Not every patient can accept being toothless even for a day. Dennis, a 57 year old man with advanced periodontal destruction, made that clear from the first consultation, which is why same day dental implants shaped his entire plan. This case study follows how our clinical team extracted his hopeless teeth, reshaped the ridge and placed implants with fixed temporary teeth in the same session, then completed a bar supported final prosthesis about a week later. Dennis was treated at International Plus, where more than 200,000 patients from 140+ countries have been treated since 2014.
Key Takeaways
- The challenge: Advanced periodontal destruction, root level resorption, marked gum recession and excessive gum display in the smile line, a difficult starting point for implant prosthetics.
- The solution: Alveoloplasty, atraumatic extraction of hopeless teeth and same day dental implants with immediate fixed temporaries.
- Technical highlights: A fully digital workflow, aggressive design Megagen implants for high primary stability and a bar supported final prosthesis to reduce fracture risk.
- The outcome: A definitive fixed prosthesis completed in about one week with the smile line problem corrected. Individual results may vary.
Dennis’s Story: A Failing Smile He Refused to Hide
Dennis, a 57 year old man, arrived with a smile he had grown reluctant to show. Advanced periodontal disease had loosened the teeth that remained and marked gum recession had left the smile line looking uneven. Excessive gum display added a further aesthetic concern that Dennis wanted resolved. Periodontitis is the leading cause of tooth loss in adults and the resulting soft tissue changes complicate any later implant work (Berzaghi A, et al., 2025), a pattern our team also documents in cases of severe tooth loss and full mouth rehabilitation. One condition was non negotiable for Dennis: Dennis did not want to leave the clinic without teeth at any stage. That single request framed the whole plan because it ruled out the long toothless healing gaps a staged approach often involves. Dennis wanted a fixed result and an appearance restored quickly.
Diagnosis and Treatment Plan
Diagnosis pointed to a mouth beyond periodontal repair. The remaining teeth showed root level resorption and the periodontal support around them was lost, meaning none could serve as a reliable foundation. The gum recession and excessive gum display were as much a prosthetic challenge as an aesthetic one because soft and hard tissue levels dictate where a fixed restoration can sit. The team planned alveoloplasty, the surgical reshaping of the alveolar bone to bring gum and bone levels suitable for fixed implant restorations. Alveoloplasty is a documented step for optimizing the ridge before prosthetic work (Esenlik E, et al., 2021). Our Diagnostic Council reviews each full arch plan before surgery and for Dennis the council confirmed that immediate fixed temporaries were realistic given the bone available. The plan combined extraction, ridge correction and implant placement into one session.
| Stage | What was done | Purpose |
| Session 1 | Atraumatic extractions, alveoloplasty, Megagen implants, fixed temporaries | Remove infection, correct the ridge, avoid a toothless period |
| Healing phase | Soft tissue healing, stability checks | Confirm primary and secondary stability |
| Session 2 about one week | Digital workflow, two try ins, bar supported prosthesis | Deliver the definitive fixed restoration |
Bottom line: extraction, ridge correction and implant placement were combined so Dennis never faced a day without teeth, an approach echoed in our full arch rehabilitation for a fixed result.
Worried about being toothless during treatment? You can ask our team directly on WhatsApp how immediate fixed teeth work.
How Were Same Day Dental Implants Placed for Dennis?
Same day dental implants are implants fitted with fixed temporary teeth in the same session they are placed. Same day dental implants met Dennis’s firm request not to be toothless at any point. All periodontally hopeless teeth were extracted atraumatically, meaning with minimal trauma to the surrounding bone and alveoloplasty optimized the soft and hard tissue. Aggressive design Megagen implants were then placed to achieve high primary stability, the mechanical firmness that lets an implant carry a temporary restoration immediately (Qin R, et al., 2023). Fixed temporaries were fitted the same session. Immediate loading suits patients who reach adequate primary stability but weaker bone needs a staged approach because early load can disturb healing (Gallucci GO, et al., 2018). In our practice, we reserve same day fixed teeth for cases where insertion torque confirms the implants can hold, which Dennis achieved.
