All Teeth Replacement

A full arch replacement mimics all the natural contours, shape and form of natural teeth

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No Workable Teeth?

If you have missing, broken or decayed teeth, it can make a huge impact on your life. You can no longer enjoy the foods you love, may feel self-conscious and have a high risk of further oral complications. At Aria Dental, we understand that this is a difficult situation and are here to support you on your dental implant journey. If you have severely, irreparably damaged teeth &/or are missing a large number of teeth, a Full Arch Fixed Implant bridge (All-on-5 or All-on-6) is considered the best option.

 

What is a Full Arch Fixed Implant Bridge?

A full arch fixed implant bridge is a fixed dental solution designed to replace the upper &/or lower row of missing or decaying teeth. This full arch fixed implant bridge is made up of a full set of teeth which are fixed to your upper &/or lower jaw via dental implants. A full arch fixed implant bridge mimics the contours, shape and form of natural teeth. This is a fixed implant treatment, as opposed to a removable treatment such as a removable denture or overdenture, which means that you are not able to remove the prosthesis from your mouth once fitted.

A full arch fixed implant bridge will replace your missing teeth as well as any missing gum tissue, giving you a beautiful and natural looking smile. This full arch fixed implant bridge option offers a natural appearance whereby the teeth appear to “emerge” from the gums. There is no palatal coverage for an upper bridge, meaning it doesn’t cover the roof of your mouth. This is beneficial for patients who cannot tolerate wearing a full denture due to a gag reflex.

The full arch fixed implant bridge is the preferred long-term treatment option, over other alternatives like traditional removable dentures. The full arch fixed implant bridge treatment comes in two stages, with a Provisional Implant Prosthesis* (short term / healing period) followed later by a Definitive Implant Prosthesis (long term) options. With the aim to deliver high quality, natural teeth aesthetics to our Aria Dental patients, the full arch fixed implant bridge offers the most natural looking, feeling and functioning solution.

* Provisional Implant Prosthesis is not designed to be a final solution, but by design, may last a up to 1 year. This can allow some extra time for patients to prepare financially before proceeding onto their Definitive Implant Prosthesis. A small percentage of patients choose to keep the Provisional Implant Prosthesis and just have it remade. Please consider that the long-term costs of ongoing repairs and remakes of a Provisional Implant Prosthesis do tend to be greater than just having a Single Definitive Implant prosthesis made.

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Benefits of a Dental Implant

Dental or teeth implants are the preferred treatment option if you need a all teeth replacement

Here’s why:

  • Dental implants offers the most natural looking, feeling and functioning teeth result
  • Feels very similar to your natural teeth, similar aesthetics to natural looking teeth that allow you to eat all types of foods
  • The implant is fixed in your mouth which removes the mobility and discomfort that can occur with a removable options
  • Dental implants prevent adjacent teeth from moving, creating alignment problems
  • Dental implants stimulate and preserve the remaining bone unlike removable dentures which can cause bone loss
  • The positive psychological impact with the feeling of being truly rehabilitated – no more missing teeth!

Full Arch Fixed Implant Bridge Procedure (All teeth replacement)

STEP 1: INITIAL CONSULT & DIAGNOSTICS

After a clear and informative discussion with Aria Dental’s specialist Prosthodontist, we require diagnostic records to be able to accurately create your implant treatment plan. This involves taking impressions (either moulds or digital scans) of your teeth to construct a study model and a surgical guide for our specialty dental laboratory to design your new implant. We will also take intra-oral and extra-oral x-rays, CT cone beam scans and take numerous clinical photographs. These records are essential for the planning phase and to determine the most appropriate treatment plan for you.

STEP 2: IMPLANT PLACEMENT

This first procedure involves Aria Dental’s specialist Prosthodontist removing the decayed or unwanted teeth. The dental implants (tiny titanium screws) are then placed into the jawbone, in a process known as immediate implant placements. The surgery is completed with any necessary bone and tissue grafting repair. A precise impression of your jawline is then taken to design your bridge/new teeth. In some instances, this may be done immediately and fitted on the same day. Normally an temporary ‘suck-down’ essix retainer or temporary bridge is fitted over the implant fixtures and the final process is completed later.

Worried about leaving without teeth? Ask about our Aria Dental Same Day Teeth option.

