All-on-6 Dental Implants: Restoring Full Mouth Function at 64.
Doctor’s Name:
Patient's Name
Anand Yadav
Chief Complaint
Dislodged fixed partial denture, partially edentulous in upper right tooth region
Diagnostic Method
CBCT (Cone Beam Computed Tomography)
Clinic Name
Enamel Dental Clinic, Banjara Hills, Hyderabad
Patient's Age
64 years
Gender
Male
Treatment
All-on-6 Full Mouth Dental Implants
Patient Background
Anand Yadav, a 64-year-old man from Hyderabad, reported to the clinic with concerns over a previously placed fixed partial denture in the upper right tooth region. Over a period of time, the prosthesis had loosened and eventually dislodged, leaving him partially edentulous and unable to chew comfortably on the right side. At his age, the inability to eat normally was not just a clinical concern. It was beginning to affect his nutrition, social interactions, and overall confidence.
The case demanded a stable, long-term rehabilitation that would restore both function and aesthetics, while accounting for the existing bone condition and the need to prevent further dental complications. After detailed evaluation, an All-on-6 full mouth implant plan was put forward as the most reliable path to lasting recovery.
Presenting Symptoms
Mr. Yadav presented with a combination of functional and structural issues linked to the failed prosthesis:
Dislodged fixed partial denture in the upper right tooth region.
Partial edentulism affecting the upper arch, leading to compromised bite support.
Difficulty chewing food, especially harder textures, on the affected side.
Mild discomfort and instability while eating, prompting him to avoid certain foods.
Visible loss of dental aesthetics, with a reduction in confidence during conversations and meals.
These ongoing concerns led Mr. Yadav to seek a definitive, long-term implant-based solution rather than another removable or fixed bridge that could fail again.
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Diagnostic Method
To plan treatment accurately, a detailed clinical oral examination was carried out, supported by a CBCT (Cone Beam Computed Tomography) scan. The CBCT provided a three-dimensional view of the maxilla and mandible, showing the precise bone height, width, and density at each potential implant site. It also helped assess the position of the maxillary sinuses, inferior alveolar nerve, and adjacent vital structures.
This level of imaging detail was essential for an All-on-6 case, where implant angulation and bone availability directly influence the long-term success of the prosthesis. Based on the CBCT findings, a personalised surgical and prosthetic plan was prepared for Mr. Yadav.
Diagnosis
On the basis of clinical findings and CBCT evaluation, Mr. Yadav was diagnosed with a failed fixed partial denture in the upper right tooth region with partial edentulism, accompanied by compromised remaining teeth that were no longer dependable as long-term abutments. The existing prosthesis was unstable, the bite was uneven, and the residual dentition showed wear and reduced functional value.
Given the extent of the problem and the patient’s age, a tooth-by-tooth replacement strategy was unlikely to deliver lasting comfort. A full mouth rehabilitation with implant-supported fixed prosthesis was considered the most predictable solution, and All-on-6 dental implants were chosen for the strong biomechanical support they offer.
Treatment Plan
A staged All-on-6 full mouth implant plan was prepared, with the following key steps:
- Removal of the dislodged prosthesis and non-restorable teeth: The failed fixed partial denture and any compromised teeth were planned for atraumatic extraction to preserve bone.
- Site preparation and bone assessment: Using the CBCT data, implant positions were mapped to maximise primary stability and avoid critical anatomical structures.
- Placement of six dental implants per arch: Strategically angled implants were planned in the maxilla, anchoring into denser bone zones to support a full-arch fixed prosthesis.
- Provisional prosthesis: A temporary fixed bridge was planned to allow Mr. Yadav to function during the healing phase and to confirm aesthetics and bite.
- Final All-on-6 fixed prosthesis: After osseointegration, the final implant-supported fixed bridge was planned to restore full chewing efficiency, speech, and a natural-looking smile.
Every step of the plan was aimed at giving Mr. Yadav a definitive solution that he would not have to revisit every few years.
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Surgical Procedure
The procedure began with the careful removal of the dislodged fixed partial denture and any non-restorable teeth, using atraumatic extraction techniques to preserve as much bone volume as possible. Once the sites were cleaned and assessed, six dental implants were placed in the planned positions, following the CBCT-guided angulation.
Strategic tilting of the posterior implants was used to engage denser bone areas, which is the core biomechanical principle of the All-on-6 design. After confirming primary stability, the implants were secured and abutments were prepared. A provisional fixed prosthesis was then attached so that Mr. Yadav could leave the clinic with teeth in place. The procedure was completed under local anaesthesia with strict aseptic protocol, and the patient remained comfortable throughout.
Post-Surgery Care and Guidelines
Detailed post-operative instructions were given to support healing and protect the new implants:
- Oral hygiene: Gentle brushing with a soft-bristled toothbrush, antiseptic mouth rinse, and water flosser use around the prosthesis.
- Dietary recommendations: Soft diet during the initial healing phase, with gradual reintroduction of regular foods. Hard, sticky, or very crunchy items were to be avoided in the first few weeks.
- Medication and rest: Prescribed antibiotics and analgesics were to be taken as directed, with adequate rest in the first 48 hours.
- Avoiding habits that stress implants: Smoking and alcohol were strictly discouraged during the healing period, as they can interfere with osseointegration.
- Regular follow-up visits: Periodic reviews were scheduled to check implant stability, soft tissue health, and the fit of the prosthesis.
Outcomes & Results
The outcome of the treatment was satisfactory. Mr. Yadav showed a clear improvement in his ability to chew, with even bite distribution across the new implant-supported prosthesis. The All-on-6 reconstruction restored full-arch function, and the final fixed bridge gave him a natural, balanced smile.
The clinical assessment recorded a good functional outcome, with comfortable mastication, stable occlusion, and healthy peri-implant tissues at follow-up. Mr. Yadav regained the confidence to eat in front of family and friends, speak without hesitation, and return to his normal daily routine.
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Long-Term Expectations
With consistent oral hygiene and regular dental check-ups, the All-on-6 prosthesis is expected to serve Mr. Yadav reliably for many years. The implants act as artificial roots, helping preserve the underlying jawbone and providing a stable foundation for the fixed bridge.
Periodic professional cleaning around the implants, along with annual review appointments, will play a major role in protecting the long-term outcome. The overall prognosis is good, and Mr. Yadav can look forward to sustained oral function and an improved quality of life.
Patient Feedback
Mr. Yadav expressed his satisfaction with the treatment outcome:
“For a long time I had stopped eating the food I really enjoyed because my old bridge kept giving way. After the All-on-6 treatment, I can chew properly again, my teeth feel firm in place, and I do not have to think twice before smiling. I am thankful to the entire team for taking such detailed care of me at this age.”
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