Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar

The patient underwent extraction of 8 teeth followed by smile restoration using the All-on-4 concept with zirconia prostheses.
Pre-treatment Photo Protocol

The patient presented with a severely compromised dentition: extensive tooth destruction, functional impairment, and aesthetic concerns. The prognosis for preserving the natural teeth was unfavourable; therefore, comprehensive rehabilitation with a transition to a fixed implant-supported restoration was planned.

Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar
Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar
Before After
Full-arch implant rehabilitation was performed.

Teeth were extracted, and implants were placed according to the All-on-4 concept. Eight dental implants were inserted, providing a stable foundation for the future prosthetic restoration.

Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar
Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar
Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar
Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar
Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar
Fixed zirconia bridge prostheses were delivered.

After osseointegration of the implants, a permanent fixed prosthetic structure was fabricated:

  • Zirconia teeth — high strength, biocompatibility, and natural aesthetics
  • Titanium bar — reliable fixation, stability, and proper distribution of occlusal load

This combination of materials ensures long-term durability and comfort in everyday function.

Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar
Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar
Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar
Result

The patient achieved:

  • complete restoration of masticatory function;
  • clear diction;
  • a harmonious, natural smile.
Placement of All-on-4 implants and a fixed prosthetic structure on a titanium bar