STEP 3: PROVISIONAL PLACEMENT

After a period of healing, a wax model ‘try in’ appointment, and the design is completed by our expert laboratory technicians (who ensure everything is correct based on your aesthetic requirements, personality and facial characteristics), one of our Aria Dental implant experienced dentists will secure your Provisional (short term) Implant Prosthesis. The Provisional Implant Prosthesis is made of fibre reinforced acrylic and there is often less “teeth” on this prosthesis to reduce the amount of load distributed onto the implant fixtures, as you continue through your healing phase.

STEP 4: DEFINITIVE PLACEMENT

After a healing period of approx 3-months, to allow the implant fixtures to osseo-integrate (bond) into your jawbone, you’ll be fitted with your final Definitive Implant Prosthesis. Your Definitive will be more comfortable, as it has a more accurate fit and will be very strong – made up of bio compatible titanium and ceramic materials. At Aria Dental, there is no “one size fits all” option, with all pieces custom designed for a individual patient. Once your ‘teeth’ are fitted, you will be ready to go and show off your brand-new smile!

How much is a Full Arch Fixed Implant Bridge?

At Aria Dental, a quote for a Full Arch Fixed Implant Bridge would include the number of implant fixtures, their placement, the abutments, the provisional implant and a definitive implant.  Please note, that the cost of your specific all teeth replacement implant treatment would vary, as each individual has a different pathology and surgical needs. For example, some patients might require a bone grafts, while others might need an old teeth to be extracted and some patients might opt to have our full sedation option. Your private health insurance may cover a portion of your treatment costs. For an accurate free quote to match your needs, please book in for a complimentary consultation.

Learn more about cost of dental implants here >

Acrylic and Zirconia Full Arch Dental Bridges

Dental bridges have long been used as a replacement for teeth that have been lost or extracted due to decay or damage. A dental implant supported full-arch bridge is often the perfect solution for many patients. The dental implants provide a permanent foundation for the bridge which replaces a full set of teeth and can be used on upper and lower jaws. The bridge will look, feel and function very similar to natural teeth. It should stand up to the daily wear and tear of eating, talking, and should look natural and be comfortable.

What is the Difference between Acrylic and Zirconia Dental Bridge?

There are two main material options in which your bridge can be made from, acrylic or zirconia. The dental implants serve the same function for both types of solutions, but the difference in the materials used to make the bridge significantly affect its final look, feel, and performance.

Composition

Acrylic – A liquid acrylic resin is poured into a mould and, once it hardens, the casting is removed, traditional denture-like teeth are added, and the bridge is attached to the implants. Acrylic bridges are a very economical long-term solution. The teeth are not customised, and the plastic tends to deteriorate over a number of years and take up stains.

Zirconia – The full-arch bridge is precision-milled from a solid block of zirconia, hand-coloured and polished to match natural teeth & gums and anchored to dental implants. Zirconia bridges are much more stable and form a supporting structure that minimises any movement and stress on the dental implants.

Durability

While acrylic bridges are cheaper than zirconia bridges, they are required to be repaired or repolished every few years. Eating and speaking take a steady and gradual toll on the porous acrylic resin, causing it to break down, become unstable, and attract plaque and bacteria.

Acrylic often accumulates more plaque because it has a high surface tension. The acrylic teeth can wear down in a relatively short period of time and they often need to be replaced after approximately 5- 7 years. If a person has a clenching or grinding habit the risk of problems associated with the acrylic bridge is significantly higher.

Zirconia bridges do cost more than acrylic initially but are non-porous and much more durable. They require less maintenance, and this saves you money long term.  Zirconia bridges withstand significant pressure and resist chipping, fractures, and general wear. Zirconia has the lowest surface ‘free energy’ which means that bacteria do not adhere to its surface reducing plaque – no other material has this feature.

Appearance

Zirconia bridges achieve a bite and smile that is very similar to healthy, natural teeth and gums. A zirconia option is made with a single block piece design. Zirconia is the most advanced restorative material available that most closely mimics the natural light reflection and anatomical features of natural teeth. Otherwise known as “white steel”, it is the most robust, resilient prosthetic material that does not change colour, accumulate stain, deteriorate, or wear over the years of function. Patients who have a clenching or grinding habit may be more suitable with a zirconia prosthesis due to its far more superior structural properties compared to acrylic.

Acrylic bridges are aesthetically pleasing, but tend to look more artificial, can stain easily, and are more difficult to clean than solid, non-porous zirconia.

