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"All on Four" or Snap on Dentures"?

User Level:
Patient
Posted by: dhitch  (4 years ago)
I’m trying to figure out what is the best route for me to take, snap in dentures or all on four. Due to chemo and a recent car accident my teeth on both the upper and lower need to be removed. I like the all on four because they don’t get removed, BUT is that really a good thing? I mean the snap in dentures you take out every day and clean. With the all on four, you use a water-pik and I’ve been reading forums where people say it’s harder to take care of them. BUT..hey you’ve got teeth. The snap on dentures, you have to have the O-rings changed out periodically. Also, do I go with porcelain teeth, zirconia bridge or acrylic? I hear zirconia is the best, but $$$, porcelain they say you sometimes hear click and can chip easier than acrylic. There’s a lot to think about and I don’t know anyone who has dentures to ask, except my granddad who has regular dentures and he’s happy with them, though he complains the slide around, even though he’s had them relined numerous times. I do know that I’ve more than enough bone density and my sinuses aren’t in the way, so know cost there or concerns. My dentist is recommending the all on four, but he’s a new dentist, as my other one passed away, who I trusted. This new guy, is nice, but I’ve not built up enough trust in him yet and you gotta have that when making huge decisions like these. I’m only 31, so I’m going to have dentures for a long time and want to make the best decisions. I’m going for a second and third opinion. but would love to hear feedback here.

Cheers!
User Level:
Dentist
I’m trying to figure out what is the best route for me to take, snap in dentures or all on four. Due to chemo and a recent car accident my teeth on both the upper and lower need to be removed. I like the all on four because they don’t get removed, BUT is that really a good thing? I mean the snap in dentures you take out every day and clean. With the all on four, you use a water-pik and I’ve been reading forums where people say it’s harder to take care of them. BUT..hey you’ve got teeth. The snap on dentures, you have to have the O-rings changed out periodically. Also, do I go with porcelain teeth, zirconia bridge or acrylic? I hear zirconia is the best, but $$$, porcelain they say you sometimes hear click and can chip easier than acrylic. There’s a lot to think about and I don’t know anyone who has dentures to ask, except my granddad who has regular dentures and he’s happy with them, though he complains the slide around, even though he’s had them relined numerous times. I do know that I’ve more than enough bone density and my sinuses aren’t in the way, so know cost there or concerns. My dentist is recommending the all on four, but he’s a new dentist, as my other one passed away, who I trusted. This new guy, is nice, but I’ve not built up enough trust in him yet and you gotta have that when making huge decisions like these. I’m only 31, so I’m going to have dentures for a long time and want to make the best decisions. I’m going for a second and third opinion. but would love to hear feedback here.

Cheers!


Implant-supported dentures are fine, and breakage problems are not near what breakage problems for fixed-hybrid implant devices are. However, I WOULD AVOID MINI-IMPLANTS WHICH HAVE A HIGH FAILURE RATE. Utilize two-piece conventional titanium implants only.

For attachments, I prefer Aichi Magfit magnets rather than O-rings. The magnets can last 4 years.

On a fixed hybrid prosthesis, teeth are much less expensive and easier to replace than ziroconia or conventional porcelain.

You have to realize that the All-on-4 technique is a better idea for the hard bone of the lower jaw rather than the upper jaw. Also you must remember that if only ONE implant fails, the whole case goes down the drain. With 6 implants, you could lose one or two and still have a workable prosthesis.

When you are considering this work and how much it will cost, please insist on NAME BRAND implants and not COPYCAT KNOCK-OFFS because metallurgy and quality control is VERY important.
Posted 4 years ago
User Level:
Patient
Posted by: dhitch  (4 years ago)
Thank you for your reply. My dentist uses Mis and Nobel Biocare and no mini' s full implants. He is recommending if I go with the over dentures two on the bottom and four on top. He didn't mention magnets, he mentioned a bar or the O-rings.

Cheers!

I just look up the Aichi Magfit magnets, my concern is I have to have MRI's of my brain every 3 months for the next two years. I see that those magnets would have to be removed for the MRI. Is it expensive to do that?
User Level:
Dentist
Thank you for your reply. My dentist uses Mis and Nobel Biocare and no mini' s full implants. He is recommending if I go with the over dentures two on the bottom and four on top. He didn't mention magnets, he mentioned a bar or the O-rings.

Cheers!

I just look up the Aichi Magfit magnets, my concern is I have to have MRI's of my brain every 3 months for the next two years. I see that those magnets would have to be removed for the MRI. Is it expensive to do that?


Sounds like you have a good dentist. Have him Google Aichi Magfit magnets. They fit Nobel Biocare Tri-lobe implants in 4.3mm diameter size. O-rings work, but need replacement more often.
Posted 4 years ago
User Level:
Patient
Posted by: dhitch  (4 years ago)
What do you recommend for the actual teeth, acrylic porcelain or ziroconia? I've heard good and bad with all, just like anything else. Do "all in 4's" have a high rate of failing? No one seems to spout that, probably because it's what they want you to get.

Thanks for all the insightful information. I'd like to go with the magnet BUT considering how often I've got to have MRI's that seems like it would be a pain in the butt for me.

Cheers!
User Level:
Dentist
What do you recommend for the actual teeth, acrylic porcelain or ziroconia? I've heard good and bad with all, just like anything else. Do "all in 4's" have a high rate of failing? No one seems to spout that, probably because it's what they want you to get.

Thanks for all the insightful information. I'd like to go with the magnet BUT considering how often I've got to have MRI's that seems like it would be a pain in the butt for me.

Cheers!


You are right. Although the magnets are in the dentures, the magnet copings on the implants are magnetized to an extent, and would probably mess up the MRIs.

On over dentures the only practical choice is acrylic teeth. Zirconia teeth are not used in dentures. Hardly anyone uses porcelain denture teeth anymore because the acrylic ones have improved in durability so much.
Posted 4 years ago
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