17/09/2026
Before and after — full-arch implant rehabilitation (All-on-X style). Photos about six months apart. Zirconia bridges and smile design by Hong at .
This case used several JD implant designs planned to the available bone: specialised JD pterygoid implants at the back; JD Icon+ implants at 15, 12 and 22: and a 23 mm JD trans-nasal implant at 25 for a long, tilted path through the maxillary sinus to the lateral nasal wall.
Workflow: prototype (temporary) teeth the morning after surgery, then a zirconia bridge at about five months once healing was confirmed.
Treatment by Dr Tim Maxwell BCom BDSc (WA) Hons
AHPRA registration DEN0002120690
Azure Dental, Inglewood WA
Individual results vary. These photos show this patient’s outcome only and are not a prediction of results for others. Treatment was planned from clinical examination and 3D imaging. Not every patient is suitable for immediate temporary teeth, pterygoid or trans-nasal / trans-sinus implants, or this implant mix.
Risks and considerations can include: pain, swelling and bruising; bleeding; infection; sinus complications (including with tilted, trans-sinus or trans-nasal approaches); temporary or permanent altered sensation (lips, chin, tongue, gums); implant failure or loss of integration (some implants do not fuse and may need removal or replacement); need to adjust, repair or remake provisional or definitive bridges; fracture or wear of acrylic temps or zirconia; speech or bite changes during healing; peri-implant inflammation or bone loss over time; and the possible need for further surgery or restorative work. Pterygoid and long tilted implants involve more complex anatomy and carry additional surgical risk. Sedation and surgery have their own medical risks. A night guard may be advised. Longevity depends on oral hygiene, reviews, bite forces and general health — nothing lasts forever and maintenance or remakes may be needed.
Before photo: pre-treatment. After photo: definitive zirconia bridge after the provisional phase (~6 months later).
Posted with patient consent.