Full Mouth Dental Implants in Patna | Patient Transformation

Full-Arch Bimaxillary Rehabilitation (All-on-6 / All-on-4) with Advanced Site Development

Patient Profile: 54-Year-Old Female

The Challenge: The patient, who presents with a history of diabetes, required complete functional and aesthetic rehabilitation due to a failing terminal dentition. During the planning phase for full-arch therapy, radiographic analysis revealed a challenging anatomical presentation in the second quadrant. The anterior wall of the left maxillary sinus extended unusually far forward, reaching the piriform rim. Because of this anatomical restriction, utilizing a standard tilted implant in the premaxilla was not viable; it would have resulted in an inadequate anteroposterior (AP) spread, biomechanically compromising the long-term stability of the final upper prosthesis.

Full-arch bimaxillary rehabilitation with All-on-6 and All-on-4 dental implants, including advanced site development—before-and-after results.

Our Solution:

Comprehensive Surgical Phase: Atraumatic extraction of the remaining failing dentition and strategic placement of a Maxillary All-on-6 and Mandibular All-on-4 implant system.
Advanced Site Development: To overcome the anterior extension of the sinus and establish a robust distal foundation, a direct sinus lift and bone grafting procedure was performed at site #26. This critical surgical step allowed for the placement of a posterior implant, drastically improving the AP spread and ensuring ideal occlusal load distribution.
Strategic Immediate Loading: To restore immediate function and aesthetics, fixed provisional prostheses were delivered on the third day of the surgery. All four mandibular implants and five of the maxillary implants were immediately loaded, while the grafted #26 site was purposefully submerged to allow for undisturbed biological maturation.
Definitive Rehabilitation: Following a 6-month healing period to ensure complete osseointegration and graft consolidation, the definitive, DMLS prostheses were delivered. The patient received a permanent, highly aesthetic, and biomechanically engineered reconstruction designed for long-term success.