Change from All on 4 permanent to removable?

Hello,It appears that you are still in the temporary stage of the hybrid prosthesis. The final all on four hybrid is much more comfortable and superior in appearance. I would not give up just yet on the all on four. If for some reason you decide to switch to a removable, it will cost you much more to change the prosthesis as you will need locator attachments. I suggest you discuss your concerns with your dentist as soon as possible.

If you had a temporary All-on-4 bridge 10 weeks ago, your gum has likely changed shape and the bridge may also not have been designed as a final bridge would be. Hopefully changes in the final design can address your concerns. Usually you would not be having a dull ache at this stage, so you need to discuss that with your treating dentist. It's important you see the treating dentist, not the technician, about your concerns, so that they can be diagnosed and addressed appropriately. Hopefully you can get a good outcome without needing to consider a removable denture, which would have its own pros and cons.
*General advice only.

It is definitely possible, but there is bound to be a fee for the lab charges your dentist has already spent. Also, you will have to undergo several more appointments to get the removable prosthetics to fit correctly. 

I agree with the response from Dr. Barsky below. In addition, I do hear patients at times requesting a removable prosthesis over a bar structure which is attached to the implants but mainly it is due to concerns regarding hygiene. If a final All on 4 prosthesis is properly adapted to the soft tissues, there really should be minimal to no significant problems in terms of home care. 

Hi and thank you for your question. The answer to your question is yes. I certainly agree with the answers submitted by the other doctors. If I may add just a few things, with a removable denture there are some risks that you have to assume. If for any reason you drop your prosthesis while handling it, you will face an extra cost of replacing this prosthesis. If you loose it or your pet uses it as a toy, you again will face an extra cost to replaced it.
Talk to your restoring dentist, to figure out what would be the best alternative that fits your life style.
Good Luck to you,
Dr.Arroyo
Oral and Maxillofacial Surgeon

Yes, you can change to a removable prosthesis, but I don't think your issue is fixed vs. removable. You mentioned that you would like to have less plastic gum showing, but that is caused more by wrong tooth position vs. being a fixed prosthesis.  In addition, if the teeth are not in the correct position, you can suffer from excessive whistling whether the prosthesis is fixed or removable. These issues are easily correctable when your doctor and the lab are making your new final fixed prosthesis.
I have had patients switch from fixed to removable during the healing phase, but these patients switched because they did not like the feeling of not being able to take their teeth out at night to clean. All of these patients had worn dentures for over 20 years and could not get used to using a waterpik a few times daily. 

You could change from permanent all on four fixed restoration to a removeable prosthesis, but you should first talk to your dentist and discuss if he can resolve your concerns with the permanent fixed restorations that will be done.  If you do decide to switch to a removable, you will most likely need coverage on the palate similar to a full  upper denture.    Your dentist would most likely use locator attachments that secure upper and lower dentures by snapping them into the locator attachments. These work very well but are not the same as having fixed teeth.  Make  sure you are aware of the differences before making the decision to switch.

All on 4 is always better than removable.  You will just need to work with the dentist and lab technician to get the result you are looking for.

Hi:Sorry to hear about your pain and difficulty with your all on 4.  My suggestion is to wait 3 months for healing to take place before you decide on the next step.    Best,Dr. Maddahi

The temporary phase can be very difficult but the final bridge (or denture for that matter) might be exactly what you are looking for. 
 While the temporary allows you to have teeth placed the same day it can also be used as a diagnostic tool to determine the things that you like and don't like in your permanent prosthetic. There is a lot of guess work in the temporary and it is rarely ever perfect from the start.
 You may have to switch over to locators or other removable type attachments (bar overdentue, hader clips or conus abutments etc) in order to get a denture. However, the same implants and sometimes multi-unit abutments (connectors) can be used as the foundation. 
For my patients, the costs would be the same. While I have increased fees for parts to switch over to removeable, I also won't be paying for the parts to make it a bridge. Thus I consider it a wash and patient satisfaction if far more valuable than anything else. 
Talk to your doctor and voice your concerns and I bet he will be able to get you what your are looking for whether it be fixed or removeable.