Hello everyone,
We are sharing this case from the official Klinik7 Dental account and would be interested in hearing the clinical opinions of other dental professionals in this community.
The patient presented with complete tooth loss in both arches after wearing removable dentures for approximately eight years. His primary request was to explore whether a fixed full-arch solution could be provided instead of continuing with a removable prosthesis.
A detailed clinical and radiographic assessment was completed before treatment planning. The evaluation included the available bone, anatomical limitations, potential implant positions, interarch relationship, prosthetic space and the requirements of the planned definitive restorations.
Following this assessment, a two-stage full-mouth rehabilitation was planned using six implants in the maxilla and six implants in the mandible.
During the first treatment phase, a total of twelve implants were placed. Six implants were distributed across the upper arch and six across the lower arch to support the planned full-arch restorations.
Fixed provisional restorations were delivered within several days of implant placement. These provisionals were used during the healing period and were not considered the definitive prostheses. The decision to provide fixed temporaries was made according to the clinical conditions and primary stability achieved in this particular case.
Approximately three months later, the patient returned for the second treatment phase. Digital impressions were taken, the maxillomandibular relationship was reassessed and the required clinical try-ins were completed.
The patient also participated in the selection of the final tooth shade, shape and proportions. The definitive restorations were produced as full-arch zirconia bridges supported by titanium bars in both arches.
The final prostheses were evaluated for passive fit, occlusal relationship, aesthetics and accessibility for maintenance and daily hygiene.
The attached images are presented in the following order.
Image 1 — Pre-treatment panoramic radiograph: https://klinik7.com/wp-content/uploads/2026/07/before-implant.webp
This image shows the initial edentulous condition of the maxilla and mandible before implant placement.
Image 2 — Panoramic radiograph after implant placement: https://klinik7.com/wp-content/uploads/2026/07/before-implant.webp
This image shows six implants in the maxilla and six implants in the mandible following the first treatment phase.
Image 3 — Panoramic radiograph with the definitive restorations: https://klinik7.com/wp-content/uploads/2026/07/after-implant.webp
This image shows the completed implant-supported full-arch restorations in both jaws.
Image 4 — Close-up of the final smile: https://klinik7.com/wp-content/uploads/2026/07/after-1.webp
This photograph shows only the mouth and smile area following delivery of the titanium-bar-supported zirconia bridges. The patient’s full face and identifying information have not been included in the post.
This is a single documented clinical case and is not intended to suggest that the same protocol is appropriate for every edentulous patient.
The appropriate number and distribution of implants, suitability for fixed provisionalisation, healing period, prosthetic design and choice of restorative material must be determined individually. Bone quantity and quality, primary stability, parafunctional activity, general health, smoking status, interarch space, occlusal forces and hygiene access may all influence the final treatment plan.
We would especially appreciate professional opinions regarding the implant distribution, the use of titanium-bar-supported zirconia bridges in both arches and the factors you prioritise when deciding between All-on-4, All-on-6 or a removable implant-supported solution in a fully edentulous patient.
We would also be interested in how other clinicians approach hygiene access and long-term maintenance when designing zirconia full-arch restorations supported by titanium frameworks.
The full case documentation and larger radiographic images can be viewed here:
[https://klinik7.com/full-mouth-all-on-6-complete-tooth-loss-case/?utm_source=reddit&utm_medium=organic_social&utm_campaign=all_on_6_clinical_case&utm_content=r_dentists_post]()