01 All-on-6 Dental Implants
✓ Medically reviewed by Dr. Neel Bhatavadekar, Periodontist & Implantologist
All-on-6 replaces an entire arch of missing or failing teeth using six implants instead of four, spreading the bite across more anchor points. It's often the choice for larger jaws, stronger bite forces, or when the extra support simply makes long-term sense.
At Clarus Dental Specialities in Koregaon Park, All-on-6 is planned and placed directly by Dr. Neel Bhatavadekar, Pune's only US Board Certified Periodontist and Implantologist.
Patients usually visit us for: most or all teeth missing in a jaw a strong bite or history of grinding wanting extra long-term support tired of removable dentures a larger jaw arch
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Quick answer: All-on-6 is a fixed, full-arch tooth replacement that uses six implants, spread across the jaw, to support a complete bridge of teeth for an entire arch. In Koregaon Park, Pune, Clarus Dental Specialities plans and places All-on-6 under the direct care of Dr. Neel Bhatavadekar, a US Board Certified Periodontist and Implantologist, typically recommended when more support or bone contact is preferable to the four-implant approach.
Before You Book
But if you want treatment backed by science and done by a US Board Certified Specialist, you're in the right chair.
02 Overview
All-on-6 replaces an entire arch of missing or failing teeth using six implants rather than four, distributing the bite load across more anchor points. A fixed bridge, shaped as a full arch, is then attached across all six.
The extra two implants, compared with All-on-4, mean each implant carries a smaller share of the biting force, which can matter for patients with a naturally strong bite, a history of teeth grinding, or a larger arch where six evenly placed implants provide more consistent support than four.
Six implants also provide a degree of built-in redundancy: with more anchor points sharing the load, the system as a whole has more margin if one implant were ever to need attention later.
03 Candidacy
All-on-6 is generally considered for the same starting point as All-on-4, most or all teeth missing in one jaw, but is often preferred where extra support genuinely changes the long-term picture.
04 Background
All-on-4 was engineered to make a fixed full arch possible with as few as four implants, using angled placement to work around reduced bone. All-on-6 starts from a different question: given adequate bone across the arch, does spreading the bite across more implants produce a more durable long-term result?
For many patients, four well-placed implants are entirely sufficient. All-on-6 tends to be recommended specifically where the bite force is higher than average, the arch is larger, or a clinician judges that additional anchor points reduce the mechanical stress on each individual implant over years of use.
05 Options
Within All-on-6 treatment, the main decisions are the timeline for fixed teeth and which arch is being treated.
A temporary fixed bridge is attached to the six implants on the day of surgery, when initial stability allows.
The site heals without a fixed load on the new implants first, which some cases and patients prefer.
All-on-6 is planned separately for the upper and lower jaw, based on what each arch actually needs.
06 Procedure
A 3D scan maps bone across the whole arch, used to plan the position of all six implants before surgery.
Any teeth beyond saving in that arch are removed, often in the same visit as implant placement.
Six implants are placed across the arch under local anaesthesia, positioned to distribute bite load evenly.
If initial stability allows across the implant sites, a temporary fixed bridge is attached the same day.
Once osseointegration is confirmed, typically several months later, the final, more detailed fixed bridge is fitted.
07 Cost Factors
All-on-6 cost is case-specific, generally higher than All-on-4 due to the additional implants, and depends on both arches involved. It's discussed only after an examination, once the following are known:
A specific estimate is only meaningful after a clinical evaluation and 3D imaging. This section is informational and is not a quotation.
If you've already been given a full-arch treatment plan elsewhere, Dr. Neel is available to review the imaging and share an independent clinical view, including whether four implants might serve you just as well.
08 Aftercare
Swelling and tenderness across the arch are normal. A soft diet is followed while the surgical sites settle.
If fitted, the temporary bridge is used with some dietary care while all six implants integrate.
The osseointegration period. Follow-up visits confirm all six implants are stable before the final bridge.
The fixed bridge is cleaned with specific tools designed for the space beneath it, alongside routine check-ups.
09 Limits
All-on-6 is typically deferred or reconsidered when:
10 Your Visit
The first appointment is a consultation, not a same-visit surgery. It typically includes a review of your dental and medical history, a clinical exam of the arch involved, and 3D imaging if none is already available. Dr. Neel reviews the findings with you directly and explains whether All-on-6 fits your case, or whether All-on-4 would serve you just as well.
11 Why This Clinic
BDS (Nair Hospital Dental College, Mumbai) · Postgraduate periodontology training, University of North Carolina at Chapel Hill, USA · Diplomate, American Board of Periodontology (2008) · ITI Fellow, International Team for Implantology (2009)
Dr. Neel has spent more than two decades on periodontal and implant cases, All-on-6 rehabilitation among them, and remains Pune's only US Board Certified Periodontist and Implantologist, one of only two in the country.
Full-arch implant cases, at any implant count, are planned by a periodontist, not treated as routine.
Six implants are recommended because the case needs them, not by default.
All six implant positions planned against a full scan of the arch, not estimated visually.
The only dental clinic in Pune listed by the US Consulate Mumbai.
Patients can also read independent reviews on Google and Practo.
12 Visit Us
This dentist and dental clinic in Koregaon Park also treats patients from nearby areas of Pune. See the full Koregaon Park clinic page →
13 International Patients
Clarus Dental Specialities is the only dental clinic in Pune listed by the US Consulate Mumbai, and Dr. Neel holds a dual US-India dental license, which is why several NRI and overseas patients time full-arch treatment around a visit to Pune.
Like All-on-4, a same-day fixed provisional is often possible with All-on-6, useful for international patients on a fixed travel window. The final bridge still requires a second visit after healing (typically 3 to 6 months later), with English-language records provided for a home-country dentist to monitor in between.
14 FAQ
All-on-6 uses six implants instead of four, spreading the bite load across more anchor points. It's generally suited to larger arches, stronger bite forces, or where extra long-term support is preferred, and needs adequate bone at more implant sites than All-on-4's angled approach requires.
Reasons include a naturally strong bite or history of teeth grinding, a larger jaw arch, or wanting the added margin of more implants sharing the load. This is assessed individually rather than assumed.
Generally yes, since six implant sites need to be viable rather than four. Where bone volume is more limited, All-on-4's angled placement is often the better fit.
Generally yes, since it involves two additional implants. The exact difference depends on the case and is discussed after evaluation, not estimated in advance.
Often yes, when the implants achieve good initial stability across the arch at placement, similar to All-on-4. This is assessed during and immediately after surgery.
The implants themselves are intended to be long-term, with published survival rates comparable to conventional implants when properly maintained. The bridge may need adjustment or eventual replacement over the years depending on wear and materials.
Each arch is planned on its own, since bone density and available space differ between the upper and lower jaw. Some patients need All-on-6 on one arch only, others on both.
1. Long-term clinical studies on full-arch implant-supported prostheses and survival rates, indexed on PubMed Central. ncbi.nlm.nih.gov/pmc
2. Dr. Neel Bhatavadekar's peer-reviewed publications, indexed on PubMed. pubmed.ncbi.nlm.nih.gov
Call or WhatsApp the clinic directly to ask questions or set up a consultation with Dr. Neel Bhatavadekar.
This page provides general dental information and does not constitute a diagnosis, treatment plan, or medical advice. Outcomes vary by individual case. No specific results, costs, or timelines are guaranteed. Please consult Dr. Neel Bhatavadekar or a qualified specialist for advice specific to your condition.
