This patient sought our assistance with great dissatisfaction regarding her deteriorating teeth. Her smile had been increasingly affected by periodontal issues, which had caused her upper teeth to shift outward, leading to an incompetent upper lip (difficult to close). Additionally, severe gum recession on the lower front teeth was the result of a high frenum muscle attachment that was pulling the gum away from the teeth.

To address these concerns, we carefully devised a comprehensive treatment plan. Our goal was to clear the upper teeth and provide a lasting solution for the patient. We designed a temporary immediate loading implant bridge, supported by four dental implants, using intraoral scans and CBCT scans superimposed on each other to ensure precise planning.

On the day of surgery, our implant surgeon, Sam, expertly performed the extraction of all remaining upper teeth. He also placed four implants in the predetermined positions and customized a ready-made temporary implant bridge to fit securely on the newly placed implants. Sam further conducted a frenectomy to remove the high frenum attachment for the lower front teeth and applied a free gingival graft to cover the exposed lower tooth roots.

After allowing the implants to integrate with the jawbone for a period of 5-6 months, we initiated the process of taking impressions once the gum and bone had healed into a stable state. This was the first step in preparing for the fabrication of a new implant-retained bridge, supported by the four implants and the lower teeth were restored with a partial denture.

While the entire process, including planning, surgery, and the final prosthesis, took just under a year to complete, the ultimate result was exceptionally satisfying. We, as a dental team, and the patient were thrilled with the outcome. This case exemplifies the transformative impact of well-planned dental procedures in restoring oral health and aesthetics, ultimately leading to a patient's enhanced quality of life.