on our clinical experience, one of the most common questions patients ask when deciding between All on 4 and All on 6 is what concrete difference the extra 2 implants will make in daily life. The answer largely depends on your bone quality and chewing habits: for some patients the difference is barely noticeable, while for patients with a wider jaw or strong chewing muscles, the additional implants can noticeably improve denture lifespan and stability.

In patients with limited bone volume, the additional implants required for All on 6 can sometimes increase the need for bone grafting; in such cases, your dentist will compare All on 4 against a graft-supported All on 6 and recommend the option best suited to you. Systemic factors such as smoking and uncontrolled diabetes are also taken into account. Final suitability is determined after 3D tomography and a clinical examination.