All on 4 All on 6 All on 8 Full Mouth Dental Implants: An Introduction to the Patient Journey
Transformation and changing lives is the reason Dr. Yuriy May entered into the dental profession, and it was his passion for helping individuals feel, function and live their best and healthiest version of themselves that he became USA’s leader in All on 4 All on 6 All on 8+ Dental Implant Full Mouth Reconstruction, having performed hundreds of full face transformations.
When you visit Natural Dentistry, every patients’ esthetic and clinical objectives alongside comfort during the dental transformation journey with us is Dr. May’s priority. Natural Dentistry will work with each patient and involved family members to develop a customized plan that addresses all needs, including emotional, physical, functional, financial, travel and scheduling related, along with privacy needs. All of this to deliver remarkable, life changing results to each patient and their supporting confidants ensuring they continue to flourish with enhanced health, a perfect smile, ideal bite, and optimal function. Natural Dentistry’s concierge approach is far different from that of Teeth Tomorrow or Clear Choice Dental Centers – we work with one patient at a time, start to finish, from logistics before surgery including out of state and out of US travel arrangements, family coordination and education, surgery day planning, recovery planning, financial planning and all touchpoints for the next 6-18 months after the patient begins their full mouth dental implants journey.
Using a combination of the latest clinical techniques, cutting-edge technology, 3D CBCT imaging and over 200+ hours of providing lectures and classes in implant placement, ceramic metal free implants, surgery techniques, implant immediate temporary design and creation, jaw bone reconstruction and smile design architecture including facial contour optimization and cranial functional design, his work has delivered exquisite and nothing short of *amazing* patient results, as reviewed by both clinicians and patients alike. Dr. May has been featured in numerous publications and is considered an expert in the area of All on 4 Dental Implants All on 6 All on 8 and up to 12 dental implants per arch in both titanium dental implants and ceramic dental implant (metal free) full mouth transformations.
Page Navigation This page will have ALL the information you will need to find out whether you are a candidate for All on 4 or All on 6 Dental Implant Full Arch or even Double Arch Reconstruction. The page is a resource and there is A LOT to read and review. Use the shortcuts below to help you navigate portions of the page and don’t forget to come back to it until you’ve made your way through all of the material and have also explored our All on 4/6/8+ Zirconia Implant (Metal Free Implant) page as well so you understand your material choices after you explore your reconstruction options. If you have questions, fill our new patient form here and start your journey to learn more after you’ve finished all this authoritative information on All on 4 and All on 6 Dental Implants.
Who is a candidate for All on 4 Dental Implants or am I candidate for All on 6 Dental Implants
Many travel out of state to consult and with Dr. May and he is known as a specialist for those individuals who have experienced:
- Facial Trauma
- Congenital Palatal Defects
- Chronic Diseases resulting in Bone or Tooth Loss
- Severe neglect of oral and systemic health
- Effects of multiple infected root canals & hopeless teeth
- Severe irreversible periodontal disease
- Multiple Missing Teeth & Lost Bone & Dropped Sinuses
- Failed/botched Cosmetic Dentistry, Endodonticts, Reconstruction Attempts
- Genetic Disorders
- History of poor dentistry by various dental practitioners leading to failure
- Damage due to drug use
- Age-related deterioration
If you are a traveling patient, we see patients from all over the USA and abroad and you can find travel information for your trip here
Call the patient concierge to learn more call (860)554-1130 (Responses available only AFTER the new patient form request is filled out, click here
All On X Dental Implants: Single or Double Arch Full Mouth Reconstruction
Understanding the All on 4/6/8+ Implant-Supported Bridge vs Traditional Removal Denture
Without question, the optimal solution for any edentulous (toothless) patient from whom it is still clinically viable to place implants, is the All on x Dental Implant Solution. Whether All on 4, All on 5, All on 6 or any variation (which we refer to as “full arch” or “all on x”) of a full arch implant supported design, there is not a second-best option for quality of life, long term durability, bone maintenance, health improvement, perfunctory improvement, and frankly happiness. The fixed implant-supported prosthesis presents numerous advantages over traditional removable complete dentures. The surgical protocol that Dr. May employs for delivering these full-arch All on X restorations is relatively simple, and the positive impact this treatment definitively has on patients cannot be overstated. All on X Implant-supported full arch restorations are nothing short of life-changing. Patients who have suffered from tooth loss (edentulism) for years, regardless of whether it was induced by trauma, periodontal disease, negligence or any other factor are simply thrilled when they experience the improved quality of life offered by a beautiful, natural feeling, implant-supported fixed restoration like a hybrid or a bridge.2,3
Unlike other dentists, you will can always select titanium or the preferred material zirconia/ceramic for your implant choices at Natural Dentistry.
