Case Of Full Mouth Rehabilitation; Rebuilding Confidence: A Smile Journey
Patient's Age: 66 years
Concern: Complete edentulism in both maxillary and mandibular arches; dissatisfaction with removable dentures
Case duration: 6 months
What Brought the Patient to Us?
The patient sought treatment due to missing teeth in both the upper (maxillary) and lower (mandibular) arches, accompanied by difficulty in chewing food and unsatisfactory aesthetics due to missing teeth. He had been using conventional removable dentures for the last five years but was dissatisfied with their performance and comfort. Motivated to find a more stable and functional solution, he opted for implant-supported fixed prostheses.
What Did We See?
During his dental check-up, we found:
Complete edentulism
Removable Denture causing stomatitis on the palate and corner of the mouth
Our Smile Makeover Plan
To give a fixed solution to the patient, we recommended Full mouth implant rehabilitation treatment.
Diagnostic Evaluation
Imaging: Cone-Beam Computed Tomography (CBCT) scans of both arches
Implant Planning: Identified potential implant sites across both arches, considering anatomical limitations
STEP-BY-STEP REHABILITATION PROCEDURE
1. Surgical Phase
Anaesthesia: Local anaesthesia with lignocaine
Implant Placement:
Maxilla: 7 implants strategically placed
Mandible: 8 implants strategically placed
Primary Stability: Achieved torque of 35 N/cm for all implants
Postoperative Care: Standard protocols followed to ensure healing and osseointegration
2. Prosthetic Rehabilitation
Healing Period: Allowed for adequate osseointegration before prosthetic phase
Impression Taking: Utilized appropriate materials to capture precise implant positions
Prosthesis Design: We fabricated fixed prosthesis tailored to patient's occlusion and aesthetics. We choose Paulo Malo bridge for Mr. Sam on which zirconia crowns were fixed giving him a natural looking smile, thus fixing his lifestyle.
Outcome: Successful restoration of function and aesthetics with high patient satisfaction
The Results
Patient’s reaction? Beaming with Happiness!
He said he finally could chew food in a satisfactory manner and confidently smile again in social gatherings.
We saw him for follow-up visits, and everything was perfect – no discomfort, and his implants looked well integrated with bone and no signs of infection surrounding the implants. We also explained him proper water flossing protocol to prevent food lodgement beneath the prosthesis to prolong the life of the dental implants.
Final Thoughts
Complete missing of teeth can make people feel embarrassed about their smiles. But thanks to modern, implant retained prosthesis, we can help patients regain their confidence and eat their favourite dishes again.