iStomatolog > Dental implants > All-on-6 Kyiv

Implantation of All-on-6 in Kyiv

Who is a candidate for the "All-on-6" method?

Prosthetics on six implants or tooth prosthetics using the All-on-6 system ("All on six") is an extended version of the All-on-4 implantation and prosthetics method. If the All-on-4 method requires four implants for full restoration of the tooth row in one jaw, then the All-on-6 method involves the placement of six implants: two in the front of the jaw and two on each side. This increases the number of supports for the prosthesis, and the chewing load will be more evenly distributed on the jaw bone tissue.

The "All on six" and "All on four" methods can be used regardless of age, and the degree of implant survival is equally high for patients of all age groups. Complete restoration of the tooth row on four or six supports is aimed specifically at patients with complete tooth loss and corresponding changes in jaw bone tissue in the form of atrophy, which is observed in 90% of cases in old age. Trauma, surgical interventions, oncological and autoimmune diseases precede the loss of all teeth at a young age.

Indications for prosthetics using the All-on-6 system

  • Complete absence of teeth in one or both jaws (complete adentia).
  • Presence of teeth that need to be removed for various reasons (mobility of degree 3-4, destruction due to caries and its complications, trauma, etc.).
  • Contraindications to the installation of removable dentures.
  • Inability of the patient to use full removable dentures (for example, with a high gag reflex, individual intolerance to prosthesis components, deformity of the jaws, with which the fixation of the prosthesis is minimal).
  • Contraindications or impossibility of performing bone tissue augmentation and sinus lifting with subsequent implantation using classic methods.
  • Mild to moderate atrophy of the jawbone tissue. In cases of severe atrophy, basal implantation or placement of Zygomatic implants is performed.

Contraindications and risks of using the All-on-6 system

  • Severe bone atrophy in the jaws, as the implants serve as support for the prosthesis, requiring a minimum amount of bone volume to be present for their installation.
  • Autoimmune and oncological diseases in decompensation stage.
  • Exacerbation of cardiovascular and nervous system diseases, blood disorders, and hematopoietic organ diseases (after stabilizing the condition, implantation and prosthetics using the "All-on-6" system becomes possible).

 

How the All-on-6 implantation procedure works?

At first glance, installing implants and creating a prosthesis on them may seem relatively simple and not much different from single- or two-stage implantation. However, there is an important nuance: the prosthesis of 14 teeth is a single monolithic structure that lacks flexibility. This construction has slots into which the abutments of the six installed implants fit. In order for this to be feasible, the parallelism of the abutments must be maintained. Therefore, careful planning of implantation and prosthetics is an important stage.

The main stages of "turnkey" All-on-6 prosthetics and implantation

1 Stage

Obtaining computer tomography data. Assessing the height and width of the alveolar ridge, bone density, and the location of the maxillary sinuses and mandibular canal

2 Stage

Planning the permanent prosthesis structure. Coordination of the manufacturing material.

3 Stage

Selection of the implant system.

4 Stage

Manufacture of a temporary prosthesis.

5 Stage

Virtual placement of the selected implants with consideration of the future prosthesis location and anatomical features of the patient's jaws.

6 Stage

Manufacture of the surgical template.

7 Stage

Immediate implant installation procedure.

8 Stage

Fixation of the temporary prosthesis to the implants.

9 Stage

Replacement of the temporary prosthesis with a permanent one on the implants after 4-6 months.

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    Pros of six implant prosthetics

    1) With the "All-on-6" method, a non-removable prosthesis is made that eliminates all the inconveniences associated with full removable prostheses:

    Movement or poor fixation of the prosthesis in the mouth is eliminated;

    The need to remove it daily for proper cleaning is eliminated;

    Limitations in eating hard food are eliminated.

    2) It can be used in cases of bone tissue atrophy.

    There is no need for additional procedures such as bone augmentation, gum grafting, or sinus lifting.

    3) Maximum level of psychological comfort.

    This is particularly important for younger patients leading an active lifestyle. The fear of "losing" the prosthesis at an inappropriate moment disappears completely.

    4) High aesthetic standards.

    Significant external changes occur when a permanent prosthesis is installed, such as muscle tension disappearing, an increase in the height of the lower third of the face, and smoothing of deep wrinkles - the so-called "rejuvenation effect". The patient begins to feel more confident.

    5) Implants do not require replacement over time.

    6) A temporary prosthesis can be installed within the first few days.

    In fact, the patient can fully chew immediately.

    Cons of six implant prosthetics

    1. The cost of implantation and prosthetics with the All-on-6 method is much higher than the manufacture of a full plastic removable prosthesis.
    2. There are possible risks and complications, as with any other surgical intervention.

