All-on-6 Full-Arch · Led by Dr. Hung Le Ba Gia (Dr. Evans) · Last reviewed May 2026
All-on-6 Maximum Stability,
Full Arch.
Picasso Dental places All-on-6 full-arch implant reconstructions in Vietnam across the Osstem, Neodent, Nobel Biocare and Straumann tiers, every fixture covered by the manufacturer's original warranty. Six implants per arch instead of four, improved load distribution, shorter cantilevers, and longer-term stability when bone volume permits.
What is All-on-6?
All-on-6 is a full-arch dental implant reconstruction in which six titanium implants are placed in one jaw to support a complete fixed bridge of 14 teeth. Compared to All-on-4, the additional two implants distribute chewing load across more anchor points, reduce cantilever length at the rear, and provide measurably better long-term mechanical stability when bone volume permits. Like All-on-4, the bridge is anchored permanently, not removable like a denture.
Why Choose All-on-6 Over All-on-4?
Improved Load Distribution
Six anchor points share chewing force, each implant takes roughly 30 percent less load than in an All-on-4 configuration. Particularly useful for heavy chewers and patients with strong bite forces.
Shorter Cantilevers
The rear of an All-on-4 bridge cantilevers off the back implant, which can flex under heavy load. With six implants, the cantilevers are shorter or eliminated entirely, giving the bridge more rigidity.
Long-Term Margin of Safety
If one implant ever needs replacement decades down the line, the bridge can still be supported by five. With All-on-4, all four are load-bearing. The redundancy matters in younger patients with decades of expected function.
All-on-6 Brand Tiers
Four implant brands available, each with single-arch and both-arch options. The bridge sits on top of all of them. Per-arch and both-arch pricing is published on our cost guide. Pricing is itemised in your written quote after CBCT planning.
| Brand | Origin | Best For |
|---|---|---|
| Osstem | South Korea | Standard cases, value tier |
| Neodent | Brazil (Straumann Group) | Straumann technology, mid tier |
| Nobel Biocare | Switzerland | Complex cases, premium tier |
| Straumann | Switzerland | World leader by volume, premium tier |
Add-ons quoted separately when CBCT shows they are needed: bone graft, sinus lift, extractions.
The Procedure, Step by Step
From your first consultation to your final fixed bridge. Total timeline: roughly 6 months from surgery to definitive bridge.
Consultation + CBCT
Clinical exam, medical history, blood tests, CBCT 3D scan. Bone volume confirmed sufficient for All-on-6.
Day 1 · 75 minSurgical Planning
Digital plan: six implant positions, brand, angle, any adjunct procedures. Reviewed with the patient.
Day 2–3Surgery + Provisional
Failing teeth extracted, 6 implants placed under local + sedation. Provisional bridge fitted same or next day.
Surgery · 2–3 hrOsseointegration
~6 months. Implants fuse with bone. Provisional bridge worn throughout. Soft-to-normal diet progression.
~6 monthsFinal Fixed Bridge
Digital impression, definitive 14 tooth bridge fabricated and fitted. Case file and serial numbers delivered.
2–3 visits · 2 weeksAll-on-6 vs All-on-4: Direct Comparison
The honest comparison. Both protocols are well-documented and equally suitable when matched to the right patient.
| Criterion | All-on-4 | All-on-6 |
|---|---|---|
| Implants per arch | 4 | 6 |
| Bone volume needed | Less (designed for limited bone) | More (requires adequate volume at all 6 sites) |
| Sinus lift in upper jaw? | Often avoided by angled rear implants | Often needed if upper jaw bone is limited |
| Load distribution | Good | Excellent |
| Cantilever length | Longer (rear extension) | Shorter or eliminated |
| Bite force tolerance | Standard chewers | Heavy chewers, bruxism patients |
| Surgery time | ~2 hours per arch | ~3 hours per arch |
| 10-yr documented survival | 95–98% | 95–98% |
No protocol is universally better, the right one is the one that matches your bone, your bite force, and your budget. We tell you honestly after CBCT.
