TreatmentsAll-on-6
All-on-6 uses 6 implants per arch for additional stability compared to All-on-4. Recommended for patients with more bone loss or who want extra support for heavier zirconia prosthetics. Same Nobel Biocare systems, same immediate temporaries, at a fraction of US prices.
What makes this different
6 implants per arch for maximum stability and load distribution
Recommended for patients with bone loss or heavier prosthetics
Fixed non-removable prosthetic: functions like natural teeth
Immediate temporaries placed same day as surgery
IV sedation or general anesthesia with licensed anesthesiologist
Nobel Biocare or Straumann implant systems
12-month guarantee on implants and prosthetics
Detailed pricing
| Procedure variant | Costa Rica | United States | You save |
|---|---|---|---|
| All-on-6 single arch (acrylic prosthetic)Most stable | $11,000 | $30,000 | 63% less |
| All-on-6 single arch (zirconia prosthetic) | $14,500 | $38,000 | 62% less |
| All-on-6 both arches (acrylic)Best value | $20,000 | $55,000 | 64% less |
| All-on-6 both arches (zirconia) | $26,000 | $72,000 | 64% less |
Starting prices from verified clinics. Final cost depends on case complexity and materials. All clinics provide a written itemized quote before treatment begins.
Eligibility
Good candidates
Patients with moderate to severe bone loss in the arch
Patients wanting maximum stability for heavy zirconia prosthetics
Patients with wide dental arches benefiting from more implant support
Patients who have been assessed as poor All-on-4 candidates due to bone volume
May not be ideal
Patients with adequate bone density where All-on-4 suffices
Active smokers who have not committed to quitting
Patients with severe systemic conditions affecting healing
The process
CBCT scan and treatment planning
Day 1Cone beam CT scan evaluates bone volume and density. Surgeon determines optimal placement for 6 implants. Digital treatment plan presented with precise implant positions and expected result.
Extraction and 6-implant placement
Day 2Any remaining teeth extracted. Six implants placed in one session under IV sedation or general anesthesia. Surgery takes 4 to 6 hours for both arches. Licensed anesthesiologist monitors throughout.
Same-day immediate temporaries
Day 2-3Full-arch temporary prosthetic attached to implants within hours. You leave with a complete set of functional teeth. Soft diet for 6 weeks mandatory for proper integration.
Integration and final prosthetics
4-6 months laterReturn after 4 to 6 months for integration confirmation and final prosthetic placement. Zirconia or acrylic arch fabricated in clinic lab over 2 to 3 days.
What is included
Typically included
Pre-surgical consultation and CBCT scan
Extraction of remaining teeth in the arch
Placement of 6 Nobel Biocare or Straumann implants
IV sedation or general anesthesia with licensed anesthesiologist
Immediate temporary full-arch prosthetic same day
Final permanent prosthetic at second visit
12-month guarantee on implants and prosthetics
Ask about separately
Bone grafting if extensive loss (rare but possible)
Night guard for grinding patients
Second-visit travel and accommodation
After you return home
Strictly soft diet for first 6 weeks
Water flossing around all 6 implant connection points daily
Night guard mandatory if you grind
Professional cleaning every 6 months
Annual X-ray to monitor bone levels around each implant
Traveling from
From Miami
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From New York
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From Toronto
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From Chicago
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FAQ
All-on-4 uses 4 implants with two angled at the back. All-on-6 uses 6 implants for greater stability and is recommended for patients with more bone loss, wider arches, or who want to support heavier zirconia prosthetics. Your CT scan determines which is appropriate.
All-on-6 costs $11,000 to $14,500 per arch in Costa Rica versus $30,000 to $40,000 in the US. Both arches cost $20,000 to $26,000 in Costa Rica versus $55,000 to $75,000 in the US.
Not categorically. All-on-4 is sufficient for most patients and is more cost-efficient. All-on-6 is better when bone volume or arch width makes 4-implant stability insufficient. Your surgeon recommends based on your CT scan.
All-on-6 is often chosen to avoid bone grafting by using more implants in available bone. However, cases with extreme bone loss may still require grafting. Your CT scan determines this.
The implants are designed to last a lifetime. The prosthetic arch lasts 10 to 15 years for acrylic and 15 to 20 years for zirconia. Replacement prosthetics do not require new implant surgery.