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  5. Who Is a Candidate for Full-Arch Dental Implant?

Full-arch dental implants are the most advanced solution for restoring an entire arch of missing teeth. With only 4–6 implants combined with an international-standard supportive bar, patients can regain strong chewing function comparable to natural teeth, along with superior aesthetics and long-term durability compared with traditional dentures.

However, not everyone is an ideal candidate. At Smilux, dentists evaluate patients based on the following three scientific criteria to determine whether full-arch implants are the optimal choice.

Implant toàn hàm có phải là lựa chọn tối ưu hay không Is full mouth implant the optimal choice

Criterion 1: Overall Health Assessment

Before full-arch implant placement, patients undergo a comprehensive health evaluation to ensure the body can heal and support the implants:

  • No uncontrolled chronic diseases such as unstable diabetes, severe bleeding disorders, or advanced cardiovascular disease.
  • No heavy smoking habits, as nicotine slows bone integration.
  • Sufficient immune health to support soft-tissue and bone healing.
  • Not undergoing cancer treatment, chemotherapy, or radiation therapy in the maxillofacial region.

If these conditions are well-controlled, the dentist can still perform implant placement with an appropriate treatment plan.

trồng răng implant toàn hàm phải Đánh giá sức khỏe toàn thân Full mouth dental implants must have a full body health assessment

Criterion 2: Jawbone Condition

The jawbone is the decisive factor for implant success. Only when bone density and volume meet the necessary requirements can implants integrate quickly and firmly. At Smilux, dentists evaluate the following three criteria using 3D CT ConeBeam imaging:

1. Bone Quantity

Adequate height and thickness

  • Length ≥ 6 mm

  • Width ≥ 3 mm

2. Bone Quality (Based on Hounsfield Units)

  • D1 (>1250 HU): Very dense, limited blood supply

  • D2–D3 (350–1250 HU): Ideal, dense and well-vascularized

  • D4 (<350 HU): Soft, requires advanced techniques

HU (Hounsfield Unit)

Bone density measurement
D (Density)Bone quality classification
D1Bones are very dense and hard
D2 – D3Bones are strong, elastic and have many blood vessels
D4Bones are soft and spongy

3. Bone Loss

For patients with bone resorption, autogenous or artificial bone grafting can be performed to rebuild adequate bone volume for stable implants.

Tình trạng xương hàm ảnh hưởng đến trồng răng implant toàn hàm Jaw bone condition affects full mouth dental implant placement

Criterion 3: Age & Lifestyle Habits

From 18 years and older, the jawbone is fully developed and can safely receive implants. Lifestyle Factors Affecting Success

  • Smoking: Reduces blood flow and increases peri-implant inflammation.
  • Bruxism (teeth grinding): Can damage implant-supported restorations and cause TMJ issues.
  • Poor oral hygiene: Leads to peri-implantitis and implant failure.
  • Frequent alcohol intake: Slows healing and bone integration.

Patients who maintain good habits and follow postoperative instructions have a 98-99% success rate, with implant longevity lasting decades or even a lifetime.

Full-Arch Implants Designed to Fit Your Facial Aesthetics

At Smilux, the OTI magnetic-guided implant system includes five components: Implant – Abutment – Ticylinder – Prosthetic Teeth – SSE Titanium Screw System. It uses dual screw-retained technology, ensuring stability without incisions or pain.

Combined with MagSense™ magnetic resonance sensing, dentists can determine the “golden timing” for immediate restoration, making the process significantly more comfortable than traditional methods.

After implant placement, patients select the bar system, an exclusive Smilux technique that connects all implants, distributes chewing forces evenly, and enhances overall durability.

Finally, Smilux designs the full-arch prosthesis based on facial proportions, tooth shape, tooth shade, and age to ensure a natural, harmonious smile.

Trồng Implant toàn hàm lựa chọn răng phù hợp với những Gương mặt Full mouth implantation chooses teeth suitable for each face

1. Composite/Resin Teeth (Titanium or BioHPP Bar)

Ideal for:

  • Patients seeking a fast, cost-effective option
  • Those preferring lightweight restorations

Advantages:

  • Very light and comfortable
  • Easy to repair or adjust
  • Affordable

Limitations:

  • More prone to staining
  • 5-7 years lifespan, requiring periodic replacement

⇒ Read more about full mouth dental implant costs at Smilux

Book appointment with Dr. Smilux for a free consultation

    2. Chorm Cobalt (Titanium or BioHPP Bar)

    Ideal for:

    • Patients who need strong chewing ability
    • Moderate budget

    Advantages:

    • Strong and durable
    • Better longevity than resin
    • Reasonable cost

    Limitations:

    • Metal core may create a grayish hue
    • Possible gum darkening over time

    3. Full Zirconia Teeth (Titanium or BioHPP Bar)

    Ideal for:

    • Patients who want the highest aesthetics
    • Long-term durability with no color change

    Advantages:

    • Highly aesthetic, translucent like natural teeth
    • Extremely strong, excellent chewing performance
    • No gum discoloration
    • Long-lasting color stability
    • Lifespan 20+ years or lifelong

    Limitations:

    • Highest cost among all restoration materials

    Porcelain teeth comparison table

    CriteriaResin TeethPFM TeethFull Zirconia
    AestheticsGood but stains easilyGood, slightly opaqueExcellent, natural
    Durability5-7 years7-10 years20+ years or lifetime
    Chewing PerformanceGoodStrong but heavyExcellent, strongest
    BiocompatibilityGoodPossible metal allergyExcellent
    RepairEasyEasyEasy
    CostLowMediumHigh
    Best ForBudget-friendlyBalanced durability & costBest results & lifetime use

    FAQs

    1. Can older adults with medical conditions get implants?

    Yes. As long as underlying conditions are well-controlled under medical supervision.

    Yes. Full-arch implants (4-6 implants) utilize remaining bone. Bone grafting can also be performed when necessary.

    Resin: Good but wears fast

    PFM: Strong but slightly heavy

    Zirconia: Strongest, most aesthetic, best long-term choice

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