Lower Full Arch Dental Implant Rehabilitation
A comprehensive lower full-arch rehabilitation case demonstrating a fixed dental implant-supported reconstruction to restore function, aesthetics, and oral health.
What was happening
- Failing lower dentition with over-erupted incisors and a deep bite, causing excessive loading on the upper arch
- Lower arch gum disease and insufficient posterior support
- Class II skeletal relationship
Initial plan: reset and rehabilitate the lower arch; the upper arch was staged for later treatment
Treatment steps (lower arch)
Extraction of compromised lower teeth and placement of an immediate denture to assess adaptation to a new lower incisor position and bite.
Patient outcome: satisfactory aesthetics and bite, but retention was a concern; patient requested a fixed solution
Four dental implants placed evenly along the lower arch, guided by the provisional denture tooth position
Treatment Gallery
Before Treatment
Before Treatment
Before Treatment
Immediate post-op plan: allow osseointegration for ~4 months
Soft-tissue assessment after osseointegration
Finding: insufficient soft-tissue thickness and a minimal band of keratinised tissue
Intervention: free gingival graft taken from the thick palatal tissue to augment peri-implant gingiva
Outcome: significantly improved gingival quality around final implant abutments
Treatment Gallery
Before Gum Graft
After Gum Graft
After Gum Graft
After Dental Implants Placed
After Dental Implants Placed
After Dental Implants Placed
Definitive prosthetic reconstruction
Scans used to design a fixed lower bridge with a metal substructure and acrylic-wrapped teeth
Result: correctly positioned, fixed teeth that also corrected the anterior overbite for proper function. Bridge was made cleansible for easy hygiene maintenance beneath the bridge and around the implant abutments.
Treatment Gallery
Lower Arch Implant Bridge
Dental Bridge Placed
After Dental Bridge Cleaned
Outcome and benefits
- Fixed, functional lower full-arch dentition
- Improved aesthetics and bite function
- Enhanced peri-implant soft-tissue health with long-term prognostic benefit
Treatment Gallery
After Treatment
After Treatment
After Treatment
Outcome and benefits
- Expertise in full-arch implant-supported rehabilitations
- Provisional-to-definitive transition guided by ideal tooth setup
- Soft-tissue management (free gingival graft) to optimise peri-implant health
- Comprehensive planning for both lower and upper arch rehabilitation
