What if I Cannot Have Implants and/or do not Want a Full Arch of implants in an All-on-X Procedure?

For patients who can’t undergo or choose to avoid implants or All-on-X, we offer fixed, non-removable alternatives: full or partial arch reconstructions using splinted crowns on natural teeth.

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Many patients prefer not to have a removable appliance or cannot have implants due to bone limitations or personal choice. We provide alternative solutions by fabricating splinted crowns on existing teeth, creating a stable, full-arch reconstruction without implants.

Patient’s Story

Mrs. B was referred by her periodontist after her three upper left implants failed, leaving no bone to support replacements (Fig. 1). She explicitly did not want a denture or All-on-X. To meet her needs, we designed and placed a full arch of meticulously splinted crowns on her natural teeth (Fig. 2), delivering a fixed prosthesis with excellent long-term prognosis. X-rays at six years confirm the reconstruction remains stable (Fig. 3).

Fig. 1: Patient’s Upper Left Implants Failed Leaving No Bone

Fig. 2: Reconstruction with Splinted Crowns and No Removable Appliance

Fig. 3: X-Rays Showing the Full Upper Reconstruction Permanently Cemented Six Years After Completion

Frequently Asked Questions

What if I don’t want a denture?

We can provide fixed crown-splint reconstructions that don’t require removable appliances.

Can crowns on natural teeth last long?

Yes - properly designed and splinted crowns can last many years with good care.

Is bone grafting required?

Only if there’s not enough tooth structure; often no grafting is needed since crowns use existing teeth.

Will this solution look natural?

Absolutely - crowns are custom-matched for shade, shape, and smile line.