All on Six: A Fixed Full Mouth Solution with Just Six Implants
Patient Background
Mrs. Sumanthi Rao, a 70-year-old homemaker, visited Jaydev Dental Clinic in Jubilee Hills, Hyderabad, in search of a lasting solution for her failing upper dentition. Over the past decade, she had undergone multiple extractions, temporary bridges, and partial dentures, none of which provided her with the comfort, stability, or confidence she sought. With nearly all upper teeth either missing or severely damaged, her quality of life had drastically declined.
Speaking softly, she admitted, “I stopped smiling in photos and avoided social functions. Even soft food became difficult to chew. I just wanted something permanent—something that lets me eat, speak, and smile like I used to.”
Dr. Jaydev, renowned for his expertise in smile design and implantology, assessed her case personally and recommended the All-on-Six full-mouth fixed implant solution—a modern treatment designed to give patients a full set of permanent, natural-looking teeth supported by six strategically placed implants.
Symptoms
On clinical and radiographic examination, Mrs.. Rao presented with:
- Multiple non-restorable teeth in the upper jaw
- Generalized bone resorption due to chronic infection and prolonged denture use
- Severe functional limitations, including difficulty in mastication and phonetics
- A collapsed bite leading to sunken facial aesthetics and diminished facial height
- Low self-esteem stemming from her inability to smile or interact freely
Diagnostic Method
To comprehensively evaluate Mrs.. Rao’s condition, the clinical team at Jaydev Dental Clinic utilized a range of diagnostic tools:
3D CBCT (Cone Beam CT) Scanning: Provided precise visualization of bone density and anatomical landmarks for implant planning.
Digital Smile Designing (DSD): Enabled simulation of post-treatment facial aesthetics, giving Mrs.. Rao a glimpse into her future smile and encouraging informed consent.
Full Periodontal Assessment: Measured the health of surrounding guMrs., noting deep periodontal pockets and active inflammation.
Photographic Documentation & Video Analysis: Helped track changes in facial symmetry, lip support, and occlusion dynamics.
Occlusal Analysis: Assessed bite force and jaw relationship to determine the optimal vertical dimension of occlusion (VDO).
This multi-disciplinary diagnostic protocol ensured a patient-centric and data-driven treatment plan.
Disease Diagnosed
Based on the findings, Mrs.. Rao was diagnosed with:
- Complete maxillary edentulism
- Severe vertical bone loss in posterior maxilla
- Advanced periodontitis and multiple teeth deemed non-viable
- Functional edentulism and aesthetic disharmony
- Psychosocial stress due to loss of oral function and appearance
Treatment Plan and Post-Surgery Guidelines
Surgical Phase:
- All remaining non-viable upper teeth were extracted.
- Guided Implant Surgery was used to place six titanium implants across the upper jaw, focusing on high-density bone areas to ensure maximum stability.
- A sinus lift and bone graft procedure were performed simultaneously in the posterior region to improve bone support.
Provisional Restoration:
Within 48 hours, a fixed acrylic provisional bridge was provided. This allowed immediate function and aesthetic restoration while protecting the implants during osseointegration.
Healing Period (3-6 months):
- Mrs.. Rao followed a soft-food diet and attended regular reviews to monitor healing.
- Clinical photographs, radiographs, and scans were taken periodically to document progress.
- Final Prosthesis Placement:
- Once full osseointegration was confirmed, a screw-retained zirconia-based prosthesis was fabricated.
- The final prosthesis was customized for tooth shape, shade, and bite alignment to mimic natural teeth perfectly.
Post-Surgery Guidelines
Outcome
The transformation was both functional and emotional. Mrs.. Rao could speak and eat normally within days of the temporary bridge placement. The final prosthesis brought a rejuvenated smile, proper facial support, and the freedom to enjoy her life without dental discomfort.
Dr. Jaydev commented,
“With All-on-Six, our goal is to offer a permanent solution that looks, feels, and functions like natural teeth. Mrs.. Rao’s case is a testament to how modern implantology can restore not just smiles—but lives.”
Long-Term Expectation
The All-on-Six prosthesis is engineered for longevity. With proper hygiene, maintenance, and routine check-ups, the restoration is expected to last 15–20 years or more. Jaydev Dental Clinic’s 10-year assurance on implant-supported prostheses further guarantees peace of mind.
High-grade zirconia and strategic implant placement allow for excellent load distribution and resistance to wear, ensuring durability and aesthetic stability over time.
Patient Feedback
Expressing immense gratitude, Mrs.. Rao shared:
“I had lost all hope. But from the very first consultation, Dr. Jaydev gave me clarity, comfort, and confidence. Today, I eat what I like, speak without hesitation, and smile without thinking twice. This has been nothing short of a miracle for me.”