All on 6 with zirconia and nanohybrid composite teeth

All on 6 dental implant prosthesis can have any number of variations. This is case were we have zirconia teeth and nanohybrid teeth on a titanium framework.

Natural looking all on 6 on top and all on 5 on bottom

Steve was looking for an implant supported prosthesis solution which is slightly different than the traditional all on 4 solution. Typically when someone comes to me looking for that they have a vision in mind that is more specific. They often do not want the traditional denture teeth or the perfect denture looking smile. Steve was looking for something more natural that people would not be able to tell that his teeth were fake. It actually takes a lot more work and skill to make the minor inconsistencies that make real teeth look real. We made his teeth with a titanium bar and a mixture of zirconia teeth and nanohybrid teeth with composite gums.

All on 6 on top and all on 5 on bottom with zirconia and nanohybrid teeth.

All on 6 framework selection

The options for all on 4 or more frameworks I cover in more detail in a previous post. However, I will briefly say I prefer metal or fiber reinforced resin. In this case we choose to go with a titanium framework. I choose metal here because we are doing individual teeth that are going to be very natural looking. If a tooth was ever to break it will easier for a future dentist to figure out what is going on and to know they can just take an impression and make a new crown to replace it.

X-ray verifying the fit of the all on 6 with zirconia teeth. Metal and zirconia show up the same on x-rays as white. The very white teeth are the zirconia teeth and the less dense white teeth are the nanohybrid teeth.

All on 6 teeth selection

I also have an entire page on all on 4 or more tooth material selection. In this case we went with mostly zirconia for their strength and durability. However, doing the entire case in zirconia can make for some very loud chewing sounds when the tooth jaws hit together. Therefore we chose to do the posterior uppers in nanohybrid composite. This will soften the blow when the two jaws come together. Not everyone is good at making zirconia look natural and I am blessed to have some excellent labs that can do this very well.

This is the all on 5 lower arch with all zirconia teeth.

All on 6 upper jaw with zirconia and nanohybrid teeth

This is the upper jaw all on 6 with zirconia and nanohybrid teeth

The biggest and most expensive question is whether to do individual crowns or connect everything into one piece. The advantages of individual teeth are that it looks a little more natural, also if one ever breaks any dentist can easily fix it without having to send the whole thing back to the lab.

Before and after photos of the all on 6 dental implant prosthesis

A complete step by step of this case can be seen on our step by step all on 4 prosthesis page. All on 6 high resolution photos can be seen on our high resolution page.