What is the difference between a all on four dental implants and denture? Does the all on four show the gum line when you smile?
Doctor Answers 9
Difference Between All on 4 and Dentures
The All on 4 is more secure and mimics natural teeth as they are generally attached to the implants using screws. They can be removed by the dentist but not by the patient. The materials used for All on 4 are typically stronger as well.
The gum line depends on the amount of bone loss experienced by the patient. Even with higher levels of bone loss, excellent aesthetics can be achieved by the dentist and a quality dental lab.
All on 4 procedure
The all on 4 procedure is completely different form a regular denture, the denture has flanges (pink acrylic extensions that cover all the facial portion of your ridge and a full palate, the all on 4 does not have this, it is more like a fixed bridge.
Usually on a all on 4 the type of prosthesis that goes on top of the implants is called a hybrid that has pink on it but does not cover the ridge like the denture so when the patient smiles you can usually see some "gums", how much that depends on the patients specific characteristics like low or high smile line, hyperactive lip, bone reabsorption, etc.
All this is assessed on the patient prior to starting the treatment but it is extremely hard to asseverate if you will show gum or not with out a clinical examination in order to consider all this factors.
All on 4
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All on 4 bridge vs. conventional denture.
A conventional denture uses soft tissue of the gums for support and retention. Because of the softness of gums this will usually result in some degree of instability. With a denture both the teeth and gums are replaced so that we can provide beautiful aesthetics. All on 4 bridges use 4 or more dental implants to stabilize a structure that can be made of material similar to dentures or materials that are more aesthetically pleasing. In all of these types of bridges both the gums and teeth are replaced in order to provide beautiful aesthetics. The real difference is stability and footprint. One is easily removable the other is fixed in place. Hope this helps.
Difference between all on 4 and dentures
Denture - Plastic teeth rest on your gums and move when you chew
All on 4 - The teeth rest on the implants and there is no movement when you chew
Denture - You continue to lose bone and the denture will become more loose over time
All on 4 - The implants maintain the bone
Denture - Covers a lot of the mouth
All on 4 - Minimal coverage
Denture - Chewing efficiency not as good
All on 4 - Chewing efficiency very good
Denture - loss of bone causes loss of facial support
All on 4 - maintains facial support
Hope that answers your questions. Wish you all the best in your journey
All on four and esthetics
Dentures vs All on 4s
How the cosmetics appear in your case depends on the time spent and expertise of the denstist making it.
Ideally, you should have measurements taken, looking at how high your lip rises when smiling and speaking. That determines the placement of the teeth and HOW MUCH IF ANY GUM WILL SHOW. The teeth should be long enough to appear "natural" at your try-in. You should be able to speak comfortably, and the dentist evaluate this, prior to making either a temporary "first" denture, or your final 4 0n 4. This try in is usually in wax, to get an idea prior to the final.
Just because you will need a full ldenture of sorts because you have no more natural teeth, doesnt mean there are no cosmetics involved. A woman should have teeth that look as if "they belong naturally" in her mouth. A man may have a larger size tooth, and a "set up" that gives him a strong masculine appearance.
If there is no try-in appointment, or no chance for the dentist to evaluate how much teeth and gum, if any, will show, and for you to see the shade and shape of the teeth----YOU ARE IN THE WRONG OFFICE.
Allon4 vs denture
A denture is just that, a plastic cup with teeth that covers the roof of your mouth and is held by suction. Implant teeth are a horseshoe shape of teeth that are cemented or held by screws. Depending on quantity of bone, your smile line and the choice of the type of teeth chosen by your doctor will determine if the edge will have gums or not. I have several example pics of all types and during your consultation this is figured out.