All-on-X® Implant Solution

All on X

The ability of replacing an entire arch of teeth using just four implants is a remarkable phenomenon in dentistry. While attempts of full-arch implants had been made in the 1970s and 1980s, the first ever All-on-4 treatment was completed in 1998 by Dr. Paulo Malo.

Originally, the most common hybrid prosthesis consisted of cast metal substructure with traditional acrylic and denture teeth. However, fast forward to 2022 and there are several material options available. From metal-free options like zirconia, to traditional metal with acrylic. Let review four types of Implant restorations offered by Iverson Dental Labs.

4 Types of Implant Hybrid Restorations

1. Traditional Acrylic with Titanium Substructure

Frame: Titanium  Prosthesis: Acrylic and denture teeth.

Pros

  • Resiliency reduces impact forces so that it is not transferred to the implant.
  • Can be easily repaired, cleaned and polished.
  • Acrylic is affordable and lighter
  • Acrylic teeth have the longest track record.
  • will not wear opposing natural teeth.

Cons

  • Stains over a period of time.
  • Cured acrylic base can result in teeth being dislodged.
  • Acrylic does not last as long as zirconia.
  • May wear and will chip.
  • Wear faster than natural teeth

2. SmartComposite Hybrid Prosthesis

Frame: metal (beryllium free nickel)  Prosthesis: milled cobalt-chromium alloy and milled composite.

Pros

  • Strong, Metal bonds to hybrid composite.
  • Highly polishable, it can be repaired in the mouth.
  • Wears at about the same rate as natural teeth.
  • Less likely to chip compared to acrylic options.
  • Lightweight compared to Zirconia.

Cons

  • Not as durable as full zirconia.

3. ZIRMAX M Hybrid (Monolithic Zirconia Screw Retained Full Arch Prosthesis)

Frame: Zirconia  Prosthesis: Zirconia

Pros

  • Combination of strength and cosmetics.
  • Flexural strength of up to 1200 MPa
  • Closest feel to natural teeth.
  • It has been around for approximately 10 years.
  • Most durable option and will be the least likely to chip.

Cons

4. Porcelain Fused to Metal Hybrid Prosthesis

Frame: metal (beryllium free nickel)Prosthesis:Porcelain

Pros

  • Requires the least vertical.
  • The most esthetic option.
  • Has the most versatility of treatment solutions.

Cons

  • It is more likely to chip compared to Zirconia but has decades of acceptable longevity.
  • Most expensive option.

If you need assistance from one of our technical advisors on which option is best for your patients, schedule a call today. We look forward to working with you!

Why Choose All-on-X® Implant Restorations

all on 4 dental implants are lower cost

Lower Cost

The All-on-X solution requires less implants decreasing hardware costs.

all on 4 dental implants don't require bone grafts

No Bone Grafts

By placing the posterior implants at an angle, you can avoid using bone grafts.

all on 4 dental implants immediate results

Immediate Results

All-on-X® also has immediate function for patients who meet the criteria for it.

Free Technical Advising

Iverson Dental Labs’s experienced team of implant technical advisors can help you with the toughest of cases, including those using the All-on-X® implant solution. Oftentimes one of the first steps in implementing it is doing a chairside conversion of an existing denture, and the IDL experts have illustrated how that is done here. For technical advising from our Implant Specialist,  Click Here to book a phone call.


Our Lab only recommends the best technology for our doctors. In addition to All-On-X®, we recommend is the 3D Mobile Imaging services. Their goal is to bring the latest Prexion Cone Beam CT scanners to your practice, your patient’s home, or their workplace. The convenience of these scanners is unmatched. It truly becomes an extension of your practice. As an extention of your practice, it saves you and your patients the time and energy it would have taken them to go to a separate scanning facility. To learn more about Mobile 3D Imaging and/or to make an appointment online, visit this link here.

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