The remaining teeth in upper jaw are extracted and all-on-4(Nobel biocare) is planned. For lower jaw, two implants will be inserted in canine regions and 6 unit metal-fused porcelain restorations will be finished.

She told us that she can never smile with her teeth and wanted to turn a new page about it. After examinations, we could not used her upper teeth because of unsufficient bone support. Also she did not have enough bone at the molar regions in upper jaw because of her maxillary sinuses. She did not want complex surgical procedures that are difficult for her to handle. So we decided to make an all-on-4 which is a special technique to build up fixed porcelains.

After making local anesthesia, our surgeon extracted her upper 6 teeth and inserted 4 implants in just 1 hour. Also 2 dental implants were performed to bottom jaw. We prepared a fixed temporary prosthese after the surgery and fixed it into the implants. She could not believe her eyes that she had even new temporary fixed teeth(acyrlic) in just 3 hours from the start. She turned back to London. After 3 months of healing period she came back to our clinic for her final prothese. We took her open-tray impressions which is special to all-on-4 and her photos to build up her new smile line. After 7 days, the definitive form of porcelain prothesis are finished for both jaw and fixed the prosthese by giving torque to her wires without any luting agents. She was so happy with her new smile.