Case Study: A 3-Phase Complex Reconstruction (Upper All-on-6 & Lower All-on-4)

When patients present with “terminal dentition”—where the natural teeth are broken down, severely decayed, or missing entirely—a complete architectural rebuild of the smile is required.

Our patient, A.J., traveled from the United Kingdom to undergo a full mouth rehabilitation. Because his case required extractions, extensive bone grafting, and sinus lifting, we utilized a careful 3-phase approach. To ensure the highest level of care, this multi-disciplinary reconstruction was split between two of our specialists: Özkan Özkaynak, D.D.S., Ph.D. handled all advanced surgical procedures, while Mehmet Fatih Özmen, D.D.S. managed the initial temporary prosthetics and the final cosmetic restorations.

• Patient: A.J.
• Origin: United Kingdom
• Diagnosis: Terminal Dentition & Bone Loss
• Surgical Lead: Özkan Özkaynak, D.D.S., Ph.D.
• Restorative Lead: Mehmet Fatih Özmen, D.D.S.
• Procedure: Upper All-on-6 / Lower All-on-4 (10 Neodent Dental Implants)
• Restorations: 26 Metal Porcelain Dental Crowns
• Aesthetic Choice: Colour OM3 / Softened Style
• Total Investment: £9,761.29

The 3-Phase Treatment Timeline

Rebuilding a smile with severe bone loss cannot be rushed. A.J.’s journey spanned three distinct visits to allow for maximum healing and integration.

🛑 Phase 1: Clearance & Infection Control

The first step was to remove the failing teeth and clear out all active decay to create a healthy environment for future dental implants.

• The Surgical Clearance: Özkan Özkaynak, D.D.S., Ph.D. performed a full clearance, which included 5 simple extractions and 2 surgical extractions in the upper jaw, alongside additional extractions in the lower jaw.
• Immediate Function: To ensure A.J. could maintain his appearance and basic function while the bone healed, Mehmet Fatih Özmen, D.D.S. provided a temporary denture.

Before (Clinical View and OPG): Severe decay, broken roots, and terminal dentition before extractions.

Post-Extraction OPG: The X-ray shows the healed, edentulous jawbone, clear of infection and ready for surgery.

⚙️ Phase 2: Advanced Surgery (Grafting & Implants)

Once the jawbone healed, A.J. returned for the surgical foundation phase. This visit required advanced techniques due to bone loss in the upper jaw, expertly handled by Dr. Özkaynak.

• Bone Grafting & Sinus Lifting: To create enough bone depth and stability for the upper implants, Dr. Özkaynak performed 2 Sinus Lifts and applied Straumann Maxgraft (0.5 cl) bone grafting material.
• Implant Placement: He then strategically placed 6 Neodent (Straumann Group) Implants in the upper jaw and 4 Neodent Implants in the lower jaw.

Post-Surgical OPG: The 10 Neodent implants (6 upper, 4 lower) are perfectly placed, establishing a robust framework for the final bite.

🌟 Phase 3: The Final Restoration

After allowing the bone grafts and implants to fully fuse with the jawbone (osseointegration), A.J. returned for his permanent smile. Dr. Özmen took the lead to finish the case.

• The Restorations: Dr. Özmen designed and permanently anchored 13 Metal Porcelain Crowns to the upper implants and 13 Metal Porcelain Crowns to the lower implants. Metal porcelain offers exceptional bite strength for full-mouth cases.
• The Aesthetics: Guided by Dr. Özmen, A.J. chose the OM3 shade—a bright but natural bleach tone—and paired it with a Softened Style shape to ensure the teeth looked authentic and approachable.

Final OPG: The 26 metal-porcelain dental crowns are securely cemented onto the 10 healed implants.

After (Clinical View): The final OM3 “Softened Style” smile, completely restoring A.J.’s confidence and chewing capability.

Full Treatment & Cost Overview (GBP)

A.J.’s comprehensive 3-phase treatment was priced in British Pounds (£). A.J. used advantage of full mouth dental implant deals and never paid for accommodation and transfers. Please visit our dental treatment prices page for more price details.

Here is the exact itemized breakdown of his investment:

Visit 1: Extractions & Temporaries

• 1 x Denture (Per Jaw)
• 5 x Tooth Extractions (Upper)
• 2 x Surgical Tooth Extractions (Upper)
• Tooth Extractions (Lower)
• Discounts Applied: -£220.00
• Total Paid (Visit 1): £1,801.31

Visit 2: Implants, Sinus Lifting & Grafting

• 2 x Sinus Lifting
• 2 x Bone Grafting (Straumann Maxgraft 0.5 cl)
• 6 x Neodent Implants + Abutments (Upper)
• 4 x Neodent Implants + Abutments (Lower)
• Discounts Applied: -£769.37
• Total Paid (Visit 2): £4,536.63

Visit 3: Final Crowns

• 13 x Metal Porcelain Crowns (Upper)
• 13 x Metal Porcelain Crowns (Lower)
• Discounts Applied: -£546.65
• Total Paid (Visit 3): £3,423.35

Total Investment: £9,761.29

Rebuild Your Smile, Starting From Home

A.J. travelled from the UK with failing, broken-down teeth and left with a complete, fixed smile on a solid implant foundation. Even a full reconstruction like this starts with one simple 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 rebuild could involve.

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.