Strongest
Zirconia / porcelain hybrid
A milled zirconia full-arch with porcelain and pink gingival ceramic where needed.
Implant solutions · Full arch
Full-arch & All-on-X, 25+ years in.
Short answer: we design and make screw-retained full-arch hybrids in zirconia/porcelain, porcelain/metal or high-impact acrylic/metal, and we have supported All-on-four for over 25 years. We offer immediate conversions chairside with next-day delivery of the temporary prosthesis, and partner with OptiSplint and Scan Logic by IPD for verified full-arch implant records.
Full-arch / All-on-X: key facts
- Prosthesis types
- Screw-retained hybrids: zirconia/porcelain, porcelain/metal, high-impact acrylic/metal; bar overdentures
- Experience
- All-on-four supported for over 25 years
- Records
- Verified full-arch implant records with OptiSplint and Scan Logic by IPD
- Conversions
- Immediate conversions chairside; next-day delivery of the temporary prosthesis
- Try-in
- Printed prototype that also serves as a verification jig
- Planning
- Guided surgery planning and printed guides with guideWORX
- Turnaround
- Planned case by case: we map out the stages and timeline with you during case planning
Indications
Which full-arch prosthesis fits your patient?
Full-arch work is planned, not just made. We help you choose the prosthesis, plan the surgery and verify the records before a final is milled.
- Edentulous or failing dentition, fixed full-arch rehabilitation (All-on-4, All-on-X)
- Zirconia/porcelain hybrids for maximum strength and aesthetics
- High-impact acrylic/metal hybrids as a proven, repairable option
- Implant bar overdentures, including Hader bars and milled titanium bars
- Immediate conversions chairside, with next-day delivery of the temporary prosthesis
Materials & process
What materials and workflow do we use for All-on-X?
Classic
Porcelain / metal hybrid
A metal substructure with layered porcelain.
Repairable
Acrylic / metal hybrid
High-impact acrylic on a metal framework, simple to repair and adjust.
Removable
Bar overdentures
Hader bars and milled titanium bars with an overdenture.
Verified
Full-arch implant records
Verified full-arch implant records for All-on-X cases, with OptiSplint and Scan Logic by IPD.
Try-in
Printed prototype
The try-in is a printed prototype that also serves as a verification jig.
Guided
guideWORX
Planning, design and 3D printing of surgical guides. See guideWORX.
How a case moves through the lab
Plan
Case planning with our team, including guided surgery with guideWORX.
Record
Verified full-arch implant records with OptiSplint and Scan Logic by IPD, plus intraoral scans or impressions, bite and photos.
Design & try-in
Digital design reviewed with you. The try-in is a printed prototype that also serves as a verification jig.
Final
Milled and finished in house, with chairside support at your office available.
Education
We teach full-arch, too.
David Abayev has presented full-arch implant restorative options with Straumann at the New York County Dental Society (2022) and spoke on “Simplifying the All-on-X Conversion” at the AAID Annual Conference in Dallas. Events & lectures
Turnaround
How long does a full-arch case take?
Every full-arch case is planned individually; we map out the stages and timeline with you during case planning. A typical flow: immediate conversion chairside with next-day delivery of the temporary prosthesis, a printed prototype try-in that also serves as a verification jig, then the final.
We serve dentists nationwide. Local pickup and delivery across the NY metro area, including Nassau and Suffolk counties on Long Island; FedEx shipping anywhere in the continental US, to 274 Madison Avenue, Suite 1701, New York, NY 10016. Call by 12 noon, Monday–Friday, for guaranteed same-day pickup in Manhattan. After noon, we still pick up as soon as we can. Outside Manhattan, pickup in our local area is usually the next business day (Monday–Friday).
Every restoration we make carries a one-year warranty against manufacturing defects. We take any restoration failure seriously, so each concern is reviewed individually and the options are discussed directly with you, the doctor.
From the bench
Full-arch work from the bench.
What dentists say
What dentists say.
…David’s is the most detailed, smart and customer centric lab I have worked with by a large margin. He delivers consistently and works with you regardless of the case complexity. My first case was a ceramic implant which was aesthetically challenging. His work surpassed my previous labs…
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I’ve worked with labs in NYC for the past 30 years. And have worked with a few well regarded master ceramist. David’s is the most detailed, smart and customer centric lab I have worked with by a large margin. He delivers consistently and works with you regardless of the case complexity. My first case was a ceramic implant which was aesthetically challenging. His work surpassed my previous labs and have been a client since. …
Advanced Dental is hands down the best lab I’ve worked with. Their work is consistently precise, beautiful, and reliable… Highly recommend to any dentist looking for a trusted lab partner…
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Advanced Dental is hands down the best lab I’ve worked with. Their work is consistently precise, beautiful, and reliable. Communication is always easy, and they truly care about the final result. Highly recommend to any dentist looking for a trusted lab partner.Thank you David and your team for your dedication and expertise!
…David is extremely knowledgeable, responsive and very invested in making sure his work is what we need. I send patients to him for shades routinely, which is an enormous service to me and the patient.
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I have used Advanced for many years; their work is top flite. David is extremely knowledgeable, responsive and very invested in making sure his work is what we need.
I send patients to him for shades routinely, which is an enormous service to me and the patient.
Full-arch / All-on-X FAQ
Questions dentists ask about full-arch and All-on-X cases.
Do you make All-on-4 and All-on-X hybrids?
Yes. We make screw-retained hybrids in zirconia/porcelain, porcelain/metal or high-impact acrylic/metal, and have supported All-on-four for over 25 years.
How do you verify full-arch implant records?
For All-on-X and full-arch cases we partner with OptiSplint and Scan Logic by IPD for verified full-arch implant records.
Do you offer immediate conversions?
Yes. We offer immediate conversions chairside, with next-day delivery of the temporary prosthesis.
What is the full-arch try-in?
The try-in is a printed prototype that also serves as a verification jig.
Can you help plan the surgery?
Yes. guideWORX is our surgical guide service: we help plan, design and print surgical guides. See guideWORX.
Which implant systems do you restore?
We work with Z-Systems, Zeramax, Straumann, Nobel Biocare, ZimVie, BioHorizons, MegaGen, SGS Implants, MIS and Sweden & Martina, and many more systems; ask us about yours. See implant restorations.
How long does a full-arch case take?
Every full-arch case is planned individually; we map out the stages and timeline with you during case planning. The flow typically runs from an immediate conversion chairside, with next-day delivery of the temporary prosthesis, to a printed prototype try-in that also serves as a verification jig, then the final.
Fee schedule
Request our fee schedule.
Tell us about your practice and we will send our current fee schedule. No pricing is published online.