By Dr. Jon ( Junyi ) Ho Missing teeth can affect everyday activities like eating and speaking, and they may also influence how you feel about your appearance. Many people consider teeth replacement to help restore function in daily life. Two commonly discussed approaches are All-on-4 dental implants and traditional dentures.
So, is All-on-4 better than dentures? The answer depends on several factors, including oral health, lifestyle, and treatment expectations. Each approach functions differently, from how it is fitted in the mouth to how it is maintained each day. Dentures have been used for decades, while implant options like All-on-4 are increasingly considered as alternatives for replacing missing teeth.
In this blog, we will compare All-on-4 and traditional dentures to outline how each works, along with their advantages and limitations. We will also highlight some key factors that may influence which approach is more appropriate for you. This overview may assist you when discussing teeth replacement choices with your dentist.
Contents Navigation
- 1 Summary of the Content:
- 2 What Are All-on-4 Dental Implants?
- 3 Understanding Dentures
- 4 Dentures vs All-on-4: Key Differences
- 5 Pros and Cons of All-on-4 Implants
- 6 Pros and Cons of Dentures
- 7 Factors to Consider When Choosing
- 8 Which Option Might Be Right for You?
- 9 Implant-Supported Dentures: A Middle Ground Option
- 10 Final Thoughts
Summary of the Content:
- All-on-4 dental implants use four implants to support a full arch of teeth and may offer a stable feel for some patients with suitable oral health.
- Traditional dentures are removable and rest on the gums, often chosen for their affordability and non-surgical process.
- All-on-4 involves implant placement, while dentures are worn without surgery and can be taken out for cleaning.
- Implants can reduce denture movement and may improve chewing comfort, but they require surgery and higher upfront costs.
- Dentures can be quicker to make, though some people find they feel loose or shift while talking or eating.
- Gum health, jawbone density, and past dental treatment can all influence which teeth replacement approach may be appropriate.
- Implant-supported dentures use fewer implants to hold a denture in place and may offer more comfort than traditional removable dentures.
- A dentist can assess your individual needs and help you explore suitable teeth replacement options.
What Are All-on-4 Dental Implants?
All-on-4 is a type of dental implant procedure designed to replace a full arch of missing teeth using just four dental implants. This approach is commonly discussed as an alternative to removable dentures, especially for the upper or lower jaw. Instead of using one implant for each missing tooth, four strategically placed implants anchor a full denture that remains in place during daily activities. While this approach may suit some patients, it depends on many factors, including bone health, lifestyle, and individual treatment goals.
Here’s how the All-on-4 system works from a mechanical perspective:
- Implants act as anchors:
Four dental implants are placed into the jawbone to serve as a secure foundation for the new teeth. These implants function similarly to natural tooth roots, helping to secure the denture and distribute pressure when biting or chewing. The implants are made from biocompatible materials, which are designed to integrate with bone over time. This integration process is important for long-term stability. - Angled placement enhances contact:
The two rear implants are inserted at a slight angle rather than straight down. This positioning helps increase contact with the available jawbone, especially in areas where bone density may be lower. In many cases, this angled approach can reduce the need for bone grafting. It’s a technique used to maximise support without additional surgical procedures. - Custom bridge connects to implants:
A full dental bridge or denture is designed to attach securely to the implants after healing. This bridge is custom-made to match the patient’s bite, gum shape, and smile appearance. It is usually made from materials like acrylic or porcelain-fused-to-metal. The aim is to create a result that is both functional and natural-looking. - Remains in place during daily use:
Once the implants have healed and the final denture is attached, the arch remains in place during speaking, chewing, and other daily activities. Unlike removable dentures, All-on-4 is not taken out at night or after meals. Many people find this more convenient, although it does require professional maintenance. It’s important to remember that fit and comfort can vary from person to person.
