Full Arch Implant Restorations
Full arch implant restorations replace an entire arch of teeth using four to six strategically placed implants. This guide covers All-on-4 and All-on-6 protocols, material selection between zirconia and titanium frameworks, immediate load provisionals, and verification procedures. Dental professionals will find step-by-step workflows for predictable full mouth reconstruction outcomes.
Full Arch Protocols & Materials
Zirconia Bridge
Monolithic and layered zirconia full arch restorations with optimal strength
All-on-4 Protocol
Complete workflow for tilted posterior implants and immediate function
Immediate Load
Same-day provisional delivery with PMMA and conversion prosthesis protocols
Titanium Framework
CAD/CAM milled titanium bars and substructures for long-term durability
Material Comparison
PMMA vs Zirconia vs Hybrid: evidence-based selection criteria
Overdentures
Bar and locator retained implant overdenture solutions
Frequently Asked Questions
What is the difference between All-on-4 and All-on-6 protocols?
All-on-4 uses four implants with tilted posterior placement to maximize bone contact while avoiding anatomical structures. All-on-6 adds two additional implants for increased support, typically recommended for larger arches or when bone quality is compromised.
How long does a full arch zirconia bridge last?
With proper maintenance and occlusal management, full arch zirconia restorations typically last 15-20+ years. Regular follow-up appointments and night guard use are recommended to maximize longevity.
What materials are used for immediate load provisionals?
PMMA (polymethyl methacrylate) is the standard material for immediate load provisionals due to its excellent strength-to-weight ratio, easy chairside adjustability, and proven biocompatibility during the healing phase.
When should titanium frameworks be used instead of zirconia?
Titanium frameworks are preferred when maximum strength is required, for patients with bruxism, when vertical space is limited, or when a metal-ceramic hybrid approach is desired for optimal aesthetics and durability.