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FP-3 Case 22 · All-on-X · Implants

Four Years, Six Appointments

She had a budget, a timeline of years, and an upper jaw that needed rebuilding first.

She came with a limited budget and both jaws in need of work. She had been to several places for treatment, including Mexico, without finding somewhere she felt comfortable that was also within reach. She wanted to spread the treatment over three to four years so she could budget for it.

Her upper teeth came first. The first phase placed her implants and made strong, beautiful provisional restorations that lasted the entire four years the work took.

The result
Her smile after treatment, lips and the finished upper teeth

Her profile, before and after

Before
In profile before treatment, the lips folded inward
After
In profile after treatment, the lips supported
Arrival

What the lips were resting on

Worn lower teeth and an upper jaw with nothing left to support the lip.

At arrival

Lower teeth
The lower teeth at arrival, worn

The finished teeth

The upper front teeth of the finished prosthesis, on black
The prosthesis

Titanium and acrylic, in one piece

Her prosthesis is titanium and acrylic: a design developed at the practice with a master technician and CAD-CAM. A framework is made to support the teeth, and the teeth are made from acrylic resin as a single piece and attached to the titanium. It looks natural, it is affordable, and it is very strong. Individual teeth do not break off it, which is what typically happens with a traditional upper prosthesis.

Should there ever be a problem, new teeth can be milled at minimal cost and attached to the original framework, which extends the life of the prosthesis.

The record

What the radiographs show

The full-mouth series at arrival, and the panoramic view after: the implants in place and the titanium framework carrying the upper teeth.

Radiographs at arrival

Before
Full-mouth series of small radiographs at arrival, arranged on a white mount

After treatment

After
Panoramic radiograph after treatment: the implants and the framework of the upper prosthesis
The result

Back to yoga

In six appointments over about four years, her smile was transformed. She is back to her normal life, to yoga and everything else she loves, and no longer embarrassed by her smile. She was so happy with the upper jaw that she is now preparing to have the lower done as well.

Before and after

Before
Before treatment, to camera
After
After treatment, smiling to camera, same framing

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.