What Are All on 4 Implants Made Of, and How Long Do They Last?

Durability and Longevity explained.

Temporary vs Final Teeth

Two sets of teeth, why both stages exist, and the expected lifespan of each.

All on 4 treatment involves two distinct prostheses: a temporary set fitted within 24 hours of surgery, and a permanent final set fitted at 3–6 months once healing is confirmed.

The temporary prosthesis restores function during healing; the final prosthesis is the long-term result.
Understanding each stage and its materials is essential to making an informed treatment decision.

When Fitted24 hours after surgery
PurposeRestore functions and appearance during healing
Typical materialAcrylic / PMMA / 3D Resin Printed
Dietary restrictionsSoft diet required
Smile adjustmentYes
Titanium barNo
When Fitted3-6 months after surgery
PurposeLong-term teeth
Typical materialMilled zirconia or acrylic titanium hybrid
Dietary restrictionsnone
Smile adjustmentLimited
Titanium barYes
all on 4 dental implant temporary teeth placed within 24-hours at Kita Dental in patient's mouth
When Fitted24 hours after surgery
PurposeRestore functions and appearance during healing
Typical materialAcrylic / PMMA / 3D Resin Printed
Dietary restrictionsSoft diet required
Smile adjustmentYes
Titanium barNo
all on 4 dental implant final teeth placed at Kita Dental in patient's mouth
When Fitted3-6 months after surgery
PurposeLong-term teeth
Typical materialMilled zirconia or acrylic titanium hybrid
Dietary restrictionsnone
Smile adjustmentLimited
Titanium barYes

Temporary Teeth: Materials and Longevity

Temporary All on 4 prostheses are made from either 3D-printed ceramic-filled resin or PMMA acrylic.

Both are lightweight materials designed to minimise pressure on healing implants during the 3–6 month healing period.
The choice between them depends on your priorities: cost, durability and aesthetics.

3D-printed resin is fabricated before surgery from your planned smile design. It’s lightweight to protect healing implants and ready to fit on surgery day.

•⁠ ⁠Lower fracture resistance than PMMA
•⁠ ⁠Less natural appearance than PMMA
•⁠ ⁠Most affordable option

You’ll wear this for 3–6 months during healing, then transition to your final teeth. It serves the purpose well if cost is your priority.

PMMA is stronger and more durable than resin. It’s also fabricated before surgery from your planned smile design and is ready to fit on surgery day.

•⁠ ⁠Stronger fracture resistance
•⁠ ⁠Closely resembles final teeth
•⁠ ⁠Higher cost than resin

Most people find PMMA looks and feels natural throughout the 3–6 month healing phase. Better for aesthetics and durability if that matters to you.

all on 4 teeth made from 3D-acrylic printed resin materials

3D-printed resin is fabricated before surgery from your planned smile design. It’s lightweight to protect healing implants and ready to fit on surgery day.

•⁠ ⁠Lower fracture resistance than PMMA
•⁠ ⁠Less natural appearance than PMMA
•⁠ ⁠Most affordable option

You’ll wear this for 3–6 months during healing, then transition to your final teeth. It serves the purpose well if cost is your priority.

all on 4 teeth made from acrylic-PMMA materials

PMMA is stronger and more durable than resin. It’s also fabricated before surgery from your planned smile design and is ready to fit on surgery day.

•⁠ ⁠Stronger fracture resistance
•⁠ ⁠Closely resembles final teeth
•⁠ ⁠Higher cost than resin

Most people find PMMA looks and feels natural throughout the 3–6 month healing phase. Better for aesthetics and durability if that matters to you.

Final Teeth: Materials and Longevity

Your final teeth are fitted about 3–6 months after surgery, once implants have fully integrated with bone. This is your permanent, long-term set of teeth.

Which Is Right for You?

Both materials are durable, long-term solutions.

The choice depends on your priorities:

•⁠ ⁠Clinical factors — bite force, jaw dimensions, and bone support
•⁠ ⁠Aesthetics — translucency, colour matching, and smile design
•⁠ ⁠Budget — full cost transparency discussed at consultation
•⁠ ⁠Repairability — preference for individual tooth repair vs full durability

Acrylic-hybrid consists of a precision-milled titanium frame with individual acrylic/composite teeth. Individual teeth can be replaced without replacing the entire prosthesis.

