Case Report: Full-Mouth Rehabilitation with Immediate Implants and Smile Design
This case exemplifies the power of modern implant dentistry and digital smile design to transform not only a patient’s smile, but also their overall sense of well-being and confidence.
Patient Presentation
Our patient presented with multiple failing teeth and expressed concerns over her smile aesthetics, dental function, and overall oral health. She was keen on a comprehensive solution that would not only restore her dental health but also rejuvenate her appearance.
Treatment Objectives
- Remove the failing dentition and replace with a stable, fixed solution.
- Achieve a natural, harmonious smile in line with the patient’s facial features.
- Minimise treatment downtime and discomfort.
- Provide a long-lasting, predictable restoration.
Clinical Procedure
Teeth-in-a-Day Protocol
We commenced with extractions of the failing dentition and immediate placement of four dental implants to support an upper full-arch prosthesis. A provisional implant-supported bridge was delivered on the same day, ensuring the patient left with a functional and aesthetic solution – truly a “teeth-in-a-day” transformation.
Healing Phase
The patient underwent a 12-week healing period, allowing for optimal osseointegration of the implants and stabilisation of the peri- implant tissues.
Smile Design and Digital Workflow
Using cutting-edge digital dentistry, we undertook a comprehensive smile design to determine ideal tooth proportions, alignment, and overall harmony with the patient’s facial features. This process allowed us to incorporate the patient’s preferences and refine the aesthetics to achieve a youthful, natural-looking result.
Prosthetic Try-In
A prototype of the final prosthesis was created and tried in to ensure optimal fit, function, and aesthetics. Patient feedback was essential at this stage, ensuring she was fully satisfied with the proposed final outcome.
Final Restoration
The final full-arch implant-supported bridge was carefully fabricated using high-strength ceramic materials, combining durability with lifelike aesthetics. The final fit was completed, delivering a beautifully contoured smile that rejuvenates the patient’s appearance.
Outcome
The transformation has been nothing short of remarkable. The patient’s new smile is youthful, vibrant, and perfectly integrated with her facial features. She was absolutely overjoyed with the final result, sharing that it exceeded her expectations and made her feel truly confident and radiant again. Beyond the aesthetic improvement, the stability and function of the implant-supported bridge have given her a new lease on life, restoring both confidence and comfort in her daily activities.
Conclusion
This case demonstrates the power of modern implantology combined with digital smile design. By addressing both function and aesthetics in a single comprehensive approach, we were able to deliver a life-changing result for our patient, turning her vision of a perfect smile into a reality.




