ALL-ON-4 VS ALL-ON-6 IMPLANTS – WHICH IS BETTER FOR YOU?

All-on-4 and All-on-6 dental implants are two of the most effective full-arch restoration options for people who have lost multiple teeth. This guide explains the differences, benefits, costs, ideal candidates, and why Worldwide Dental Hospital is a trusted destination for full-mouth implant treatment in Vietnam.

All-on-4 and All-on-6 are two popular full-arch implant solutions, with the key difference being the number of implants used to support an entire set of new teeth.

Understanding Full-Arch Implant Solutions

Why Full-Arch Implants Are Growing in Popularity

Many patients who suffer from complete tooth loss or severe dental problems look for a permanent solution that restores both function and aesthetics. Traditional dentures are affordable, but they are often unstable, uncomfortable, and less natural in appearance. Full-arch implant systems, such as All-on-4 and All-on-6, provide a fixed, long-lasting alternative that feels remarkably close to natural teeth.

What Are Full-Arch Implant Bridges?

Instead of replacing each missing tooth individually, full-arch implant systems support an entire row of teeth using just 4 or 6 strategically placed implants. This approach allows patients to chew better, smile confidently, and maintain healthy bone structure without the discomfort of removable dentures.

What Is the All-on-4 Implant System?

How All-on-4 Works

The All-on-4 concept uses four implants placed in specific angles to support a full arch of replacement teeth. Two implants are placed vertically at the front of the jaw, and two are inserted at an angle at the back to maximize bone contact.

Advantages of All-on-4

  • Fewer Implants Required
    Only four implants are needed, making the procedure less invasive and reducing overall cost.

  • Suitable for Patients With Low Bone Density
    The angled back implants often reduce the need for bone grafting.

  • Faster Treatment
    Many patients can receive a temporary fixed bridge within 24–72 hours.

  • More Affordable
    Since it uses fewer implants, the All-on-4 system typically costs less than All-on-6.

Limitations of All-on-4

  • Less Support Compared to All-on-6
    With only four implants, the distribution of chewing force is more limited.

  • Not Ideal for Severe Bite Forces
    Patients with strong clenching or grinding habits may need more implants for stability.

  • Less Suitable for Severe Bone Loss
    Although angled implants help, patients with extreme bone resorption may still require additional procedures.
The All-on-4 method uses four strategically placed implants, making it ideal for patients with reduced bone density or those seeking a faster, more cost-efficient option.

What Is the All-on-6 Implant System?

How All-on-6 Works

The All-on-6 solution uses six implants placed across the jawbone. This increases stability, distributes bite pressure more evenly, and provides a stronger foundation for the final bridge.

Advantages of All-on-6

  • Greater Stability and Strength
    Six implants offer more balanced support, especially for long-span bridges.

  • Better Long-Term Durability
    More implants mean better load distribution, reducing the risk of implant overload.

  • Ideal for Patients With Adequate Bone Density
    Patients with healthy bone levels benefit from increased implant contact and improved function.

  • Higher Chewing Efficiency
    The additional implants allow for stronger bite force and better chewing performance.

Limitations of All-on-6

  • Higher Cost
    More implants result in a higher total treatment fee.

  • May Require Bone Grafting
    Patients with insufficient bone may need sinus lift or grafting before placing additional implants.

  • Slightly Longer Surgical Time
    Placing six implants requires more precision and time compared to four.

All-on-6 provides additional stability by placing six implants, offering stronger biting force, better long-term support, and a more evenly distributed load across the jaw.

Key Differences Between All-on-4 and All-on-6

Number of Implants

  • All-on-4: Four implants

  • All-on-6: Six implants

The additional implants in All-on-6 provide enhanced stability.

Stability and Load Distribution

All-on-6 distributes the biting force more evenly across the jaw, reducing the risk of overload and complications.

Bone Requirements

All-on-4 is often recommended for patients with reduced bone density because the angled implants compensate for bone loss. All-on-6 requires more bone support.

Longevity

While both systems can last decades, All-on-6 generally provides greater long-term predictability thanks to better load sharing.

Treatment Cost

All-on-6 is more expensive due to the additional implants and potential need for grafting.

Which Treatment Is Right for You?