All-on-4 implant dentistry may offer certain advantages for people with missing teeth, depending on individual suitability:
- Stable support for chewing:
Because the prosthetic is attached to implants in the jawbone, it may offer more stability than removable dentures. This can help reduce unwanted movement during chewing or talking. It may also allow for a wider variety of foods to be eaten comfortably. However, long-term results depend on factors like proper care, gum health, and regular check-ups with your dentist. - Feels more like natural teeth:
Some patients report that All-on-4 dentures feel more stable than removable dentures, though comfort and outcomes vary. The prosthetic is held firmly in place, which may help with speech clarity and day-to-day comfort. That said, there is still an adjustment period, particularly in the weeks following surgery. Everyone’s experience is different based on healing, fit, and expectations. - May help maintain jawbone structure:
When teeth are missing, the jawbone can shrink over time due to a lack of stimulation. Implants are thought to help stimulate the bone during chewing, which may help reduce bone loss in some cases. Although outcomes vary, this can be a long-term consideration for people concerned about facial changes linked to bone resorption. Your dentist will assess bone density during the planning process. - No daily removal required:
Unlike removable dentures, the All-on-4 arch stays in place and is only removed by a dental professional when needed. This may appeal to those who prefer not to take their teeth out each night or rely on adhesives. While this can be more convenient for some, it also means that cleaning and maintenance must be done thoroughly to promote oral health. Professional check-ups are essential to monitor the condition of the implants and the surrounding gum tissue.
Understanding Dentures
Traditional dentures are removable appliances used to replace several missing teeth or a full arch. They are custom-made to fit the shape of your mouth and are usually made from acrylic, sometimes reinforced with metal. Dentures sit on top of the gums and are held in place using suction, surrounding gum tissue, or dental adhesives. While they don’t function like natural teeth, they may help with basic activities like speaking and chewing.
Here are some common situations where traditional dentures are considered:
- Replacing all teeth in one arch:
When all teeth in the upper or lower jaw are missing, dentures are often used to provide a full set of false teeth. They help maintain facial structure and may reduce the sunken appearance that sometimes occurs after long-term tooth loss. The denture is shaped to sit along the gum line and can be adjusted for comfort. This option avoids the need for dental implant surgery. - Replacing multiple teeth across the mouth:
When several teeth are missing in different areas, a single removable denture can fill those spaces. This may be more straightforward than placing multiple implants or bridges. The denture is removed daily for cleaning and should be checked regularly by a dentist to achieve a healthy fit. Some people find it takes time to adjust to wearing dentures, especially if they have never used one before. - When surgery is not suitable:
Dentures are often used by patients whose medical history or overall health makes implant surgery unsuitable. They don’t require sedation or invasive procedures, which may make them a suitable option for people managing other health conditions. Dentures may also be helpful for those who prefer a non-surgical teeth replacement option. Every patient’s situation is different, so the choice depends on personal and clinical factors. - Temporary use after extractions:
Some dentures are made to be worn immediately after tooth removal. These are called immediate dentures and are often used to help with appearance and basic function while the gums heal. The fit of these dentures may change during healing, so they are usually adjusted or replaced with a final denture after several months. Your dentist will monitor healing and advise when a long-term denture is appropriate.
Removable dentures continue to be an accessible teeth replacement option. They are non-surgical, generally more affordable than implants, and can often be created in just a few visits. However, they do not stimulate the jawbone like implants, and changes in gum tissue over time may affect their fit. Regular dental check-ups are important to monitor oral health, gum condition, and denture comfort.
Dentures vs All-on-4: Key Differences
When comparing traditional dentures with All-on-4 dental implants, it’s helpful to understand the practical differences between them. Each option promotes oral function differently and involves a unique maintenance routine, treatment process, and level of support. The table below outlines these differences without promoting one approach over the other:
| Feature | Traditional Dentures | All-on-4 Dental Implants |
| Stability and function |
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| Comfort and fit |
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| Maintenance |
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| Treatment process |
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| Longevity |
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A dentist will assess factors like oral health, bone density, lifestyle needs, and medical history to help guide your decision. Neither option is universally suitable — what works well for one person may not meet the needs of another.
Pros and Cons of All-on-4 Implants
Many patients considering teeth replacement options often ask, “Is All-on-4 better than dentures?” The answer depends on your oral health, goals, and preferences. All-on-4 dental implants involve placing four implants into the jawbone to hold a full arch of new teeth. While this method may be suitable for some people, it’s important to understand both the potential benefits and the limitations.