Dr Michael Zaninovich – specialist prosthodontist at Aria Dental, Perth
Dr Michael Zaninovich – specialist prosthodontist at Aria Dental, Perth
Dr Michael Zaninovich – specialist prosthodontist at Aria Dental, Perth
Dr Michael Zaninovich – specialist prosthodontist at Aria Dental, Perth
Dental Implants Perth Full Arch
Dr Michael Zaninovich – specialist prosthodontist at Aria Dental, Perth

How are Zirconia Bridges made?

Zirconia bridges have been recognised the best quality of bridge, which is solid, long-lasting, and visually appealing.

Dentists and dental laboratory technicians work together to produce and design a custom dental bridge just for you. It is custom milled from solid block of the zirconia, then custom coloured and baked at ultra-high temperatures to ensure that the finished product is not only natural looking, but almost indestructible.

The process of making a zirconia bridge is a combination of dental science, artistic design and technology. First, the dentist takes an impression of your teeth, either with impression material or with a digital oral scan. The dentist then sends this impression to a dental laboratory, where a skilled technician makes a 3D model of your current teeth. The technician then cuts the mould into sections and scans each piece using a state-of-the-art laboratory technology. They upload these scans into a computer with CAD software that helps the laboratory technician design your new smile.

You and your dentist will then thoroughly review a computer-generated model of your smile restoration. Once you, the laboratory technicians and your dentist are happy with the final design, they send the bridge design from their computer to a specialist dental milling/grinding machine. This machine reads the 3D computer design, and from a solid block of zirconia, the machine ‘mills’ this solid block into your new teeth.

After the milling is complete, the laboratory technicians will hand colour and polish to make your new teeth look natural and match your existing teeth. After this, they bake the teeth at a very high heat to harden. Once the baking is finished, the dental technician adds textures, smooths, and glazes the bridge to perfection. At this point, it is ready for the dentist to fit the bridge to your dental implants inside your mouth.

What are the advantages of Zirconia Full Arch over an Acrylic Full Arch?

  • Zirconia is stronger and much more durable than acrylic
  • Zirconia bridges do not look artificial. They are highly aesthetic and resemble natural teeth and gums
  • Solid zirconia bridges are non-porous, so they do not stain and are easy to clean
  • Implant-supported zirconia bridges are designed and manufactured using state-of-the-art technology to achieve a precise and comfortable fit
  • Your bridge is precision-milled from a solid block of zirconia, then hand-coloured and finished to match the natural look of your teeth and gums
  • Zirconia does not attract plaque and bacteria, it naturally repels plaque, minimises your risk of bad breath, gum disease, and other conditions that affect your overall health
  • Zirconia resists staining from coffee, tea, cigarette smoke, and red wine
  • Zirconia is unlikely to crack, chip, or break like acrylic bridges
  • Zirconia bridges are biocompatible (they are safe to stay in the mouth a long time) and do not require a metal base / metal free
  • Zirconia bridges resemble natural tooth enamel and can be easily modified, reshaped, and recoloured
  • Zirconia bridges are extremely durable

 

Disadvantages of Using Zirconia bridges:

  • Zirconia bridges may cost you more than others. However, it’s a one-time investment if you maintain them well. If you go for a low-cost option, it may be more expensive in the long run.

Book your complimentary consult with Specialist Prosthodontist Dr Michael Zaninovich

Full Arch Fixed Implant vs. Implant-Supported Denture

Learn the difference between the two main options for all teeth replacement.

Full Arch Fixed Implant

A full arch fixed implant mimics the natural contours, shape and form of natural teeth. This is a fixed implant treatment, which means that the patient is not able to remove the prosthesis from their mouth once fitted and can only be removed by your Aria Dental professional.

As the full arch fixed implant is screwed tightly on to 4 to 6 tiny titanium screws that have been ‘implanted’ within your jawbone it gives you a superior strength and a fantastic ‘non-moveable’ fit, so you can feel ‘normal’ again to smile and eat as you once did. You can eat solid food with ease and as the full arch fixed implant doesn’t move and was custom designed to fit, you have no worries about it moving or feeling ‘odd’ in your mouth.

The full arch fixed implant is the preferred long-term dental treatment. With the aim to deliver high quality, natural tooth aesthetics to our Aria Dental patients, the full arch fixed implant offers the most natural looking, feeling and functioning teeth result.