Is Full-Arch All on X possible on Metal-Free Ceramic Implants? YES! Is DOUBLE Arch Full Mouth reconstruction on metal-free ceramic implants possible? YES! This is especially important for chronically ill and metal-allergic and post-oncology patients with autoimmune dysregulation!
What are the benefits of All on 4 All on 6 Dental Implant Fixed Bridge compared to a removable denture?
- By stabilizing the prosthesis with dental implants to the maximum degree possible, the dental implant solution effectively restores full oral function, comfort and esthetics, while minimizing bone loss and the devastating soft-tissue changes associated with edentulism (being toothless).1
- Removable dentures, long despised by many who wear them, generally reduce mastication function, speech function, and over time contribute to excessive bone erosion, changing both the dimensions of the jaws and negatively impacting all esthetics of the face.
- Removable Dentures typically are made of PMMA or acrylic material which to which plaque and bacteriostatic elements accumulate making it less than a hygienic option.
Fixed hybrid implant-supported prosthetics also knowns as “All on X” attach to dental implants via screws, inserted through titanium or ceramic substructure (frame), have been used to successfully restore fully edentulous patients for decades and are known to be lower cost. Fixed hybrid dentures are typically made of acrylic materials, which after years of experience, Dr. May and other top restorative dentists determined are suboptimal as long-term restorative solutions. The acrylic fixed hybrid dentures’ durability and aesthetics, leave much room for improvement, which is why Dr. Yuriy May offers full-arch implant-supported zirconia prosthesis restorations only.
There are three issues that can complicate the long-term success of the traditional fixed hybrid denture made of PMMA/acrylic:
- the acrylic teeth tend to wear and look less life-like (mimicking teeth)
- the teeth can fracture or dislodge from the acrylic base
- the acrylic base itself can fracture
- the acrylic PMMA is not biocompatible and can leach methyl acrylates which can cause allergic responses in some sensitive individuals and is not used by biological or holistic dentists
The All On 4 All on 6 Dental Implant-based Full-Arch Implant Prosthesis used by Dr. May eliminates these issues, providing a restoration that is more durable in the long term while sacrificing nothing when it comes to aesthetics.
Are All on 4/6/8+ Dental Implants available in Titanium and Ceramic Zirconia Implant Options?
Reconstruction for Full Arches Is Possible with Metal-Free Dental Implants: Dr. May is only 1 OF only 3 dentists in the entire country (USA) offering Full Arch Zirconia Implant Restorations, from 4 to 10 implants on a single arch. Technically, one would call that that “Ceramic All on 4 Implants” and can substitute any number of zirconia implant on the full arch all the way to “Zirconia All on 10 Metal-Free Full-Arch Implant Prosthetic” And the answer is, the entire surgery, every single implant component and the final prosthetic is 100% METAL FREE! By many accounts, patients flying into Natural Dentistry for this life-changing surgery and full mouth ceramic rehabilitation do so as Dr. Yuriy May is considered the best not only for his protocols and surgical experience but due to his most esthetic results. The cases performed in our USA office are everything from highly predictable to extraordinary challenging, often involving all teeth being removed and replaced with zirconia implants but in some cases, based on patient desire and clinical specifics, mixed dentition (which means savings some natural teeth). Unlike other dentists, patients can select titanium or the preferred material zirconia/ceramic for their implant choices at Natural Dentistry.
World’s Best Fixed Dental Implant Supported Full Arch | All On 6 Dental Implants
Why Are All on 4 Fixed Implant-Supported Bridges So Much Better than Removable Dentures?
Dental implants as a foundation for fixed full-arch prostheses have substantially and dramatically enhanced the quality of life for patients with missing teeth, especially compared to removable dentures.1 Whether considering an All on 4 or an All on 6 Dental Implants, the results are life-changing for many of Dr. May’s patients. For many years now, Dr. May’s edentulous (toothless) patients along with those patients experiencing conditions warranting the removal of their remaining teeth (think: severe periodontal disease, bone loss or decay) have opted for having dental implants placed to retain beautifully made implant-supported prosthesis also known as a bridge. The superiority of ALL ON X fixed full-arch implant restorations compared to conventional dentures cannot be overstated: it is simply life-changing, as Dr. May’s patients declare time and time again.
