The Challenge
Our patient arrived in significant distress, struggling with chronic tooth pain and a smile he went to great lengths to hide.
His existing dental work was failing, and a combination of advanced decay and bone loss had rendered his remaining teeth non-restorable.
He wasn’t just looking for an aesthetic upgrade; he needed a functional reset to eat and live without pain.
The Solution
Following a comprehensive diagnostic phase—including a 3D CBCT scan to assess bone density and a detailed facial analysis—we diagnosed him with terminal dentition.
To provide the most stable and long-lasting result, we recommended a Full-Mouth All-on-4 protocol.
This approach allows us to utilize the available bone to anchor a fixed bridge, eliminating the need for extensive bone grafting in many areas.
Visit 1: The Foundation & Immediate Function
On the day of the procedure, all compromised teeth were gently extracted, and four high-stability implants were strategically placed in each jaw.
- The Temporary Phase: We immediately began crafting high-quality temporary dentures. Within a few days, the patient was fitted with these restorations, allowing him to leave our clinic with a functional smile while his implants underwent osseointegration (the 4-month healing process where the bone fuses to the implants).
Visit 2: Precision Engineering & The Zirconia Final
Four months later, the patient returned for his permanent transformation.
- The Digital Prototype: We captured high-precision digital impressions to design a functional plastic prototype. This “test-drive” allowed the patient to verify his bite (occlusion) and aesthetic preferences in real-world conditions.
- The Final Masterpiece: Once the design was perfected, our in-house lab milled a custom All-on-4 Monolithic Zirconia superstructure. Five days later, the final bridges were seated.
The Delivery
After a final 24-hour test period and minor bite refinements, the patient was delivered his final mouthguard and x-rays.
Today, he is free from chronic pain, chewing with full force, and smiling with a level of confidence he hasn’t felt in decades.
