All-on-6 dental Implants in Turkey | Procedure, results and price

What is All-on-6 exactly?

All-on-6 consists of anchoring a full dental prosthesis into six titanium implants strategically placed in the maxillary or mandibular bone. Compared with All-on-4, the two additional implants better distribute chewing forces and provide a more robust anchorage, making it an attractive option for patients with somewhat reduced bone density, without the systematic need for a prior bone graft.

Expected results

The results of an All-on-6 are assessed on two levels, and it is worth distinguishing them.

Functionally:

• A stable, significantly improved chewing function, approaching that of natural teeth once osseointegration is complete (generally between 3 and 6 months). Sensation and bite force may still differ slightly from natural teeth.
• A fixed prosthesis that stays in place, without the shifting or discomfort typical of a removable denture.
• Improved speech for many patients who had pronunciation difficulties due to lack of dental support, after a short adaptation period.

Aesthetically: 

• A smile with natural proportions, designed according to the patient's facial morphology.
• Prosthetic teeth whose color and texture are chosen to resemble natural enamel.
• Restored lip support, which can often visibly rejuvenate the lower third of the face.

Provisional vs. definitive prosthesis:

The provisional prosthesis is placed on the day of surgery, so you leave the clinic with fixed teeth. It is functional and gives you an acceptable appearance while you heal, but it is not the final result: you will usually be advised to follow a soft diet during healing, and the aesthetics are refined later. The definitive prosthesis, which is more resistant and precisely adjusted, is fitted after the healing period, between 3 and 6 months later. This is when you get the best possible aesthetic result.

Are you a candidate? Eligibility criteria

Not all patients with tooth loss are automatic candidates for this technique. During the teleconsultation and, above all, after the panoramic X-ray at the clinic, the surgeon evaluates several criteria:

• Available bone volume: a sufficient amount of bone is needed to anchor the six implants with primary stability. When volume is insufficient, a prior bone graft may be recommended or, in some cases, zygomatic implants may be considered.
• General health status: uncontrolled diabetes, certain autoimmune diseases, or bisphosphonate treatments may require additional precautions or contraindicate the procedure.
• Smoking: smoking delays healing and increases the risk of implant failure. It is not an absolute contraindication, but the surgeon usually recommends reducing or stopping consumption before and after the operation.
• Gum health: active periodontitis must be treated before placing implants.

Each case is studied individually: the final decision is always made after the clinical and radiological examination.

Complementary procedures before All-on-6

Depending on the condition of your mouth, some preliminary steps may be necessary:

• Tooth extraction: teeth too damaged to be preserved are removed, often on the same day as the surgery.
• Bone graft or sinus lift: when bone volume is insufficient, the jaw is augmented before or during implant placement.
• Combined protocol: extraction, grafting, and implant placement in a single session to reduce the overall treatment duration.
• Staged protocol: when the case requires it, with a healing time between each phase.

The procedure, step by step

It all begins with a personalized examination, which includes a panoramic X-ray (and, in certain cases, a 3D scan) to precisely assess bone and dental status. Based on these results, the treatment plan is defined with you: exact number of implants, need for complementary procedures, schedule, and detailed budget.

Once the plan is validated, the procedure proceeds as follows:

1. Anesthesia and preparation: local anesthesia (or sedation depending on the case) is administered to ensure a pain-free procedure. If necessary, remaining teeth are extracted.
2. Implant placement: the six titanium implants are inserted according to a precise surgical plan calculated to optimize the distribution of chewing forces.
3. Immediate provisional prosthesis: at the end of the procedure, a provisional prosthesis is secured. You leave the clinic with fixed teeth and a presentable smile from day one.

The procedure typically lasts between two and four hours, depending on the complexity of the case and the number of complementary procedures performed in the same session.

Materials for the All-on-6 prosthesis: which to choose?

The choice of material for the final prosthesis directly influences aesthetics, durability and budget:

The implants themselves are usually manufactured in grade 4 or 5 titanium, a material that has demonstrated decades of reliability in implantology due to its mechanical strength and excellent osseointegration.

After the operation: what to expect

During the first days it is normal to notice swelling, sensitivity, and slight discomfort in the treated area; these are part of the healing process and subside gradually with the care recommended by the dentist.

Recommendations for the following weeks:

• Follow a soft diet and avoid hard or crunchy foods for the first few months.
• Avoid tobacco and alcohol for at least two weeks.
• Do not consume very hot or very cold drinks.
• Take paracetamol for discomfort, as prescribed.
• Maintain rigorous oral hygiene from day one.

