Top All-on-4 brands: Nobel Biocare, Straumann, Zimmer Biomet; materials: titanium, zirconia.
Choosing the Best Materials and Brands for All-on-4 Dental Implants
One of the common conversations at Lema Dental Clinic, Turkey, is about your dream: getting a set of teeth like the old days when they were full and functional. However, that dream is more than just a wish; it is a feat of complex engineering. Apparently, it is a bit difficult for people to grasp the idea of having a complete dental arch replacement on only four titanium posts, whereas, in reality, it is the structural framework of your face.
Truth is, not every implant is of the same quality. When remodeling your body, you definitely shouldn’t be only concerned with the price but also with the quality.
Why Your “Foundation” Matters?
Think of your jawbone like the soil under a house. If the soil is not very deep, then you will have to put in special kinds of anchors. And if the anchor is made of inexpensive metal, it will get rusty or will not be able to firmly attach to the earth. Professor Doctor Coşkun Yıldız kindly tells our patients that the success of an All-on-4 surgery depends 100% on osseointegration—in other words, when your bone really grows together with the implant.
If the implant material is low-quality, it can cause the body to reject it or at least the prosthetic may be damaged due to, say, biting a steak too hard.
The Titanium vs. Zirconia Debate
Most people are amazed to find out that they can pick the materials that their new set of teeth is made of. Dentist Polen Akkılıç and her associates at Lema Dental Clinic are advocates of materials with excellent strength-to-weight ratios.
Grade 5 Titanium: This remains the gold standard. It is safe for human use, extremely durable, and has been a part of the field of orthopedics for years. If the dental industry had an equivalent of reinforced steel, it would be this.
Zirconia (Ceramic): Usually, it is a choice for those who are allergic to metals. It has the color of natural teeth and it is very beautiful, but in the case of an All-on-4 system, titanium is typically the material for the actual “posts” due to its slight flexibility under biting pressure.
The Titans of the Industry: Brands We Trust
The question remains: which brand should you choose? In a sea of hundreds of manufacturers, our clinical experience in Turkey has identified three main players that are always on top.
1. Nobel Biocare (The Pioneers)
It was Nobel Biocare who started the All-on-4 idea actually. So if you want the “Original Recipe,” there it is. Their TiUnite surface treatment is like a microscopic sponge; it soaks up proteins in the blood and bone cells, thus, speeding up healing.
2. Straumann
Typically, stress Straumann company more when depriviation of bone density is the issue. Their Roxolid (a mixture of titanium and zirconium) allows the use of smaller implants; however, at the same time they are stronger than titanium implants. It is like having a thinner nail, which can carry twice the load.
3. Hiossen (Osstem)
This is a great high-end product, which provides excellent stability. We particularly appreciate the use of these in the immediate “loading” phase—thus, you can get your temporary teeth on the same day as your surgery.
Comparing Your Options at a Glance
| Feature | Nobel Biocare | Straumann (Roxolid) | Hiossen/Osstem |
| Primary Benefit | The “Original” All-on-4 system | Superior strength in thin bone | Excellent initial stability |
| Material | Grade 4/5 Titanium | Titanium-Zirconium Alloy | High-grade Titanium |
| Healing Time | 3–4 Months | 2–3 Months | 3–4 Months |
| Longevity | Lifetime (with care) | Lifetime (with care) | Lifetime (with care) |
The “Final Layer”: What Goes on Top?
The implants are the roots, but the “Prosthesis” is what people see. This is where Dentist Polen Akkılıç and her team show their artistic flair.
You can choose Acrylic (with a metal bar), which is lighter and easier on the jaw, or Monolithic Zirconia, which is the “Lamborghini” of dental materials. Zirconia is virtually indestructible and resists staining far better than acrylic. However, it requires a surgeon like Professor Doctor Coşkun Yıldız to ensure the bite alignment is mathematically perfect, because zirconia doesn’t wear down, it can be tough on the opposing natural teeth if not calibrated correctly.
The Lema Dental Clinic Difference in Turkey
Here is what we see in the clinic every day: patients come to Turkey seeking affordability, but they stay for the precision. We don’t use “no-name” implants to cut costs. Using premium brands ensures that if you are back home in London, New York, or Berlin ten years from now and need a screw tightened, any local dentist will have the tools to help you.
FAQ: Insights from Our Specialists
Dr. Coşkun Yıldız: “We numb the area and give the patient a sedative in the most technologically advanced way of doing it. Many patients are reporting that, rather than feeling pain, they feel a pressing sensation. The next day it’s just a slight pain, something similar to the feeling after you have done a workout in the gym but this time your jaw has been exercised.”
Dentist Polen Akkılıç: “If you go for a brand like Nobel or Straumann and take good care of your hygiene, they are engineered for lifelong service. Imagine them as a luxury vehicle; if you regularly change the oil (go for professional cleanings), the motor will last forever.”
“Not really. For the first several months, while the implants are ‘grafting’ to your bone, we request that you have soft food only. When was the last zirconia bridge fixed? You are free to enjoy any food.”
“It’s not only about the price. Because we handle a lot of All-on-4 cases at Lema Dental Clinic, our surgeons have a ‘repetition-driven’ level of expertise that is hardly found in other places. We come across complicated cases daily.”
“The premium brand implant failure rate is under 2%. If it does happen, then it is smoking or uncontrolled diabetes that is the cause. Before we even consider going for a drill, we always check for these risks.”
- Malo, P., de Araújo Nobre, M., Lopes, A., Moss, S. M., & Molina, G. J. (2011). “All-on-4” immediate-function concept for completely edentulous maxillae: A clinical report on the medium- (3 years) and long-term (5 years) outcomes. Clinical Implant Dentistry and Related Research.
- Buser, D., Sennerby, L., & De Bruyn, H. (2017). Modern implant dentistry based on osseointegration. Periodontology 2000.
- Papaspyridakos, P., et al. (2014). Digital workflow in full-arch implant rehabilitation with segmented zirconia bridges. Journal of Prosthetic Dentistry.
- Wennerberg, A., & Albrektsson, T. (2009). Effects of titanium surface topography on bone integration: a systematic review. Clinical Oral Implants Research.
- Taruna, M., et al. (2014). Prosthodontic perspectives of the All-on-4 concept for dental implants. Journal of Clinical and Diagnostic Research.
