Full Arch Rehabilitation for Advanced Gum Disease
At Sayers Dental, we treat patients whose teeth and gums have deteriorated to a stage where long-term function, stability, and oral health are significantly affected.
This case study outlines the treatment of a 58-year-old male who presented with advanced periodontal disease and severely compromised teeth in both arches. Following clinical assessment and treatment planning, upper and lower full arch implant rehabilitation was completed using implant-supported acrylic titanium restorations.
Patient overview
Age: 58-year-old male
Presenting problem: Advanced gum disease
Treatment provided: Upper and Lower All-on-X Acrylic Titanium
The presenting condition
The patient presented with advanced periodontal disease affecting both the upper and lower arches.
Clinical assessment showed that the remaining teeth were significantly compromised, with poor long-term prognosis from both a periodontal and restorative perspective. Due to the extent of breakdown and the condition of the remaining dentition, a full arch rehabilitation approach was considered the most appropriate treatment pathway.
Image 1 : Pre-treatment presentation showing the condition of the teeth and smile affected by advanced gum disease.
The Patient’s Challenge
This patient presented with significant dental concerns affecting both oral function and smile appearance. Everyday activities such as eating, speaking, and smiling comfortably had become increasingly difficult.
Like many people exploring full mouth dental implants, the patient was seeking a fixed and reliable solution that could restore both confidence and quality of life.
Beyond appearance, the goals included improving:
- chewing ability
- overall comfort
- smile balance and aesthetics
- long-term stability
- confidence in social and professional settings
Clinical findings
Clinical examination identified advanced gum disease and severely compromised teeth across both arches.
The level of periodontal deterioration meant that the remaining teeth were no longer considered predictable for long-term retention. The overall presentation supported treatment planning focused on full arch rehabilitation rather than attempting to maintain teeth with poor long-term prognosis.
Diagnostic assessment and planning
A detailed diagnostic assessment was completed to evaluate suitability for treatment and to plan rehabilitation of both arches.
This process included:
- Clinical examination
- Smile assessment
- Intraoral photography
- Radiographic review
- Implant planning for the upper and lower arches
The aim of planning was to address the failing dentition while restoring function, support, and smile aesthetics with a fixed implant-supported solution.
Treatment plan
Following assessment and discussion of treatment options, the treatment plan was confirmed as:
- Removal of remaining failing teeth
- Upper full arch implant rehabilitation
- Lower full arch implant rehabilitation
- Restoration with upper and lower All-on-X acrylic titanium bridges
This approach was selected to provide fixed implant-supported rehabilitation for both arches.
Image caption 2: OPG view showing implant-supported full arch rehabilitation in the upper and lower jaws.
Why All-on-X was selected
For patients with extensive tooth loss, failing teeth, or advanced periodontal disease, All-on-X dental implants may provide a fixed treatment option as part of full arch rehabilitation.
In this case, the treatment plan was designed to provide:
- Fixed implant-supported teeth
- Rehabilitation of both the upper and lower arches
- Improved structural support for function
- Restored dental stability
- Improved smile aesthetics
Suitability for this treatment depends on individual clinical findings and requires detailed assessment.
The outcome
Following treatment, the patient received fixed upper and lower implant-supported acrylic titanium restorations.
The completed rehabilitation improved full arch support, stability, function, and smile aesthetics. Treatment also addressed the poor prognosis associated with the remaining teeth present before treatment.
Final treatment summary
Treatment: Upper and Lower All-on-X Acrylic Titanium
Outcome summary:
- Full arch rehabilitation in both arches
- Fixed implant-supported teeth
- Improved support and stability
- Improved function
- Improved smile aesthetics
Image 3: Post-treatment smile outcome after upper and lower All-on-X acrylic titanium rehabilitation.
Why patients consider full arch dental implants
Patients may consider full arch dental implants when they are experiencing failing teeth, multiple missing teeth, advanced gum disease, difficulty chewing, or when they are seeking a fixed alternative to removable dentures.
A carefully planned full arch implant approach may help restore function and appearance in suitable cases.
Considering All-on-X dental implants?
If you are experiencing failing teeth, missing teeth, or advanced gum disease, full arch dental implants may be considered as part of a personalised treatment plan.
At Sayers Dental, we provide individual assessment and treatment planning for patients considering All-on-X dental implants in Geelong.
Frequently asked questions
What is All-on-X?
All-on-X is a full arch dental implant treatment in which a complete arch of teeth is supported by a carefully planned number of dental implants.
Who may be suitable for full arch dental implants?
Patients with failing teeth, multiple missing teeth, advanced gum disease, or those seeking a fixed alternative to removable dentures may be suitable candidates. A detailed clinical and radiographic assessment is required before treatment is recommended.
Can both the upper and lower arches be treated?
Yes. Depending on the patient’s clinical needs and treatment goals, both arches can be restored as part of a full mouth rehabilitation plan.
Are full arch dental implants fixed?
Yes. All-on-X restorations are designed as a fixed implant-supported solution.
What is an acrylic titanium full arch restoration?
It is a fixed full arch prosthesis designed with an acrylic tooth and gum component supported by a titanium framework.
Important information
This case study is provided for general information only. Individual suitability, risks, treatment options, and outcomes vary between patients and require personalised clinical assessment.