Case 8: Full-Arch Rehabilitation for Jonathan Reed

Restoring Facial Support, Function, and Confidence with the All-on-Four Technique

Jonathan Reed, a 30-year-old patient, presented with extensive tooth loss that had progressed over several years. His missing molars, combined with ongoing gum disease and poor oral health, eventually led to the weakening and loss of his remaining front teeth.

As a result, Jonathan experienced a collapsed bite, reduced facial support, and an overall appearance that made him look significantly older than his age. He also struggled with chewing, clear speech, and social confidence due to the condition of his smile.

After a full assessment of his oral structures, bone availability, and functional needs, our team recommended the All-on-Four full-arch implant solution as the most reliable and long-term restorative approach.

Treatment Timeline
Step 1 — Full Clinical & Digital Assessment

• Comprehensive examination, CBCT imaging, and digital planning
• Evaluation of bone quality and identification of hopeless teeth

Step 2 — Removal of Remaining Compromised Teeth

• Gentle extraction of non-restorable teeth
• Immediate preparation for implant placement

Step 3 — Strategic Implant Placement (All-on-Four)

• Placement of four implants in each arch
• Angled posterior implants used to maximize available bone without grafting
• Achieved strong primary stability suitable for immediate loading

Step 4 — Immediate Temporary Restoration

• Same-day delivery of a full set of temporary fixed teeth
• Instant improvement in Jonathan’s smile, speech, chewing function, and facial proportions

Step 5 — Final Prosthesis After Healing

• Fabrication of a durable, esthetic full-arch prosthesis
• Customized design to achieve natural appearance and optimal long-term function

Outcome

Jonathan’s transformation was both functional and aesthetic.
With his new full-arch restorations, he regained:

• A natural, youthful smile
• Full chewing ability and improved speech
• Proper facial support and proportion
• Renewed self-confidence and comfort in social interactions

This case demonstrates the effectiveness of the All-on-Four approach for younger patients experiencing advanced tooth loss. Through precise implant placement and immediate restoration, Jonathan achieved a stable, natural-looking, and life-changing result.