Full-Arch Implant Case Study

TRANSFORMATION

Clinical Outcome

From a failing upper arch to a fixed, implant-supported prosthesis

Before

After

ALL-ON-6

Upper Arch Rehabilitation

Patient transitioned from a failing dentition with deteriorating removable prosthesis to a fixed, implant-supported set of teeth. Full function restored immediately on day of surgery.

The Journey: Assessment Through Delivery

Clinical Situation

The patient's starting point

Multiple teeth with advanced periodontal disease, several non-restorable roots, and a deteriorating removable partial denture. The lower arch was stable. Primary concern: function and comfort without a removable prosthesis.

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3D Planning & Assessment

Digital imaging and surgical planning

A 3D CBCT scan revealed moderate bone loss across the upper arch, with most significant resorption in posterior regions. Dr. Singh determined an All-on-6 configuration would provide optimal stability and load distribution given the bone topography.

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Surgery & Immediate Restoration

Same-day teeth delivery

All remaining upper teeth extracted and six implants placed through a surgical guide in a single session under IV sedation. Procedure: approximately 2.5 hours. A pre-fabricated temporary prosthesis was attached before the patient left the office.

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Healing & Integration

Five months of osseointegration

While the patient functioned on the temporary prosthesis, the implants integrated with the bone. Follow-up imaging at three and five months confirmed stable integration at all six sites. This period allowed bone to mature around the implants.

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Final Prosthesis Fabrication

In-house digital design and milling

Digital impressions taken at five months. Final prosthesis — a full mouth reconstruction with zirconia framework and individual tooth characterisation — was fabricated in-house using CAD/CAM technology for perfect fit and aesthetics.

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Final Delivery

Six-month mark

Final prosthesis delivered and attached at the six-month mark. Patient now has a fixed, implant-supported set of upper teeth with full chewing capacity. No more removable prosthesis. Natural-looking smile restored.

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What This Case Demonstrates

3D imaging enables precise implant positioning and minimises risk

Computer-guided surgery delivers sub-millimetre accuracy

Immediate temporary restoration allows same-day tooth replacement

In-house lab fabrication ensures perfect fit and aesthetics

IS THIS YOU?

Facing a Similar Situation?

If you have a failing dentition, are wearing an ill-fitting denture, or have been told you don't have enough bone for implants, a consultation can provide a clear path forward.

Dr. Raj Singh and the Vitality team have completed hundreds of full-arch cases using All-on-4 and All-on-6 protocols. Advanced bone grafting, 3D surgical planning, and in-house prosthetic fabrication make solutions possible even for complex cases.

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From Failing Dentition to Fixed Teeth in 6 Months