Why a Bar Supported Prosthesis Was Chosen
After the soft tissue healed, the implants were checked for primary and secondary stability before the restorative phase began. The work then ran through a fully digital full mouth workflow, using a Plus 5 tooth form and shade 0M2 for a natural match. To maximize long term durability and reduce fracture risk, the team chose a bar supported prosthetic system, a design where a rigid metal bar splints the implants and carries the final teeth. Bar frameworks distribute occlusal load across all implants, which lowers stress on any single point (Berzaghi A, et al., 2025). Selection criteria for immediate placement and loading are well defined in the literature (Hamilton A, et al., 2023). A fixed full arch prosthesis on a bar takes more laboratory time than a simple screw retained bridge but the trade off buys mechanical resilience. Two try in sessions confirmed fit and appearance for Dennis before completion.
The Result: A Definitive Fixed Prosthesis in About a Week
Dennis finished with a definitive implant supported fixed prosthesis completed in about one week from the restorative phase. The bar supported design corrected the smile line and gave the strength the case demanded while the immediate temporaries meant Dennis was never without teeth. Secondary stability, the biological anchorage that develops as bone remodels around each implant, supports the long term result (Bassir SH, et al., 2019). Dennis regained a confident smile and full function, an outcome echoed in other full mouth implant rehabilitations we publish. Individual results may vary and each plan is built around one person’s anatomy and goals. This is the standard behind the outcome: International Plus combines official Ministry of Health authorization, 5,504+ verified Google reviews at 4.8/5 and more than 200,000 international patients since 2014 with a digital workflow built for demanding cases. For Dennis, same day dental implant treatment turned a failing smile into a fixed result without a single toothless day.
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Frequently Asked Questions
What are same day dental implants?
Same day dental implants are implants placed and fitted with fixed temporary teeth in the same session. The approach avoids a toothless healing period as it did for Dennis. It depends on achieving strong primary stability at placement, which is why bone assessment and implant selection are checked carefully before the temporaries are fitted.
Can you get implants with severe gum disease?
Not on the diseased teeth themselves but once periodontally hopeless teeth are removed and the infection cleared, implants can often be placed in the same session. Procedures such as alveoloplasty reshape the ridge to a suitable level first. A detailed assessment determines whether immediate placement is appropriate for each patient.
What is a bar supported implant prosthesis?
A bar supported implant prosthesis uses a rigid metal bar that splints the implants together and carries the final teeth. The bar distributes chewing forces across all the implants, which reduces stress on any single point and helps minimize fracture risk. It suits cases where long term durability is a priority.
What is alveoloplasty?
Alveoloplasty is the surgical reshaping of the alveolar bone that holds the teeth. It smooths and levels the ridge so that gum and bone sit at a height suitable for a fixed implant restoration. In Dennis’s case, alveoloplasty corrected the tissue levels that severe gum recession had left uneven.
Reviewed by Dr. Abdurrahim Ulu
References
- Esenlik E, et al. Cleft Lip and Palate Surgery and Alveolar Bone Grafting. Clin Plast Surg. 2021. PMID 34051895
- Qin R, et al. Factors affecting primary stability of dental implants: a review. Int J Oral Maxillofac Implants. 2023. PMID 37279220
- Gallucci GO, et al. Implant placement and loading protocols in partially edentulous patients: a systematic review. Clin Oral Implants Res. 2018. PMID 30328194
- Hamilton A, et al. Selection criteria for immediate implant placement and immediate loading: a systematic review and meta-analysis. Clin Oral Implants Res. 2023. PMID 37750515
- Berzaghi A, et al. Occlusion and Biomechanical Risk Factors in Implant-Supported full arch Fixed Dental Prostheses. J Pers Med. 2025. PMC11856061
- Bassir SH, et al. Outcome of early dental implant placement versus other placement protocols: a systematic review and meta-analysis. J Periodontol. 2019. PMC6500770
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This content is written, reviewed, and approved by the International Plus Medical Review Board to ensure clinical accuracy and adherence to strict editorial standards. All medical information is regularly monitored, audited and updated in light of the latest scientific advancements.
However the information provided here is for general informational purposes only and cannot be used for self diagnosis or making individual health interpretations. Results of medical treatments depend on individual anatomy and the unique healing process of each patient. This information should not replace a personal consultation with a qualified healthcare professional. To understand the best options for your specific needs and to receive a personalized treatment plan, we invite you to book a free consultation with the expert medical team at International Plus.
Dr. Emre Çolak concentrates on advanced implant surgery and modern regenerative treatments, delivering refined solutions to patients abroad in need of complex dental restoration.