    What implants are used in the "All-on-6" dental procedure?

    The leaders in this field are the Swiss implant systems Nobel and Straumann. Nobel was the first company to patent this method, and their extensive research and years of experience inspire trust in patients.

    However, budget-friendly manufacturers should not be underestimated. The South Korean company Megagen has developed a comprehensive system for the restoration of edentulous jaws, based on the best practices of Nobel.

    Ultimately, your treating dentist will help you make the final decision after examining your oral cavity and analyzing computer tomography data.

    What materials are used to create prostheses and teeth fixed on six implants?

    The main materials used in the manufacture of prostheses include:

    • BioHPP as the framework, with the teeth made from a special composite material. These prostheses are lightweight, highly aesthetic, fully biocompatible with bone and gum tissue (originally, BioHPP was used to manufacture heart valves before being introduced in dentistry).
    • Zirconium dioxide and its combination with ceramics. This is the most expensive option and the construction is heavier. However, zirconium has the best performance when it comes to contact with the gums.
    • Titanium in combination with ceramics. This material falls in the middle of the price range between BioHPP and zirconium. It has no significant differences from a zirconium-based prosthesis.
    • Acrylic (plastic). This material is mostly used for temporary implant-supported prostheses.

    The cost of All-on-6 implantation and prosthetics at iStomatolog clinic in Kyiv

    The price of prosthetics according to the "All-on-6" system depends mainly on two factors:

    • Which implant system will be used.
    • What material the permanent prosthesis will be made of.

    The cost of the surgical operation to install six Megagen implants "turnkey" will be from 3000 euro; Straumann - from 4500 euro; Nobel - from 5500 euro.

    The cost of a permanent prosthesis made of zirconium dioxide (14 teeth) starts from 3600 euro.

    The cost of permanent abutments, template fabrication, and temporary prosthesis directly depends on the chosen implant system. Implant systems and their components are not interchangeable.

    Full Price list of dental clinic services is available at the following link 

    You can get more detailed information at a consultation at the iStomatolog Center. After an examination by a doctor, you will be offered the most optimal treatment options for your clinical case. You can make an appointment through the online form or by calling the iStomatolog Center at:

    067 502 8 999, 093 502 8 999.

    FAQ

    A temporary prosthesis can be installed either immediately after implantation or within 1-2 days. The optimal period for the installation of a temporary structure on six implants is up to 5-7 days.
    A permanent prosthesis can be installed after 4-6 months. The timing depends on the chosen implant system and the patient's bone type.
    You can eat on the day of the operation, already in a few hours. However, it is advisable to follow certain restrictions regarding hard food. Chewing load should be gradually increased during the first month.
    The postoperative period can vary. Swelling in the jaw area, mild pain, and a slight increase in temperature to 38 degrees in the first few days after surgery are normal reactions to surgical intervention. General recommendations include a few days of rest after implant and prosthesis placement. The degree of swelling and pain depends on the complexity of the surgery, duration, and accompanying patient conditions.
    Severe pain is usually observed within the first 2-3 days and disappears within a week. To reduce patient discomfort during the postoperative period, painkillers are prescribed, which should be taken according to the doctor's recommendations (rather than waiting until the pain is too severe, as painkillers usually also have an anti-inflammatory effect).
    The rehabilitation period after implantation and fixation of the temporary prosthesis usually takes two weeks. The feeling of discomfort, pain, and swelling completely disappear, and the patient adapts to the temporary prosthesis.
    This phenomenon is quite rare. But if one of the implants is rejected, it is removed, and the permanent prosthesis is made with support on five implants.
    No special care is required. It is recommended to: brush your teeth with toothpaste twice a day; conduct professional hygiene and examination at the dentist every six months.
    All-on-6 Kyiv

    Article author:

    Olena Daynetska, chief Doctor of iStomatolog Dental Center

    During a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.