When We Recommend All-on-6 Specifically
Three scenarios where the additional two implants make a measurable clinical difference.
Heavy Chewers & Bruxism
Patients with strong bite forces or grinding habits put substantially more load on the bridge. Six implants distribute that load and reduce per-implant stress, improving long-term outcomes.
Younger Patients (50 and Under)
Decades of expected function ahead means decades of cumulative load. The redundancy of six implants gives a safety margin if one ever needs replacement.
Adequate Bone Volume
If your CBCT shows sufficient bone at all six implant sites without major augmentation, the cost-to-stability trade-off favours All-on-6.
Lower Jaw, Long Span
The lower jaw typically has dense bone supporting the additional implants. A 6-implant lower bridge with shorter cantilevers performs measurably better under load than a 4-implant equivalent.
When We Recommend All-on-4 Instead
Limited bone volume in the upper jaw, sinus pneumatisation requiring multiple lifts to fit six implants, budget-conscious patients prioritising the proven 4-implant protocol.
Mixed Approach (4 + 6)
Common: All-on-6 in the lower jaw (dense bone, long span benefits) plus All-on-4 in the upper jaw (softer bone, sinus considerations). Often the most rational choice.
Are You a Good Candidate?
All-on-6 suits most adults missing or losing a full arch when bone volume permits. Decided after your CBCT scan and medical history review.
You're a Strong Candidate If
You are an adult (~18+) in generally good health with a full arch missing or failing.
Your jawbone has adequate volume at all six implant sites, or you accept grafting / sinus lifts.
Your gums are healthy, or any active gum disease has been treated first.
If diabetic, your HbA1c is well-controlled (ideally below 7%).
You do not smoke, or are willing to stop at least 2 weeks before surgery and 8 weeks after.
You can attend basic 6-month recall visits, locally or with us.
All-on-6 May Not Be Right If
Your bone volume is severely limited, All-on-4 may fit better.
Sinus pneumatisation in the upper jaw would require multiple lifts to fit six implants.
You have uncontrolled diabetes, healing and integration are significantly compromised.
You have active, untreated periodontal disease.
You are a heavy smoker unwilling to stop or significantly reduce.
Your budget makes All-on-4 a more practical choice for the same fixed-bridge result.
Recent All-on-6 Cases
A small selection of recent All-on-6 reconstructions. Every photograph shows an actual Picasso Dental patient, published with their written consent.
All-on-6 Lower Arch
Lower Arch · Straumann
Patient from Moscow · Treatment: 7 months · Hanoi Westlake
All-on-6 Upper Arch
Upper Arch · Nobel Biocare
Patient from Sydney · Treatment: 7 months · Da Nang Vinmec
Denture-to-Fixed
Lower Arch · Osstem
Patient from Hanoi · Treatment: 6 months · Hanoi Old Quarter
Heavy Chewer · Zirconia
Upper Arch · Straumann + Zirconia
Patient from London · Treatment: 7 months · Da Nang Vinmec
Mixed All-on-4/6
Upper All-on-4 + Lower All-on-6 · Neodent
Patient from Auckland · Treatment: 6 months · HCMC Thao Dien
Replace Failed Conventional Work
Lower Arch · Nobel Biocare
Patient from Singapore · Treatment: 7 months · Da Nang Vinmec
Who Will Place Your All-on-6
All-on-6 placement at Picasso Dental is led by Dr. Hung Le Ba Gia (Dr. Evans), with 1,000+ implants placed and 200+ All-on-4 / All-on-6 full-arch cases completed. Supported by a clinical team trained in surgical-first protocols and on-site anaesthesiology at our hospital-partner branches.

Lead Implant Specialist
Dr. Hung Le Ba Gia (Dr. Evans)
Picasso's dedicated implant specialist, with 1,000+ implants placed and 200+ full-arch cases completed across All-on-4 and All-on-6. Particularly experienced with mixed configurations across upper and lower arches.

