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Full Mouth RehabVerified Case

Full Mouth Fixed Rehabilitation with All-on-4 Dental Implants

Dr. Panseriya
4 Months Total (4 Sittings)
58 Years · Male (Businessman)
Clinical Visual Documentation:
Before TreatmentInitial Condition
Full Mouth Fixed Rehabilitation with All-on-4 Dental Implants before
After TreatmentCompleted Smile
Full Mouth Fixed Rehabilitation with All-on-4 Dental Implants after

Patient Concern & Overview

The patient visited Panseriya Dental Care seeking an aesthetic and functional solution for their dental condition.

Chief Complaint:
“Loose remaining teeth, severe chewing disability, persistent gum bleeding, and inability to tolerate uncomfortable removable dentures.”

Clinical Diagnosis

Terminal generalized stage-IV chronic periodontitis with advanced horizontal and vertical bone resorption in the posterior maxilla.

Baseline Health: Terminal chronic periodontitis, severe bone resorption in posterior maxilla

Step-by-Step Treatment Procedure

The treatment was planned and executed using evidence-based protocols to ensure maximum patient comfort and long-lasting stability.

  1. 1
    Comprehensive 3D CBCT surgical guide design for optimal native bone utilization.
  2. 2
    Atraumatic clearance of non-restorable teeth with immediate placement of 4 tilted implants.
  3. 3
    Same-day fixed provisional acrylic bridge delivery (Immediate Functional Loading).
  4. 4
    Final computer-milled titanium-reinforced monolithic zirconia hybrid bridge.

Materials & Technology Used

Biocompatible Materials:
Grade-IV Titanium Dental Implants, 17° and 30° Angled Multi-Unit Abutments, CAD/CAM Titanium Substructure, Layered Monolithic Zirconia Arch
Equipment & Instruments:
3D CBCT Guided Surgery CAD SoftwareSurgical 3D Printing Guide SystemMulti-Unit Pneumatic Torque ControllerClass-B Hospital-Grade Sterile Theater5-Axis CAD/CAM Titanium & Zirconia Milling

Final Result & Clinical Outcome

Restored 100% chewing capability, youthful aesthetic facial height restoration, and total elimination of loose denture anxiety.

Doctor's Commentary

Dr. Panseriya (BDS, Surat)
“By angling the two posterior implants at 30 degrees, we bypassed the maxillary sinuses completely and engaged dense cortical bone, eliminating the need for invasive sinus grafts.”
“I had avoided eating in public for years because of my loose teeth. Dr. Panseriya and his team gave me permanent fixed teeth in a single day. I can eat apples, steak, and nuts again with total confidence!”
— Dineshbhai P. (Surat)

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