67 year old, Female

   

Before

Facial Smile
Shot

Upper Occlusal Shot without dentures

Lower Occlusal Shot without dentures

Upper Occlusal Shot- with denture

Lower Occlusal Shot- with dentre

After

Patient:67 year old, Female
Concerns:
  • Missing most teeth and loose remaining teeth – cannot tolerate conventional full / complete dentures due to strong gag reflex.
  • Seeking opinion on “All-on-4” implant procedure for the replacement of all her teeth.
Diagnosis:
  • Multiple missing teeth – severe shortened dental arch – inadequate number of teeth and denture use for satisfactory masticatory (eating and chewing) function.
  • Severe periodontal (gum and bone) disease.
  • Strong gag reflex – precludes the construction of conventional full / complete denture in upper jaw with full palate coverage.
Management:
  • Extractions (removal) of all teeth and surgical implant placements by an oral and maxillofacial surgeon.
  • Construction of upper and lower full arch implant (conus abutment) supported and retained removable overdentures.
  • In agreement with patient, removable overdentures were preferred over fixed implant bridges (i.e. “All-on-4” implant procedures due to:
    • Improved lip and cheek support from removable overdenture flange
    • Better access to clean around dental implants to minimise peri-implantitis (gum and bone loss, infection and inflammation).
    • Ease and lower maintenance cost relating to future repair or design modification.