Complex Reconstructions – Implant and Tooth Supported Porcelain Restorations
Missing upper right premolars and molars and upper left premolar and molar teeth. The missing teeth are replaced with removable upper partial denture. Patient requested fixed replacement using dental implants. Since the removable denture had become cumbersome: food impaction, movability, loss of confidence and need for improvement in bite and comfort.
Complex Reconstructions: Implant and Tooth Supported Porcelain Restorations

Note the missing upper right premolars and molars and upper left premolar and molar teeth. The missing teeth are replaced with removable upper partial denture. Patient requested fixed replacement using dental implants. Since the removable denture had become cumbersome: food impaction, movability, loss of confidence and need for improvement in bite and comfort.
bridgework replacement 5 years Post Op.
Before:
1. Reduced facial height.
2. Decreased lip/facial support‐loss of teeth on the right side.
3. Anterior crossbite
4. Reduced aesthetics.
5. Increased facial wrinkles: accelerated aging.
After:
1. Aesthetics
2. Lip/facial support
3. Reduced facial folds/wrinkles.
4. Correction of anterior cross‐bite
5. Comfort.
6. Function
7. Confidence
Treatment time 6 months
Full oral rehabilitation was accomplished.
Patient’s response: “I wish I had done this years ago!”
All above procedures were performed by Dr Sarkis Nalbandian.
Education and Experience are everything.
Designer Smiles® is a one stop shop for most implant, surgical and reconstructive (prosthodontic) oral rehabilitation solutions.





1. Reduced facial height.
2. Decreased lip/facial support‐loss of teeth on the right side.
3. Anterior crossbite
4. Reduced aesthetics.
5. Increased facial wrinkles: accelerated aging.
1. Aesthetics
2. Lip/facial support
3. Reduced facial folds/wrinkles.
4. Correction of anterior cross‐bite
5. Comfort.
6. Function
7. Confidence
