Full Mouth Reconstruction Case Studies | Complete Dental Rehabilitation

Case Study #127: Terminal Dentition to Fixed Teeth

Patient Profile

Age: 62 years
Gender: Male
Origin: Manchester, UK
Smoking: Former (quit 5 years ago)
Medical: Controlled hypertension

Treatment

Procedure: All-on-4 both arches
Implants: 8 Nobel Biocare
Prosthetics: PMMA provisional, then zirconia
Duration: 72 hours initial, 6 months final

                                Investment
                                Albania Cost: 12,500 euros
UK Quote: 45,000 euros
Savings: 32,500 euros (72%)

                            

The Problem

Patient presented with severe periodontal disease affecting all remaining teeth. Clinical examination revealed:

12 remaining teeth, all with grade II-III mobility
Generalized horizontal bone loss with vertical defects
Multiple periapical abscesses
Collapsed bite with loss of vertical dimension
Patient wearing ill-fitting partial dentures with poor aesthetics

Patient had avoided dental care for years due to anxiety and cost concerns. Quality of life was severely impacted - he could not eat properly, avoided social situations, and felt embarrassed about his appearance.

The Solution

After comprehensive evaluation including CBCT imaging and digital planning, we recommended All-on-4 treatment for both arches. This approach was selected because:

Angled posterior implants could utilize available bone without grafting
Immediate loading protocol would provide fixed teeth within 72 hours
Single-phase surgery minimized overall treatment time
Cost-effective compared to traditional implant approaches

Treatment Timeline

Day 1

Surgery & Provisional Delivery

Extraction of remaining teeth, placement of 8 implants (4 upper, 4 lower), delivery of provisional fixed prostheses. Patient left clinic with fixed teeth same day.

Day 2-3

Recovery & Adjustment

Post-operative check, minor occlusal adjustments, dietary guidance. Patient experienced minimal discomfort managed with standard analgesics.

Month 6

Final Prosthetics

After osseointegration confirmed with X-rays, PMMA provisionals replaced with final zirconia prostheses. Digital impressions ensured perfect fit.

The Results

At 24-month follow-up:

All 8 implants fully integrated with no bone loss beyond initial remodeling
Patient reports excellent function - can eat all foods
High aesthetic satisfaction - smiles confidently in photos
Quality of life dramatically improved
No complications during entire treatment period

Patient Statement

"This treatment changed my life. For years I was embarrassed to smile, couldn't eat properly, and avoided social situations. Now I have beautiful teeth that feel like my own. The team in Albania was incredible - professional, caring, and skilled. I only wish I had done this sooner. The savings compared to UK prices meant I could afford the treatment I needed."

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