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All-on-4 rehabilitation of both jaws with Neobiotech implants for periodontitis

All-on-4 rehabilitation of both jaws with Neobiotech implants for periodontitis

Complaints:

Unesthetic appearance of the smile, difficulty chewing food, tooth mobility, and reduced vertical dimension of occlusion.

Diagnosis:

Generalized Stage II–III periodontitis affecting both the upper and lower jaws, impaired occlusal stability, and functional imbalance of the stomatognathic system.

Treatment:

The diagnostic phase included CBCT imaging, a gnathological assessment, 3Shape intraoral scanning, and digital 3D planning. Custom surgical guides were fabricated to ensure precise implant placement. Under sedation, teeth affected by periodontitis were extracted and Neobiotech implants were placed immediately according to the All-on-4 concept. Temporary fixed prostheses reinforced with a titanium bar were delivered on the day of surgery, restoring both smile aesthetics and chewing function. After 6 months of successful osseointegration, the temporary restorations were replaced with definitive zirconia prostheses reinforced with custom titanium bars and screw-retained fixation. As a result, full oral function and smile aesthetics were successfully restored.

In this case, the patient sought treatment not only because of aesthetic concerns, but also due to the severe consequences of generalized periodontitis, including tooth mobility, reduced bite height, and impaired chewing function.

Due to the extensive periodontal destruction, preserving the remaining teeth and restoring function with localized treatment was no longer possible.

After CBCT imaging, gnathological analysis, 3Shape digital scanning, and 3D treatment planning, a full-arch rehabilitation of both jaws using the All-on-4 concept was selected.

Under sedation, the periodontally compromised teeth were extracted and Neobiotech implants were placed immediately using custom surgical guides.

Temporary fixed prostheses on titanium bars were delivered on the day of surgery.

Six months after successful osseointegration, the temporary restorations were replaced with permanent zirconia prostheses on custom titanium bars with screw-retained fixation.

Result:

The dental arches, chewing function, proper bite height, and smile aesthetics were fully restored.

The patient received stable fixed restorations and regained the ability to eat comfortably without limitations.

Even in cases of advanced periodontitis, modern implant treatment protocols can restore teeth after the removal of hopeless teeth.

Learn more about All-on-4 treatment and implant-supported prosthetics.

Treatment team:

Surgical treatment was performed by oral and implant surgeon
Ivan Nazarov.