In this case, the patient sought treatment due to tooth mobility, difficulty chewing, and severe destruction of the periodontal tissues.
Because of advanced periodontitis, preserving the upper jaw teeth and restoring function with localized treatment was no longer possible.
Following CT diagnostics, gnathological analysis, 3Shape digital scanning, and 3D treatment planning, a full upper jaw rehabilitation using the All-on-6 concept was selected.
Under general anesthesia, teeth affected by periodontitis were extracted and six Neodent implants were placed immediately using a custom surgical guide.
To improve soft tissue conditions, additional gum augmentation with a connective tissue graft was performed.
A temporary fixed prosthesis on a titanium bar was delivered on the day of surgery, and after 6 months it was replaced with a permanent zirconia restoration on a custom titanium bar with screw retention.
Result:
The patient received stable fixed teeth in the upper jaw, restored chewing function, and improved smile aesthetics.
Proper occlusal relationships were re-established, creating favorable conditions for comfortable function of the entire stomatognathic system.
Even in severe cases of periodontitis, modern implant treatment protocols can restore teeth after extraction of hopeless teeth.
Learn more about treatment with the All-on-6 protocol and implant rehabilitation for periodontitis.
Treatment team:
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Surgical treatment was performed by oral and implant surgeon |
Prosthetic treatment was performed by prosthodontist |
Gnathological supervision was provided by gnathologist |


