As a dedicated dental professional in Turkey, deeply involved in health tourism, I wish to shed light on the critical choices in implant treatments for completely toothless jaws. Our clinic is renowned for specializing in the All-on-6 treatment concept, a decision rooted in both expertise and patient care.

Understanding the All-on-6 Advantage

In cases of complete edentulism, the All-on-6 concept is our preferred approach. This method involves placing six implants in the jaw, providing a robust foundation for fixed prostheses. It's a step beyond the All-on-4 concept, which only uses four implants. While All-on-4 can be effective, it carries a risk: if one implant fails, the entire treatment can be compromised. Our choice of All-on-6 offers greater stability and support, particularly crucial for the back teeth.

The Misconception of Cost Over Quality

A concerning trend in dental tourism is the comparison of our clinic with others that offer seemingly lower prices. Often, these clinics recommend the All-on-4 approach even when a patient's bone structure is suitable for more implants. This is primarily to create a cost advantage. However, when the bone structure permits, the correct indication should be All-on-6, not All-on-4. Choosing four implants over six can reduce treatment costs by about 33%, but this saving comes at the expense of long-term success and patient satisfaction.

The Importance of Comprehensive Treatment

Our clinic emphasizes the importance of each step in the implant process. We start with digitally designed temporary teeth made from 3D-printed plastic, ensuring immediate function and aesthetics. After about three months, once the implants have integrated, we replace these with permanent teeth crafted from high-quality monolithic zirconia. In contrast, some clinics skip the temporary stage, moving directly to permanent teeth. This approach can lead to significant issues as the gums heal, sometimes even causing implant failure due to the weight of the zirconia.

Factors Influencing Treatment Quality and Cost

Several factors contribute to the quality and cost of All-on-6 treatment, including:

• Implant Brand and Model: High-quality implants ensure better outcomes.
• Type of Abutment Used: We use multiunit abutments, whereas some clinics opt for standard straight abutments, leading to potential complications.
• Surgical Expertise: Procedures performed by experienced oral surgeons yield better results.
• Bone Condensation Techniques: Enhancing primary stability of the implants.
• Suture Materials and Biomaterials: Quality materials aid in healing and integration.
• Design and Material of Temporary Teeth: Expertly designed temporaries are crucial for the transition to permanent teeth.
• Reassessment for Permanent Teeth: Adjusting designs to suit healed gum contours ensures a better fit.
• Quality and Type of Zirconia: Superior materials for lasting results.
• Digital Workflow Compatibility: Ensuring precision in implant placement and prosthesis fabrication.
• Proper Bonding of Copings to Zirconia: Essential for durability.
• Correct Torque Application: Ensures the longevity of the implants.
• Bite and Chewing Function Assessment: Critical for comfort and function.