Both arches required rehabilitation
The upper and lower jaws had to be planned together so the final restorations could function as a coordinated bite.
01. Case Overview
The starting condition
The initial panoramic radiograph shows extensive tooth loss across both arches, with only a limited number of remaining teeth or root structures. The available dentition did not provide a predictable foundation for conventional fixed bridgework across the full mouth.
The rehabilitation objective was to rebuild both arches with a fixed implant-supported solution. Following clinical and radiographic assessment, the documented treatment used six implants in the upper jaw and six implants in the lower jaw.
The radiographs shown here document one individual case. They do not provide the complete diagnostic record and cannot predict another patient’s treatment plan, healing process or result.
02. Treatment Needs
What had to be addressed
- Extensive tooth loss in both jaws
- Limited remaining natural dentition
- Insufficient support for conventional full-arch bridges
- Need to rehabilitate both arches together
- Restoration of a functional bite relationship
- Planning for a fixed implant-supported solution
03. Clinical Assessment
Planning beyond the number of implants
An All-on-6 plan is not selected from a panoramic image alone. The implant number, distribution and prosthetic design must be coordinated with the patient’s anatomy, bone availability, soft tissues, medical history, restorative space and bite.
- Distribution and quality of available bone
- Condition and prognosis of the remaining teeth
- Upper and lower arch relationship
- Restorative space for the fixed prostheses
- Implant positions required for prosthetic support
- Hygiene access and long-term maintenance planning
Patients considering similar treatment should undergo a complete examination and appropriate three-dimensional imaging where clinically required. Learn more about dental implant suitability.
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04. Why This Case Required Detailed Planning
Four coordinated clinical challenges
Full-mouth implant treatment involves more than replacing missing teeth. The surgical and restorative stages must be designed as one coordinated plan.
Natural tooth support was severely limited
The starting condition offered little remaining dental support for a conventional fixed full-mouth restoration.
Implant distribution had to support the prostheses
Implant positions were planned in relation to bone distribution and the intended fixed full-arch restorations.
Surgical and restorative stages were interdependent
Healing, impressions, framework verification and bite adjustment all depended on the accuracy of the earlier stages.
05. Treatment Options Considered
Why a fixed full-arch approach was used
Different replacement options can be appropriate for extensive tooth loss. The documented plan in this case was an upper and lower All-on-6 rehabilitation.
06. Selected Treatment Plan
Upper and lower All-on-6 rehabilitation
The supplied radiographic sequence documents the starting condition, the placement of six implants in each jaw and the later fixed prosthetic stage.
- Clinical and radiographic diagnosis
- Assessment of the remaining dentition
- Six implants in the upper arch
- Six implants in the lower arch
- Healing and clinical review
- Prosthetic records and verification
- Fixed full-arch restorations in both jaws
- Bite adjustment and maintenance planning
Illustrative layout only. Actual implant positions are patient-specific.
07. Treatment Sequence
From diagnosis to fixed restoration
The exact dates, healing interval and number of visits are not stated on this page. The sequence below reflects the clinical stages visible in the supplied records.
Assessment and prosthetically driven planning
- Clinical examination and medical history
- Panoramic imaging and additional imaging where required
- Evaluation of bone and remaining teeth
- Planning of implant distribution and prosthetic space
Placement of twelve implants
- Six implants documented in the upper jaw
- Six implants documented in the lower jaw
- Post-operative care and hygiene instructions
- Healing and clinical monitoring
Delivery of fixed full-arch restorations
- Prosthetic records and verification
- Assessment of fit and framework accuracy
- Bite and functional adjustment
- Final upper and lower fixed prostheses
08. Treatment Setting
Coordinated care at Klinik7
Full-arch treatment requires coordination between examination, surgical planning, implant placement, prosthetic records, laboratory communication and follow-up. These stages were managed within the Klinik7 clinical workflow in Antalya.
09. Clinical Planning Note
In a full-mouth All-on-6 case, implant placement and the final prosthetic design must be planned together. The objective is not simply to place six implants, but to create a maintainable foundation for a stable bite and fixed full-arch restorations.
