Comparisons

All-on-5 vs the alternatives — where five is the answer, and where it isn't.

Choosing a number of implants is a design decision. The honest comparison is not "which is better?" but "which is right for your scan, your bite, and your maintenance reality." These pages walk through each alternative side by side.

Clinically reviewed · Last reviewed 24 May 2026 · Editorial & review

Three comparisons, three angles

Each comparison answers a different question.

All-on-5 is not the right framing for every full-arch case. It sits between two implant counts and one removable alternative — and the comparison that matters is the one your records point at.

A

All-on-5 vs All-on-4

When the scan shows that a four-post bridge would leave too long a posterior span. Most common in upper arches.

Span controlvs 4
Read the comparison

B

All-on-5 vs All-on-6

When the sixth implant adds cost without changing the prosthetic outcome — and when it genuinely earns its place.

Diminishing returnvs 6
Read the comparison

C

All-on-5 vs dentures

The line between a fixed bridge that sleeps in your mouth and a removable appliance that sleeps in a glass. A different category, a different decision.

Category linevs dentures
Read the comparison

A flat compare-across

Side by side, the headline differences.

Read across the rows. Use the dedicated comparison pages for the reasoning behind each row, not just the result.

Full-arch options · headline view per arch
Implants required
All-on-4: 4 · All-on-5: 5 · All-on-6: 6 · Dentures: 0–2
Removable by patient
4/5/6: No · Dentures: Yes (every night)
Bite force capacity
4 < 5 < 6 · Dentures: lowest
Bone preservation
Implants preserve · Dentures accelerate loss
Speech adaptation
Fixed bridges: weeks · Dentures: months, ongoing
Diet over time
Fixed bridges: ~normal · Dentures: softer, restricted
Headline cost
Dentures < All-on-4 < All-on-5 < All-on-6
Lifetime cost
Often closer than the headline suggests once relines, remakes & bone loss are counted

Headline cost is a useful sort. It is not a useful decision. The pages linked above explain when each option is the right call rather than the cheapest.