A single upper or lower full arch fixed implant treatment starts from approximately $17,500. With a fixed full arch (upper and lower teeth) priced from approximately $30,000-$35,000. Private health insurance rebates may apply.

Implant-Supported Removable Denture

The implant-supported removable denture, more commonly known as a overdenture, is a upper or lower denture that is retained in your mouth by using implant fixtures with special ‘clip-on’ abutments. The overdenture prosthetic ‘clicks on’ the fixtures and then rest on top of gums, covering what remaining of the patient’s natural teeth (if any). It can be removed for cleaning or at any desired time, by the wearer.

It is one of the most practical measures used in preventive dentistry. The functionality and comfort experienced with an implant-supported removable denture is greater than that of conventional denture as the implant fixture give it some hold, decreasing the amount of denture movement within the patients mouth when talking, drinking or eating.

An implant-supported removable overdenture typically starts from $13,000 to $15,000 (lower or upper), with a removable full arch (upper and lower teeth) priced from approximately $26,000 to $30,000. Private health insurance rebates may apply.

Dental implant All on 6 All on 4

Frequently asked questions

How many tooth implants are required for an all teeth replacement / full mouth tooth replacement?

Every jaw is different. Our specialist Prosthodontist can advise you at your initial consult, after reviewing your cone beam scan, x-rays & other diagnostics. Typically, the minimum amount of implants would be four, the All on 4 procedure, but for better strength and longevity our specialist may recommend more than four for your all teeth replacement.

Are there any negatives with dental implants?

All treatments have risks and we advise all patients of these prior to commencing treatment. Overall, there are not many negatives with dental implants. Cost may be a consideration, as they are more expensive initially, than traditional removable dentures.

Can I replace all my teeth?

Yes, if your teeth are badly damaged and need to be extracted and replaced, you can underdo an all teeth replacement. It is best to discuss your thoughts with a specialist before taking any permanent action, as once they are removed you cannot undo this. At Aria, we believe in saving any teeth that we can. This can take more time, effort and surgical skill  but is worth the effort. Should you need to remove all of your teeth, a full arch fixed implant treatment is your best replacement option.

What is the cost of a removable full arch support (teeth replacement) with implants?

The cost of a removable full arch support with implants starts from $13,000-$15,000 (lower or upper). The cost of a full arch support – upper and lower is approximately from between 26,000 and $30,000. However, this is an approximate price, and other issues may affect your overall cost. For an accurate quote, please book an appointment for a free consultation with our specialist prosthodontist.

What is the cost of a fixed full arch support (teeth replacement) with implants?

The cost of a fixed full arch support, permanently attached to dental implants, starts from $17,500. The cost of a fixed full arch support – upper and lower jaw – start from approximately $30,000 or $35,000. These prices are approximate though, and for an accurate quote we suggest you book a free consultation with our specialist prosthodontist, Dr Michael Zaninovich.

Why do some people need to have a bone graft?

Some people need to have a bone graft before their dental implant procedure as they don’t have adequate bone volume to hold the dental implant in place. A bone graft will add bone tissue to the area, increasing the chance of success with the implant procedure.

Do dental implants hurt?

We offer you several different sedation options to put you at ease. You might not even remember the procedure at all. Also, you’ll be given plenty of local anaesthetic, and if desired, you can learn more about sedation options. There is some swelling post-treatment, but we will give you a prescription to help manage any actual pain.

Would a dentist be prepared to remove all my teeth?

As dentists, we always recommend you hold onto your teeth as long as possible. However, if they are badly decayed and you have severe gum disease, or there are other relevant reasons not to keep your teeth, an all teeth replacement may be the best option. Ideally, your teeth will be replaced with dental implants and either a removable implant-supported denture or fixed bridge.

Do dental implants fail?

The failure rate for dental implants is approximately 5%.

How long do teeth implants last?

If cared for properly, tooth implants can last a lifetime. However, there are no guarantees. You can increase your chances of your dental implant lasting a long time by practising good oral hygiene and adhering to regular dental check-ups. Many dentists conservatively predict that implants will last at least 25 years.

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Our all teeth replacement dental implant services are used by patients from anywhere in Western Australia. With our Perth CBD location, we are particularly accessible for patients in West Perth, East Perth, South Perth, North Perth, Leederville, Highgate, Victoria Park, Shenton Park, Northbridge, Subiaco and surrounding suburbs.