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Upper and lower fixed prosthesis

Advanced periodontitis and upper and lower fixed prosthesis: the definitive treatment after 10 years of attempts

Celso, 54, biochemist pharmacist

This video and the patient testimonial below were recorded in Portuguese. A summary in English follows.

"Something had to be done, definitively. It could not be a patch, it had to be something that really solved the problem."
Celso

What Celso shares in the video

  • About 10 years of periodontitis, infections and isolated treatments with no definitive result.
  • Loose teeth and very low self-esteem: he was ashamed of his own smile.
  • He found Dr. Hugo by researching clinics online, with no referral.
  • Fear of the dentist since childhood, overcome by the confidence conveyed during treatment.
  • He received definitive upper and lower fixed prostheses, with a natural looking result.
  • With his self-esteem renewed, he lost 15 kilos after treatment.

The clinical decision, in Dr. Hugo's words

"When Celso arrived, the panoramic x-ray showed advanced periodontitis in both arches: bone loss around the remaining teeth, loose teeth and missing back teeth. He had already been through about 10 years of isolated treatments that addressed each episode but did not stop the progression of the disease.

At this stage, keeping teeth without adequate bone support means keeping sources of inflammation and infection and only delaying a loss that is already underway. That is why I indicated removal of the compromised teeth and fixed rehabilitation on implants for both the upper and lower arches, anchoring the implants in healthy bone. It was exactly what he was asking for: a definitive solution, not another repair.

With the 3D CT scan and intraoral scan, we planned the position, angulation and distribution of each implant and the relationship between the two prostheses before surgery. That digital planning, combined with our in house laboratory, also addressed his concern about an artificial looking result: the shape, color and proportion of the teeth were defined for his face.

On the same day we performed the extractions, placed the implants and delivered the definitive upper and lower fixed prostheses. For a patient afraid of the dentist since childhood, managing everything comfortably was part of the treatment. The result went beyond the mouth: with his self-esteem back, Celso lost 15 kilos after treatment."

Dr. Hugo Robertson, CRO-SP 43.140

Treatment result

The photo documenting the treatment result.

Final smile photo, Celso
Final smile photoCelso with the definitive upper and lower fixed prostheses.

Images shared with patient authorization, for informational purposes. Each treatment plan is defined after an individual clinical and imaging assessment.

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