Treatment of an atrophic upper jaw with the All-on-4 concept

Patient complaints: mobility and lack of teeth in the upper jaw and aesthetic dissatisfaction

Gingival recession and decreased height of interdental papillae

Gingival recession and decreased height of interdental papillae

Panoramic radiograph. The upper anterior teeth lack the periodontal ligament and bone tissue along the entire length of the tooth roots

After infiltration anesthesia, all teeth in the upper jaw removed, then vestibular incision made and the mucoperiosteal flap skeletonized. Implants installed using the “All-on-4” protocol

After infiltration anesthesia, all teeth in the upper jaw removed, then vestibular incision made and the mucoperiosteal flap skeletonized. Implants installed using the “All-on-4” protocol

After implants' installation, the defects of the upper jaw and the sockets of the extracted teeth filled with mp3®. The graft isolated from the soft tissues by the collagen membrane Evolution

Edges of the wound sutured

Immediate temporary restoration of the upper jaw

Patient’s smile with a temporary prosthesis installed immediately after surgery

Panoramic radiograph on the day of surgery with a temporary reinforced plastic prosthesis installed

Check-up 6 months after implantation. Stable condition of soft tissues around installed abutments

Permanent prosthesis fixed 8 months after the treatment started

Patient's smile after permanent prosthetics

Panoramic radiograph 8 months after implantation with a permanent prosthesis installed on the upper jaw