Duration: 20 minutes, 30 seconds

Author: Dr. George Perri

AZ in Restorative Implant Dentistry Case 2: Maxillary Full Arch PFM Bridge

Restorative implant dentistry plays a crucial role in restoring oral health and enhancing the quality of life for patients with missing teeth. In this case study, we delve into a fascinating patient journey that exemplifies the transformative power of dental implants. The patient, who traveled all the way from Kansas to Los Angeles, sought the expertise of the renowned Dr. Javanovic to address their full arch restorative needs.

The Patient’s Journey: From Kansas to Los Angeles

When it comes to finding a highly skilled and experienced restorative implant dentist, distance is no obstacle for patients seeking the best care. In this instance, the patient’s quest for a dedicated expert led them to travel from their hometown of Kansas to the bustling city of Los Angeles. The decision to embark on this journey reflects the patient’s determination to regain their dental function and confidence.

The Challenge: Limited Opportunities for Understanding Patient Goals

One of the complexities in this particular case was the limited opportunity to meet the patient and gain a comprehensive understanding of their specific goals. Due to the geographic distance, Dr. Javanovic had to rely on alternative methods to assess the patient’s needs and design an appropriate treatment plan. Despite this challenge, the dental team remained committed to providing exceptional care and achieving optimum results.

Immediate Provisional Restorations

To ensure the patient’s comfort and functionality during the treatment period, immediate provisional restorations were created. The dental team used study models and approximations to fabricate these temporary restorations. This step was crucial in allowing the patient to maintain their dental function and aesthetics while the permanent solution was being meticulously developed.

The Surgical Phase: Extraction, Implant Placement, and Bone Graft

The surgical phase of the restorative implant dentistry process involved several critical steps. The first step was the extraction of any remaining teeth that were present. This facilitated the next stage, which involved the strategic placement of dental implants. The placement of implants in the desired positions set the foundation for the final restoration. Importantly, a bone graft was performed to enhance the implant’s stability and promote optimal osseointegration. This phase of the treatment requires the utmost precision and expertise to ensure long-term success.

The Final Touch: Maxillary Full Arch PFM Bridge

After the successful completion of the surgical phase, it was time for the final touch—a maxillary full arch Porcelain-Fused-to-Metal (PFM) bridge. This type of bridge offers exceptional strength, durability, and aesthetics. The PFM bridge is meticulously crafted to blend seamlessly with the patient’s natural teeth, restoring their smile to its former glory.


Restorative implant dentistry has the power to transform lives, as exemplified by this captivating case study. Despite the challenges posed by geographic distance and limited opportunities for understanding the patient’s goals, Dr. Javanovic and his dental team were able to provide exceptional care. Through the use of immediate provisional restorations and precise surgical techniques, the patient’s full arch restorative needs were met with a remarkable maxillary full arch PFM bridge.


1. Is restorative implant dentistry painful?

Restorative implant dentistry is performed under anesthesia, ensuring a pain-free experience during the procedure. However, mild discomfort and swelling may be experienced during the post-operative phase, which can be managed effectively with prescribed medications.

2. How long does it take to complete a full arch restoration with dental implants?

The duration of a full arch restoration depends on several factors, including the individual patient’s case complexity and healing capabilities. On average, the process can take several months, allowing sufficient time for proper healing, osseointegration, and the crafting of final restorations.

3. What are the benefits of Porcelain-Fused-to-Metal bridges?

Porcelain-Fused-to-Metal bridges offer a perfect balance between durability and aesthetics. The metal substructure provides strength and stability, while the porcelain overlay beautifully mimics the appearance of natural teeth. This type of bridge is an excellent long-term solution for restoring full arches.

4. Are dental implants suitable for everyone?

Dental implants are a highly effective and successful tooth replacement option for the majority of patients. However, certain factors, such as overall health, bone density, and oral hygiene habits, may influence the suitability of dental implants. A thorough evaluation with an experienced restorative implant dentist is necessary to determine individual candidacy.

5. How long can a maxillary full arch PFM bridge last?

A maxillary full arch PFM bridge is designed to withstand the forces of normal biting and chewing. With optimal oral hygiene and regular dental check-ups, this type of bridge can last for up to 10-15 years or even longer. Maintaining good oral health and following the dentist’s recommendations are crucial for the longevity of any dental restoration.

Add comment