From Crisis to Confidence: How Segmented Bridges Over Implants Transformed A Smile

Initial Consultation and Recommendation

Bart initially consulted with another dentist who recommended the All-on-4 procedure. This method involves removing all the remaining teeth and placing a full arch prosthesis on four dental implants. However, to accommodate the prosthesis, the dentist suggested cutting and reshaping his jawbone. Bart explained that during this consultation, the dentist did not offer any other options or explain the All-on-4 procedure.

Bart came to us looking for a second opinion. An initial consultation to determine if dental implants are a suitable option involves a comprehensive evaluation by a dental professional. This process begins with a thorough review of the patient's medical and dental history to identify any underlying conditions that might affect the success of the implant procedure. Dr. Bina conducts a detailed oral examination, including assessing the health of the gums and the condition of any remaining teeth. Advanced diagnostic tools, such as X-rays and CT scans, are used to evaluate the density and volume of the jawbone, which is crucial for supporting implants. During this consultation, Bart's specific needs, expectations, and any potential risks or alternative treatments were discussed. This collaborative approach ensures that the patient is well-informed and that the chosen treatment plan is tailored to achieve the best possible outcomes.

Dr. Bina’s Expert Opinion

Dr. Bina agreed that the patient's teeth needed to be removed due to their poor condition. However, he proposed a less invasive and more advanced solution consisting of full-mouth segmented bridges over implants. Dr. Bina explained that while the All-on-4 procedure has its place in treating patients and can be effective, it is not always the only or best option. It's crucial to seek other opinions before committing to such a procedure, as once the jawbone is cut, it cannot be undone. The patient was excited to learn about the alternatives and relieved to discover a superior option that would avoid unnecessary bone cutting. This approach promised not only better functional and aesthetic outcomes but also a less invasive treatment journey.

Advantages of Segmented Bridges Over Implants

While the All-on-4 procedure is a good option for some people, segmented bridges over implants offer a superior solution in many cases. For example, they provide the following benefits:

• Preservation of Jawbone – Unlike the All-on-4 procedure, which requires cutting the jawbone, segmented bridges over implants maintain the natural structure of the jawbone. This preservation helps in maintaining facial aesthetics and functionality.
• Natural Look and Feel – Segmented bridges offer a more natural appearance and feel compared to a full arch prosthesis. They provide better chewing efficiency and comfort.
• Segmented bridges provide excellent function and esthetics.
• The implants are more accessible for better hygiene, improving the longevity of the implants.
• It can last a lifetime with the proper care.
• This option allows for any healthy teeth to be preserved and used in the creation of the bridges.
• If one implant fails, only that area needs to be repaired, not the whole prosthesis.
• Maintenance is easier and less expensive.
• Easier to repair and less expensive.

Treatment Process

Tooth Extraction and Healing Period

The initial step in the patient's treatment process involved the removal of all remaining teeth. This procedure was necessary to eliminate the sources of decay and infection and to prepare the mouth for the placement of dental implants. Following the extractions, the patient was fitted with a temporary denture to restore basic functionality and aesthetics during the healing period. Wearing the denture allowed the patient to eat and speak more comfortably while protecting the healing gums. This interim step was crucial, as it provided time for the gums and bone to heal properly, ensuring a stable foundation for the subsequent placement of implants and segmented bridges. The healing period typically lasts several months, during which the patient receives regular follow-ups to monitor progress and prepare for the next phase of treatment.

Final Impressions and Prosthesis Creation

Once Bart's implants had successfully integrated into the jawbone, he returned to Dr. Bina's office for the next phase of his treatment: taking final impressions. These impressions were essential for creating precisely fitted segmented bridges that would provide both aesthetic appeal and functional efficiency. Dr. Bina worked closely with his dental laboratory, ensuring that every detail of Bart's final prosthesis was meticulously crafted to give Bart a functional and beautiful new smile. This collaborative effort between Dr. Bina and his laboratory ensured that Bart's new segmented bridges would offer the highest quality and best possible results, culminating in a beautiful and durable smile.

Bart's journey of tooth loss to a fully restored, functional, and aesthetic smile underscores the importance of seeking comprehensive dental care and second opinions. Dr. Bina's innovative approach of using segmented bridges over implants, combined with bone grafting, provided a superior alternative to the initially recommended All-on-4 procedure, avoiding invasive bone cutting. Through meticulous planning, compassionate care, and collaboration with a dental laboratory, Bart's treatment resulted in a remarkable transformation. This case highlights the advancements in dental treatments and the profound impact they can have on improving patients' oral health and overall quality of life.