Case Study 2 – Blink n' Smile | بسمة بغمزة

CASE STUDY
Dunia Khoury

Case Study: Full Arch Implant Rehabilitation (All-on-6)

Patient: Dunia Khoury
Date: May 2026

Patient Profile

Name: Dunia Khoury
Age: 35 years old
Gender: Female
Medical History: Non-smoker, no systemic diseases, no known drug allergies
Chief Complaint: Severely compromised dentition in the upper arch, reporting chronic pain, mobility of multiple teeth, and significant dissatisfaction with her smile and chewing function.

Diagnosis

Failing upper dentition with advanced periodontal disease and insufficient prognosis for restoration, indicating full arch implant rehabilitation as the most appropriate treatment.

Clinical Examination

Ms. Khoury reported years of progressive dental deterioration due to untreated decay and periodontal disease. Intraoral examination revealed generalized advanced bone loss, multiple failing teeth with grade II and III mobility, and poor prognosis for the remaining upper dentition. CBCT imaging confirmed sufficient bone volume at strategic implant sites, with an average bone height of 12 mm and width of 7 mm, and safe clearance from the maxillary sinus at posterior sites.

Treatment Plan

After a detailed consultation covering removable full dentures and implant-supported overdentures, Ms. Khoury opted for a fixed full arch rehabilitation using the All-on-6 protocol, prioritizing a permanent, non-removable solution with optimal stability and aesthetics.

Treatment Procedure

Under local anesthesia with conscious sedation, all remaining upper teeth were extracted and the ridge was smoothed. Six bone-level titanium implants were placed at carefully planned sites, with the two posterior implants angled at 30 degrees to maximize bone engagement and avoid sinus encroachment. All implants achieved insertion torques exceeding 35 Ncm, allowing for immediate loading. A prefabricated provisional fixed bridge was delivered on the same day, restoring full arch function and aesthetics immediately. After a 5-month osseointegration period, a final screw-retained zirconia bridge was fabricated and delivered.

Outcome and Conclusion

At the 3-month post-loading review, Ms. Khoury presented with stable bone levels across all six implants, healthy peri-implant tissue, and reported high satisfaction with her ability to eat, speak, and smile confidently. This case illustrates the life-changing impact of a well-planned All-on-6 rehabilitation, combining immediate provisionalization with a definitive high-strength restoration for a lasting and aesthetic full arch outcome.