Presenting Clinical Problem
A patient presented to Greenvale Dental House with several failing upper teeth and years of wear that were making eating uncomfortable.
- Several missing and failing teeth
- Advanced tooth decay
- Difficulty chewing and eating certain foods
- General discomfort in the mouth
- A worn-down bite from long-term wear
Treatment Approach
Following a full assessment that included 3D imaging and digital planning, the treating dentist recommended a fixed full-arch restoration for the upper jaw using the All-On-4 technique.
The steps were:
- Extraction of all remaining upper teeth
- Immediate placement of four implants in the upper jaw
- A fixed, full-arch bridge fitted on the same day (immediate function)
- Follow-up visits for adjustments and fitting of the final bridge
Same-day teeth are possible for some patients but not all — it depends on bone quality and how stable the implants are at surgery. The bridge fitted on the day is provisional; the definitive bridge is fitted after healing. Same-day protocols carry surgical risks and results vary, so suitability needs a clinical consultation.
Clinical Outcome
The patient left the surgery with a fixed set of upper teeth on the day of implant placement, then returned for the final bridge once the implants had integrated. The restored arch supported comfortable chewing and a stable bite. This describes one case; outcomes differ between people and are not guaranteed.
A fixed full arch is one alternative to a removable denture. Which option suits a given patient depends on their clinical situation.
Frequently Asked Questions
Do you get teeth on the same day with All-On-4?
Many All-On-4 cases use immediate function, where a provisional fixed bridge is fitted on the day the implants are placed. This is not possible for everyone and depends on how stable the implants are at surgery.
When is the final bridge fitted?
The bridge placed on the day is provisional. The final, definitive bridge is usually fitted after several months, once the implants have healed and integrated with the bone.
