Complete Reconstruction with Grafting and Implants
This 60 year old man had been wearing a complete upper denture for 35 years and as such was no longer able to function properly. His denture was loose and he had undergone severe resorption. Additionally his lower posterior areas were also severely resorbed. His main goal was to have fixed teeth that he could eat and smile with confidently.
Due to the severe resorption on the maxilla both in width and height and pneumatization of the sinuses multiple grafting procedures had to be undertaken to reconstruct the maxilla. There was no possibility of block grafts due to the maxillary sinuses extending to the inferior border of the maxilla all the way to the canine regions. Step one was to perform direct bilateral sinus lifts and particulate bulking up of the maxilla both facially and palatally. Once healed the maxilla was further grafted for width and finally at implant placement a ridge splitting technique with further grafting was undertaken. 10 implants were placed in the maxilla and ultimately 7 implants in the mandible with the posterior implants tilted at 35 degrees to allow the head of these to be placed as far posteriorly as possible over the mental foramina.
Lower prosthetics for this case included a fixed titanium framework with composite teeth and pink tissue to allow for the teeth to be placed at the proper vertical dimension. The maxillary prosthetics are removable for cleaning and are retained by a friction fit between a precision milled framework with gold posts and copings. This treatment completely changed this man’s life. All work was performed by Dr. Arvanitis.
Completed Smile
Mandibular Occlusal View

Dr. Urquhart was born and raised in Alberta, spending much of his time in Calgary and neighboring areas. Since graduating from the University of Toronto Dental School in 2015, he spent much of his first decade working as a dentist in Hamilton. 
Dr. Joseph Adragna grew up in Woodbridge, Ontario. After graduating from McMaster University with a Bachelor of Science in Neuroscience, Behaviour, and Psychology, he attended New York University College of Dentistry. It was here that he got his Doctorate of Dental Surgery Degree.
Dr. Lee was born in South Korea and moved to Canada when he was 15.
Dr. Ava Naghavi graduated with Honours from the Faculty of Dentistry, University of Toronto. Prior to that, she received a Bachelor of Science in Psychology and Biology from York University. She is a member of the Ontario Dental Association, the Canadian Dental Association and the Academy of General Dentistry.
Dr. Farhadian attended the University of Western Ontario in London where he obtained his Bachelors degree in 2003. He then attended the University of Toronto Faculty of Dentistry where he was awarded the prestigious Award of Excellence in Clinical Prosthodontics in addition to his Doctor of Dental Surgery Degree. He has been in private practice since then and his special interests include working with children, Oral Surgery and wisdom teeth extractions.