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Full-Arch Rehabilitation on Implants

When it is a whole jaw — or two — you plan a system: bone, implants, bite, lips and smile. Not individual teeth.

Full-arch rehabilitation replaces all the teeth in one or both jaws with a fixed, implant-supported bridge. It includes all the decisions you do not see: how many implants and where, how much bone and gum to remove or keep, the bite height, how the smile line will look and how the lip will be supported. Planned correctly, the result looks and works like natural teeth.

נבדק רפואית: ד"ר דורון קוטר · עודכן:

A patient smiling in a café after full-mouth rehabilitation on implants

Types of permanent restoration

Monolithic zirconia bridge

Strong, colour-stable, does not stain. The common choice for a long-term permanent restoration.

Hybrid bridge (titanium + acrylic/composite)

Lighter, easier to repair, cushions loads. Suits grinders or an especially long bridge.

Implant overdenture (removable)

An alternative when bone or budget do not allow a fixed bridge: a denture that locks onto 2–4 implants and comes out for cleaning.

About implant overdentures

Two jaws — together or separately?

When both the upper and lower jaws need rehabilitation it is usually best to plan them together — the bite of one is set by the other. It can be done on one day or on two dates close together, depending on the number of extractions, surgery time and your condition. That conversation happens at the consultation, with the CT in front of us.

What decides the aesthetic result

  • The smile line — how much of the bridge shows in a full smile, and whether the transition to the gum is hidden
  • Upper-lip support — an edentulous jaw “sinks in”; the bridge restores the volume
  • Tooth shape and shade — chosen with you on the provisional bridge and copied to the permanent one
  • Bite height — affects facial profile and the comfort of chewing and speech

Frequently asked questions

Do you really leave with teeth the same day?

Yes — with a fixed provisional bridge screwed onto the implants. It is made of reinforced acrylic, looks good and lets you eat soft food. The permanent bridge (zirconia or hybrid) comes after the implants have fused with the bone.

What can I eat after immediate loading?

Soft food in the first months: pasta, fish, eggs, cooked vegetables, soups. No biting into hard things (nuts, crusty bread, steak) until the doctor clears it. This protects the implants while they fuse with the bone.

What if on the day of surgery the implants turn out not stable enough?

Then we don’t load them that day — we switch to the delayed protocol and provide a different temporary solution. That option is always kept, because loading an unstable implant puts it at risk. It happens in a minority of cases and is explained in advance.

How long does the surgery take?

Two to four hours per jaw, including extractions and fitting the provisional bridge. Two jaws — usually on two close dates or one long day, depending on the case.

Does it hurt?

The surgery is under local anaesthesia (sedation optional); it usually does not hurt — you feel pressure and vibration, not pain. Afterwards, two or three days of swelling and discomfort controlled with ordinary painkillers. Most patients are pleasantly surprised.

What is the difference between the provisional and the permanent bridge?

The provisional is reinforced acrylic — light, easy to repair, meant for the healing months. The permanent is zirconia or hybrid (titanium + tooth material) — strong, colour-stable, meant for many years.

How long am I without teeth at all?

When stability on the day allows loading — which is most cases — zero: extractions, implants and the provisional bridge in the same chair, on the same day. In the minority where we do not load, you get a different temporary solution until the bridge, and we tell you so in advance. Anyone telling you about “two weeks without teeth while the gums settle” is describing a different protocol.

Does the provisional bridge look like real teeth?

Yes — but not like the permanent one. It is acrylic, in the shade we chose together, and nobody who does not know can tell. It is also slightly thicker on the tongue side; you feel that for a day or two and then stop. The permanent zirconia is thinner, less shiny, and looks more like a tooth.

Can both jaws be done in one day?

Yes, and we do it — but it is a long day, six or seven hours with a break, and most people prefer two sessions a week apart. Coming from far away or from abroad — one day. If you live in Kfar Saba — why rush?

What if one implant does not fuse?

We remove it, let the bone heal for two or three months, and place a new one. Meanwhile, on six implants the bridge usually keeps working on the remaining ones; on four — sometimes it has to come off temporarily or be replaced by another temporary solution until the new implant has fused. That is why there are more implants than you would need “on paper”. It happens to us rarely, and the replacement is covered by the warranty under the terms of the agreement (check-ups and hygiene).

The results described are not guaranteed: they vary from patient to patient and depend on the starting condition, general health and adherence to instructions; the type of treatment is decided only after an examination.

Want to know if immediate loading is right for you?

A first consultation at any network clinic includes an exam, a reading of your scan and an explanation of the options — no obligation.