Why have your All-on-6 in Turkey?

Substantial savings compared to prices in France or Germany are real, but reducing Turkey to a matter of price would be unfair to the quality of care available:

• Concentration of clinical experience: Istanbul brings together one of the largest volumes of All-on-6 procedures in Europe and the Middle East, with surgeons performing this protocol weekly rather than occasionally.
• State-of-the-art equipment: 3D scanners, digital surgical guides, and prosthetic labs integrated into the same clinic, which speeds up timelines without sacrificing precision.
• "All-inclusive" protocol: accommodation, transfers, interpreters, and postoperative follow-up are organized in a single package, with no last-minute surprises.

Durability and warranties

Well maintained, titanium implants can last more than 15–20 years, and even a lifetime in many cases, thanks to osseointegration with the bone. The prosthesis mounted on them has a different service life depending on the material: resin usually requires replacement every 5–7 years, while a zirconia prosthesis can remain in good condition for 10–15 years or more with regular check-ups.

Clinics associated with Turquie Santé offer variable warranties depending on the establishment and the type of implant used (usually between 5 and 10 years on the implants and specific warranties on the prosthesis). Before the procedure, we provide you in writing with the exact warranty conditions of the selected clinic, so you can make your decision with all the information.

Advantages of All-on-6

The All-on-6 treatment offers several advantages compared to traditional solutions for replacing a full dental arch:

• Speed: a fixed set of teeth in a single day, without the long waits of traditional tooth-by-tooth treatments.
• Enhanced stability: six anchor points instead of four, for better load distribution.
• Fewer graft surgeries: thanks to the implant distribution, the systematic use of bone grafts is often avoided.
• Simple maintenance: daily care comparable to that of natural teeth.
• Favorable cost-to-result ratio: an optimized protocol that reduces the number of necessary interventions.

Risks and side effects

Common, temporary effects

• Swelling, bruising, and inflammation in the first days after surgery.
• Discomfort and localized sensitivity, usually managed with prescribed medication.
• A short adaptation period for speech and chewing with the provisional bridge.
• Mild aftereffects of anesthesia, such as temporary numbness of the lips or cheeks, or drowsiness if sedation is used.

Possible complications

• Infection: the risk is reduced by a strict hygiene protocol and, where appropriate, preventive antibiotics.
• Implant failure or “rejection”: a titanium implant is not rejected like a transplanted organ, but in a small percentage of cases it fails to bond (osseointegrate) with the bone. The implant may then become mobile and have to be removed and replaced. Smoking, uncontrolled diabetes, and poor oral hygiene increase this risk.
• Peri-implantitis: inflammation of the gum and bone around an implant, usually caused by plaque buildup. If untreated, it can lead to bone loss, loosening of the implant, and implant failure.
• Loosening of the prosthesis or its screws: the screws holding the bridge or the connecting parts (abutments) can loosen over time, causing a clicking sensation, discomfort, or a bridge that feels less stable. This is usually fixed quickly by tightening them at a check-up, but it should not be ignored.
• Anesthesia-related complications: local anesthesia is generally well tolerated, but allergic reactions, temporary dizziness, or prolonged numbness can occur. If sedation or general anesthesia is used, additional risks apply (nausea, drowsiness, and, rarely, breathing or cardiovascular events). Your medical history, allergies, and current medications must be reviewed beforehand.
• Nerve injury: rarely, surgery can cause temporary or, more rarely, lasting numbness or tingling in the lip, chin, or tongue. A 3D scan (CBCT) during planning helps avoid this.
• Sinus complications: in the upper jaw, an implant may come close to the sinus cavity, which can occasionally cause sinus issues.
• Prosthesis problems: chipping or fracture of the bridge material, or wear over time.
• Aesthetic or functional issues: the final result (gum line, tooth shape, speech, bite) may need adjustments.
• Implant fracture: very rare, but possible, particularly with heavy grinding (bruxism) or overloading.

Long-term maintenance

All-on-6 is a lasting solution, not a maintenance-free one. Regular check-ups, professional cleanings, and daily cleaning around the implants and under the bridge (with interdental brushes or a water flosser) are essential. Your dentist may also recommend a night guard if you grind your teeth. If you notice looseness, pain, bleeding gums, or a change in your bite, contact your dentist promptly.

Your individual risk depends on your overall health, bone quality, habits, and the experience of your surgical team. Always discuss your specific situation during your consultation.