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    Стоматология супер! Обслуживаемся всей семьёй уже 13 лет. В основном у Ирины и Елены на м. Дарница. Качеством очень довольны! Персонал опытный и приятный) Однозначно рекомендую !!! Спасибо вам за ваш труд!
    Досвід лікування моїх зубів і приведення у задовільний стан мою посмішку має чималу історію (для інформації, мені за 50). Це пломби у більшості зубів, брекет системи і навіть спроби змінити форму зубів. Щось виходило, але не з першого разу, щось не виходило і намагання повернутись до цієї проблеми не сприймалися схвально. У додаток до всього цього сам процес лікування затягувався на довгі місяці.
    Що мене очікувало в центрі iStomatolog.
    1. Відсутність очікування біля кабінету.
    2. Відсутність зайвого. Персонал і лікарі тебе не обтяжують. Їх стільки, скільки має бути.
    3. Без сумніву професіоналізм. Тебе вислухать, і обов'язково запропонують варіанти лікування. Що безцінно, це те, що тобі в першу чергу будуть пропонувати максимально зберегти свої зуби.
    4. Відсутність бажання затягнути процес лікування на рік (якщо у тебе проблема не одного чи двох зубів). Головне, щоб дозволяли працювати ясна (їх стан).
    5. Матеріали з якими працюють лікарі. Це виключно японський виробник.
    І нарешті результат, який я навіть вже і не очікувала.
    Лена, дякую тобі ВЕЛИЧЕЗНЕ за твою роботу. Тобі і твоїй команді.
    Nice clinic. Very attentive doctors, very nice people. Competent in their job. All procedures, implantation, crown installation in 1 day, filling - everything is absolutely performed according to the protocols. The clinic is clean, tea and coffee will be offered. Protection against covid is carried out - everyone is wearing masks, shoe covers, the temperature is measured. Thank you very much to Maxim Valerievich, Elena Dainetskaya, Lidia Vladimirovna. We wish you prosperity!
    Якби мені раніше хтось сказав що я полюблю ходити до стоматолога, то я б не повірила)
    Але тут працюють дуже відповідальні, приємні і турботливі професіонали! Дякую всій команді цієї стоматології, і окремо дякую моєму стоматологу Пекарському Віталію за прекрасну роботу. Тепер я і солодке їм без болі, і більше посміхаюсь ☺️
    Я із задоволенням буду ходити тільки до вас 😊
    I would like to express my deep gratitude to Elena Sergeevna Dainetskaya. We have been treating teeth with the whole family for more than 10 years and we thank God that we have fallen into these wonderful hands! A very professional and competent doctor, kind, sensitive and always worried about his patient. There would be more such doctors in our medicine!I wish you health, success and prosperity in your work.I RECOMMEND iStomatolog clinic and Dr. Elena Sergeevna to everyone.
    С 2007 года iStomatolog наша семейная стоматология. Почему? Потому что кто лучше делает своё дело, если оно семейное и уже в третьем поколении. Я пришёл по рекомендации моего друга Антона на приём к Ларисе Викторовне. Она сказала мне сразу: «я не вырву не одного зуба если за него можно бороться» Пол года лечения и сейчас у меня только раз в 6 месяцев профилактика. Супруга, дочь, моя мама (83 года) все доверили свои зубки iStomatolog. Правда уже Елена Сергеевна (старшая дочь Ларисы Викторовны) руководит клиникой. Строгая, но наверно так и надо, а то мы всегда пытаемся отсрочить, откладываем на потом профилактику, а потом выкладываем огромные деньги что бы спасти уже гнилой зуб. В этой стоматологии принцип очень простой: делай качественно, относись к людям по человечески, предупреди заранее (ну ведь забываем и «забиваем» на это). Многие подумают заказная статейка. Нет, просто мне повезло, я нашёл тех кому не безразлично мое здоровье и посчитал своим долгом перед Вами, рекомендовать стоматологию iStomatolog.
    Так случилось, что в "iStomtolog", я попал по настоятельной рекомендации побратима. Имея, без преувеличения, огромные проблемы с зубами, могу вас уверить, это место где вам реально помогут! Теперь по выполненным работам: поснимали камни и налет, пролечили каналы, поставили 8 коронок и 1 винир, 3 импланта. Объем работ просто огромный. Хочу поблагодарить Елену Дайнецкую и всю ее команду за профессионализм, позитив и замечательную домашнюю атмосферу в клинике.
    Все мы знаем, как сложно выбрать хорошего врача, но могу с уверенностью сказать, приходите в клинику “IStomatolog”- здесь Вы найдете лучшего доктора Виталия . Очень хороший доктор-внимательный, доброжелательный, настоящий профессионал своего дела. Спасибо за Ваш труд, желаю Вам благополучия и успехов! А еще в кабинете чистота, комфорт, свежий воздух и приятная музыка. Рекомендую☝️
    Отличная стоматология. Быстро и качественно оказывают услуги, ничего лишнего не навязывают. Вежливый и обходительный администратор. Очень рекомендую. Теперь по всем зубным вопросам только туда.
    Я доглядаю зуби в цій клініці майже 15 років, і це про щось та говорить. Свого молодшого сина також привела сюди ще з першими зубками.

    Всі лікарі уважні, професійні, з щирою турботою про пацієнта. Запам'яталось, як мені років п'ять тому довго і терпляче спасали майже безнадійний зуб, зіпсований в іншій клініці — спасли, стоїть свій зуб, а міг би вже бути імплант.

    Дуже рекомендую.

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