Here are some advantages of All-on-4 implants:
- Implants help anchor the denture:
Four dental implants are placed in the jaw to help keep the denture in position. This design may reduce unwanted movement during eating and speaking. Some people describe the denture as more stable than the removable types. Stability and comfort can vary depending on gum health, bone quality, and bite alignment. - May improve chewing comfort:
The denture is connected to the implants rather than sitting on the gum surface. This may help reduce gum pressure during chewing and allow some patients to enjoy a broader range of foods, as suggested by a 2022 clinical trial on All-on-4 chewing efficiency. Pressure is transferred into the jawbone through the implants. Individual outcomes vary depending on the shape of the mouth and implant positioning. - Designed to use existing bone:
The rear implants are angled to maximise contact with the available bone in the upper or lower jaw. This may reduce the need for bone grafting in some cases. The technique is planned based on detailed scans and measurements. Bone density and volume still need to be assessed before implant placement. - No daily removal required:
Once the final denture is placed, it is worn throughout the day and removed only by a dentist during scheduled visits. Some people find this more convenient than managing removable dentures at home. However, it also requires thorough daily cleaning around the implants. Routine dental care is important to help maintain oral health.
Not every patient is suited to this type of treatment. Factors like overall health, bone condition, and cost all play a role in determining whether All-on-4 is appropriate.
Here are some important considerations to be aware of:
- Involves implant surgery:
The procedure includes surgery to place implants into the jawbone. Healing can take several months, during which temporary teeth are often worn. As with any surgery, risks may include infection, discomfort, or complications with healing. A full health assessment is needed before proceeding with dental implant surgery. - Higher upfront cost:
The cost of All-on-4 is generally higher than that of removable dentures. This reflects the planning, implant placement, dental laboratory stages, and follow-up care involved. Some people consider this worthwhile in the context of their long-term goals. Costs can vary depending on individual needs and additional procedures required. - Not suitable for all patients:
All-on-4 is not always recommended for people with active gum disease, low bone density, or certain health conditions. Factors like smoking, chronic illness, or medication use may also affect healing. Your dentist will need to assess your oral and general health before recommending treatment. Other tooth replacement options may be discussed if this approach is not suitable. - Requires regular hygiene and reviews:
Even though the denture is not removed at home, daily brushing and cleaning around the implants is essential. Interdental brushes or water flossers may be recommended. Regular dental visits are needed to review gum tissue, jawbone levels, and the condition of the prosthesis. Professional cleaning and monitoring play an important role in long-term success.
Information is general in nature. Any potential benefits (e.g., chewing comfort or stability) vary by patient and must be assessed clinically.
Pros and Cons of Dentures
Traditional dentures are a removable dental treatment used to replace multiple missing teeth in the upper or lower jaw. They are often chosen by people who prefer a non-surgical approach to teeth replacement.
Below is a summary of some advantages that may apply to suitable candidates.
- Non-surgical treatment approach:
Dentures do not require implant placement or oral surgery. This may be preferable for individuals with medical conditions that limit surgical options. The process usually involves impressions and fittings completed over a series of appointments. It is considered a less invasive method of replacing missing teeth. - Generally more budget-friendly:
Compared to implant-based treatments, removable dentures often have a lower upfront cost. Some people consider them a more affordable option depending on their individual needs and available dental cover. Total cost can vary based on materials, arch size, and whether full or partial dentures are needed. A detailed quote can be provided during your consultation. - Shorter time frame to complete:
Dentures may be made and fitted within a shorter period than implant procedures, especially when no additional steps like extractions or healing time are required. Immediate dentures can sometimes be placed shortly after tooth removal. Final adjustments may be needed as gum tissue changes during healing. Timelines vary depending on each patient’s case. - Removable and adjustable:
Dentures can be taken out daily for cleaning, making it easier to brush remaining teeth and care for gum tissue. If the fit changes due to bone loss or wear, they can often be relined or modified. Some people find the ability to remove their dentures convenient for hygiene or sleeping. Dentures can also be replaced if they become worn or damaged.