Founding Clinical Director
Dr. Emily Nguyen
Founder of the original clinic in 2013. Sets clinical standards for implant case selection, surgical protocols and prosthetic delivery group-wide.
Caring for Your All-on-6 Bridge
All-on-6 is a one-time treatment when properly maintained. Modern implants routinely last 25 years or more.
First 2 Weeks
Soft food, no smoking, no straws, no vigorous rinsing. Mild swelling normal, peaks day 3. Antibiotics and pain relief as prescribed. Provisional bridge in place.
Months 6
Provisional worn while six implants integrate. Soft-to-normal diet progression. WhatsApp check-ins with our team if you have travelled home.
Daily, Forever
Brush twice daily with a soft toothbrush. A water flosser is the single most useful tool for cleaning under the bridge. Interdental brushes around each implant head.
Every 6 Months
Professional cleaning of the bridge, soft-tissue check around each of the six implants, visual inspection. Six implants take longer to clean than four, plan for slightly longer recall appointments.
Year 1 X-ray Check
Standard 12-month X-ray to confirm bone levels around each implant are stable. Standard practice for all implant patients globally.
What to Avoid
Smoking is the single biggest threat to implant longevity. Untreated peri-implantitis is the second. Hard objects (ice, pen caps, fingernails) are unkind to bridges and implants alike. Heavy grinders should wear a night guard.
The International All-on-6 Journey
Two paths for patients flying in from abroad. Choose the one that fits your time, your budget and your case complexity.
Option A: Two Trips (Standard)
Trip 1 ( 14 days): Consultation, CBCT, extractions, surgery, provisional bridge fitted, recovery in Vietnam, fly home.
Wait at home: ~6 months osseointegration. WhatsApp check-ins.
Trip 2 ( 14 days): Final impression, definitive bridge fabricated and fitted, case file delivery.
Best for: Most patients · Bone healing time at home · Two manageable trips.
Option B: Single Extended Trip
One trip ( 6 months): Consultation, CBCT, surgery, provisional, healing in Vietnam, definitive bridge, all in one stay.
Best for: Retirees · Remote workers · Patients who can take an extended period in Vietnam.
Bonus: Low cost of living during healing · Beach recovery in Da Nang or mountain recovery in Da Lat · Continuous care under the same team.
Risks & Success Rates: Honestly
No surgery is risk-free. Here is what the literature reports for All-on-6 and how Picasso minimises every avoidable risk.
Documented Success Rate
Long-term clinical literature consistently reports implant survival in the 98 percent range over 10 years for healthy patients placed by experienced clinicians, confirmed by the systematic review of Moraschini et al. (2015) covering more than 14,000 implants across 23 studies. Full-arch protocols (All-on-4, All-on-6) show comparable survival.
What Can Go Wrong
Failure to integrate at one of the six positions (rare, the bridge can usually still be supported by the remaining five). Peri-implantitis from poor hygiene under the bridge. Bridge fracture (replaceable). Anaesthesia-related complications (mitigated by hospital-based delivery).
How We Minimise Risk
CBCT 3D imaging before every surgery. Autoclave sterilisation. Medical history screening. Genuine brand fixtures only. Surgical planning reviewed before any incision. On-site emergency medical support at our hospital-partner branches.
If Something Goes Wrong
If an implant fails to integrate within 6 months, we re-place it at no additional cost. If a bridge fractures within the warranty period, we replace it. We don't invoice you to fix our own work.
Smoking & All-on-6
Smoking roughly doubles implant failure risk and significantly increases peri-implantitis. With six implants in play, the cumulative risk is meaningful, we strongly recommend stopping at least 2 weeks before surgery and remaining smoke-free for 8 weeks after.
Why Six Implants Provide Redundancy
If one of six implants ever fails decades down the line, the bridge can be modified to function on the remaining five while the failed position is re-treated. With four implants, all are load-bearing, and a single failure typically means full bridge replacement.