By dramatically increasing prosthetic stability, implant-supported full-arch restorations significantly improve chewing ability, taste of food and speech function.2 The positive impact of All on X implant-supported dentures on oral health, comfort and the incredible esthetics offered to edentulous (toothless) or severely compromised dental patients is accompanied by social and psychological benefits as well as improved personal confidence.3 At the same time, the long term benefit of dental implant-supported full-arch prosthesis are significant for maintaining long term health:
- the dental implants help retain bone of the jaws
- the dental implants help retain use of normal masticating muscles maintaining normal oromyofunctional musculature creating a more youthful facial appearance unlike dentures
- dental implants promote bone maintenance helping patients look younger look through the mitigation of bone loss, avoiding structural changes like bite collapse and skin sag
- dental implants help aid in the mitigation of gingival recession
- dental implants help prevent bone collapse and masticating pressures from compressing the lower jaw inferior alveolar nerve
- ultimately helping to preserve the shape of the patient’s mouth and facial structures.4
All on 4 All on 6+ Fixed Implant-Supported Full-Arch Bridge Prosthetic – What Kind is the Best?
While both removable and fixed implant-supported prostheses provide wide-ranging benefits for toothless patients, fixed restorations have demonstrated superior impact on oral health, dental function, patient satisfaction, and quality of life.5,6 For this reason, a dental implant-supported denture has long been considered the optimal choice for full-arch restorations. Patients can choose between 2 options full the full arch denture:
What does “All on 4 Implants” or “All on 6 Dental Implants” Mean?
The terminology “All On 4” refers to full mouth reconstruction cases for a single arch, as in implants placed in the maxilla (upper arch) or mandible (lower arch). Specifically “All on 4 Dental Implants” means that “All” the teeth of the prosthetic (typically 10-12 prosthetic teeth per arch) will be placed on the “4” dental implants that are the only fixed anchorage devices holding the prosthetic (denture) to the implants to create the “teeth”. All on 4 means that the implant dentist will remove all remaining teeth or if the patient already has no remaining teeth, only 4 dental implants will be surgically placed into the jaw. On the 4 dental implants, which will be the only anchorage devices in the upper or lower jaw, “All” the teeth of the prosthetic will be placed on the 4 dental implants.
Similarly, All on 6 Full Arch Prosthetic or All on 6 Surgery means the dental implant specialist like Dr. May will place 6 implants into one of the jaws and then attach a full prosthetic with “all” the teeth for the arch to the 6 dental implants.
Often, skilled and experienced dental implant surgeons like Dr. Yuriy May perform any All on X dental implant case that is suited for each individual patient and their clinical situation. Dr. May has done All on 4, All on 5, All on 6 and All on 8 cases today, highlighting the importance of finding a surgeon who is fluid, experienced and has the ability to customize the number of dental implants for each patient given their clinical presentation.
Which is full arch implant strategy is best? How many implants for a full arch are best?
All on 4 vs All on 6 Dental Implants vs All on X
Ideally, its always better to place more implants than less implants for an All on X case, thus 6 is generally better than 4, but the number of implants placed is typically dictated by the patient’s bone levels and the amount of surgery they want to undergo. Most of the time, patients don’t choose to do All on 4 and only pursue that option when their bone is severely compromised or they want to avoid additional grafting or sinus lift surgeries.
In reality, the most common of the “All on X” dental implant cases is the placement of 6 implants, because it is an “even” number therefor symmetrical as in 3 on one side of the midline (middle of the jaw) and 3 on the other side of the midline. In the most ideal situations, that aren’t compromised by bone loss or dropped sinuses, Dr. May places at least 8 implants per jaw due to better prosthetic design and bite force distribution, better bone retention over time, and more long term survivability of the implants and prosthetic. In the most compromised dental patients, Dr. May places a minimum of 4 dental implants utilizing the “All on 4” technique. This is typically done to avoid either performing sinus lifts in the back of the upper jaw or because too much bone is lost in the posterior region. The downside with All on 4 dental implants is in case 1 implant fails, the entire prosthetic is put at risk. In the case of an All on 6 dental implants case when 6 dental implants are placed, if one implant fails immediately or over time, the remaining 5 dental implants can still fully support the prosthetic. In the case of a single implant failure in a 4 dental implant case, surgery has to be done again to place more implants.
