Implants & Oral Surgery
All-on-6 Dental Implants in Washington, DC
A fixed full arch supported by six implants, for heavier bites and zirconia prosthetics — planned, placed, and restored in one office by Dr. Kambez Shukoor.
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4.9 · 303 reviews
Availability
Same-day consults
Payments
Financing available
Definition
What Is All-on-6?
All-on-6 replaces a complete upper or lower arch with a fixed, non-removable prosthesis supported by six dental implants. The prosthesis is screwed to the implants, so it stays in place through eating, speaking, and sleeping.
All-on-6 is not a better version of All-on-4 — it is the plan for a different set of conditions. Six implants add posterior support and let us fit a full-zirconia prosthesis on heavy bites, but they ask for more bone volume across the ridge. Where posterior bone is limited, four angled implants remain the more predictable choice.
Distinguishing details
- Implant count: six per arch, spread across the ridge rather than concentrated forward
- Fixed, not removable — same as All-on-4
- Candidacy: good bone volume at all six sites; grafting otherwise
- Preferred for heavy bite forces, bruxism, larger arches, and zirconia prosthetics
- Same-day fixed temporary in most cases, as with All-on-4
- Slightly more implant sites to clean around each day
Weighing this against the alternatives? The full mouth arch implants overview sets the three routes side by side, including implant-supported dentures.
Candidacy
Who All-on-6 Suits
The deciding factors are bone volume across the whole ridge and how much force the arch will have to absorb.
Often a good fit
- Good bone volume at all six planned implant sites
- Heavy bite forces or a history of grinding and clenching
- Larger arches where four anchor points leave long spans
- Cases planned around a full-zirconia prosthesis
Worth discussing first
- Limited posterior bone — All-on-4 or a sinus lift may be the route
- A preference for the lowest possible surgical footprint
- Budget-led planning, where an implant-supported denture may fit better
- Untreated gum disease, uncontrolled diabetes, or active smoking
Process
The All-on-6 Treatment Process
Surgery, the temporary arch, and the definitive prosthesis are all handled in this office, so there is no hand-off between a surgeon and a separate restorative dentist.
Consultation & 3D Imaging
Visit 1
A cone-beam scan measures bone volume at all six planned sites, which is the first question All-on-6 has to answer — there must be enough ridge across the arch, not just at the front.
Treatment Planning
Planning stage
Implant positions, any grafting the posterior sites need, and the prosthetic material — usually zirconia for heavy bites — are planned together and quoted in writing.
Extractions & Implant Placement
Surgery day
Failing teeth are removed and six implants are placed under local anesthetic with sedation available, spread across the ridge rather than concentrated at the front.
Same-Day Fixed Temporary
Same day, where stability allows
As with All-on-4, a fixed temporary arch is attached the same day when the implants achieve sufficient initial stability.
Healing & Osseointegration
3–6 months
The six implants integrate with the bone while you wear the temporary arch, with short reviews along the way.
Final Zirconia or Hybrid Arch
Final visits
The definitive prosthesis is fabricated from digital scans, verified for bite and appearance, and torqued onto the six implants.
Compare
All-on-6 Compared to the Other Full-Arch Options
Three routes to a restored arch, differing in implant count, whether the teeth come out, and how much bone the plan requires.
All-on-6 (this page)
Six implants per arch. Fixed. Wider load spread for heavy bites and zirconia arches, but needs more bone.
Read the All-on-6 pageAll-on-4
Four implants per arch, back two angled. Fixed. Works with moderate bone and often avoids a sinus lift.
Read the All-on-4 pageImplant-Supported Dentures
Two to four implants per arch with a denture that clips on. Removable daily, lower cost, works with less bone.
Read the Implant-Supported Dentures pageDaily Life
Living With an All-on-6 Arch
Recovery follows the same pattern as any full-arch surgery: swelling and soreness peak around day two or three, a soft diet while the implants integrate, then a normal diet once the definitive arch is fitted. Chewing force with six implants is the closest of any option to natural dentition.
Daily care means brushing the arch, running a water flosser underneath it, and keeping hygiene visits so the implants can be checked and the prosthesis professionally cleaned. If grinding was part of why six implants were chosen, a nightguard is usually part of the plan.
Costs are itemized in writing before treatment starts, with insurance coordination and financing through CareCredit and Cherry — see financial information.
FAQ
All-on-6 Questions
The questions Washington, DC patients ask most often about All-on-6 implants.
Related
Full-Arch & Implant Services
Compare All-on-6 against the other routes, or read about the groundwork some cases need first.
Full Mouth Arch Implants
The overview page comparing every full-arch route, and the place to start if you are still deciding.
Full Mouth Arch ImplantsAll-on-4
The same fixed arch on four implants — fewer sites, often no sinus lift needed.
All-on-4Implant-Supported Dentures
A removable denture anchored on two to four implants, at a lower cost than a fixed arch.
Implant-Supported DenturesSinus Lift
Creates vertical bone in the upper back jaw when posterior implant sites are short.
Sinus Lift