Aiden’s Transformation — No more Root Caries and Gummy Smile Concerns

Background

Aiden came to us after years of trying to maintain his oral health through natural methods. He avoided fluoride toothpaste and had been dealing with a chronically dry mouth, which over time led to severe root caries — cavities that form around the gum line. Despite his efforts, the damage became extensive, and most of his teeth developed deep decay that couldn’t be restored.

Challenge

Aiden was searching for a solution that aligned with his natural health mindset while addressing the advanced root decay and functional discomfort he was experiencing. On top of the dental health issues, he also had a gummy smile that made him self-conscious — he wanted his new smile to look more balanced and less gum-dominant.

Solution – All-on-4 and Smile Line Correction

Because the decay affected nearly every tooth, the best solution for Aiden was full-arch All-on-4 dental implants. We removed the remaining teeth and created a custom bridge that not only restored function but was also designed to raise his smile line. This reduced the amount of visible gum tissue when he smiled, giving him the aesthetic outcome he was looking for.

The prosthetic bridge was shaped with natural-looking contours and colors, staying in line with Aiden’s desire for a smile that didn’t look artificial or “too perfect.”

Surgical Experience

Aiden’s procedure was completed in a single day under sedation, ensuring maximum comfort. After extracting his remaining teeth, we placed four implants in the upper jaw and immediately fitted him with a temporary nanoceramic bridge. The smile line was carefully evaluated and adjusted to minimize gum display, and Aiden left with a dramatic improvement in appearance and comfort.

Outcome

Aiden’s new smile is healthier, more comfortable, and more natural-looking than ever. We were able to eliminate the excessive gum show and give him teeth that reflect who he is — someone who values subtlety, simplicity, and a balanced, confident appearance. His case highlights how dry mouth and fluoride-free dental care can contribute to decay, but also how modern implant dentistry can fully restore health and aesthetics.

Key Takeaways

  • Root caries and dry mouth are a serious combination. Aiden’s case shows how decay at the gum line can lead to widespread tooth loss — and how All-on-4 can restore both form and function.
  • Natural results are possible. Even for patients seeking subtle, non-flashy aesthetics, All-on-4 can be fully customized to look realistic and refined.
  • Gummy smiles can be corrected. Strategic smile line design helped reduce Aiden’s gum show, giving him a more proportionate and attractive smile.
Aiden’s decayed teeth due to root caries and dry mouth
Aiden’s All-on-4 smile eliminating his gummy smile and restoring function

Schedule a consultation

At All-On-Four Dental Implants, we provide the highest quality dental care for our patients in the Tri-State area. With over 30 years of experience, our team is led by surgeons and doctors at the top of their field, so you know you are receiving the best care possible. Our office is a welcoming environment and we treat our staff and patients like family. We hope to see you soon for a free consultation.