08/23/2026
✨ Precision Planning. Tooth Preservation. Life-Changing Results. ✨
This patient presented with advanced periodontal disease, a high smile line (gummy smile), and a severely compromised maxillary dentition.
A high smile line is one of the greatest esthetic challenges in full-arch implant rehabilitation, as the prosthesis–tissue junction may be exposed during smiling. Without careful planning, this can lead to visible transitions, unnatural soft tissue contours, phonetic issues, and compromised esthetic outcomes.
Our philosophy is simple: preserve natural teeth whenever possible.
Before implant rehabilitation, the patient underwent comprehensive periodontal therapy to stabilize and improve the remaining mandibular dentition, allowing preservation of healthy lower teeth instead of unnecessary full-mouth extraction.
The final rehabilitation included:
✅ Maxillary All-on-6 fixed full-arch restoration with a milled titanium bar supporting monolithic zirconia teeth
✅ Two posterior mandibular implant-supported segmental bridges, preserving the patient’s natural anterior teeth
Using the Chrome Guided Surgery system, implants were placed with prosthetically driven precision. Nexus IOS digital impressions ensured an accurate passive prosthetic fit, contributing to predictable long-term function and esthetics.
This case highlights that successful implant dentistry isn’t about replacing every tooth—it’s about combining periodontal therapy, digital technology, and meticulous planning to preserve what can be saved while restoring what has been lost.
IMPrESS Perio
Preserving Nature. Restoring Smiles.