Patient Snapshot
Patient: Female, 54
Primary concerns: Advanced gum disease, failing upper teeth, low confidence
Goal: Fixed teeth—not a removable denture
Background & Symptoms
The patient felt embarrassed by her smile and struggled with certain textures. She feared her upper teeth might “fall out” at the wrong moment.
Exam & Diagnosis
Severe periodontitis on the upper arch with deep pockets and bone loss. Removing the failing dentition was necessary to eliminate infection and build a healthy foundation.
Treatment Objectives
Remove infection and unstable teeth
Create a fixed, natural-looking solution
Restore posterior support on the lower arch
Phased Treatment Plan
Phase 1: Extractions & Infection Control (Months 0–2)
Removed all upper teeth
An interim aesthetic solution was provided the same day, where feasible
Phase 2: Implant Planning & Placement (Months 2–6)
Placed six upper implants in positions designed for bridge support
Tissue shaping and healing abutments to craft natural gum contours
Phase 3: Three Upper Bridges + Lower Support (Months 6–10)
Three implant-supported bridges to restore smile and phonetics
Two lower molar implants to balance the bite and improve chewing
Phase 4: Finalization & Maintenance (Months 10–12+)
Occlusal refinement; home-care coaching; 3–4 month periodontal maintenance initially
Results & 10-Year Outcome
Stable, confident smile with natural gum contours
Efficient chewing and broader food options
10 years later: excellent hygiene metrics, strong implant health, no prosthetic complications reported
Why It Worked
Multiple implants distribute forces evenly, protecting bone and prosthetics. Segmenting into three bridges allows maintenance access and natural aesthetics.
Key Takeaways
Fixed implant bridges can be life-changing for advanced gum disease.
Design for hygiene access = long-term success.
Related Services
Full-Arch Implants • Implant Bridges • Periodontal Therapy • Hygiene & Maintenance
Call to Action
Considering fixed teeth instead of dentures in Deerfield? Ask us about multi-implant bridge options that look and feel natural.
