All-on-4 vs All-on-6 in Albania: Which Should You Choose? (2026)

Full-Arch Implant Solutions: Understanding Your Options

If you are facing the prospect of replacing an entire arch of teeth, All-on-4 and All-on-6 are the two leading implant-supported solutions. Both deliver a permanent set of fixed teeth that look, feel and function like natural teeth. But which is right for you?

All-on-4: The Proven Standard

Developed by Professor Paulo Maló in the late 1990s, the All-on-4 concept uses four strategically placed implants to support a full-arch bridge. The key innovation is the angling of the two posterior implants at 30–45 degrees, which maximises contact with available bone and often eliminates the need for bone grafting.

• 4 implants per arch (2 straight anterior + 2 angled posterior)
• Works with less bone — the angled implants engage longer bone areas
• Same-day teeth — provisional bridge fitted the day of surgery
• 10+ years of published data with success rates above 97%

All-on-6: Maximum Support

All-on-6 follows the same concept but uses six implants instead of four. The additional implants provide more support points and distribute chewing force more evenly.

• 6 implants per arch (typically all placed straight)
• Requires adequate bone — straight placement needs sufficient bone height and width
• Same-day teeth — provisional bridge on the same day
• Greater load distribution — beneficial for patients with strong bite forces

Head-to-Head Comparison

Factor	All-on-4	All-on-6
Number of implants	4	6
Bone requirement	Lower (angled implants)	Higher (straight implants)
Need for bone graft	Rarely	More often
Surgery duration	1–1.5 hours per arch	1.5–2 hours per arch
Immediate loading	Yes	Yes
Long-term success rate	97–98%	97–99%
Best for	Patients with some bone loss	Patients with adequate bone

How We Decide at Empire Dental

The choice between All-on-4 and All-on-6 is clinical, not commercial. After your CBCT 3D scan, Dr. Gersi Mane evaluates bone volume, density and distribution to recommend the optimal approach. Sometimes the answer is All-on-4 on one arch and All-on-6 on the other.

For package pricing, visit our dental tourism page. For a personalised assessment, send us your panoramic X-ray — we respond within 24 hours.