All-on-6 Implantology: The Traditional Protocol and the Hidden Limits of Chewing

1. When You Hear This Terminology? (The Verdict of the Standard Fixed Rehabilitation)

When a patient has lost most of the teeth in an arch (or has dental remnants compromised by pyorrhea) and turns to a traditional dental centre looking for a fixed prosthesis, the standard proposal heard most often is: "All-on-6".

The doctor or commercial centre looks at you and says: "We cannot save your natural teeth, we have to extract everything that remains, clean the mouth and place 6 dental implants in the alveolar bone — four in the anterior area and two slightly angled or straight in the posterior sectors — then screw a fixed circular prosthesis on top". It is sold to you as the definitive, stable and robust solution to smile and chew again.

2. The Ordeal: What the Patient Really Goes Through

But while you accept this solution trusting the number "six" (thinking that more pins automatically mean more safety), what is really happening in your mouth and what are you going through?

• The attack on the weak alveolar bone: All-on-6 relies entirely on the alveolar bone (the one that supported the old teeth and begins to resorb as soon as the teeth are extracted). Placing 6 implants in a bone that is dying or already thin means loading a fragile structure.
• The posterior limits and the fake gums: Even with 6 implants, if the patient has "descended" maxillary sinuses or consumed posterior bone, the two posterior implants are either placed in precarious areas or the prosthesis must still extend as a bridge with a heavy bar and a large fake gum in acrylic to cover the void. Result? Closed spaces where food gets in, the impossibility of cleaning properly underneath and the constant risk of silent infections (peri-implantitis).
• The risk of structural collapse: If the two posterior implants (those placed where the bone is poorest) fail under the force of repeated chewing, the entire 6-pin structure goes into crisis, and the patient finds himself with a prosthesis that moves or breaks.

3. The Startling Discovery: It Was Possible to Work on the Basal Bone

The motivation that pushes you to accept All-on-6 is the desire to have a solid fixed dentition, without the problems of a removable denture.

But what would be the biggest surprise for you if you discovered that the number of implants (four, six or eight) is useless if they are placed in the wrong place (the alveolar bone that resorbs)? Think how different it would have been if your mouth had been treated using the deep basal bone, which never resorbs, bypassing the posterior bone deficiency problems without the need for structural compromises or bulky fake gums.

4. How the Bilateral Sinus Solution™ Would Have Avoided All This

If that patient had been evaluated by a maxillofacial surgeon expert in anatomy and dissection, included in our clinical network, the prosthetic and surgical planning would have been radically superior:

• Goodbye to the alveolar constraints and fake gums: With the Bilateral Sinus Solution™ (BSS) we anchor in the deep basal bone, avoiding the fragile alveolar bone and completely eliminating the fake gums and bulky bars of the traditional protocols.
• All molars restored and zero fake gums: You get a total rehabilitation with 14 real teeth, restoring the posterior molars for strong and powerful chewing, eliminating the plastic barriers and fake gums that create food stagnation.
• Immediate stability in 2 hours: Without undergoing grafts or harvests, you enter with the problem and leave with a fixed, stable and definitive dentition in just two hours.

5. Why Didn't You Find Out Before? (The Hidden Truth)

The reason All-on-6 is everywhere is purely commercial:

• The assembly line product: All-on-6 is the standardised package easiest to sell in series by large commercial dental centres. It does not require complex anatomical diagnoses, uses the same components for everyone and maximises the centre's profit margin.
• The limits of who visits you: A dentist or commercial centre that does not have advanced maxillofacial surgery skills and does not know how to work on the basal bone or bypass the maxillary sinuses has no other choice: they will always propose only All-on-6, passing it off as "maximum innovation".
• The right to choose the truth: This Wiki serves to dismantle the tales of commercial dentistry. Now you know that All-on-6 is just a downward compromise. The choice between an incomplete arch and a complete anatomical solution is now entirely in your hands.

6. How the Bilateral Sinus Solution™ Definitively Solves the Failure

Patients who come to us after the failure of an All-on-6 find themselves with chronic infections, peri-implantitis and anterior or posterior implants completely compromised due to mechanical overload.

The Bilateral Sinus Solution™ (BSS) radically solves the failure in a single session through a clean surgical protocol:

• Decontamination and total renewal: We perform the frontal decontamination of the failed and removed implants, cleaning and regenerating the tissues, then proceed to place new implants in the anterior part.
• The architecture of two basal implants and the frontal grid (1-2 hours, 14 teeth, immediate loading, without fake gums): We definitively abandon the old commercial schemes that leave the mouth incomplete. We combine the new anterior implants with two posterior basal implants to support and bypass the maxillary sinuses. This biomechanical configuration guarantees such primary stability as to allow screwing all 14 fixed teeth within just 1 or 2 hours, returning a powerful and definitive chewing, completely without fake gums.

The Circolare d'Autore® prosthesis

• 14 teeth per arch, including all posterior molars
• Zero fake gum: the teeth emerge from the natural gum
• Zirconia + layered ceramic, with registered trademark ®
• Custom-made: every prosthesis is a unique piece designed for the patient

Discover all the details on the dedicated page: Circolare d'Autore® — the definitive prosthesis without fake gum.