Many people assume that losing multiple lower teeth means settling for uncomfortable removable dentures that slip while talking or chewing. The fear of a denture failing during a social gathering often causes individuals to gradually withdraw and change their daily habits entirely.

This was precisely our patient’s scenario: impaired chewing, discomfort when trying to eat solid foods, and persistent insecurity when smiling. After years of temporary fixes, the loss of support in the lower jaw demanded a fixed, stable, and long-lasting alternative.

The Invisible Wear of Using Removable Dentures for Years

The absence of natural tooth roots causes the jawbone to lose volume gradually over time. For this reason, traditional removable dentures end up misfitting, causing painful gum sores and making proper food chewing difficult.

When evaluating the case at our Miraflores clinic, Dr. Enmanuel Teixeira performed a detailed 3D CBCT scan to analyze the remaining bone density and map the exact position for each anchor without touching sensitive nerve structures.

The Clinical Engineering Behind the All-on-4 Protocol

To avoid lengthy bone grafting procedures, Dr. Teixeira planned the placement of four titanium implants strategically distributed in the lower jaw. The calculated angle of the posterior implants maximizes the available high-density bone support.

(As seen in the case video, the digital surgical guide allows the implants to be inserted with maximum accuracy). This technique ensures firm primary stability from the very first stage of the procedure.

Restoring Chewing Function and Firmness When Speaking

The change following the rehabilitation phase was not just aesthetic, but biomechanical. The patient regained normal chewing power, clear speech, and the peace of mind that comes with a fully fixed prosthesis. (See the before and after image below to appreciate the alignment and facial support achieved).

If you feel your current teeth are holding you back or you are looking for a fixed alternative to replace a loose denture, schedule an evaluation with Dr. Enmanuel Teixeira in Miraflores to design a personalized treatment plan.