Tooth loss doesn’t just change your smile – it changes the way you eat, speak, and how confident you feel in everyday situations. If you have lost all or most of your teeth in one or both jaws, all on 4 and all on 6 dental implants are a modern solution that gives you back fixed, stable teeth without the need for a traditional removable denture.
At DentalVortex clinic in Belgrade, we perform the all on 4 and all on 6 concept using a fully digital approach: from 3D diagnostics and digital impressions, to precise planning and implant placement. The entire jaw receives a fixed restoration that is screwed directly onto the implants, which means your new teeth function, look, and feel like natural ones.
The procedure is designed to be precise and predictable, and for patients who feel fear or discomfort we offer the option of implant placement under nitrous oxide sedation. On this page you will find all the information you need, from what these concepts are and how they differ, to who is a candidate and what the procedure looks like step by step, as well as materials, prices, and maintenance.
What is the All on 4 Concept?
All on 4 is an implant method that uses exactly four dental implants to support a complete fixed restoration in one jaw. It is designed for patients who have lost all their teeth or whose remaining teeth are no longer functional, and who want a permanent solution instead of a removable denture.
The principle is as follows: two implants are placed vertically in the front part of the jaw, where the bone is naturally densest and strongest. The remaining two implants are positioned in the lateral part of the jaw at an angle of approximately 45 degrees.
This angled placement has a dual advantage: it avoids important anatomical structures such as the sinuses in the upper jaw and nerve canals in the lower jaw, while at the same time achieving a firm foundation even in patients whose jawbone has been partially resorbed.
Thanks to this approach, the all on 4 concept often eliminates the need for bone grafting, which shortens the overall treatment time and makes the procedure more accessible. On these four implants a fixed dental restoration is placed – a bridge that is screwed onto the implants, is not removable, and provides the patient with full comfort when eating, speaking, and in everyday life.
All on 4 is most commonly used in the lower jaw, where four implants generally provide sufficient stability for a permanent fixed restoration. It can also be applied to the upper jaw, provided that the quality and volume of the bone allow it.
What is the All on 6 Concept?
All on 6 works on the same principle as all on 4 (the entire jaw receives a fixed restoration supported by implants) but uses six implants instead of four. Two additional implants mean more support points, more even distribution of chewing forces, and greater overall stability of the prosthetic restoration.
Six implants are distributed along the entire jaw so that every section (front, lateral, and rear) has direct support. This is especially significant in the upper jaw, where the bone is naturally softer and more porous than in the lower jaw, so the additional implants compensate for that difference in density.
All on 6 is recommended whenever conditions allow – that is, when the patient has sufficient bone volume to receive six implants. Placing six implants is always the better option if the bone permits it, because a greater number of support points means a more secure and stable restoration in the long term.
The fixed restoration on six implants is identical in function to that on four – it is secured with screws, is not removable, and the patient chooses the material and tooth shade according to their preferences. The difference is that six implants provide maximum pressure distribution, which can be a decisive factor for patients with a stronger bite or for the upper jaw where additional security is needed.
Difference Between All on 4 and All on 6 – Comparison Overview
Both concepts have the same goal: fixed, stable teeth in the entire jaw without a traditional denture. The difference lies in the number of implants, the required conditions, and the load distribution. Here is a brief overview:
Which option is right for you depends primarily on the condition of your jawbone, which is precisely determined by a 3D scan at the first examination.
Are You a Candidate for All on 4 or All on 6?
All on 4 and all on 6 concepts are intended for patients who have lost their teeth for any reason or whose remaining teeth are no longer functional. However, this procedure is not automatically suitable for everyone – certain health and anatomical prerequisites must be met.
You are a candidate if:
- you have no teeth in one or both jaws and want a fixed restoration instead of a removable denture
- you do not have enough remaining teeth for a traditional bridge, and you want a fixed solution
- you wear a removable denture and want greater comfort in everyday life – when eating, speaking, and in social situations
You are not a candidate if:
- you are on certain medications that affect the healing of bone or soft tissue
- you suffer from certain systemic diseases that compromise the body’s immune response
- you have bone diseases that prevent successful osseointegration of the implants
That is precisely why detailed diagnostics before the procedure are mandatory. At the first examination at DentalVortex clinic, photographs are taken (extraoral and intraoral), digital impressions are made if existing restorations or dentures are present, and a 3D scan of the jaw is analyzed. Only on the basis of all this data is a detailed treatment plan drawn up and a determination made as to whether all on 4 or all on 6 is the right option for you.
What Does the All on 4 and All on 6 Implant Placement Procedure Look Like?
The all on 4 and all on 6 implant placement procedure takes place in several clearly defined phases. From the first examination to the placement of the permanent fixed restoration, the entire process is planned in advance based on digital diagnostics, making it predictable and precise.
