Lost a full arch or mouth of teeth? You’ve likely come across the terms All-on-4 and All-on-6 dental implants. Both are life-changing solutions for patients who need extensive tooth replacement. But what’s the difference, and which one is right for you? 

At Sonterra Dental, our experienced implant dentists in San Antonio know that the world of implants can be a little overwhelming. All you want is to be able to chew and smile again. To make this process easier, we’ll not only explain the types of full-arch implants but also take a customized approach to your smile. When it comes to dental implants, one size does not fit all, so we’ll find which works for you. 

What Are All-on-4 and All-on-6 Dental Implants?

Both All-on-4 and All-on-6 are advanced dental implant techniques designed to support a full set of prosthetic teeth with fewer implants than traditional methods. No matter which one you choose, the idea is the same: rather than replacing every single tooth you’ve lost with individual implants, we support a full-arch prosthesis on just a few strategically placed implants. 

These techniques have advantages for several reasons. An All-on-X approach:

  • Minimizes the need for bone grafting.
  • Reduces healing time.
  • Offers a faster path to a fully restored smile.
  • Costs less than replacing each tooth.

The main difference between the All-on-4 and All-on-6 approach is the number of implants, as their names suggest. Below, our implant dentists in San Antonio dive into the difference that number can make. 

1. Bone Density & Volume

For any dental implant procedure, you need enough bone density to support the titanium post. Unfortunately, tooth loss often comes with bone loss. Some patients might not have a dense enough jawbone to support the same number of implants as another person. 

At Sonterra Dental, we can evaluate your bone structure using our Carestream 3D CBCT scanner

  • Enough Bone: If you have good bone density throughout your jaw, you may be an excellent candidate for either All-on-4 or All-on-6. We can opt for the greater stability of six implants if possible. 
  • Some Bone Loss: All-on-6 implants might still be an option, although All-on-4s make it easier to work around areas of lower bone volume.
  • Significant Bone Loss: An All-on-4 approach, sometimes combined with bone grafting, might be necessary. With just four implants, you won’t need as much bone density. 

2. Bite Force and Chewing Habits

Your chewing muscles can exert a tremendous amount of force. The Library of Congress reports that your incisors exert 55 pounds of force, while your molars can exert 200 pounds. Our implant dentists in San Antonio have to take your unique bite and chewing ability into account when planning your treatment. 

  • Stronger Bite: The All-on-6 system offers superior distribution of force. The two additional implants help to absorb and spread the pressure more evenly, reducing stress on any single implant and enhancing the long-term durability of the restoration.
  • Average Bite: Patients with a normal bite force are often well-served by the stability of the All-on-4 system.

3. Long-Term Stability

While both options are secure, All-on-6 can provide a slightly more stable base over time, particularly for patients looking for the most durable solution available. If you’re looking for peace of mind, more implants may be better for you.

However, all tooth implants are incredibly durable. In fact, the implant posts could last the rest of your life with proper care. We can discuss stability and longevity during your consultation at Sonterra Dental if it’s something on your mind. 

4. Budget Considerations

Put simply, fewer implants generally mean lower cost. As a result, All-on-4 implants may be more budget-friendly. 

However, any dental implants are a long-term investment in comfort, aesthetics, and peace of mind. Whether you opt for four or six, you could face lower costs in the long run compared to other tooth replacement options, like dentures and bridges. 

How Our Implant Dentists in San Antonio Help

Choosing between All-on-4 and All-on-6 is not a decision you need to make alone. At Sonterra Dental, our team takes the time to understand your goals, analyze your oral health, and create a treatment plan that fits your life.

On top of that, our state-of-the-art technology and spa-like environment are designed to make your experience not only effective but exceptional.

Explore Your Eligibility Today by Reserving Your Appointment

The right number of implants for you depends on your anatomy, lifestyle, and long-term goals. That’s why our San Antonio implant dentists provide personalized consultations. Whether you’re a candidate for All-on-4 or All-on-6, we’ll make sure your new smile is as functional as it is beautiful. Book an implant consultation today and find out for yourself.