We are talking about two separate parts here. The implants themselves and the restorations to be attached to these implants. Implants: As far as the implants to be used, there are two mainstream options: Titanium and Ceramic implants. Titanium Implants- The very foundation of dental implantology was initiated after the discovery of natural bone attachment to titanium. The scientific evidence, years of successful clinical cases, and a wide variety of applications have generated high levels of trust regarding the performance of titanium implants. The real difference between one implant system/brand vs another is found in the quality controls used by different manufacturers. All major brands have trustworthy quality controls, and even offer lifetime warranties on their products. Ceramic (Zirconia) implants- Perhaps the most distinctive yet simple difference between titanium and ceramic implants is the color. As a white material, the aesthetic properties of ceramics are self-evident, At present, the clinical indications are limited compared to titanium implants. The current use of ceramic implants as a solution for tooth loss is mainly for single tooth replacement and bridge cases. There may be additional limitations in surgical and loading protocols. As far as the restoration is concerned, there are several options in the market for you to choose from. Research and innovation are always part of the science of dentistry, and as new materials and techniques are developed, so are new product offerings in the market: Restoration: Here is a breakdown of the most common options for all-on-4 restorations: PMMA (Poly(Methyl Methacrylate))- This is a type of acrylic that is lightweight and easy to manufacture. Generally speaking, dental offices offering “teeth in one day” are quickly fabricating these as long term restorations for you. More advanced dental offices use these only as a temporary restoration until a more robust and durable restoration can be fabricated. PROS: Manufactured quickly, Can be relined, good options for gum shades, low cost CONS: Not durable, weak structure, prone to breakage, not repairable if it breaks, stains easily, wears out quickly. SOLID ZIRCONIA- One of the most commonly offered types of restorations. The whole appliance is milled out of a single piece of zirconia. PROS: Very strong, High stain resistance, very low wear rate. CONS: Not repairable if it breaks, poor compatibility with jaw bone (due to rigidity), clinky ceramic sound, opaque/dull appearance, high amounts of forces placed on implants, very heavy. TITANIUM /ACRYLIC HYBRID- A titanium bar is milled, to which acrylic teeth are bonded. The HYBRID premise is to give you “the best of both worlds”. PROS: Softer bite, repairable if it breaks, can be relined CONS: Prone to breakage, Odd “soft bite” feeling, limited shade options, low stain resistance, teeth wear out quickly. XIRCON HYBRIDS (ULTRA & ULTIMATE)- Highly advanced biomaterials are used to fabricate the bar, and teeth. These materials have been used to fabricate bone prosthetic for a long time, so they have a proven track record of bio-compatibility, flexure, and durability. These characteristics combined with advanced manufacturing processes give you the most advanced product in the market. PROS: Fully repairable, Very customizable shades of gums and teeth, optimal translucency, shock-absorbent bite, real teeth feel, minimal forces on implants, best compatibility with jawbone, lowest wear rate, very high stain resistance.