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This case involved a patient presenting with advanced periodontal disease and a failing upper dentition, resulting in compromised function, discomfort, and significant aesthetic concerns. After a thorough clinical and radiographic assessment, Dr. Malcolm Campbell developed a comprehensive treatment plan to restore both form and function through a full arch fixed implant bridge.
A fully guided surgical protocol was designed to optimise implant positioning and ensure a prosthetically driven outcome. In a single, efficient two-hour surgical appointment, all remaining upper teeth were extracted, and six implants were placed with precision, including strategically positioned pterygoid implants to provide enhanced posterior support and maximise stability.
Immediately following implant placement, a provisional fixed bridge was fitted, allowing the patient to leave with a complete and functional smile on the same day. This immediate restoration not only preserved soft tissue architecture but also provided an instant improvement in confidence and quality of life.
Throughout the process, a fully digital workflow was implemented. Guided surgery and photogrammetry scanning enabled the capture of precise implant positions using the latest scanning technology, eliminating the need for conventional impressions or verification jigs. This approach streamlined communication between the clinical and laboratory teams, reduced chair time, and ensured a highly predictable restorative outcome.
From initial consultation to final delivery, the treatment was completed in just a few carefully planned appointments. The final prosthesis provided the patient with a stable, aesthetic, and functional result, restoring natural form and bite harmony.