Overview
The material used for an All-On-4 Plus® prosthesis influences how the restoration looks, feels, functions and holds up over time. While several restorative materials are available, each offers different characteristics in terms of durability, appearance and maintenance.
Acrylic (PMMA) with a titanium bar is commonly used for the immediate temporary prosthesis placed on the day of surgery. It is lightweight, comfortable during the initial healing phase and gentle on healing tissues. However, it is less durable than zirconia, may stain or wear over time, and typically requires replacement after 5–7 years.
Zirconia has become the gold standard for permanent All-On-4 Plus® restorations because of its exceptional durability, natural appearance and resistance to staining and wear. It is non-porous, meaning it does not absorb stains or odours, and can be designed to closely resemble natural enamel. With proper care, zirconia restorations may last for many years.
Titanium frameworks provide additional strength and support within a full-arch prosthesis. In the All-On-4 Plus® Immediate Final Teeth™ system, the titanium framework connects the implants together and helps spread pressure across the restoration while healing takes place.
The choice of restorative material is made during the treatment planning process. Your All-On-4 Plus® Premium Provider will consider factors such as your bite, whether you grind or clench your teeth, your functional needs, your aesthetic goals and your long-term expectations when recommending the most appropriate option.
Common Questions
See below common questions about the clinical value of premium material.
The restorative material affects how the prosthesis looks, feels, functions and wears over time. Different materials also vary in their durability, appearance and maintenance requirements.
Zirconia is a ceramic material commonly used for permanent full-arch restorations. It is known for its durability, natural appearance, chip resistance and non-porous surface, which helps resist stains and odours.
Acrylic (PMMA) is commonly used for immediate temporary prostheses during the healing phase, while zirconia is commonly used for permanent restorations because it is more durable and more resistant to staining and wear. Acrylic prostheses typically require replacement sooner than zirconia restorations.
Acrylic (PMMA) with a titanium bar is lightweight, comfortable to wear and gentle on healing tissues. It is commonly used for the immediate temporary prosthesis placed on the day of surgery while healing takes place before the final prosthesis is delivered.
A titanium framework provides additional strength within the prosthesis.
In the All On 4 Plus® Immediate Final Teeth™ system, it connects the implants together and helps spread pressure across the implants while they heal.
Your All On 4 Plus® Premium Provider will assess your bite, whether you grind or clench your teeth, your functional requirements, your smile goals and your long-term expectations before recommending the most appropriate restorative material.
Premium materials may have a higher upfront cost than acrylic alternatives.
However, custom-milled zirconia and titanium frameworks can be more cost-effective over the long term than cheaper acrylic (plastic) alternatives.
No. Restorative material selection forms part of the treatment planning process and is based on an individual clinical assessment, functional needs and treatment goals.