This guide has been written to offer clarity and understanding. Our goal is to support you in navigating your options – whether you are just starting to explore teeth replacement, or are a denture wearer looking to transition from dentures to an alternative approach like All-on-4.
We’ll explore the key differences between All-on-4 dental implants and dentures, eligibility criteria for each, common goals they help address, and what to consider when choosing a treatment pathway that suits your unique needs.
What are all-on-4 dental implants?
All-on-4 is a full-arch teeth replacement solution that uses four strategically placed dental implants to support a fixed set of prosthetic teeth. The procedure is often suited to individuals who are missing most or all of their teeth in either the upper or lower jaw and are seeking a more integrated alternative to removable options.
This treatment is referred to as ‘All-on-4’ because the entire arch of teeth is supported on four titanium implants, although in some cases, more implants may be used depending on individual clinical factors.
All-on-4 provides a fixed solution, meaning the teeth are not removed daily. The implants integrate with the bone over time (a process called osseointegration), helping to provide a stable foundation for the new set of teeth.
What are dentures?
Dentures are a traditional and widely used method of tooth replacement. They consist of removable prosthetic teeth designed to sit over the gums. There are two main types: full dentures (for individuals who are missing all teeth in one or both jaws), and partial dentures (used when some natural teeth remain).
Dentures are custom-made to fit the shape of your mouth and can be made from materials such as acrylic or a combination of acrylic and metal (our final bridges are mostly made from Zirconia). They are held in place by suction, adhesives, or clasps (in the case of partial dentures).
Dentures have helped millions of people with their ability to chew, speak, and smile, and continue to be a widely chosen option due to their lower upfront cost and non-surgical nature.
Key differences between all-on-4 and dentures
While both All-on-4 dental implants and dentures are designed to replace missing teeth, there are several fundamental differences in how they work, feel, and are maintained.
1. Stability and support
All-on-4: The implants are anchored in the jawbone, which can contribute to a more secure and stable fit. Because the prosthetic teeth are fixed to these implants, there is typically no movement during eating or speaking. It’s important to note that an all-on-4 bridge is not a denture with implants; it’s a far more advanced prosthesis.
Dentures: As they sit on the gums without being anchored into bone, they may move or shift, especially if they do not fit properly. Over time, changes in the jawbone (resorption) can affect fit and comfort.
2. Bone preservation
All-on-4: Implants stimulate the jawbone, which may help reduce further bone loss. This stimulation occurs because the titanium posts function similarly to tooth roots.
Dentures: Dentures do not provide this stimulation. Without tooth roots or implants, the bone may gradually shrink or change shape, which can lead to changes in facial structure and denture fit over time.
3. Daily maintenance
All-on-4: Fixed teeth are not removed daily. They require consistent at-home cleaning and regular professional maintenance, but many individuals find the routine more similar to caring for natural teeth.
Dentures: These are removed daily for cleaning. Proper care is essential to prevent plaque build-up, irritation, or infection. Some individuals find adapting to this routine manageable, while others may find it inconvenient.
4. Appearance and feel
All-on-4: The prosthetic teeth are customised to suit your facial structure and can feel more like natural teeth due to their fixed placement. Some people report increased ability to smile and eat without the concern of teeth moving.
Dentures: Modern dentures are designed to appear natural and can be highly aesthetic when well-fitted. However, they may take time to get used to, particularly when speaking or eating.
5. Treatment process and recovery
All-on-4: This involves a surgical procedure to place the implants. Depending on individual circumstances, temporary teeth may be provided initially, followed by a more refined final set. Healing and integration can take several months, and the journey is often more involved, both emotionally and physically.
Dentures: The process to receive dentures is generally non-surgical. After impressions are taken, a custom denture is created and fitted. Some individuals may need adjustments to ensure comfort. Healing may still be required if recent extractions have taken place, but this is usually less intensive.
6. Adjustments and future maintenance
All-on-4: Once healed and fully integrated, maintenance generally involves regular check-ups and professional hygiene visits. However, over time, adjustments or replacement of the prosthetic teeth may be needed.
Dentures: Regular adjustments are often required due to bone and gum changes. Dentures may need relining, rebasing, or replacing every few years, depending on wear and changes to the mouth.
Who is eligible for each treatment?
