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.
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.
See How We Resolve These Problems
Our patient success stories show real cases and real results. Browse outcomes from a specialist prosthodontist with decades of experience and 3,900+ implants placed.
Related Patient Success Stories
Explore similar patient success stories demonstrating our expertise in advanced prosthetic dentistry.
Before 
After How a Front Tooth Lost to Childhood Trauma Was Rebuilt with Bone Grafting and a Long-Lasting Implant
A teenager was referred by her father after earlier trauma left her upper left front tooth slowly failing from root resorption. She was still growing, so an immediate implant was the wrong move. The tooth had to be maintained to buy time, then replaced correctly once she reached skeletal maturity.
Before 
After Implant Supported Reconstruction: Failing Bridgework and Missing Back Teeth Rebuilt with Coordinated Specialist Care
Referred by another dental specialist with severe bone resorption on the upper left, multiple broken-down lower teeth requiring extraction, and failing lower back teeth that had left the bite without solid support. No single procedure, and no single provider working alone, could rebuild a situation this interconnected.
Before 
After How a Loose Upper Bridge and Aging Crowns Were Rebuilt with Staged Implant Reconstruction
A patient referred by her general dentist after years of aging dentistry no longer holding up. A loose upper bridge and crowns more than twenty years old, combined with the effects of advanced periodontal disease and severely compromised tooth abutments, required a staged surgical and restorative plan delivered with comfort planning at the same time.
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