Permanent teeth in one day

“Teeth in a day” treatments are made possible through the innovative All-on-4 or All-on-6 methods — revolutionary implant solutions for full-arch restorations. With the All-on-4 technique, four implants are placed per jaw to support a fixed dental bridge, which is attached on the same day of surgery. This bridge looks and functions just like natural teeth.

The All-on-6 method follows a similar principle, but uses six implants per jaw to provide additional stability and long-term support. Both techniques allow patients to leave the clinic with a fixed set of teeth on the very same day.

The choice between the two methods depends on several factors, which are discussed in more detail further below (see section “Which option is better?”).

Both methods follow a multi-step process that includes diagnosis and planning, removal of non-restorable teeth, placement of the implants, and fitting of the prosthesis. Thanks to the All-on-4 or All-on-6 techniques, patients can receive fixed teeth in a single day — without having to wait months for full implant integration.

The opportunity to have fixed teeth in one day offers patients a remarkable advantage: they no longer need to remain toothless or rely on an ill-fitting or uncomfortable denture during the healing period. Instead, their provisional bridge is securely attached to the implants immediately after surgery, allowing them to smile and eat confidently from day one.

Initially, a temporary interim prosthesis is fitted, which is later replaced — usually after four to six months — by the final, permanent restoration tailored to the patient’s needs.

The teeth-in-a-day concept can also be applied to partial jaw restorations or even single-tooth replacements.

Whether immediate implant loading is suitable depends on factors such as the number of implants placed and the density and stability of the patient’s bone.

What are the individual steps of an All-on-4 or All-on-6 implantation?

Both of these techniques are innovative surgical procedures designed to restore a full dental arch using only four or six implants. The following provides an overview of the typical procedure for an All-on-4 or All-on-6 implantation:

1. Initial examination: The process begins with a comprehensive assessment, which may include X-rays, impressions and a 3D analysis to evaluate the anatomy of your jaw and develop your personalised treatment plan.
2. Consultation: Based on the diagnostic findings and your individual needs, the surgeon determines whether you meet the conditions for a successful All-on-4 or All-on-6 implantation.
3. Preparation: On the day of the operation, you will receive local anaesthesia or, if required, a sedative or general anaesthetic to ensure that you experience no pain during the procedure.
4. Tooth extraction and implant placement: Any remaining teeth are removed first. The surgeon then places four or six specially designed implants at strategically selected positions in the jawbone.
5. Fitting the prosthesis: A temporary prosthesis, or in some cases the final bridge, is then attached directly to the implants, allowing you to leave the clinic with fixed teeth on the very same day.
6. Aftercare: Regular check-ups follow to monitor healing and to ensure that the implants integrate properly with the bone.

Is every patient suitable for the All-on-4 or All-on-6 method?

Not every patient is automatically a suitable candidate for this kind of treatment. There are certain factors that must be taken into account when assessing a patient’s suitability.

1. General health: The patient must be healthy enough to safely undergo surgery and recover well from the healing process.
2. Bone quality and quantity: There must be sufficient healthy bone in the jaw to ensure stable anchorage of the implants. In some cases, a bone augmentation procedure may be necessary.
3. Oral health: The surrounding gums and teeth must be in good condition to allow the implants to integrate successfully.
4. Individual expectations: The patient should have realistic expectations of the treatment and be committed to maintaining the necessary care.

A detailed examination and consultation with an experienced implantologist are essential to determine whether the All-on-4 or All-on-6 method is the right solution for your individual needs. During this consultation, we will clarify whether you meet the requirements for immediate restoration.

How long does a temporary prosthesis need to be worn with the All-on-4 or All-on-6 method?

The length of time a temporary or transitional prosthesis needs to be worn depends on each patient’s individual healing process and on the implantologist’s recommendations. Generally, the temporary prosthesis is worn for several months up to around a year, while the implants integrate into the jawbone and achieve firm anchorage.

The temporary prosthesis serves to maintain both function and aesthetics during this transitional period, until the final fixed restoration can be fabricated. During this phase, it is important to follow the implantologist’s care instructions and attend all scheduled check-ups to monitor the healing process and ensure proper osseointegration of the implants. Once the implants have stabilised, the final prosthesis can be crafted and permanently fitted.

