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 oral surgeon Dr. Jonathan Volland.
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.
Two anterior implants
Placed in the front of the jaw, where bone density is naturally preserved.
Two intermediate implants
Distributed across the bicuspid (premolar) region.
Two posterior implants
Often more upright than the angled posteriors used in All-on-4, the additional implants reduce the need for steep angulation.
One fixed prosthesis
Distributing chewing forces across all six implants, reducing the load carried by any one of them.
Built-in redundancy
If one implant fails to integrate, the remaining five typically continue supporting the restoration.
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
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.
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.
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.
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.
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
Oral & Maxillofacial Surgeon
Independent OMS (WA)
$30K–$55K
$5K–$10K premium
Often upcharge
Oral & Maxillofacial Surgeon
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.
Patient Reviews
Trusted By Patients. Rated 5.0 On Google.
“I really appreciated how attentive and detailed Dr. Volland and his team were when answering questions and sharing what the experience would be like when getting my wisdom teeth removed. I felt very at ease during and after the procedure because of their reassurance despite being uneasy initially.”
“Dr. Volland is amazing! Had a great journey getting my wisdom teeth removed and a bone graft done. All the staff are super nice and make you feel at home. Recovery was quick, and I could tell I was in expert hands.”
“I was very nervous going into the procedure. Dr. Volland was absolutely amazing. He was kind, reassuring, and took the time to make me feel comfortable every step of the way. The procedure was quick, smooth, and much easier than I expected.”
“I cannot say enough about Dr. Volland. He is so thorough and caring. He truly listens to patients, making every visit feel special. Got my all-on-x treatment done, and the results are amazing!”
“The calm atmosphere and confidence of the dr and assistant was reassuring. The extraction was painless and they were attentive to me throughout the procedure. They made the entire experience as comfortable as possible.”
“Dr. Volland was super professional during my consult. Definitely recommend him for anyone in the Sumner area looking for dental implants. Talked through everything in detail. He truly knows his stuff!”
“I really appreciated how attentive and detailed Dr. Volland and his team were when answering questions and sharing what the experience would be like when getting my wisdom teeth removed. I felt very at ease during and after the procedure because of their reassurance despite being uneasy initially.”
“Dr. Volland is amazing! Had a great journey getting my wisdom teeth removed and a bone graft done. All the staff are super nice and make you feel at home. Recovery was quick, and I could tell I was in expert hands.”
“I was very nervous going into the procedure. Dr. Volland was absolutely amazing. He was kind, reassuring, and took the time to make me feel comfortable every step of the way. The procedure was quick, smooth, and much easier than I expected.”
“I cannot say enough about Dr. Volland. He is so thorough and caring. He truly listens to patients, making every visit feel special. Got my all-on-x treatment done, and the results are amazing!”
“The calm atmosphere and confidence of the dr and assistant was reassuring. The extraction was painless and they were attentive to me throughout the procedure. They made the entire experience as comfortable as possible.”
“Dr. Volland was super professional during my consult. Definitely recommend him for anyone in the Sumner area looking for dental implants. Talked through everything in detail. He truly knows his stuff!”
“Dr. Volland did an amazing job! The procedure was quick, completely painless, and I was in and out in no time. My recovery was also very fast and pain-free. Highly recommend!”
“Dr. Volland is as professional as he is kind. His extractions are quick and easy, implants are successful and look great, and IV sedation makes the whole process go off without a hitch.”
“Dr. Volland was so gentle and made sure I was comfortable during my implant surgery. He's the only Dr I'll trust with my oral surgery needs!”
“I went in for a dental implant under sedation and it was absolutely painless! It was so easy and smooth. I can't thank him enough!”
“Our family had an excellent experience with Dr. Volland and his team. Dr. Volland personally took a call from me when we got home and answered my questions. His commitment to patient care is outstanding.”
“Dr. Volland did an amazing job! The procedure was quick, completely painless, and I was in and out in no time. My recovery was also very fast and pain-free. Highly recommend!”
“Dr. Volland is as professional as he is kind. His extractions are quick and easy, implants are successful and look great, and IV sedation makes the whole process go off without a hitch.”
“Dr. Volland was so gentle and made sure I was comfortable during my implant surgery. He's the only Dr I'll trust with my oral surgery needs!”
“I went in for a dental implant under sedation and it was absolutely painless! It was so easy and smooth. I can't thank him enough!”
“Our family had an excellent experience with Dr. Volland and his team. Dr. Volland personally took a call from me when we got home and answered my questions. His commitment to patient care is outstanding.”
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 if needed and sinus lifts are included in the $15,000-per-arch full-arch offer, along with extractions, IV sedation and final zirconia teeth.
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.
Common Questions
Answers, before you ask.
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.
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.
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.
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.
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.
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.
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.
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 January 2027
Schedule Your Consultation.
Leave your details and we'll reach out as soon as consultations are available. No obligation, no marketing. Just a note when the door opens.
- Complimentary full-arch consultations
- No referral required for implant cases
- Dr. Volland follows up personally
9907 205th Ave E · Bonney Lake, WA 98391
(206) 738-2503
