Fixed prosthesis four implant bridge

Fixed prosthesis four implant bridge

Dr BS Ubhi

The cases presented here illustrate over 20 years experience of implantology, periodontics and prosthodontics. It is my goal to remain current with advances in our profession and the most recent cases presented here will illustrate new techniques, procedures and technologies. I welcome your discussion and opinion related to the handling of difficult cases.

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Dental implant bridge supported by four or more implants

For many patients missing all their teeth can have a devastating impact on quality of life. For replacement of all teeth, we have 2 main options: A removable prosthetic denture secured on two or more implants using mechanical anchors or a bar. A fixed prosthesis consists of a dental implant bridge supported by four or more implants. Implant retained bridgework allow patients to function normally without restrictions, these are easily maintained by good home care.

Before – Unsightly and loose teeth / After – Final fixed bridgework in the lower jaw

Case Overview

This pleasant gentleman was referred in 2007 for the possibility of implant therapy as he did not wish to have a removable denture in the lower jaw.

as he had suffered from severe gum disease, this is a high-risk factor for future implant complications……

Dr BS Ubhi
A diagnosis of severe chronic periodontitis was made along with cosmetic concerns. Unfortunately, due to the severe bone loss present, the natural teeth could not be saved. The decision was made in conjunction with the patient to make a new complete upper removable denture and a fixed implant bridgework in the lower.



The radiograph shows extreme bone loss around all the remaining natural teeth. Unfortunately, none of these teeth had a good long-term prognosis.



The natural teeth were extracted and 6 dental implants were placed at the same time. The final fixed bridge was made from acrylic wrapped onto a cad/cam titanium frame. The upper jaw was restored with a removable complete denture.


Clinical Prognosis

Prior to starting the treatment, the patient was made well aware of his role during and post-treatment. As he had suffered from severe gum disease, this is a high-risk factor for future implant complications. He has been attending regular hygiene appointments on a twice-yearly basis and an annual review with the dentist. After 9 years in function there have been no complications and with his excellent home maintenance, we hope to get several more years without any issues.

“The result has been I now have a full set of implanted teeth, which has helped me return to a normal life, I can eat, speak and drink normally. I am immensely grateful for what Dr Ubhi has done for me.”
DM, Birmingham

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