Frequently Asked Questions
What is All-on-6?
All-on-6 places six titanium implants in one jaw to support a complete fixed bridge of 14 teeth. Compared to All-on-4, the additional two implants distribute chewing load across more anchor points and provide improved long-term stability when bone volume permits.
How much does All-on-6 cost in Vietnam?
All-on-6 pricing varies by implant brand (Osstem, Neodent, Nobel Biocare, Straumann) and configuration. Per-arch and both-arch pricing is published on our implant cost guide. Prices include the six implants and the prosthetic bridge.
What's the difference between All-on-4 and All-on-6?
All-on-4 uses four implants per arch; All-on-6 uses six. All-on-6 distributes chewing load across more anchor points, reduces cantilever length, and is the preferred protocol when bone volume permits. All-on-4 is faster, more economical, and equally suitable when bone is the limiting factor.
Is All-on-6 better than All-on-4?
"Better" is the wrong frame, they are different protocols suited to different cases. All-on-6 has improved load distribution and slightly better long-term outcomes in heavy chewers and patients with adequate bone. All-on-4 is the right answer when bone is limited or budget is the priority.
How long does All-on-6 treatment take?
From surgery to final fixed bridge typically takes around six months, surgical placement on day one (often with a provisional bridge fitted the same or next day), followed by an osseointegration period during which the six implants fuse with the bone, then final bridge fitting.
Will I leave the clinic with teeth on the day of surgery?
In most cases, yes. Picasso fits a provisional fixed bridge on the day of surgery or the following day for immediate-load cases. The final, definitive bridge is fitted after osseointegration is complete.
Do I need bone grafting for All-on-6?
Sometimes. All-on-6 requires more bone than All-on-4 because there are more implant positions, particularly in the upper jaw where sinus pneumatisation can limit available bone. CBCT scanning on day one tells us definitively whether grafting or sinus augmentation is needed.
Which implant brand should I choose for All-on-6?
Osstem (Korea) and Neodent (Brazil, Straumann Group) are well-documented mid-tier options for standard All-on-6 cases. Nobel Biocare and Straumann (both Switzerland) are recommended for premium long-term documentation, complex cases or younger patients with decades of expected function ahead.
Can I have All-on-6 as an international patient?
Yes. Most international patients split treatment across two trips: surgery and provisional bridge on trip one, then final bridge on trip two after osseointegration. Some patients with longer availability complete both phases in a single extended stay in Vietnam.
Where is All-on-6 surgery performed?
At any of our six branches, including two hospital-based locations: Vinmec International Hospital Da Nang and Link General Hospital Da Lat. Hospital-based surgery is recommended for full-arch cases where on-site emergency medical support is preferred.
How long does an All-on-6 bridge last?
The implant fixtures themselves routinely last 25 years or more, with documented 10-year survival in the 98 percent range. The fixed bridge on top typically lasts 20 years before considering replacement, depending on material (acrylic-on-titanium vs zirconia).
Does All-on-6 distribute load better than All-on-4?
Yes. With six anchor points instead of four, each implant takes proportionally less chewing force. The bridge has shorter cantilevers (less unsupported length at the rear) and is mechanically more stable under heavy bite loads. This is the main clinical reason to choose All-on-6 when bone volume allows.
Related Treatments
All-on-4 Full Arch
Four strategically placed implants supporting a full-arch bridge. Faster, more economical, designed to use available bone, often without grafting.
Full Mouth Reconstruction
Both arches restored with All-on-4, All-on-6 or a mixed configuration. The complete two-arch dental rebuild.
Implant-Supported Dentures
Fewer implants (typically 4 per arch) supporting a removable overdenture. More economical alternative to fixed All-on-6.
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Tell us your starting point, current dentition, prior implants, medical considerations. Our implant team reviews every request and tells you honestly whether All-on-6 fits your case, with brand recommendation, treatment plan and price estimate, at no cost and no obligation.