Case Study: The 3-Phase “Dual All-on-4” Transformation

Case Study: The 3-Phase "Dual All-on-4" Transformation

For patients facing widespread tooth loss, severe decay, or failing dental work, salvaging the remaining teeth is not always an option. In these cases, a full clearance and implant-supported reconstruction is the most reliable path to restoring both chewing function and confidence.

A patient traveled to us to undergo a complete mouth rehabilitation. Because her treatment required significant bone healing, we structured her journey into a carefully planned, 3-phase clinical timeline. Utilizing the Dual All-on-4 dental implants protocol, our expert specialists successfully rebuilt her upper and lower jaws using 8 premium Neodent implants and 22 metal-porcelain crowns.

  • Patient: S.E
  • Diagnosis: Terminal Dentition requiring full clearance
  • Surgical Lead: Özkan Özkaynak D.D.S. Ph.D.
  • Restorative Lead: Uğur Gültekinler D.D.S.
  • Procedure: Dual All-on-4 Implants (8 Neodent Implants)
  • Restorations: 22 Metal Porcelain Crowns
  • Aesthetic Choice: Colour 1M1 / Natural Style
  • Total Investment: £7,094.11

The 3-Phase Treatment Journey

A true All-on-4 reconstruction requires patience and specialized care to ensure the implants fuse perfectly with the jawbone. This case is a textbook example of this staged, multi-disciplinary approach.

🛑 Phase 1: Clearance & Healing with Dr. Özkan Özkaynak

To build a strong foundation, Dr. Özkan Özkaynak first had to remove the failing teeth and eliminate all underlying infections.

  • The Procedure: Dr. Özkaynak performed a full clearance, which included 3 simple extractions and 1 surgical extraction in the upper jaw, alongside 5 simple extractions and 1 surgical extraction in the lower jaw.
  • Immediate Function: The patient was provided with upper and lower temporary dentures so she could maintain aesthetic function while her bone healed.

ALL ON 4 DENTAL IMPLANTS PHASE 1 OPG

Phase 1 OPG: The initial scan shows the compromised state of the remaining natural teeth prior to full clearance.

⚙️ Phase 2: The Surgical Foundation (All-on-4) with Dr. Özkan Özkaynak

Once the extraction sites had fully healed, the patient returned for the most critical phase of her journey: implant placement.

Pre-Surgical OPG: This scan shows the completely healed, edentulous (toothless) jawbones, ready to receive the implants.

Pre-Surgical OPG

  • Bone Grafting: To ensure maximum stability in the upper arch, Dr. Özkaynak applied Straumann Maxgraft (0.5 cl) bone grafting material.
  • Implant Placement: He strategically placed 4 Neodent (Straumann Group) Implants in the upper jaw and 4 Neodent Implants in the lower jaw.

Post-Surgical OPG ALL ON 4 DENTAL IMPLANTS TURKEY

Post-Surgical OPG: The 8 implants (4 top, 4 bottom) are perfectly angled and placed by Dr. Özkaynak, establishing the “All-on-4” framework.

🌟 Phase 3: The Final Restoration with Dr. Uğur Gültekinler

After allowing several months for the implants to achieve full osseointegration (fusing to the bone), the patient returned for her permanent smile. Dr. Uğur Gültekinler took the lead for this final restorative phase.

All on 4 dental Implants photo view after

  • The Crowns: Dr. Gültekinler designed and placed 12 Metal Porcelain Crowns on the upper arch and 10 Metal Porcelain Crowns on the lower arch. Metal porcelain was chosen for its exceptional durability, which is essential for replacing an entire bite.
  • The Aesthetics: Guided by Dr. Gültekinler, the patient selected a Natural Style tooth shape in the highly requested 1M1 shade—a brilliant, clean white that looks beautifully authentic.
  • Protection: To safeguard her investment against nocturnal grinding, she was fitted with a custom Night Guard.

Final OPG: The 22 metal-porcelain crowns are permanently anchored to the 8 Neodent implants, completing the functional and aesthetic restoration.

ALL ON 4 DENTAL IMPLANTS PHASE 3 OPG FINAL

Full Treatment & Cost Overview (GBP)

The comprehensive 3-phase treatment was priced in British Pounds (£). Splitting the treatment into phases also allows patients to split the cost across their visits. Here is the exact itemized breakdown:

Visit 1: Extractions & Temporaries

  • 2 x Dentures (Upper & Lower)
  • 8 x Simple Tooth Extractions
  • 2 x Surgical Tooth Extractions
  • Discounts Applied: -£208.22
  • Total Paid (Visit 1): £1,227.78

Visit 2: Implants & Bone Grafting

  • 1 x Bone Grafting (Straumann Maxgraft 0.5 cl)
  • 8 x Neodent (Straumann Group) Implants + Abutments
  • Discounts Applied: -£712.70
  • Total Paid (Visit 2): £3,083.30

Visit 3: Final Crowns

  • 22 x Metal Porcelain Crowns (12 Upper / 10 Lower)
  • 1 x Night Guard
  • Discounts Applied: -£471.97
  • Total Paid (Visit 3): £2,783.03

Total Investment: £7,094.11

Why This Case Matters

This case beautifully illustrates the life-changing power of the All-on-4 protocol and the importance of having specialized experts handle different aspects of complex care. By taking a careful, phased approach, Dr. Özkan Özkaynak ensured the highest possible surgical success rate for the implants. This robust foundation allowed Dr. Uğur Gültekinler to design and place a flawlessly functional and stunningly white new smile.

A Whole New Smile Starts From Home

S.E. came to us with failing teeth and left with a complete, fixed All-on-4 smile across both jaws. Even a full-mouth rebuild like this begins with one easy step: send us a few photos of your teeth and our specialists will review your case and send back a personalised treatment plan and itemised quote, with no cost and no obligation. Complex implant cases are led by our oral surgeon, Özkan Özkaynak, D.D.S., Ph.D., and because implant planning depends on your jawbone, your final plan is always confirmed with a 3D scan before any surgery — which we can even arrange for you in the UK before you travel.

On larger plans like this one, your trip is taken care of too: any treatment over £3,250 includes a free 6-night hotel stay through our Turkey Teeth Package.

Online Free Dental Consultation — send us your photos today and find out what your own All-on-4 journey could look like.

Accredited, Verified & Trusted

Like every treatment at Smile Dental Turkey, this transformation was carried out in our AACI-accredited (American Accreditation Commission International), ISO 9001:2015 certified clinic in Antalya — accredited by the Turkish Ministry of Health and verifiable on the official government portal — and protected by our treatment warranties.

Free hotel & flight support on treatment plans over £3,250
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