Diagnostics and treatment planning
Everything begins with a thorough examination. At DentalVortex clinic, extraoral and intraoral photographs are taken, digital impressions are made if existing restorations or dentures are present in the mouth, and a 3D scan of the jaw is analyzed. Based on all the collected data, a detailed treatment plan is drawn up that includes the number of implants, their position, and the type of prosthetic restoration. In addition to scans and digital impressions, a blood analysis is also performed to check parameters that affect healing and osseointegration of the implants. Based on the results, the patient is prepared before the procedure if necessary, further reducing the possibility of complications. This comprehensive diagnostic approach is precisely what contributes to an implant placement success rate of around 97%.
Surgical phase - implant placement
On the day of the scheduled procedure, before placing the implants, any retained roots and periodontally compromised teeth must be extracted if present, the bone is then prepared, and the implants are placed. The placement process takes approximately 15 minutes per implant, which means the surgical phase for all on 4 is completed in about one hour, and for all on 6 somewhat longer.
Temporary fixed restoration
After the surgical phase, if adequate primary implant stability has been achieved, digital impressions on the implants are taken immediately for the temporary restoration. Thanks to modern digital protocols, there are no conventional impression materials or trays, which shortens the working time and eliminates discomfort for patients. The temporary fixed restoration is delivered within 12 to 48 hours of the procedure, meaning you leave the clinic with teeth.
Healing period
After placement, the osseointegration period follows – the process by which the implants fuse with the jawbone. This period lasts a minimum of 3 to 4 months. During that time you wear the temporary fixed restoration, which allows normal function. Sutures are removed after 7 to 10 days, and for patients who do not live in Serbia, self-resorbing sutures can be placed that do not need to be removed.
Placement of the permanent fixed restoration
After the implants have fully fused with the bone, the permanent fixed restoration is fabricated. Its fabrication takes approximately 10 days, during which the patient comes in for try-in appointments. After the try-ins are complete, the permanent restoration is placed and screwed onto the implants. From that moment you have fixed teeth that look, function, and feel like natural ones.
The procedure itself is identical for both concepts – the only difference is the number of implants being placed, while all other phases are the same.
Implant Placement Under Sedation – Without Fear or Discomfort
Fear of dental procedures, a pronounced gag reflex, or simply the desire to be completely relaxed during the procedure – these are all reasons why patients at DentalVortex clinic can choose to have their all on 4 or all on 6 implants placed under sedation.
We use nitrous oxide sedation (also known as laughing gas), which is a completely safe and effective form of sedation. Throughout the entire procedure the patient is conscious and communicates with the team, but is in a deep state of relaxation in which they feel no fear or discomfort. This is not general anesthesia – there is no putting to sleep, no loss of control.
One of the greatest advantages of this type of sedation is rapid recovery. After the procedure is complete, the gas leaves the body within about ten minutes. The patient can drive independently and resume daily activities, without prolonged sedative effects and without the need for an escort.
Sedation is an option, not a requirement – at the first examination we discuss with each patient what suits them best and tailor the approach to their needs.
Materials for All on 4 and All on 6 Fixed Restorations
When it comes to all on 4 or all on 6, the patient makes two decisions about materials – which implants will be placed in the jaw and from which material the permanent fixed restoration placed on them will be made.
Implant Manufacturers Straumann and Neodent
At DentalVortex clinic we use implants from two globally recognized manufacturers – Straumann and Neodent.
Straumann implants Straumann is a Swiss manufacturer regarded as one of the most renowned brands in implantology. Founded more than six decades ago, it is known for its longstanding clinical research, high osseointegration success rates, and a wide range of implant solutions for all indications. Straumann implants fall into the premium category and are the first choice in clinics around the world that perform complex prosthetic rehabilitations such as all on 4 and all on 6. At DentalVortex clinic, Straumann implants are used in packages with metal-free crowns and acrylic teeth, for both jaws and both concepts. Patients who choose Straumann are choosing the highest level of materials, clinical support, and documented longevity.
Neodent implants Neodent is a Brazilian implant manufacturer that is part of the Straumann Group. This means it uses the same scientific foundation, the same quality standards, and the same manufacturing protocols as Straumann, but at a more accessible price. Neodent implants represent an excellent quality-to-price ratio and are widely used in everyday implant practice around the world. At DentalVortex clinic, Neodent implants are available in all all on 4 and all on 6 packages, combined with metal-free crowns or acrylic teeth. For patients who want a clinically proven solution with a more financially accessible investment, Neodent is an option that makes no compromise on quality.
Both systems are clinically proven, reliable, and enable the fabrication of a permanent fixed restoration with a high degree of precision. Which manufacturer is right for you is determined together at the first examination, based on the clinical picture and your expectations.
Which Material to Choose?
Metal-free crowns
These represent the premium option for fabricating a permanent fixed restoration on implants. They are made without a metal substructure, which gives them a more natural appearance – light passes through the crown similarly to a natural tooth, making them aesthetically almost indistinguishable from one’s own teeth. Metal-free crowns are exceptionally durable, biocompatible, and long-lasting, making them the first choice for patients whose priority is a combination of esthetics and longevity.
