Which option provides the best solution: acrylic on titanium, porcelain on titanium or porcelain on zirconia?

My dentist prefers an acrylic on titanium solution and I prefer a porcelain on zirconia solution. I do not like the thickness and look of the acrylic solution (fit). My temporary was in for eight months and it broke three times, created a lisp (function). The look and size of teeth seemed larger than my originals (form). An opinion on the three options above would be greatly appreciated.

Doctor Answers 1

Zirconia option for implant bridge

You are right there are three options for the final prosthetics on full arch implants.  

1) titanium bar and acrylic teeth - the cheapest and most basic option.  Most dentists like it because it's been used the longest and provides good aesthetics.  Problem is that teeth will break off.  The repair is easy but it will happen.  

2) titanium bar and porcelain or ceramic teeth - good solution very aesthetic and can be made with individual crowns on the substructure which may simplify repairs of porcelain fracture.  This is a very expensive option and repairs are often difficult sometimes impossible.  

3) Full contour monolithic Zirconia - aesthetic strong solution.  The whole bridge is milled from a solid block of Zirconia virtually indestructible.  Porcelain is used only to make the pink gum and to layer on front of teeth that need special effects.   By far the best solution we have.  Cost is only slightly more than acrylic but no repairs needed.  Requires very good manufacturing not everybody offers this.

Hope this helps

Good luck.  

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