Full-Arch All-on-4 Computer-Guided Implant Rehabilitation
Chief Complaint & Initial Presentation
Severe mobility of remaining teeth, chronic periodontal discomfort, inability to chew solid food, and progressive loss of facial vertical height.
Clinical Methodology & Biomechanical Approach
Sub-millimeter CBCT volumetric bone analysis mapped anatomical nerve boundaries. Computer-guided surgical stents enabled optimal bi-cortical implant positioning without bone grafting, followed by immediate rigid splinting of a reinforced prosthesis.
Clinical Outcome & Long-Term Stability
Complete functional chewing capacity restored immediately. Natural lip support and balanced facial aesthetics achieved with 100% tissue integration.
The patient presented with widespread terminal dentition due to progressive periodontal deterioration. Traditional denture solutions had been rejected by the patient due to concerns over instability and palatal coverage.
Using our Planmeca ProMax 3D CBCT, an exact digital twin of the patient’s alveolar anatomy was generated. Four high-grade biocompatible implants were planned with optimal angulation to engage dense anterior cortical bone and bypass the maxillary sinuses.
A precision-milled fixed bridge was delivered within 24 hours under our Same-Day Teeth protocol, providing immediate chewing stability and an instant aesthetic transformation.
Conducted by Dr. Utsav Butta
Managing Director & CEO | MDS (Oral and Maxillofacial Surgeon & Implantologist) at Dental World Super Specialty Centre (Park Street, Kolkata & Bandra West, Mumbai). Dedicated to zero-compromise precision digital dentistry.