The All on 6 implant surgery is the most common of all because most individuals who have lost bone or teeth tend to lose teeth in the posterior region (the back teeth) first, and over time also lose bone in those areas. This means that there is typically enough bone to only place 6 or in the worst cases of posterior (back teeth) bone loss, 4 dental implants for the full arch.
Which All on X Dental Implant Prosthetic Is Best?
Zirconia Prosthetic Bridge or Denture: Best Option (we use this option 80% of the time in our office)
- Benefits of Ceramic Prosthetic: Highly durable, little chance of fracture or breakage, low plaque adhesion making it the most hygienic prosthesis. Highly esthetic. Requires minimal bone reduction and prosthetic is thinner and more comfortable for the patient.
- Disadvantages of Zirconia Bridge: More expensive
- Maintenance: Virtually none. Use hydro-flosser daily to clean under and around the prosthetic. See the dental implant specialist, Dr. May 2x a year for cleanings
Acrylic Denture (PMMA): Low-Cost Option (rarely used at Natural Dentistry, not recommended)
- Benefits of Acrylic Denture: Lowest cost, acceptable esthetics, lightweight
- Disadvantages of Acrylic Prosthetic: More prone to breakage and fracture, less hygienic and easily accumulates plaque, less esthetic compared to zirconia full arch prosthetic. For surgical planning, requires more bone reduction because acrylic full arch prosthetics need more thickness than zirconia prosthetics. The acrylic base and prosthetic teeth that form the body of the hybrid denture are prone to wear, chipping and fracture.
- Maintenance: More hands one than zirconia due to the material being less hygienic and less durable material. Clean often and well. Use hydro-flosser daily to clean under and around prosthetic. Rinse often. See the dental implant specialist, Dr. May for cleanings 2x a year and removal maybe need to remove plaques.
Pekkton Framework with individual Crowns: Highest Cost Option (we use this option 20% of the time in our office)
- Benefits of Peek: Lightweight, more flexible and can absorb more shock than as compared to a full zirconia prosthetic, very esthetic due to individual crowns, allows fixing individual crown prosthetics in the future and reduces for pekkton framework cracking/breaking. Highly hygienic like zirconia bridge prosthetic. Patients have a real “life-like” experience and can floss between the teeth (crowns.) Highly durable and long-lasting, thin and comfortable.
- Disadvantages of Acrylic Prosthetic: Highest cost option due to needing to make individual crowns (10-12 individual crowns is beautiful but requires a larger investment).
- Maintenance: Virtually none. Use hydro-flosser daily to clean under and around the prosthetic. Floss between crowns for “real-life teeth experience.” See the dental implant specialist, Dr. May 2x a year for cleanings.
In many cases, a high degree of maintenance is required over the life of the restoration to reinforce the body of the prosthesis. This is because fixed full-arch implant restorations are subject to substantial forces associated with masticatory function, parafunctional habits, and bruxism. In the long term, this often causes hybrid dentures to break down, requiring ongoing maintenance and replacement of the prosthetic teeth or acrylic base. After years of encountering such issues, Dr. May now only works with and recommends rehabilitating his fully edentulous patients with the Zirconia-Based or Pekkton All on X Implant prosthetics and bridges. Long term, we Dr. May believes it’s really a more financially conservative option in order to avoid patients spending thousands of dollars for a less esthetic, less durable, less hygienic acrylic denture that ultimately ends up broken.
If you are a traveling patient, we see patients from all over the USA and abroad and you can find travel information for your trip here
Call/text the patient concierge to learn more (860)554-1130 (Responses available only AFTER the new patient form request is filled out, click here
Case Discussion – Full Mouth Reconstruction – Double Arch Implants – Upper Arch & Bottom Arch
- Covani U, Cornelini R, Calvo JL, Tonelli P, Barone A. Bone remodeling around implants placed in fresh extraction sockets. Int J Periodontics Restorative Dent. 2010 Dec;30(6):601–7.
- Awad M, Locker D, Korner-Bitensky N, Feine J. Measuring the effect of intra-oral implant rehabilitation on health-related quality of life in a randomized controlled clinical trial. J Dent Res. 2000 Sep;79(9):1659–63.
- Limmer B, Sanders AE, Reside G, Cooper LF. Complications and Patient-Centered Outcomes with an Implant-Supported Monolithic Zirconia Fixed Dental Prosthesis: 1 Year Results. J Prosthodont. 2014 Jan 6.