All-on-6 Full Mouth Implants for Complex Dental Cases in Hyderabad
Doctor’s Name
Dr. Jaydev MDS, MFD, RCSI (UK); MFDS RCPS (UK)
Patient's Name
Mr. Ravi Kumar
Gender
Male
Clinic/ Hospital Name
Jaydev Dental Clinic, Jubilee Hills, Hyderabad
Patient's Age:
57
Patient Background
Mr. Ravi Kumar, a 57-year-old male, came to Dr. Jaydev Dental Clinic seeking a long-term solution for his severe dental issues. Mr. Kumar had been struggling with difficulty chewing and a lack of function due to missing and mobile teeth. As a long-term smoker with Type II Diabetes Mellitus and underlying cardiac issues, Mr. Kumar’s oral health had deteriorated significantly over the years, with several of his teeth either missing or unstable.
In his initial consultation, Mr. Kumar stated, “I can barely chew my food, and my smile has become something I try to hide. I know I need a solution that works for my medical conditions and restores both function and esthetics.”
Dr. Jaydev, with his expertise in full-mouth rehabilitation and implantology, recommended a staged approach to restore Mr. Kumar’s teeth using the All-on-6 dental implant protocol for both arches, providing a permanent and functional solution.
Symptoms
Upon examination, Mr. Kumar exhibited the following symptoms:
- Multiple missing and mobile teeth leading to impaired chewing function
- Generalized chronic periodontitis with severe bone loss in both the upper and lower jaws
- Remaining teeth showed poor prognosis, with significant mobility and periapical pathology
- Mucosal changes associated with smoker’s palate, along with generalized gingival recession
- Difficulty in speech and decreased vertical dimension of occlusion
Diagnostic Method
To properly assess Mr. Kumar’s condition and create an appropriate treatment plan, Dr. Jaydev’s team utilized several diagnostic techniques:
- Clinical Examination:
Kumar’s oral condition was assessed, noting chronic periodontal disease, loss of vertical dimension, and remaining teeth’s mobility. - 3D CBCT (Cone Beam CT) Scan:
This imaging tool was crucial in assessing the bone quality and quantity for implant placement, especially considering the extensive bone loss in the maxilla and mandible.
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3. Medical Clearance:
Due to Mr. Kumar’s systemic conditions, medical clearances were obtained from his cardiologist and diabetologist to ensure the safe progression of dental procedures.
Occlusal Analysis:
The analysis helped evaluate the alignment of Mr. Kumar’s bite, which was critical for the final restorative phase to ensure function and comfort.
Disease Diagnosed
Based on the findings, Mr. Kumar was diagnosed with:
Generalized severe periodontitis with significant bone loss
Terminal dentition with multiple non-restorable teeth
Systemically compromised conditions including smoking, diabetes, and cardiac issues
Loss of vertical dimension and esthetic disharmony due to missing teeth and gum recession
Treatment Plan
The treatment was divided into three phases, following a carefully staged approach, with input from his medical team:
Phase I – Extraction and Socket Preservation:
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- Extraction of hopeless, mobile teeth was performed using an atraumatic techniqueunder local anesthesia.
- Socket preservation and bone graftingwere done in selected areas where bone loss was most significant, preparing the sites for future implant placement.
Phase II – Implant Placement:
After 3–4 months of healing and stabilization, 6 implants were strategically placed in both the maxilla and mandible using the All-on-6 protocol. This protocol provides strong support for a fixed full-arch prosthesis and restores the lost vertical dimension.
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- Good primary stability was achieved (>35 Ncm), ensuring optimal conditions for implant integration.
Phase III – Prosthetic Rehabilitation:
After successful osseointegration, a full-arch screw-retained hybrid prosthesis was fabricated and placed on both the upper and lower arches. This prosthesis restored both function and aesthetics, providing Mr. Kumar with a permanent solution to his dental issues.
Post-Surgery Guidelines
Post-surgery, Mr. Kumar was provided with the following instructions to ensure the success and longevity of his treatment:
Dietary Restrictions: Soft food diet for the first 6–8 weeks after surgery to avoid strain on healing implants.
Oral Hygiene: Emphasis on interdental brushing and water flossing to maintain hygiene around implants and the prosthesis.
Smoking Cessation: Strong emphasis on quitting smoking, as it adversely affects healing and implant success.
Diabetic Control: Strict blood sugar monitoring and adherence to the diabetic management plan as advised by his diabetologist.
Follow-up Care: Regular 3-month follow-ups to monitor healing, implant stability, and overall oral health.
Outcome
Mr. Kumar’s recovery was smooth, with no complications during the healing period. Upon delivery of the final prosthesis, he reported:
Improved chewing efficiencyand restored ability to eat a variety of foods comfortably
Enhanced speechand improved confidence in social interactions
Restored estheticswith a natural-looking, full set of teeth that complemented his facial features
Dr. Jaydev commented, “This case highlights the importance of a multidisciplinary approach in treating medically compromised patients. By coordinating with his physicians and using advanced implant techniques, we were able to give Mr. Kumar not just his smile back, but also his ability to live life with comfort and confidence.”
Long-Term Expectation
With ongoing care and maintenance, including regular follow-ups and good oral hygiene practices, Mr. Kumar’s full-mouth implant-supported prosthesis is expected to last for 15-20 years or more. Dr. Jaydev Dental Clinic offers a 10-year assurance on all implant-supported prostheses, ensuring long-term durability and peace of mind for patients.
Patient Feedback
Mr. Kumar expressed his gratitude, stating:
“I never thought I’d be able to chew and smile like I used to. Thanks to Dr. Jaydev and his team, I can eat what I like, speak clearly, and smile confidently again. The care and attention to detail throughout the process made all the difference. I feel like I’ve been given a new lease on life.”