1. The remaining teeth were heavily filled with tooth-coloured composite filling material. They had recurrent decay and many had associated infections in the jawbone.
2. The lower teeth were removed and replaced with immediate All on 4 dental implants. In the upper all but the 4 most stable teeth were removed, the bony defects left by the infection (not visible here) were reconstructed at the same time as the lower surgery, and the four teeth that were kept were used as stumps to support a fixed bridge temporarily.
3. A temporary bridge was fitted to the four teeth that were retained. This was done as an immediate bridge, with all the preparation taking place in advance of the removal of the other teeth.
4. The aesthetic improvement at this stage was adequate for the patient to regain some confidence to smile at her sisters wedding.
5. The x-ray shows the lower All On 4 dental implants and the upper bridge supported by the 4 temporarily retained natural teeth.
6. This picture was taken before any treatment.
7. This was the end result after the grafts have consolidated which allowed us to treat the upper with immediate dental implants, similar to the way the lower was treated in the prior stage.