Stephen’s Smile — Overcoming Periodontal Disease with All-on-4
Background
Stephen, a dedicated postal worker, had struggled with severe periodontal disease for many years. His deteriorating teeth were causing him discomfort and impacting his self-esteem. Stephen wanted to avoid dentures, as he felt they wouldn’t provide the natural look or feel he was seeking. He came to us for a solution that would not only restore his smile but also give him back his confidence.
Challenge
Stephen’s challenge was the advanced periodontal disease that had severely damaged his teeth. The option of dentures wasn’t appealing, as he wanted a permanent solution that wouldn’t compromise the aesthetics or functionality of his smile. His goal was to regain the smile he had before the disease took hold.
Solution – Custom All-on-4 Restoration:
We decided to take a comprehensive approach, removing all of Stephen’s compromised teeth and replacing them with an All-on-4 restoration. Our goal was to recreate Stephen’s original smile, which was captured in photos before the periodontal disease progressed. We used these images to carefully design a custom bridge that closely matched the shape, size, and alignment of his original teeth, ensuring a natural and youthful look.
Surgical Experience
Stephen’s surgery was carefully planned to preserve key structural elements that would help replicate his original smile. All teeth were extracted and implants placed while he was comfortably sedated. We worked from reference photos to guide smile design, and he woke up with a custom temporary bridge that brought back the look he remembered.
Outcome
The result was a beautiful smile that Stephen could be proud of. His new All-on-4 restoration not only gave him the functionality he needed but also recreated his smile exactly as it was before the disease. Stephen left our office with a restored smile and a newfound sense of confidence.
Key Takeaways
- Restoring natural smiles is possible with All-on-4. Stephen’s case demonstrates how All-on-4 can restore both the function and the natural look of a patient’s original teeth.
- Personalized design makes all the difference. By using pre-existing photos, we were able to ensure Stephen’s new smile looked just like the one he had before his periodontal disease progressed.
- All-on-4 offers a permanent, reliable solution. Stefan didn’t want dentures, and All-on-4 provided a lasting solution that was both aesthetically pleasing and functional.


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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.