All-on-4 May Be Best If You:

  • Have moderate bone loss

  • Want to avoid bone grafting

  • Prefer a lower-cost full-arch solution

  • Need a faster treatment timeline

  • Are looking for a minimally invasive option

All-on-6 May Be Best If You:

  • Want maximum stability and longevity

  • Have sufficient bone volume

  • Want the highest level of chewing function

  • Prefer a more durable and robust structure

  • Want better long-term implant distribution

Worldwide Dental Hospital provides full diagnostic evaluations—including CBCT imaging—to determine the safest and most predictable option for each patient.

At Worldwide Dental Hospital, 3D CT scans and digital planning are used to assess bone quality and determine which option provides the safest and most predictable outcome for each patient.

Step-by-Step Procedure for Both All-on-4 and All-on-6

Step 1: Consultation and Diagnostic Imaging

  • Full oral examination

  • CBCT scan to assess bone structure

  • Bite evaluation and digital treatment simulation

  • Discussion of options and expected outcomes

Step 2: Treatment Planning

The dental team creates a detailed plan that includes implant positions, bone support, and prosthetic design. Digital planning reduces surgical risk and improves accuracy.

Step 3: Implant Placement Surgery

  • Local anesthesia or sedation

  • Removal of damaged teeth (if needed)

  • Placement of 4 or 6 implants

  • Immediate placement of a temporary bridge (when applicable)

Step 4: Osseointegration

Implants fuse with the bone over 3–6 months. Patients receive instructions on dietary care, oral hygiene, and follow-up visits.

Step 5: Final Prosthetic Placement

After healing, the final bridge is designed using premium materials such as zirconia or hybrid ceramic for maximum strength and aesthetics.

Costs of All-on-4 and All-on-6 in Vietnam

All-on-4 Costs

Typically ranges from:
70,000,000 – 150,000,000 VND per arch
Equivalent to $2,800 – $6,000 USD, depending on implant brand and materials.

All-on-6 Costs

Typically ranges from:
90,000,000 – 180,000,000 VND per arch
Equivalent to $3,600 – $7,000 USD.

What Affects Pricing

  • Implant brand (Nobel, Straumann, BioHorizons, Dentium, etc.)

  • Bone grafting or sinus lift

  • Type of prosthetic material

  • Technology used in planning and surgery

  • Dentist expertise

Worldwide Dental Hospital provides transparent pricing with no hidden fees and offers consultations in English for foreign patients.

With hospital-standard surgery, premium implant systems, and personalized treatment plans, Worldwide helps patients choose the approach that best suits their comfort, bone condition, and long-term smile goals.

Benefits of Choosing Vietnam for Full-Arch Implants

World-Class Treatment at Lower Cost

Vietnam offers high-quality implant systems with internationally trained surgeons at prices far below those in Western countries.

Advanced Technology

Clinics like Worldwide Dental Hospital use CBCT imaging, computer-guided surgery, digital scanning, and CAD/CAM prosthetics to achieve predictable results.

English-Speaking Implant Specialists

Communication is essential for major dental procedures. The dentists at Worldwide Dental Hospital provide full English support from consultation to aftercare.

Faster Treatment for Travelers

Many full-arch cases can be completed with a temporary bridge in 24–72 hours, ideal for international patients with limited time in Vietnam.

Why Choose Worldwide Dental Hospital for All-on-4 and All-on-6?

Specialized Implant Surgeons

Worldwide Dental Hospital works with implant experts who have decades of experience and have completed thousands of successful cases.

Dedicated Prosthetic Laboratory

The hospital features an in-house lab using advanced CAD/CAM technology for fast, precise prosthetic fabrication.

International Sterilization and Safety Standards

Strict hygiene protocols ensure patient safety throughout the procedure.

Digital Planning for Accuracy

3D CBCT scans and digital modeling ensure precise implant placement and optimal load distribution.

Comprehensive Support for Foreign Patients

  • Airport pickup

  • Translation support

  • Accommodation assistance

  • Clear communication at every step

Natural-Looking, Long-Lasting Results

Worldwide Dental Hospital focuses on aesthetics, durability, and functionality to ensure patients receive a comfortable, beautiful, and stable smile.

Conclusion

Both All-on-4 and All-on-6 are excellent full-arch implant solutions for patients who need a stable, long-lasting replacement for missing teeth. The right choice depends on bone structure, chewing needs, budget, and long-term expectations. With experienced implant surgeons, advanced digital planning, an in-house prosthetic lab, and complete English-speaking support, Worldwide Dental Hospital is a trusted destination for international patients seeking full-mouth implant restoration in Vietnam.

📞 Contact Worldwide Dental Hospital: (+84) 922.253.888
Restore your smile with confidence through world-class full-arch implant solutions.

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