All-on-4 and All-on-6 Full-Arch Implants: A Gurugram Patient's Guide
Losing most or all of your teeth does not mean you have to live with loose dentures or gaps for the rest of your life. All-on-4 and All-on-6 are full-arch implant systems that replace an entire row of teeth using just four or six implants per jaw, topped with a fixed bridge. For patients in Gurugram exploring tooth replacement options, understanding how these systems compare to traditional implants and dentures can make the decision much easier.
What Are All-on-4 and All-on-6 Systems?
Instead of placing one implant for every missing tooth, All-on-4 uses four strategically angled implants to support a full arch of 10 to 14 teeth. All-on-6 uses six implants, which can offer extra stability, especially for the upper jaw or for patients with lower bone density. Both systems use a fixed, non-removable bridge that is attached the same day or within a few months, depending on your bone quality and healing needs.
How the Procedure Typically Works
- Initial consultation with a 3D CT scan to assess bone volume and plan implant positions.
- Any remaining damaged teeth are extracted, often during the same visit.
- Four or six implants are placed into the jawbone at specific angles for maximum support.
- A temporary fixed bridge is often attached on the same day, allowing you to leave with teeth.
- After 3 to 6 months of healing (osseointegration), a final, custom-made permanent bridge is fitted.
Who Is a Good Candidate?
All-on-4 or All-on-6 may suit you if:
- You are missing most or all teeth in one or both jaws.
- You wear a full or partial denture that feels loose, uncomfortable, or affects speech and eating.
- You have reasonably good general health and gum tissue, even if bone volume is somewhat reduced.
- You want a fixed, non-removable solution rather than something you take out at night.
Patients with very low bone density, uncontrolled diabetes, or certain medical conditions may need additional evaluation. A detailed scan and discussion with your dentist will confirm suitability.
Full-Arch Implants vs Traditional Implants vs Dentures
| Option | Teeth Replaced | Stability | Typical Timeline |
|---|---|---|---|
| Traditional dentures | Full arch | Removable, can shift while eating or speaking | 2-4 weeks for fitting |
| Individual implants | One tooth per implant | Very stable, but costly for a full arch | 3-6 months per tooth |
| All-on-4 / All-on-6 | Full arch with 4-6 implants | Fixed and stable, feels close to natural teeth | Same-day teeth, final bridge in 3-6 months |
Cost Considerations in Gurugram
Cost for full-arch implants in Gurugram depends on the number of implants used, the material of the final bridge (acrylic, zirconia, or a combination), and whether bone grafting is needed. As a general guide for Gurugram clinics:
- All-on-4 per jaw typically falls in the range of INR 2,50,000 to 4,50,000.
- All-on-6 per jaw typically falls in the range of INR 3,50,000 to 6,00,000, reflecting the extra implants and often more durable materials.
- Compared to replacing each missing tooth individually, which can exceed these figures when many teeth are involved, full-arch systems are often more cost-effective for patients missing most or all of their teeth.
These are typical ranges only. Your actual cost will depend on your scan results, chosen bridge material, and whether any preparatory procedures like extractions or bone grafting are required. A detailed, written estimate is given only after clinical examination.
Caring for Your New Smile
Once your fixed bridge is in place, care is straightforward: brush and use interdental brushes or a water flosser as advised, attend regular check-ups, and avoid very hard foods that could stress the prosthesis. With good maintenance, most patients find the fixed bridge feels and functions much like natural teeth, improving both confidence and daily comfort.
If you are in Gurugram and considering a full-arch solution, a CT scan based consultation is the best next step to understand which system, All-on-4 or All-on-6, is right for your jaw and budget.
Frequently asked questions
How long do All-on-4 or All-on-6 implants last?
The titanium implants themselves can last well over 15-20 years with good care. The attached fixed bridge (prosthesis) may need a reline or replacement after 10-15 years due to normal wear, depending on the material used.
Can I get All-on-4 if I have been wearing dentures for years?
Often yes, but long-term denture wearers sometimes have reduced jawbone volume. Your dentist will take a CT scan to check if you have enough bone or if a bone graft or a different implant angle is needed first.
Is the All-on-4 procedure painful?
The surgery is done under local anaesthesia, sometimes with sedation, so you should not feel pain during the procedure. Mild swelling and discomfort for 3-5 days afterward is normal and managed with prescribed medication.
What happens if one implant fails in an All-on-4 setup?
This is uncommon but not impossible. Because the bridge is supported by multiple implants, a single failure does not always mean losing the whole arch. Your dentist can often remove and replace just the affected implant.
Treatment costs mentioned on this page are indicative ranges for the Gurugram region. Your exact cost depends on your case and will be confirmed after a clinical examination at the clinic.