All-on-4® Dental Implants vs. Dentures: Which Is the Better Choice?

Biting into a crisp apple. Laughing without hesitation. Forgetting, even for a second, that you ever lost a tooth in the first place. That’s what the right tooth replacement can offer—not just a new set of teeth, but the confidence to live without constantly thinking about them.

When it comes to full-mouth restoration, the two most common choices are traditional dentures and All on Four dental implants. Both serve the same purpose, but the experience of wearing them is completely different. One is removable, the other is fixed. One sits on the gums, the other integrates with the bone. Let’s find out which one is better for you.  

What Are Dentures?

Dentures are removable prosthetic teeth that replace missing teeth and restore basic oral function. They are custom-made to fit your mouth and can be designed as full dentures (for an entire arch of missing teeth) or partial dentures (for replacing only a few missing teeth). Dentures rest on the gums and are held in place with suction, adhesive, or metal clasps.

Pros of Dentures

Affordability

Dentures are often chosen because they are one of the most budget-friendly options. The upfront cost is lower than dental implants, making them accessible to more people.

No Surgery Required

Unlike implants, dentures do not require surgery. This makes them a suitable option for individuals who have health conditions that prevent them from undergoing implant placement.

Quick and Simple Process

Getting dentures is a relatively fast process, usually completed within a few weeks. This makes them a convenient choice for those who need a solution quickly.

Adjustable Fit

Over time, dentures may need to be relined or adjusted, but they can be modified to fit changes in your mouth. This is especially helpful for those experiencing natural shifts in jaw structure.

Cons of Dentures

Lack of Stability

Dentures sit on the gums rather than being anchored in place, meaning they can slip, shift, or feel loose, especially while talking or eating. Many people rely on adhesives to keep them in place, which can be messy and unreliable.

Food Limitations

Certain foods, particularly hard, chewy, or sticky foods, can be difficult to eat with dentures. Many people find themselves avoiding foods they once enjoyed due to the risk of discomfort or slippage.

Bone Loss Over Time

One of the biggest drawbacks of dentures is that they do not stimulate the jawbone, leading to bone loss over time. As the bone shrinks, the facial structure can change, and the dentures may no longer fit properly, requiring replacements.  

Shorter Lifespan  

Dentures typically last between five to ten years before needing replacement. Because they wear down and become loose as the jawbone changes, they require regular adjustments or full replacements.

What Are All-on-4® Dental Implants?

All-on-4® dental implants are a permanent tooth replacement solution that uses four titanium implants to support a full arch of teeth. Unlike dentures, which rest on the gums, these implants are anchored into the jawbone, providing stability and preventing bone loss. This option closely mimics natural teeth in both appearance and function.

Pros of All-on-4® Implants

Permanent and Secure Fit

One of the biggest advantages of All-on-4® implants is that they stay in place, functioning just like natural teeth. There’s no need for adhesives or removal, and they won’t slip or move while eating or speaking.  

Prevents Bone Loss  

Because the implants are embedded in the jawbone, they provide the stimulation needed to prevent bone deterioration. This helps maintain facial structure and prevents the sunken appearance often associated with long-term denture use.

Stronger Chewing Ability

With All-on-4® implants, there are no dietary restrictions. Patients can eat hard, crunchy, and chewy foods without worry, making them a great option for those who don’t want to limit their diet.

Long-Lasting Solution

While dentures require replacement every few years, these dental implants are a long-term investment. With proper care, they can last 20 years or more, making them more cost-effective in the long run.

Cons of All-on-4® Dental Implants

Higher Upfront Cost

All-on-4® implants are more expensive than dentures initially. However, because they last much longer and require less maintenance, many find them to be a worthwhile investment over time.

Surgical Procedure Required

Unlike dentures, All-on-4® implants require oral surgery for placement. While the procedure is safe and performed under anesthesia, it does involve a healing period of a few months for the implants to integrate with the bone.

Healing Time

While temporary teeth are usually placed on the same day, it takes several months for the implants to fully fuse with the jawbone. Patients need to follow post-surgery care instructions closely to ensure proper healing.

Which One Is Better?

When deciding between dentures and All-on-4 implants, it’s important to consider key differences:  

• Fit and Stability – Dentures rest on the gums, which can cause slipping or discomfort. All-on-4® implants, on the other hand, are securely fixed in place, eliminating any movement issues.  

• Comfort – Dentures can sometimes cause irritation or sore spots due to friction against the gums. All-on-4® implants feel more natural and comfortable since they function like real teeth.

• Bone Health – Because dentures do not stimulate the jawbone, they contribute to bone loss over time. All-on-4® implants prevent bone deterioration, helping maintain facial structure.  

• Chewing Ability – Many denture wearers struggle with certain foods. With All-on-4® implants, patients can eat normally without restrictions.

• Maintenance and Hygiene – Dentures require daily removal, cleaning, and adhesive application. All-on-4® implants can be brushed and flossed like natural teeth, making them much easier to care for.

• Longevity – Dentures need replacement every 5 to 10 years as they wear down or become loose. All-on-4® implants can last decades, making them a more permanent solution.

• Cost Considerations – While dentures have a lower upfront cost, they require ongoing maintenance and replacement. All-on-4® implants involve a higher initial investment, but their longevity often makes them more cost-effective in the long run.

Making the Right Choice  

Both dentures and All-on-4® implants serve the same purpose—restoring function and aesthetics—but they do so in very different ways. Dentures may be a suitable choice for those looking for an affordable, non-surgical option, while dental implants are ideal for individuals seeking a permanent, stable solution with long-term benefits.

If maintaining bone health, eating freely, and having a permanent, secure solution are important factors for you, All-on-4® is the superior choice. However, dentures remain a practical and budget-friendly option for those who need a quick solution without surgery.

Restore Your Smile with All-on-4® Dental Implants  

If you’re considering tooth replacement, Parkside Dental Care offers expert guidance and customized treatment plans to help you achieve a healthy, confident smile. Dr. David Loveless brings comprehensive training in general dentistry, dental surgery, dental implant placement, and IV sedation, ensuring a comfortable and successful experience.

Schedule a consultation today to explore your options!

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