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Case Studies

Full Mouth Reconstruction Cases

Detailed documentation of complete mouth rehabilitations. See our systematic approach to restoring severely damaged dentitions with comprehensive, multi-phase treatment plans.

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."

Case Study #143: Complex Periodontal Rehabilitation

Patient Profile
  • Age: 55 years
  • Gender: Female
  • Origin: Dublin, Ireland
  • Medical: Well-controlled Type 2 diabetes
Treatment
  • Phase 1: Periodontal therapy
  • Phase 2: Extractions + 6 implants
  • Phase 3: 10 crowns on natural teeth
  • Duration: 3 visits over 8 months
Investment
  • Albania Cost: 9,800 euros
  • Ireland Quote: 35,000 euros
  • Savings: 25,200 euros (72%)
The Problem

Patient presented with aggressive periodontitis complicated by diabetes. Several teeth were saveable with proper treatment, but others required extraction. Traditional approach of extracting all teeth was not appropriate.

The Solution

A phased approach was developed in coordination with patient's endocrinologist:

  1. Phase 1: Non-surgical periodontal therapy to control infection
  2. Phase 2: Strategic extractions and implant placement once periodontal condition stabilized
  3. Phase 3: Full-coverage crowns on remaining natural teeth
The Results
  • Periodontal disease controlled with stable probing depths
  • All 6 implants successfully integrated despite diabetes
  • Natural teeth preserved and restored with crowns
  • Patient's diabetes management improved with better nutrition
  • 18-month follow-up shows excellent stability

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