All on 4/6 Systems - City Clinic Marbella

Dentistry▸Implantology

All on 4/6 Systems

The All-on-4 / All-on-6 system is an advanced full-arch rehabilitation technique that replaces all missing teeth in one jaw using a fixed prosthesis supported by four or six strategically placed dental implants. It provides a stable, aesthetic, and long-term solution for patients with complete or severe tooth loss.

Doctors & Specialists:

Dr.Miguel García Javaloyes
Said Ramazani
Johanna Gregoire Ferriol

At City Clinic Marbella, we use state-of-the-art digital technology to restore complete dental function and aesthetics in a single surgical procedure.
In the All-on-4 technique, four implants are placed in key positions to support a full fixed bridge.
In All-on-6, six implants are used for enhanced stability, ideal for patients with sufficient bone density.

Both systems allow immediate loading, meaning a provisional fixed prosthesis is placed the same day as surgery — so patients leave with a new smile right away.

Indications

Total or advanced tooth loss.

Severe periodontal disease with mobility.

Dissatisfaction with removable dentures.

Desire for a fixed, durable, and aesthetic solution.

Bone loss limiting traditional implants

Causes

Periodontal disease.

Tooth decay or wear

Bone loss or long-term edentulism

Previous trauma or failed dental treatments

Treatment Details

Procedure Steps

1

Assessment & Planning: Digital 3D scan, smile design, and implant mapping.

2

Implant Surgery: Placement of 4 or 6 implants under local anesthesia or sedation.

3

Immediate Smile: Temporary fixed bridge placed same day; final prosthesis after healing.

Duration:

one surgery (2–3 hours); full treatment over 3–6 months.

Number of Sessions:

approximately 3–5 visits including follow-ups.

Recovery / Downtime:

minimal; mild discomfort for a few days.

Pain Level:

low; performed under local anaesthesia or conscious sedation.

Pre-Treatment:

Avoid smoking and alcohol before surgery.
Maintain good oral hygiene.
Inform your dentist about medical conditions and medications.

Post-Treatment:

Follow a soft diet for several days.
Brush and clean the prosthesis carefully using special brushes and rinses.
Attend regular check-ups and professional cleanings.
Avoid smoking to ensure implant success.

Results

Expected Outcome

Short-term: immediate restoration of chewing function and smile aesthetics.
Long-term: fixed, natural-looking prosthesis and improved quality of life.

How Long
Results Last? 

With proper hygiene and maintenance, implants can last 15 years or more.

Risks & Considerations

Possible Side Effects 

• Temporary swelling or sensitivity. • Mild post-operative discomfort. • Rare implant failure in case of poor bone integration.

Contraindications (who should avoid it)

• Uncontrolled systemic diseases (e.g., diabetes, hypertension).
• Heavy smoking habits.
• Severe bone loss without regenerative options.

Safety Notes

All procedures at City Clinic are performed using digital guided surgery, certified implant systems, and biocompatible materials, ensuring safety, precision, and long-term success.

Pricing

Price Range (approximate)

Factors Affecting Price

• Number of implants and prosthetic material.
• Need for bone grafting or sinus lift.
• Digital technology and immediate loading options.

Insurance Coverage

All on 4/6 Systems is not covered by insurance.

FAQs

What’s the difference between All-on-4 and All-on-6?

All-on-4 uses four implants, while All-on-6 uses six for greater support and stability.

Is it painful?

No, the procedure is comfortable thanks to local anaesthesia or conscious sedation.

Will I get new teeth the same day?

Yes, a fixed provisional bridge is placed immediately after implant surgery.

Is maintenance difficult?

No, just proper oral hygiene and regular dental check-ups.

How long will my implants last?

With good care, they can last 15–20 years or longer.

Related Treatments

Sinus Lift

A sinus lift, or sinus augmentation, is a surgical procedure that increases the amount of bone in the upper jaw (maxilla), specifically in the area beneath the sinus cavity, so that dental implants can be placed successfully.

Implants

Dental implants are biocompatible posts surgically placed into the jawbone to act as artificial roots for missing teeth. At City Clinic, both single implant (for one missing tooth) and multiple implants (for several missing teeth) are used to restore function, aesthetics and long‑term oral health.

Full Mouth Reconstruction

Full mouth reconstruction is a comprehensive dental treatment designed to restore, rebuild, and optimize all teeth in both the upper and lower arches. At City Clinic, this multidisciplinary approach combines restorative, cosmetic, and functional dentistry to improve oral health, aesthetics, and overall function.

Bone Grafting

Bone grafting is a surgical procedure in which bone material is added to an area of the jaw that has lost volume or density. At City Clinic, this procedure restores jawbone structure and strength, creating a stable foundation for implants, bridges or other restorative dental work.