Dentures, All on 4, 3 on 6: Know Your Full Mouth Restoration Options
When it comes to replacing missing or failing teeth, many people are unaware of all their available options. Traditional solutions like dentures have long been known for being bulky and uncomfortable, while the All-on-4® procedure, though still effective, is becoming outdated in light of more advanced techniques. One of the latest innovations gaining popularity is the 3 on 6™ treatment concept, developed in 2013, which is proving to be a superior solution for full-arch restorations for qualifying patients.
The All-on-4 treatment concept, introduced in the 1990s, was revolutionary at the time, completely transforming options for patients requiring full arch restorations. The procedure involves placing four implants per arch and removing some bone to make space for a modified denture, without the need for bone grafting or tissue augmentation. This approach has offered an efficient, cost-effective solution that has driven down prices in some areas. However, the All-on-4 approach could be considered more aggressive, particularly for patients with high bone volume and healthy gingival aesthetics, who may benefit from more aesthetically superior options.
In response to this, more providers are now offering advanced techniques that include placing six to eight implants per arch, resulting in more durable and beautiful restorations. The 3 on 6 treatment concept is one such approach, striking a balance between complexity, efficiency, longevity, and cost. By utilizing six implants to support three bridges on each arch, this method preserves more healthy bone tissue, offers greater stability, and requires less maintenance over time. Additionally, the 3 on 6 procedure provides a more natural look and feel, avoiding the bulkiness of traditional dentures that can impair speech, chewing, and even the ability to taste food properly.
The 3 on 6 procedure typically takes around six months to complete, progressing through several stages including consultation, surgery with same-day temporaries, healing with temporary teeth, and the final restoration using high-quality ceramic materials. With the advancements in surgical techniques, many providers now use 3D-guided implant placement alongside holistic treatments like IV infusion therapy, PRF (Platelet-Rich Fibrin), ozone, and laser therapies. These approaches help ensure a more comfortable experience and support faster, more effective healing.
Moreover, the integration of zirconia ceramic implants is another exciting development in the field. These metal-free, biocompatible implants bond with the patient’s natural bone and gum tissue, showing promising results with less inflammation, fewer concerns about metal toxicity, and greater longevity compared to traditional implants.
While traditional options like dentures and the All-on-4 procedure are still widely recommended, it’s crucial to explore all of your options and fully understand the benefits and drawbacks of each treatment option.