While dentures remain a common teeth replacement option, they also have limitations. Fit, comfort, and function can vary depending on the shape of the jaw, gum changes, and how well the denture is maintained.
Below are some practical considerations to keep in mind:
- May shift during speaking or eating:
Removable dentures rely on suction, adhesives, and gum contour for stability. Some people experience movement or slippage, especially with lower jaw dentures. This may affect eating or confidence in social situations. Adjustments may be needed over time. - Do not stimulate the jawbone:
Because dentures sit on the gums and are not anchored into the bone, they do not provide stimulation to the jawbone during chewing. As a result, gradual bone loss may continue over time. This can impact facial appearance and the fit of the denture. Regular check-ups are important to monitor these changes. - Initial adjustment period:
It may take time to get used to wearing dentures, particularly when learning to eat and speak. Some people report that certain foods feel difficult to chew at first. Others may notice changes in how words sound when talking. Over time, many adapt with practice and guidance from their dental team. - Ongoing care and maintenance required:
Dentures need to be removed and cleaned daily to help maintain oral health. Special brushes and soaking solutions are often recommended. Dental reviews are also important to check the condition of the denture and the surrounding gum tissue. Over time, replacement may be needed due to wear or changes in mouth shape.
This information is general only. The way dentures feel and function varies between individuals and should be reviewed with a dentist.
Factors to Consider When Choosing
When exploring teeth replacement options like All-on-4 dental implants and traditional dentures, there’s more to consider than appearance or upfront cost. Oral health, lifestyle preferences, and long-term goals all play a part in determining what may be suitable.
Oral Health and Bone Density
The condition of your gums and jawbone can affect whether dental implants are a suitable option. All-on-4 requires healthy tissues and enough bone volume to allow the implants to heal and function properly. These biological factors help guide your dentist in recommending a safe and appropriate treatment path.
The points below explain how gum health and jawbone density influence implant suitability:
- Gum health influences healing:
Dental implants are placed into the jaw through a surgical procedure, which relies on healthy gum tissue for proper healing. If gum disease is present, it may need to be addressed beforehand. Ongoing inflammation can increase the risk of complications during recovery. - Bone density provides the foundation for implants:
Implants are anchored into the jawbone, so sufficient bone volume is important for initial stability. If the bone is too thin or weak, the implant may not integrate properly. Your dentist may recommend a scan to assess bone levels before deciding if implants are appropriate. - Tooth loss may lead to bone changes:
When teeth are missing, the jawbone can shrink over time due to a lack of stimulation. This can reduce the available bone for future implant placement. Replacing missing teeth earlier may help reduce the extent of these changes.
Lifestyle and Comfort Preferences
Everyday habits and comfort expectations can play a significant role in how well different treatments fit into your routine. Some people prefer an option that stays in place throughout the day, while others feel more confident with something removable. It’s worth considering how each option may align with your lifestyle.
The following points highlight how daily routines and preferences can affect your treatment choice:
- Cleaning routines differ:
Dentures are removed daily for cleaning, while All-on-4 is cleaned while in place and professionally removed during dental visits. This may influence what feels manageable at home. Some people prefer the simplicity of removable dentures, while others find value in a prosthetic that remains in place. - Eating experiences can vary:
Dentures may feel less stable when chewing certain foods, especially if they loosen over time. With All-on-4, eating may feel more secure once healing is complete, though soft foods are often recommended at first. Your food preferences and habits may influence which option feels more practical. - Speaking and social settings:
Dentures can shift during speech, which some people find noticeable. Others adapt with practice or through minor adjustments. If you’re concerned about talking or laughing in public, it’s helpful to discuss this with your dentist when exploring options.
Budget and Treatment Goals
Cost is often a key consideration when choosing between All-on-4 and traditional dentures. Dentures usually involve a lower initial cost and fewer appointments, while implant treatment includes planning, implant surgery, and additional follow-up care. If needed, treatment can sometimes be planned in stages to help manage the total cost over time.
