All-on-6 Dental Implants · Bonney Lake, WA

Six implants per arch, when six is the right answer.

The same $15,000 all-inclusive price as All-on-4, because the protocol you receive should be a clinical decision, not a price-tier upsell. Performed personally by board-certified oral surgeon Dr. Jonathan Volland.

6
Implants Per Arch
No premium for the extra two
95%+
5-Year Survival
Multiple published studies
12 Weeks
To final zirconia
Permanent bridge
Board-Certified
Oral surgeon
ABOMS Diplomate
The Protocol

What All-on-6 actually is.

A full-arch fixed prosthesis supported by six dental implants instead of four, typically chosen when bone density, bite mechanics, or anatomical factors make six implants the right clinical answer. Six titanium implants distributed across the arch, one fixed zirconia prosthesis, and two additional anchor points for biomechanical redundancy.

When Six Is the Right Answer

A clinical decision, not a premium tier.

All-on-6 isn’t a premium tier of full-arch implants. It’s a different protocol matched to specific clinical situations. Here are the factors that guide protocol selection at consultation.

When All-on-6 is often indicated

Adequate jawbone density across the arch, particularly posterior regions
Strong bite forces or a history of severe bruxism
Larger jaw structures, particularly the maxilla, where bone is generally less dense
A long anterior-to-posterior span, where extra support reduces prosthesis flex
Patients prioritizing biomechanical redundancy who have the bone to support it
Cases where avoiding All-on-4’s angled posterior placement is clinically beneficial

When All-on-4 is usually preferred

Reduced posterior bone volume, where extra implants would require grafting
Sinus or nerve position that makes four implants safer and more predictable
Longer-running tooth loss and the bone resorption that comes with it
Cases where All-on-4’s deeper long-term outcome data adds clinical confidence
The majority of edentulous or near-edentulous adult patients

Six implants are not categorically better than four. Published clinical literature shows comparable long-term survival between the two protocols when both are properly planned and executed, what changes is which is biomechanically appropriate for which patient.

The protocol recommendation comes from 3D Cone Beam CT imaging, bite-mechanics evaluation, and patient-specific factors reviewed at consultation, in writing, with the clinical reasoning explained, before any surgical date is scheduled. Pricing the two protocols identically removes any financial incentive to recommend one over the other.
Head to Head

All-on-4 vs. All-on-6, side by side.

No marketing, no winner, the honest comparison between two clinically validated protocols, each appropriate for different patient situations.

Most Common

All-on-4

Implants per arch
4, two anterior vertical, two angled posterior
Bone grafting
Usually not required
Surgery length
~2.5 hours per arch
10-year implant survival
94.8% (Maló 2011, n=980)
Long-term data
10–18 years of follow-up, the largest dataset
Best for
Most patients · reduced posterior bone
Cost at Elite
$15,000 per arch, all-inclusive

The appropriate protocol for the majority of full-arch patients, with the longest published outcome data of any modern full-arch approach.

Clinically indicated

All-on-6

Implants per arch
6, distributed across the arch, often more upright
Bone grafting
Sometimes required
Surgery length
~3 hours per arch
10-year implant survival
95%+ in healthy patients (smaller datasets)
Long-term data
Less longitudinal data than All-on-4
Best for
Strong bite forces · bruxism · larger jaw
Cost at Elite
$15,000 per arch, same as All-on-4

Offers redundancy and can distribute load more evenly when bone allows, with survival comparable to All-on-4 in well-planned cases.

When both protocols are properly planned and executed in healthy patients, long-term implant survival rates are comparable, both above 95% in most studies. The choice isn’t “more is better,” it’s which is right for this patient.
Some practices price All-on-6 at a premium, $30,000–$50,000 versus $20,000–$25,000 for All-on-4 is common among chains. At Elite, both protocols are $15,000, so the cost question is removed from the decision, leaving only the clinical one.
The Workflow

Three appointments. Same as All-on-4.

The All-on-6 workflow follows the same three-visit sequence as All-on-4, slightly longer surgical time on day one, then the same restorative timeline through to final zirconia at week 10–12.

Visit 01 · Day of Surgery

Implant placement, same-day provisional.

Six implants placed under in-house IV sedation, roughly 3 hours per arch. A printed PMMA provisional bridge is seated the same day for immediate function on a soft-food diet.

Soft-food diet for 6–8 weeks. Home that afternoon with a driver.
Oral surgeon placing dental implants during surgery
Visit 02 · Week 8

Prototype try-in.

A printed prototype of the final prosthesis is evaluated for bite, esthetics, and phonetics. Refinements are made based on how you’ve lived with the provisional, and the final design is approved with your input.

Non-surgical appointment. Adjustments made before zirconia is fabricated.
Patient smiling during a dental prototype try-in appointment
Visit 03 · Week 10–12

Final zirconia delivered.

Your permanent zirconia bridge with titanium framework is seated, designed for decades of service, with hygiene instruction specific to six-implant prostheses.

Follow-ups at 3, 6, and 12 months are included.
Patient enjoying life after receiving a final zirconia dental bridge
The Evidence

What the research shows on All-on-6.

All-on-6 has been studied extensively, though the published literature has fewer long-term datasets than All-on-4, largely because the All-on-4 concept was published first and has more years of accumulated follow-up. Across the comparative literature, both protocols achieve high implant survival in healthy patients with adequate bone, with no major difference in long-term survival when both are properly planned and executed.