Acrylic teeth
Acrylic teeth are a proven and functional material that has long been used in dental prosthetics. They are lighter than metal-free crowns and represent a more financially accessible option for fabricating a permanent fixed restoration. They provide a good esthetic result and full functionality when eating and speaking. Acrylic teeth may be more susceptible to wear over time compared to metal-free crowns.
The choice is actually a combination of two decisions – the implant manufacturer and the material for the permanent restoration. At the first examination we discuss the advantages of all options in detail with each patient and help them make the decision that best suits their needs, expectations, and budget. Patients choose the tooth shade according to their own preference, regardless of which material and manufacturer they select.
All on 4 and All on 6 Package Prices
The price of all on 4 and all on 6 depends on two factors – the implant manufacturer and the material for the permanent fixed restoration. Each package includes the complete service: implants, temporary crowns that you receive immediately after the procedure, and the permanent fixed restoration that is placed after the healing period.
| All-on-4 Package (Material) | Price |
|---|---|
 Metal-free crowns4 implants, temporary and permanent restoration | 6200 € |
| Acrylic teeth4 implants, temporary and permanent restoration | 4800 € |
 Metal-free crowns4 implants, temporary and permanent restoration | 5600 € |
| Acrylic teeth4 implants, temporary and permanent restoration | 4200 € |
| All-on-6 Package (Material) | Price |
|---|---|
| Metal-free crowns6 implants, temporary and permanent restoration | 7600 € |
| Acrylic teeth6 implants, temporary and permanent restoration | 6200 € |
| Metal-free crowns6 implants, temporary and permanent restoration | 6700 € |
| Acrylic teeth6 implants, temporary and permanent restoration | 5300 € |
How Does Payment Work?
Payment is made in two phases.
The first phase covers implant placement and the temporary restoration and amounts to 50% of the total package price.
The second phase covers the fabrication and placement of the permanent fixed restoration and is paid a minimum of 3 to 4 months after the procedure, once the implants have fully fused with the bone. This two-installment payment model allows patients to spread the costs over the duration of the entire treatment process.
How Are All on 4 and All on 6 Teeth Maintained?
All on 4 and all on 6 fixed restorations are a permanent solution, but their longevity directly depends on how carefully and consistently the patient maintains oral hygiene. Unlike a traditional removable denture that is taken out and cleaned, a fixed implant-supported restoration remains in the mouth and requires daily maintenance similar to natural teeth, with a few specific considerations.
The foundation of home hygiene is regular tooth brushing at least twice a day, using an interdental brush and an oral irrigator to clean the space between the fixed restoration and the gingiva. Special attention should be paid to the area around the implants where the fixed restoration meets the gingiva, as plaque can accumulate there and lead to inflammation of the soft tissue around the implants.
At DentalVortex clinic we educate every patient on the proper oral hygiene maintenance technique after placement and encourage them at regular check-ups. Regular check-ups are essential because they allow timely detection of any changes and professional cleaning that the patient cannot perform at home.
How Long Do All on 4 and All on 6 Fixed Restorations Last?
With proper maintenance and regular check-ups, implants can last for decades, and in many cases for a lifetime. The fixed restoration on the implants itself, whether metal-free crowns or acrylic teeth, has an exceptionally long service life, but over time may require adjustment or replacement depending on material wear and changes in the jaw. Metal-free crowns are generally more resistant to wear and retain their esthetic appearance longer compared to acrylic teeth.
The key to longevity is a combination of three factors: the quality of the placement and materials, regular and proper oral hygiene at home, and attending check-up appointments at the clinic according to the agreed schedule.
Our Patients’ Experiences With All on 4 and All on 6 Implants
The decision to have all on 4 or all on 6 implants placed is a major life decision, and it is completely understandable that you want to hear the experiences of people who have already gone through the entire process. Our patients often emphasize that the greatest change for them is in quality of life – from insecurity and discomfort with a removable denture or without teeth, to complete comfort with fixed teeth that look and function naturally.
On this page you can watch video testimonials from patients who had implants placed at DentalVortex clinic and shared their experience – from the first examination and the fear they felt before the procedure, to the moment they received their permanent fixed restoration.
Restore Your Smile and Confidence – Schedule an Examination
Tooth loss doesn’t have to define your everyday life. All on 4 and all on 6 dental implants are a solution that has given thousands of patients around the world the ability to eat without restrictions, speak without thinking, and smile without hesitation. Fixed implant-supported teeth are not just an esthetic change – it is a change in quality of life.
At DentalVortex clinic in Belgrade, every patient goes through a detailed diagnostic protocol that includes a 3D scan, digital impressions, and photographs so that together we can draw up a treatment plan tailored precisely to your case. We use implants from two globally recognized manufacturers – Straumann and Neodent – and for patients who feel fear we offer the option of placement under nitrous oxide sedation.
If you are ready to take the first step toward fixed teeth or want to find out whether you are a candidate for all on 4 or all on 6, contact us and schedule an examination.