Mike presented to us needing help with his stained and mismatched teeth. He had many cavities from an early age, and had multiple extractions and repetitive crown replacements over the years. At age 71 he had more failing crowns and decided to seek a better solution.
Mike's case is an example of a monolithic zirconium All On Four prosthesis. It is a very strong material that is stained to the desired shade by a ceramist. Unlike the conventional titanium and acrylic combination prosthesis, these are metal free. There are pros and cons for each option and after discussing these in detail over the few months of the temporization phase of his treatment, Mike opted for Zirconia prosthesis. This is Mike’s journey.
What Mike says
“I had many cavities as a child mostly due to thin tooth enamel, followed by root canals and crowns into my early twenties. By age 50 the crowns needed replacement and/or tooth extractions which continued in my 60's. At age 71 with still more failing crowns I decided to stop the endless cycle of crown, re-crown, extractions and remaking the partial dentures.
My teeth had become dark and mismatched over the years with sensitive nerve endings. I began researching full arch all on four dentures (as much as a layman can). I needed 20+ extractions, 8 implants as well as upper/lower full arches and same day temporary dentures. Prior to surgery 3D scans were developed for implant placement and temporary denture fabrication.
My surgery was a full day of extractions, implants and fitting the temporary dentures on the newly placed implants. The post surgery instructions were followed and my healing progressed per normal recovery periods. Fortunately the swelling and pain were minimal despite having 20+ extractions. After 4 months Dr. Haghighat deemed the implants to be sufficiently bonded to bone, and the next phase of developing the prototypes for zirconia arches began.
This required precision fitment, the prototypes were fabricated, placed and adjusted. They were in place for a few weeks to insure proper bite and alignment. Once verified the prototypes were shipped to the lab to be manufactured. Completed zirconia arches were fitted and I couldn't be happier with them.
My primary goal was for them to feel comfortable and natural, but I also wanted them to be attractive. All boxes were checked. I couldn't be happier with Dr. Haghighat's abilities and precision and the team at Portland Perio Implant Center. Dani, his office manager has been so helpful with accommodating our special appointment scheduling since we live 2 hours away from the office, as well as becoming part of the family in the process.“
