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FP-3 Case 13 · All-on-X · Implants

A Rehabilitation, From the Profile Inward

His bite had collapsed far enough to change his facial profile, and pain and repeated infections finally sent him looking for help.

The result
His finished teeth, in close up
Arrival

In desperate need of a rehabilitation

He came to ArtLab Dentistry in 2015 in desperate need of a dental rehabilitation. He had conducted a great deal of research and decided that ArtLab Dentistry was where he felt confident his needs would be met.

After a thorough analysis, Dr. Reshad and his team were able to find a suitable medical, dental and financial solution to satisfy all of his needs. At ArtLab we pride ourselves on our expert team of highly trained and expert treatment coordinators that will find a suitable financial arrangement to suit most patient's needs. These arrangements can be made without compromising on quality and level of care.

Before and after

Before
His face before treatment
After
His face after treatment, smiling
The challenge

A collapsed bite that changed his face

His case was quite a challenge. His bite and teeth had collapsed to such an extent that it had actually affected his facial profile. His face appeared caved-in and made him appear older and beyond his actual years. He was not confident about his smile, with missing and malpositioned teeth when he smiled. Coupled with pain and repeated infections, he decided it was time to seek help. His thorough research confirmed that he had to see a prosthodontist. He learned that a Prosthodontist is a dentist who has received two to three years of additional training and has been trained to open a collapsed bite without causing harm to jaws and muscles. He had also learned that if the bite is not controlled properly it can result in an even more complicated solution. To complicate matters further he had moderate financial restraints and needed help to "kick start" his new life without dentures. He wanted a fresh start as his wife had recently passed.

The radiograph

Before
Panoramic radiograph before treatment, the remaining teeth visible

On arrival

Before
The dentition before treatment
Before
The collapsed bite before treatment
Before
The upper arch before treatment

The lower arch

Before
The lower arch before treatment

The bite

Before
The bite before treatment, from the side
The technique

All-on-4, engineered to be affordable

There are many solutions for the total reconstruction of the severely damaged dentition. The All-On-4 techniques, where only four strategically placed long implants are used in each jaw, can routinely and predictably help with such reconstructions. Using only four implants per jaw helps keep costs down. The other way we were able to help he financially was with the selection of the material used for the teeth and gums. A novel technique that combines artistry and CAD CAM technology developed only at ArtLab Dentistry was used to fabricate computer designed acrylic resin teeth bonded to a customized titanium framework. This technique has been shown in laboratory studies to be much stronger than the more traditional technique where plastic denture teeth are used.

In profile

Before
His profile before treatment, the collapsed lower face visible
After
His profile after treatment
Materials and protection

Acrylic on titanium, a warranty, and a night guard

Although both jaws received CAD CAM milled acrylic resin teeth on titanium frameworks, he was warned that based on a study by Drs. Davis, Watson, and Packer at Kings College London University, acrylic resin teeth in the upper anterior (front) teeth region have a higher chance of fracture than ceramic teeth. He was willing to take this chance with possible higher failure rates in this area of the mouth, as ArtLab Dentistry provided him with our standard 5-year warranty. This, coupled with a specially designed night guard to protect the teeth, gave him the confidence to select an affordable treatment option and avoid dentures altogether.

The result

After
His smile after treatment

The radiograph, after

After
Panoramic radiograph after treatment, the implants carrying both arches

The finished work

After
The prosthesis on the bench
After
His smile after treatment, from the left
After
The finished teeth, detail

The smile

After
His smile after treatment, from the front

Before and after

Before
His face before treatment
After
His face after treatment, smiling
Before and after

The transformation, side by side

These photos show the dramatic transformation in his appearance before and after treatment. His facial expressions say it all. He is now a devoted member of ArtLab Dentistry and it is a delight to see him for his regular recall visits and to see how his quality of life has improved since the first day we met him.

On film

His testimonial

Every case is planned around one person's anatomy. Individual results vary, and what was right for this patient may not be right for you.