95%+
Implant survival
5+ years
98%+
Prosthesis survival
5+ years
5/6
Redundancy if one implant fails
At 10–18 years
Equiv.
Vs. All-on-4 in comparative studies
At 10–18 years
These rates are comparable to, or better than, published survival for natural teeth carrying crowns or root canal therapy.
The Market

How Elite’s All-on-6 compares.

Pricing data drawn from competitor public marketing, third-party industry reports, and patient-reported outcomes. Updated April 2026.

Provider
All-on-6 Price
vs. All-on-4 Price
Zirconia
Surgeon
Elite Oral Surgery
$15,000 flat
Same price
Included
Board-Certified OMS
Independent OMS (WA)
$30K–$55K
$5K–$10K premium
Often upcharge
Board-Certified OMS
ClearChoice
$25K–$40K
Premium tier
Premium upcharge
Surgeon partner
Nuvia
$25K–$50K
Higher tier
Included
Mixed by location
Smile Now / Affordable
$13K–$20K
Modest premium
Sometimes
General dentist (often)
Most providers price All-on-6 higher than All-on-4 by $5,000–$15,000 per arch, treating six implants as a premium tier. Elite does not, protocol selection is a clinical decision and the all-inclusive price reflects that.
Compare Full-Arch Implant Protocols
In Their Words

Calm, careful, and clear, every time.

Pricing

The same $15,000, four implants or six.

Elite prices All-on-4 and All-on-6 identically at $15,000 per arch, all-inclusive. The protocol you receive is determined by your clinical situation, not by what generates more revenue for the practice.

All-Inclusive · Per Arch
$15,000
All-Inclusive · Per Arch · All-on-4 or All-on-6, same price
3D Cone Beam CT imaging & surgical planning
Surgical placement of 4–6 implants per arch
In-house IV sedation by an oral surgeon
Same-day printed provisional bridge
8-week printed prototype try-in
Final zirconia bridge with titanium framework
All follow-up visits for 12 months
Bone grafting and zygomatic implants priced separately when clinically required, in writing, before any surgical date is scheduled.
Financing Available

From $185/month

Five lending partners. Decisions in minutes. HSA/FSA eligible. Payment plans structured around your budget.

Founder Pricing

First 40 surgical patients.

Reserved for patients who join the opening list. Applied at consultation, no commitment required to secure your place.

See Full Pricing Breakdown
Common Questions

Answers, before you ask.

Is All-on-6 better than All-on-4?

Neither is categorically better, they’re different protocols matched to different clinical situations. Published comparative literature shows comparable long-term implant survival between the two, typically 95%+ in well-selected cases. All-on-4 has the deepest longitudinal data (18+ years); All-on-6 offers biomechanical redundancy. The right protocol depends on your bone density, bite mechanics, and anatomy, determined at consultation.

Why does Elite charge the same for All-on-6 as All-on-4?

So the protocol you receive is a clinical decision, not a financial one. Pricing the protocols differently creates an incentive to recommend one over the other for revenue reasons, pricing them the same removes that incentive entirely. The recommendation reflects clinical fit, not cost.

Should I ask for All-on-6 specifically?

You can ask, and we’ll discuss the clinical reasoning either way at consultation. The recommendation is based on your 3D imaging and bite analysis, not on what you request, and since we don’t charge more for All-on-6, there’s no financial reason to steer you in either direction.

Will I need bone grafting for All-on-6?

Sometimes. All-on-6 generally requires more bone availability across the arch than All-on-4, particularly in the posterior regions where the additional implants are placed. If grafting would be required to enable All-on-6 but All-on-4 can be performed without it, All-on-4 is often the right choice.

How does this compare to ClearChoice’s six-implant option?

Two differences: pricing and surgeon continuity. ClearChoice typically prices six-implant cases at $25,000–$40,000 per arch with a zirconia upcharge; Elite prices All-on-6 at $15,000, zirconia included. ClearChoice partners with surgeons at each location, so the surgeon you meet may not be the one who treats you. At Elite, Dr. Volland performs and follows up on every case personally.

Does All-on-6 last longer than All-on-4?

The available evidence doesn't support a meaningful longevity difference between the two when both are properly planned and executed. Both sit above 95% survival in the comparative literature. Oral hygiene, smoking, glycemic control, bite forces, and maintenance compliance affect long-term outcomes more than implant count.

Is All-on-6 more painful or harder to recover from?

Recovery is comparable to All-on-4, with surgical time about 30 minutes longer for six implants. Swelling, bruising, and discomfort are similar, and the same 6–8 week soft-food period applies to both. The only difference most patients notice is slightly more soreness on day one, gone by day 3–5.

Will my insurance cover All-on-6 differently than All-on-4?

Dental insurance typically provides limited coverage for both, usually a small portion attributed to extractions or the prosthesis, with lifetime caps of $1,000–$3,000 in most plans. Most patients use HSA/FSA funds or financing through one of our five partners, which work the same regardless of protocol.

Opening April 2027

The first step is a conversation, not a commitment.

Full mouth implant consultations are complimentary, including 3D imaging and a written treatment plan with itemized pricing. You’ll meet Dr. Volland personally and find out, plainly, what your case requires.