10. Radiographic Case Sequence
Three stages of the rehabilitation
The panoramic images document the initial condition, implant placement and the final fixed prosthetic stage. Panoramic radiographs are part of the record but do not replace clinical examination or three-dimensional assessment when indicated.
Stage 1: Initial Condition
Extensive tooth loss and severely reduced remaining dentition
Stage 2: Implant Placement
Six implants visible in the upper arch and six in the lower arch
Stage 3: Fixed Prosthetic Result
Upper and lower fixed full-arch restorations in place
No claim about immediate loading, grafting, exact healing time or the number of treatment visits is made from these radiographs alone. Those details require the complete clinical record.
11. Documented Outcome
A fixed implant-supported reconstruction of both arches
The final radiograph documents the prosthetic completion of the case, with fixed full-arch restorations supported by six implants in the upper jaw and six implants in the lower jaw.
- Twelve implants documented across both arches
- Fixed full-arch prosthetic reconstruction in the upper jaw
- Fixed full-arch prosthetic reconstruction in the lower jaw
- Coordinated upper and lower bite restoration
- Long-term hygiene and maintenance requirements
This page intentionally uses radiographic evidence only. Clinical smile photographs are not available for this case presentation.
12. Aftercare and Maintenance
Protecting a full-arch implant restoration
Fixed full-arch teeth still require daily cleaning and professional maintenance. The exact protocol should follow the treating clinician’s instructions.
- Daily cleaning beneath the bridge Use the recommended floss, interdental tools or oral irrigator to clean around the implants and beneath the restoration.
- Scheduled clinical reviews Attend professional checks so the implants, soft tissues, bite and prosthetic components can be monitored.
- Professional hygiene care Professional cleaning helps control plaque around the implant-supported restoration.
- Bite protection where indicated A night guard may be recommended when clenching or grinding creates additional load.
- Report changes early Contact the clinic if there is pain, swelling, bleeding, movement, fracture or a change in the bite.
- Follow the healing instructions Diet, medication and hygiene instructions should be followed during the post-operative period.
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13. Could All-on-6 Be Suitable for You?
The same plan is not suitable for every patient
Full-arch implant treatment may be considered where there is extensive tooth loss, multiple non-restorable teeth or difficulty using removable dentures. Suitability depends on bone availability, gum health, medical history, smoking, oral hygiene, bite forces and restorative requirements.
The choice between conventional dentures, overdentures, All-on-4, All-on-6 or another implant design must be made after individual assessment. General information about the treatment is available on the dental implants and All-on-6 implants pages.
14. Frequently Asked Questions
Questions about this All-on-6 case
What does the first radiograph show?
It shows extensive tooth loss in both arches and only a limited amount of remaining dentition. A complete diagnosis still requires the clinical examination and the full imaging record.
How many implants were used?
The supplied radiographs document six implants in the upper jaw and six implants in the lower jaw, for a total of twelve implants.
Why was All-on-6 used instead of All-on-4?
The records confirm that All-on-6 was used, but the images alone do not establish every reason for the choice. Implant number is selected from bone distribution, anatomy, bite, prosthetic design and the clinician’s assessment.
Do the radiographs prove that fixed temporary teeth were fitted immediately?
No. Panoramic radiographs alone do not confirm the timing or type of a provisional restoration. Immediate loading depends on implant stability, bone condition and the planned prosthetic protocol.
Was bone grafting required?
This cannot be confirmed from the selected panoramic images alone. Grafting decisions require the complete surgical record and, where indicated, three-dimensional imaging.
How long did the treatment take?
The exact case timeline is not stated on this page. Full-arch implant rehabilitation generally includes diagnostic, surgical, healing and restorative stages, but timing varies by patient.
How are fixed All-on-6 teeth cleaned?
Cleaning is required around the implants and beneath the bridge using the tools recommended by the clinical team. Regular professional hygiene and implant reviews remain essential.
Personal Assessment
Do you have extensive tooth loss or failing teeth?
Send recent dental photographs or panoramic X-rays for an initial review by the Klinik7 team. A final diagnosis, implant number and treatment plan can only be confirmed after clinical and radiographic assessment.
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