If someone in their 40s is getting All on 4 will they wear down over time? If so how much will they charge to replace the teeth?

Doctor Answers 6

All-on-4 Dental Implants

One of the things that I advice younger patients such as yourself to do is to consider six implants for an All-on-6. Keep in mind that wherever the implants are not placed, bone loss and atrophy will continue throughout the years. As far as materials wearing down, they should wear down with normal use if you grind your teeth at night, this will typically be a much more accelerated process. One of the ways to prevent this and to protect your investment is to fabricate an occlusal night guard. One of the advantages of acrylic is that the repairs are fairly easy and repairs can be completed in the same day. Lastly, in dentistry fees tend to change over time so it is difficult to identify a specific fee looking forward. 

Miami Periodontist
5.0 out of 5 stars 30 reviews

All-on-4 Dental Implants

Hi, thank you for your question. With today's technology, implants are made to last almost a lifetime. Very rarely do they need to be replaced unless there is infection or some type of physiological change to your body. Regarding the teeth themselves, they will wear as normal dentition wear. Obviously your diet and oral care will play a major role in the amount of repair and maintenance over time. Please don't consider this being a barrier into having implants and a beautiful set of teeth that will give you the function to eat well and express yourself as well as regain your confidence. Good luck!

William P. Lamas, DMD, MS
Miami Dentist
5.0 out of 5 stars 13 reviews

Will All on 4 prosthesis last?

It depends on your maintenance schedule, as well as visiting the dentist regularly. Are you willing to put
in the time to maintain this prosthesis? This is a major investment, so maintenance is a major factor
in longevity of this All on 4 hybrid denture.

There are different material options to choose from such as acrylic, resin, porcelain, zirconium. Zirconium is
the strongest and more resistant to wear. It is almost impossible to break, and it still provides the high aesthetic value that you as the patient seeks. So this would be my choice of material to use, and the chances of breaking a tooth is nearly impossible.

James Magee, DDS
Altamonte Springs Dentist

How long will an All-On-4 prosthesis last?

There are many factors that will come into play in order to be able to answer this question.What are your dietary habits, do you grind your teeth at night,  what is opposing the prosthesis (natural teeth or another prosthesis), and most importantly, what material is the prosthesis made from? 

Acrylic is a soft plastic material  and may wear the fastest, whereas zirconiumis an extremely durable material. You should consult with your dentist to see what material makes the best sense. Is an extremely durable material. You should consult with your dentist to see what material makes the best sense.You should expect that there will be ongoing expenses in the future.  While it is impossible to say exactly how long your prosthesis will last because they're too many factors that need to be considered, you should expect to receive many years of excellent service.

I hope you found the information helpful,Dr. Champagne 

Richard Champagne, DMD
Freehold Dentist
5.0 out of 5 stars 5 reviews

Acrylic VS Porcelain

If the patient gets an Acrylic prosthesis it will have to be replace and in New York that may range from $2000-$3500 depending on the lab used. If a Porcelain prosthesis is used the patient should expect some expenses for screw replacements and repairs of $350-$750.00 and will vary depending on the patient. 

Mitchell Charnas, DMD
New York Dentist

This depends on the material used

Zirconia is the result of a chemical process: the basis is zirconia sand, partially stabilized with yttrium and made into Zirconia blanks through a mechanical process. Among the dental ceramics available today, zirconium oxide is without any doubt the material with the highest flexural and tensile strength. By omitting the ceramic layering, a more massive structure can be created, resulting in an overall higher resistance of over 200%. In this way, ceramic chipping and abrasion to the antagonist are being avoided.
Prettau® Zirconia is partially stabilized with yttrium and enriched with aluminium. This results in positive material properties like a high bending strength of up to 1,570 MPa (Study of the University of Munich, Dr. Beuer, February 2007), a high temperature resistance (of up to 2,600°C), as well as a constant shrinking factor granting the highest possible precision.
  • Higher translucency due to optimized microstructure of the zirconia
  • No ceramic chipping
  • No abrasion to the antagonist tooth
  • 200% higher bending strength, thanks to the elimination of the veneer ceramics
  • Especially suited in case of implants, reduced available space or restorations with gingival reconstruction

Mike Golpa, DDS
Las Vegas Dentist
4.8 out of 5 stars 48 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.