Objective: To explore the result of immediate loading of edentulous jaws with four or six implant. Methods: Thirty-one patients received either four (13) or six (18) immediately loaded implants to support a fixed dental prosthesis. Outcome measures included survival rates of implants and peri-implant marginal bone loss. Results: A total of 160 implants were inserted. The 6 year survival rates of implants for four and six implant groups were 100% and 98.1% respectively. Conclusion: Both approaches are reliable treatment options for the rehabilitation of completely edentulous patients in the medium term.