All-on-4 eligibility
All-on-4 dental implants may be suitable for individuals who:
- Are missing most or all teeth in an arch
- Have adequate bone density or are willing to undergo bone grafting (if needed)
- Are in good general health to undergo oral surgery
- Are looking for a fixed, permanent solution
- Have previously struggled with dentures or wish to explore an alternative
It’s important to note that not all individuals are eligible for All-on-4. Things like smoking, certain health conditions, or having low bone levels in the jaw can affect whether this treatment is right for you.
A comprehensive consultation, including scans and assessment, is essential to determine suitability.
Dentures eligibility
Dentures may be appropriate for individuals who:
- Are missing some or all teeth
- Prefer a non-surgical treatment option
- May not have the bone support required for implants
- Have budget considerations
- Need a short-term or transitional solution before pursuing another treatment
Dentures remain a valid option for many individuals, particularly when managed and maintained properly. Removable dentures can be used either long-term or as part of a staged approach toward more integrated options.
Common goals: What both options aim to achieve
Despite their differences, both All-on-4 dental implants and dentures share common goals. These include:
- Restoring function: Enabling improved ability to chew, speak, and enjoy meals with greater ease.
- Improving comfort: Helping to eliminate discomfort caused by missing or damaged teeth.
- Supporting appearance: Contributing to facial structure and a balanced, natural-looking smile.
- Enhancing quality of life: Addressing the emotional and social impacts of tooth loss, often after years of adapting to limitations.
At Advanced Dental Artistry, we understand that tooth loss is rarely just about teeth. It often comes with stories of chronic pain, embarrassment, social withdrawal, or even changes in diet and health.
Whether you choose All-on-4 or dentures, the priority is always your well-being, comfort, and oral health in the path forward.
Financial considerations and treatment planning
Cost is naturally a factor when considering any dental treatment, and both All-on-4 and dentures come with different upfront and ongoing costs.
All-on-4 typically has a higher initial cost due to the surgical procedure, custom prosthetics, planning, and follow-up care. However, it may require fewer adjustments over time. Dentures have a lower initial cost, but may need more frequent replacements or relining as the mouth changes.
Our team at Advanced Dental Artistry is committed to transparency around pricing and expectations. We provide detailed treatment plans and timelines so you can make informed decisions, not just financially, but emotionally and practically as well.
Factors to consider when choosing between all-on-4 and dentures
Every patient’s situation is unique, and your decision will depend on multiple factors:
- Your current oral health and bone density
- Your preferences around fixed vs removable teeth
- Your past experiences with dentures (if any)
- Your comfort with surgical procedures
- Your budget and long-term expectations
- Your lifestyle and dietary needs
It’s not about choosing the ‘better’ option, but rather, the one that aligns with your needs – both now and into the future.
At Advanced Dental Artistry, we take the time to explore all of this with you. We recognise that for many people, these decisions come at a point of significant life transition. Our role is to guide you with clarity, respect, and understanding – not pressure.
Supporting you every step of the way
Making the decision between All-on-4 dental implants and dentures can feel daunting – and that’s completely understandable.
For many of our patients, it comes after years of compromised dental health, discomfort, or limited choices. The good news is, there are solutions. And you don’t have to navigate them alone.
At Advanced Dental Artistry in Perth, we’ve supported many individuals through their full teeth replacement journey. Our team is known for providing individualised care, with a strong focus on education, honesty, and compassion.
We take the time to understand your story, your concerns, and your goals. Whether you’re curious about All-on-4, considering upgrading from dentures, or simply seeking advice on where to begin – we’re here to help you explore what’s possible, with no judgement and full transparency.
Next steps: Booking a consultation with us
If you’re ready to learn more about All-on-4 dental implants or dentures – or even if you’re just looking for guidance – we invite you to book a consultation with our experienced team.
During your appointment, we’ll:
- Listen to your concerns and history
- Conduct a full clinical assessment
- Take relevant imaging or scans
- Explain your treatment options in detail
- Provide a personalised plan, including pricing and timelines
There’s no obligation to proceed. Our role is simply to provide the information and support you need to make a confident and empowered choice.
Advanced Dental Artistry is proud to be one of Perth’s leading practices for implant dentistry and integrated cosmetic and restorative dentistry, including All-on-4 and full-mouth reconstruction solutions.
We are here to offer not just dental treatment, but compassionate care that helps you move forward with support and clarity.
