All-on-4, All-on-6 in Legionowo — fixed teeth on implants in one day

When to consider All-on-4 or All-on-6

All-on-X is a method of reconstructing the entire dental arch based on several precisely placed implants. It is used where single restorations are no longer an effective or cost-effective solution.

The most common indications for full-arch treatment:

• edentulism of one or both dental arches
• advanced periodontitis qualifying most teeth for extraction
• extensive caries damage and root fractures preventing further conservative treatment
• intolerance of a removable denture — mobility, chewing problems
• significant atrophy of the alveolar ridge bone precluding classic implants

What I pay attention to during qualification

I assess every case individually based on clinical examination and CBCT imaging. All-on-X can be performed in patients with arterial hypertension and diabetes, but each of these conditions requires regular monitoring, and its severity affects the preparation protocol for the procedure as well as the course of treatment.

What determines the quality of the result

The durability and quality of a full-arch reconstruction are determined by several interdependent factors: the patient's bone conditions, general health (including systemic conditions and habits that may affect healing), occlusal conditions, the precision of digital procedure planning, the surgical technique, and the quality of prosthetic execution.

Of particular importance is the temporary bridge, which the patient receives on the same day and wears during the first months of healing. It is not a makeshift component in the colloquial sense of the word — it is a designed and thoughtfully planned construction that serves several important functions:

• it models the soft tissues around the implants, shaping the gingival papillae and gum contour, which will then be transferred to the final restoration
• it stabilizes the implants during the osseointegration period, distributing occlusal forces evenly across the entire arch
• it allows the patient to get used to the new occlusion, tooth arrangement, phonetics, and the aesthetics of the smile before the final restoration is made
• it enables verification of aesthetic and functional assumptions — any corrections to the smile line, tooth length, or occlusal height are introduced at the temporary stage, not after the final restoration is made
• it protects the surgical site while simultaneously enabling normal social and professional functioning from the first day after surgery

The vast majority of All-on-X procedures (close to 100%) I perform with immediate loading — the patient leaves the clinic the same day with a temporary bridge screwed onto the implants.

Equally important for the final outcome is the postoperative period. During the first weeks of healing, it is crucial to follow the recommendations regarding a soft diet — hard, sticky foods and foods requiring intensive chewing may overload the freshly placed implants and disturb the osseointegration process. In the long term, the durability of the restoration is determined by daily hygiene and regular check-up visits: professional hygiene and periodic assessment of the tissues around the implants allow the restoration to remain intact for many years.

Cases of significant bone loss

Closely related to All-on-X treatment are cases of advanced bone loss in which classical implants do not have sufficient stabilization, and bone augmentations would involve months-long extension of treatment. In such situations, I use zygomatic implants (anchored in the zygomatic bone) and pterygoid implants (anchored in the pterygoid process of the sphenoid bone), which bypass the resorbed sections of the alveolar ridge and do not require reconstruction of the bone base. This allows for fixed restoration in patients for whom classical methods are not sufficient.

Zygomatic and pterygoid implants

What the first visit looks like

The consultation lasts 30–45 minutes. Based on clinical examination and CBCT imaging, I assess the bone conditions and present a treatment plan; if the patient does not have a current scan, we perform it on-site. During the conversation we discuss the treatment schedule, estimated cost of individual stages, and any therapeutic alternatives.

All-on-4 vs All-on-6 — comparison

Smile in one day — what the surgery day looks like

Pricing and payment options

Where I perform the procedures

The main location where I perform All-on-X procedures is the Prodental clinic at Zakopiańska 4a in Legionowo. The clinic has its own prosthetic laboratory on site, which shortens the time for delivering the temporary restoration and allows for ongoing adjustments without referring the patient to other centers.

• Address: Zakopiańska 4a, 05-120 Legionowo
• Phone: 608 784 677 · 692 460 968
• Registration: Monday–Friday, by phone
• Parking: free, directly at the clinic
• Legionowo PKP railway station: ~1.5 km (line RL-1 from Warsaw, about 25 minutes)

For some patients, Legionowo turns out to be more convenient than central Warsaw — no traffic jams, easy parking, and a more intimate setting. From the center of Warsaw, it is about 25 km and 25 minutes by the Toruńska Route (S8), then national road no. 61.