Your long-term goals also matter — whether that means reducing daily maintenance, improving chewing ability, or avoiding surgery. Each option comes with benefits and limitations that may influence comfort and convenience. A clear conversation with your dentist can help match the treatment to your health, lifestyle, and expectations.
Which Option Might Be Right for You?
Choosing between All-on-4 dental implants and traditional dentures depends on several personal factors — from your health history to daily routines and long-term goals. If you’re wondering, “Is All-on-4 better than dentures?” the answer isn’t the same for everyone. Both options come with potential benefits and limitations, and the right choice often comes down to what suits your mouth, lifestyle, and expectations.
A dental assessment gives your provider the opportunity to examine your oral health and discuss what you’re hoping to achieve. This individualised approach helps tailor treatment options to your needs, rather than relying on general comparisons.
Here are some reasons why speaking with a dentist is an important step when deciding between teeth replacement options:
- Gum and bone health can affect implant suitability:
All-on-4 involves placing four implants into the jawbone, which depends on having enough bone density and healthy gum tissue. If there’s been bone loss or inflammation, additional treatment may be required beforehand. In these cases, dentures might be a more straightforward alternative. - Medical background and lifestyle habits matter:
Health conditions, certain medications, or smoking may influence how the body responds to implant surgery. These factors are important to discuss during your consultation. If healing could be compromised, traditional dentures may be recommended instead. - Your goals can guide the treatment approach:
Whether you’re focused on daily maintenance, speech clarity, or how teeth feel when chewing, your personal preferences can shape the treatment plan. Dentures and All-on-4 offer different experiences in these areas. Talking openly with your dentist helps align treatment with what matters to you. - Each person’s anatomy is different:
The shape of your jaw, the number of missing teeth, and how your bite works all impact how a restoration performs over time. Dentists use scans or impressions to evaluate these details. This helps identify which approach may be more suitable for your oral structure.
Implant-Supported Dentures: A Middle Ground Option
For patients weighing up All-on-4 dental implants and traditional dentures, implant-supported dentures may offer an alternative that balances stability with flexibility. This treatment involves attaching a denture to two or more dental implants placed in the upper or lower jaw. While still removable, the added retention may improve how the denture feels during daily activities such as eating or speaking.
This type of denture is sometimes considered less invasive than full arch implant treatments, as it often requires fewer implants and a shorter healing period. It remains removable for cleaning, which some people find simpler to manage at home.
Some potential benefits of implant-supported dentures include the following:
- Improved chewing ability:
The denture is anchored by implants, which may help reduce movement while eating. This added stability can make chewing feel more controlled compared to conventional full dentures. - Reduced movement during speech:
Implant-retained dentures are less likely to shift when talking, smiling, or laughing. This may help improve comfort and confidence during social situations. - Removable for cleaning:
Although held in place during the day, the denture can be taken out for daily cleaning. This allows easy access to the gum tissue and denture base, which may promote oral hygiene. - May involve fewer implants:
Compared to full-arch treatments like All-on-4, this option often uses a smaller number of implants and may require less complex surgery. This may suit people seeking a stabilised denture without a full surgical plan.
While implant-supported dentures may work well for some, they are not suitable for everyone. Their success depends on several factors, including bone density, gum health, and personal preferences. A consultation with your dentist can help assess whether this approach fits your lifestyle and treatment goals.
Final Thoughts
Choosing between All-on-4 dental implants and traditional dentures depends on a range of individual factors. These may include your oral health, jawbone density, lifestyle preferences, and what you’d like to achieve in the long term. Since everyone’s situation is different, seeking professional advice is an important part of the decision-making process.
Each treatment option involves different procedures, maintenance routines, and outcomes. Some people prefer the convenience of a removable option, while others may feel more comfortable with an approach that feels closer to natural teeth. Understanding how each choice fits into your daily life can help guide your decision.
If you’d like to explore your tooth replacement options, Darch Dental Centre welcomes you to book a consultation with our friendly team. This gives you the chance to discuss your needs, review your oral health, and receive advice tailored to your circumstances. We aim to provide clear information to help you feel more confident about the next step in your dental care.
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