Implant dentistry
Implant-supported fixed teeth after years of failing bridges
A patient in their sixties regained stable chewing and confidence with strategic extractions, grafting where needed, and a fixed implant prosthesis planned in stages.
- Patient profile
- Adult · multiple missing and heavily restored teeth · difficulty eating
- Treating clinician
Dr. Samuel K Ninan
Presentation
The patient had worn large bridges for years. Several abutment teeth had new decay and mobility, and chewing comfortably had become difficult. They wanted a long-term solution that did not depend on fragile remaining teeth.
Clinical and radiographic assessment included bite records and discussion of expectations for aesthetics, speech, and maintenance.
Plan
Non-salvageable teeth were identified and the pros and cons of removable versus fixed options were explained. The chosen path was staged extraction and healing, implant placement with guided planning where appropriate, and transitional prostheses during integration.
Bone volume in some areas required augmentation; timing was coordinated so the overall timeline remained predictable.
Outcome
After integration, abutments and a fixed prosthesis were fitted and the occlusion balanced. The patient reported easier eating and improved confidence when speaking in public.
Recall intervals and hygiene instructions were set to protect peri-implant tissues long term.
What changed
- Stable fixed replacement for multiple missing teeth
- Improved comfort for chewing
- Clear maintenance and recall plan
Published with the patient’s consent and anonymised. It describes one case only: it is not a prediction of your result, and it is not a substitute for an examination.