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Zirconia dentures on titanium bars All-on-6 Straumann

Zirconia dentures on titanium bars All-on-6 Straumann

Complaints:

The patient presented with an inability to chew food properly, significant psychological discomfort while speaking and smiling, and poor retention of removable dentures. The instability of the prostheses considerably reduced the patient’s quality of life.

Diagnosis:

Complete secondary edentulism of both the upper and lower jaws.

Treatment:

After comprehensive diagnostics, including CBCT imaging, a digital photo protocol, and 3Shape intraoral scanning, a decision was made to perform full-mouth rehabilitation of both jaws using the All-on-6 concept. The surgical stage was carried out under intravenous sedation with continuous anesthesiologist supervision. Twelve Straumann implants were placed — six in each jaw — providing excellent stability for the future restorations. On the day of surgery, temporary prostheses supported by custom titanium bars were delivered according to the immediate loading protocol, allowing the patient to restore chewing function immediately. Six months later, after complete osseointegration of the implants, definitive full-arch zirconia restorations reinforced with custom titanium bars were fabricated and fixed. To achieve a natural aesthetic outcome, a pink esthetics approach was used, restoring harmonious smile contours and facial proportions.

In this case, the patient was unable to comfortably use removable dentures because they lacked proper retention, made chewing difficult, and caused psychological discomfort during conversations and smiling.

Following comprehensive diagnostics, including CBCT imaging, a digital photo protocol, and 3Shape scanning, a decision was made to fully restore both dental arches using the All-on-6 concept.

12 Straumann implants were placed — six in each jaw — and temporary fixed prostheses supported by custom titanium bars were attached on the day of surgery.

After successful osseointegration, the temporary restorations were replaced with permanent zirconia prostheses secured with screw retention.

Pink aesthetic elements were incorporated to achieve a natural appearance and restore harmonious smile contours.

Result:

The patient received fixed dental arches in both jaws, restored chewing function, improved smile aesthetics, and renewed confidence in everyday communication.

If removable dentures do not fit securely and make eating difficult, implant-supported fixed teeth may be a reliable alternative.

Learn more about full-mouth rehabilitation with the All-on-6 protocol.

Treatment performed by:

Surgical treatment performed by implant surgeon
Ivan Nazarov.