Advantages:
Natural appearance — resembles tooth enamel
Biocompatible — well-tolerated by gums and bone
Lighter than zirconia
Individual teeth can be repaired or replaced
Longevity: 10–20+ years

Trade-offs:
Acrylic surfaces can stain or wear over time
Requires more maintenance than zirconia

Zirconia is a strong, tooth-coloured ceramic that’s digitally milled for precision and strength.

Advantages:
Natural appearance — resembles tooth enamel
Surface resists staining
Biocompatible — well-tolerated by gums and bone
Longevity: 20+ year clinical track record

Trade-offs:
Heavier than acrylic-hybrid
Repair cost ($9,000–$12,000 AUD per arch); typically requires full prosthesis replacement

all on 4 prosthesis teeth made from hybrid materials

Acrylic-hybrid consists of a precision-milled titanium frame with individual acrylic/composite teeth. Individual teeth can be replaced without replacing the entire prosthesis.

Advantages:
Natural appearance — resembles tooth enamel
Biocompatible — well-tolerated by gums and bone
Lighter than zirconia
Individual teeth can be repaired or replaced
Longevity: 10–20+ years

Trade-offs:
Acrylic surfaces can stain or wear over time
Requires more maintenance than zirconia

all on 4 prosthesis teeth made from zirconia materials

Zirconia is a strong, tooth-coloured ceramic that’s digitally milled for precision and strength.

Advantages:
Natural appearance — resembles tooth enamel
Surface resists staining
Biocompatible — well-tolerated by gums and bone
Longevity: 20+ year clinical track record

Trade-offs:
Heavier than acrylic-hybrid
Repair cost ($9,000–$12,000 AUD per arch); typically requires full prosthesis replacement

Structural Foundation: Titanium Bar

Every final set of teeth contains a custom titanium bar designed from your exact
implant positions. Precise fit, even bite force distribution, and long-term durability.

How Long Do All on 4 Teeth Last?

Implant fixture

The implant fixtures (the titanium screws) are generally the longest-lasting component of an All on 4 result, often functioning for years with good maintenance.

The screws are placed into the jawbone. They are not visible and sit entirely beneath the gum line. 

At Kita Dental, we use Straumann BLX and Neodent implant systems.  Both are supported by published clinical research, although the available follow-up periods vary between specific implant models and treatment types.

More broadly, a systematic review of dental implant studies reported an estimated implant survival rate of approximately 96.4% after 10 years.[1] This figure applies to dental implants generally and does not guarantee the outcome of an individual treatment.

With successful bone integration, good oral hygiene and regular professional maintenance, dental implants are designed to provide long-term function.

All on 4 Prosthesis

The final prosthesis is the visible set of replacement teeth attached to the implants. Because it is exposed to everyday chewing forces, it is more likely than the implants themselves to require maintenance, repair or replacement over time.

How long it lasts depends on the material used, your bite, oral hygiene and ongoing care. Wear, staining or occasional chipping may occur, and some components may need attention sooner than others.

For definitions of all implant components read more here.

[1] Howe MS, Keys W, Richards D. Long-term (10-year) dental implant survival: a systematic review and sensitivity meta-analysis. Journal of Dentistry. 2019;84:9–21. doi:10.1016/j.jdent.2019.03.008.

All on 4
Materials FAQs

All on 4 teeth are durable, but no material is indestructible. Monolithic zirconia can fracture under high or uneven bite forces, typically requiring full replacement. Acrylic-hybrid teeth can develop individual tooth fractures, which are often repairable without replacing the entire bridge.

All on 4 prostheses made from either Zirconia or PMMA acrylic are designed to closely match natural teeth in colour, shape, and proportion. At Kita Dental, most patients cannot distinguish their provisional PMMA teeth from natural dentition. The final set is designed using a detailed smile design process calibrated to each patient’s facial features.

All on 4 teeth are designed to for long-term wear, however maintenance and repair over time is expected. Zirconia teeth may need full replacement if a section fractures, while acrylic-hybrid teeth often allow individual tooth repair without replacing the whole bridge. Regular review appointments help catch and address wear early.

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