Implant Surgery and Total Prosthetics in a Patient with Generalized Periodontitis

1. The patient complained about the upper anterior teeth mobility and was dissatisfied with the aesthetic appearance of the crowns and her teeth.

1. The main concern was to have whiter teeth and a brighter smile.

1. The patient had the porcelain fused to metal crowns on four extremely mobile upper incisors and a large diastema between the central incisors. All four incisors required extraction.

1. Some of the teeth on the lower jaw were also missing. In addition, there was multiple gingival recession. The patient received periodontal treatment, immediate post-extraction implantation of four upper incisors in the area of the upper lateral incisors and the missing lower jaw teeth.

1. Four months later, the patient had implant-retained ceramic crowns and pin teeth.

1. Prosthetic scheme using implants and ceramic crowns.

1. The patient was completely satisfied with the result.

1. Final result.