Greg’s Smile, His Way — A Custom All-on-4 Transformation

Background

Greg came to us with an existing upper implant bridge that wasn’t meeting his expectations. While he had implants placed previously, the bridge only covered his front teeth — leaving his back natural teeth vulnerable. He wanted a more complete, longer-lasting solution that aligned with his personal style and vision for his smile.

Challenge

Greg’s case required us to work around existing implants and failing back teeth, while delivering a very specific aesthetic result. He had a clear vision: he wanted a whiter, brighter smile, with distinct canine shapes, and a fully restored upper and lower arch that looked harmonious and felt strong.

Solution

We started by retaining his healthy existing implants and adding a few more to ensure full support across the upper jaw. Then we designed a brand-new bridge that fulfilled his exact preferences — from pointier canines to a super-white, uniform shade across all visible teeth. Once his upper jaw was complete, we moved to the lower jaw, where his natural teeth had started to rotate and loosen.

The final result was a coordinated full-mouth transformation with matching aesthetics, bite function, and long-term stability.

Surgical Experience

Greg’s procedure was performed in a single visit under sedation, allowing us to place additional implants, remove compromised teeth, and deliver a temporary prototype the same day. He experienced minimal discomfort and was back to work and regular activities quickly. The staged approach between upper and lower jaws allowed for precise aesthetic planning and bite correction.

Outcome

Greg now has a custom-designed smile that reflects exactly what he wanted: bold, bright, and tailored. It’s not just a cosmetic upgrade — his bite feels balanced, and the entire restoration is fully supported by implants for lasting function and appearance.

Key Takeaways

  • Even existing implants can be upgraded. We were able to reuse healthy implants and expand on them to improve function and aesthetics.
  • Your smile should reflect you. Greg wanted specific canine shapes and a white, youthful finish — and that’s what we delivered.
  • Complete coordination matters. By addressing both jaws, we achieved a symmetrical, unified look with strong functionality and longevity.
Greg’s partial implant-supported smile with failing back teeth
Greg’s custom smile featuring bright teeth and defined canines

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.