Which is better: All-on-4 or All-on-6?

Whether All-on-4 or All-on-6 implants represent the better option depends on various factors, including the patient’s individual anatomy and specific needs. The two treatment approaches differ in several ways:

„All-on-4“

• In the All-on-4 method, four implants per jaw are used to support a fixed bridge.
• This approach is particularly suitable for patients with reduced bone density or volume, as the implants are positioned strategically to make optimal use of the available bone.
• The All-on-4 technique is generally less invasive and less time-consuming than placing six implants.

„All-on-six“

• In the All-on-6 method, six implants per jaw are used to provide enhanced support for the prosthesis.
• This option offers greater stability and durability, especially for patients with stronger jawbone structure or higher chewing demands.
• All-on-6 can also be advantageous when additional implants are needed to support a more extensive prosthetic design.

Ultimately, the choice between All-on-4 and All-on-6 is an individual decision. However, as a general rule, a higher number of implants provides greater stability and allows for a more refined, natural-looking prosthesis.

This can be clearly seen in cases where, for example, eight implants are placed in the upper jaw, allowing for a fixed bridge restoration that no longer requires a palate-covering denture base.

How should I care for my teeth after immediate implant placement?

Proper care following an immediate implant procedure is essential to support healing and ensure the long-term success and function of the implants and prosthesis. The following guidelines can help you maintain healthy implants and promote recovery after treatment.

1. Oral hygiene: After immediate implant placement, maintaining excellent oral hygiene is crucial. Brush your teeth twice daily with a soft toothbrush and use dental floss to remove plaque between the teeth and implants.
2. Rinsing: After brushing, use an antimicrobial mouthwash to help reduce bacteria and promote healing.
3. Gentle diet: In the first few days after treatment, avoid hard or sticky foods to minimise stress on the implants. Choose soft foods and chew slowly.
4. Regular check-ups: Follow your implantologist’s instructions regarding follow-up appointments. Regular reviews are important to monitor the integration of the implants and detect any potential issues at an early stage.
5. Avoid smoking: Smoking can interfere with the healing process after implant surgery. It is strongly recommended to avoid smoking during the recovery phase.
6. Protect your implants: Avoid biting on hard objects with your temporary prosthesis, and if advised, use a protective bite splint to safeguard the implants.

What is the difference between traditional implant placement and immediate implant restoration?

Traditional implant placement and immediate restoration represent two different approaches to treating tooth loss with implants. The main differences between the two methods are outlined below.

Traditional implant placement

• In traditional implant procedures, the implants are inserted into the jawbone during the first surgical stage.
• Following placement, there is a healing and integration phase in which the implants fuse with the bone (osseointegration).
• This process generally takes several months, after which the implants are firmly anchored in the bone and the final prosthetic restoration can be attached.

Immediate restoration on implants

• With immediate restoration on implants, the dental prosthesis is placed directly after the implantation or within a few days, ensuring you are never without teeth or reliant on temporary solutions.
• This method allows the function and appearance of your teeth to be restored straight after surgery, which many patients find particularly beneficial.
• Immediate restoration requires careful planning and is suitable only in selected cases, depending on factors such as bone quality, anatomy, and tooth alignment.

It is important to note that not all patients are suitable candidates for immediate restoration on implants. The decision between traditional implant placement and immediate restoration should always be made on a case-by-case basis.

Does immediate restoration always mean fixed teeth?

No, immediate restoration does not necessarily mean that the prosthesis is permanently fixed. In many cases, prostheses are fitted immediately after tooth extraction to improve both the aesthetics and chewing function during the healing period. These prostheses can be either removable or fixed, depending on the patient’s specific needs and the type of treatment being performed.

Although temporary prostheses are typically screw-retained directly after implantation to achieve greater stability through mutual reinforcement, the final restoration may also involve a removable option, such as a telescopic denture. This may be chosen if easier maintenance or cleaning is required or preferred.