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Natalie

Prof Dr Christian Mehl and the team at Aion Dental, led by Mr George Leventi, embarked on a transformative journey with a patient facing a myriad of dental challenges. From multiple missing and damaged teeth to infections in the bone, the patient's oral health situation was complex.

Treatment by: Prof Dr Christian Mehl

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Natalie H
Composite Bonding
Meet the dentist:

Prof Dr Christian Mehl

Renowned for his expertise in dental implantology and comprehensive restorative procedures, Prof Dr Christian Mehl played a pivotal role in this patient's treatment. His approach, deeply rooted in precision, innovation, and compassion, ensured that even the most challenging cases could find hope and a solution.

Initial Situation

Natalie arrived at Wimpole Street Dental Clinic facing an extremely challenging dental situation. She had several missing and damaged teeth, infections in the bone, and significant bite issues caused by a long-term tongue habit. On top of that, she was a smoker and had developed a strong dental phobia over the years, making it difficult for her to seek help sooner.

Her case was not straightforward, but it was clear that the right care could offer a completely new beginning. She was referred to Prof Dr Christian Mehl, a leading expert in dental implantology, who partnered with Mr George Leventi of Aion Dental to deliver a highly personalised and technically advanced treatment plan.

1 Full Face before start
Figure 1 – The patient introduced herself with severe dental anxiety due to a childhood trauma.
2 Before smiling
Figure 2 – At the initial visit we took pictures of the patient, here the smile of the patient
3 Before retracted lips
Figure 3 – And a picture of the patient’s teeth with retracted lips
4 Panoramic X-ray before OPG
Figure 4 – A panoramic X-ray gives us the overview of teeth, bone and other anatomic structures important for the treatment planning
5 Digital Scan
Figure 5 – After a discussion about possible treatment plans, the patient decided to go ahead with Smile in a day procedure. The first part are digital pictures and then a digital scan of the teeth shown here
6 3-D X-ray CBCT
Figure 6 – And a three-dimensional X-ray (CBCT)
7 All teeth digitally removed
Figure 7 – The three sets of data (pictures, digital tooth scan and 3-D Xray) go to the dental technician, who then removes the teeth we plan to extract digitally…
8 New Set up of teeth
Figure 8 – … and creates a new set of teeth.
9 Planning of the upper jaw
Figure 9 – Then the dental technical send the set-up of the new teeth back to the dentist, who uploads the new teeth and the 3-D X-ray into an implant planning software, here the implant planning of the upper jaw
10 Implant planning lower jaw
Figure 10 – and the implant planning of the lower jaw
11 Guide upper jaw
Figure 11 – After planning all the implants in the software, we create a guide which helps us to put the implants into the pre-planned position accurately, here the guide for the upper jaw
12 OP in colour
Figure 12 – The patient’s teeth have been extracted, the gums lifted and the implants placed with the help of the guide
13 Implants placed and bone augmentation and membrane
Figure 13 – All implants are in place now, the bone augmented, membranes placed to protect the new bone augmentation material from soft tissue ingrowth and the impression copings have been placed
14 Stitched and ready for impression
Figure 14 – The gums are placed back into position and a wire connects the impression copings for stability and accuracy reasons
15 Ready for temporary
Figure 15 – Then new posts are placed on the implants to connect them to a pre-manufactured temporary
16 Temporary connected to implants
Figure 16 – Due to the precise implant placement, the temporary now fits perfectly and can be connected to the temporary posts
17 Temporary two weeks after operation
Figure 17 – The patient comes back two weeks after the operation to remove the sutures and retake the bite and then again two weeks later for the final restoration. Here the temporary after 4 weeks, you can still see the brown staining from the Corsodyl mouthwash
18 Temporary two weeks after operation.JPG
Figure 18 – The temporary after four weeks with retracted lips
19 Situation three week after operation ready for permanent restoration. upper jaw
Figure 19 – In this case the final restoration was placed four weeks after the operation here the upper jaw
20 Situation three week after operation ready for permanent restoration. upper jawJPG
Figure 20 – And the lower jaw
21 Lab work Steel framework and PMMA Teeth
Figure 21 – The finished lab work (from Aion Dental Designs – Mr George Leventi) consist of a CoCrMoW (Steel) framework and PMMA teeth and composite gums (Bis-GMA composite).
22 After smiling
Figure 22 – The final work was placed four weeks after the operation, here the patient smiling…
23 After retracted lips
Figure 23 – … And with retracted lips
24 Baseline X-ray
Figure 24 – At the fitting appointment we always take a baseline X-ray to be able to compare the placement bone level with future X-rays
natalie-h
Figure 25 – The patient still happy after 2 years and the restoration still working reliably
1 Full Face before start
Figure 1 – The patient introduced herself with severe dental anxiety due to a childhood trauma.
2 Before smiling
Figure 2 – At the initial visit we took pictures of the patient, here the smile of the patient
3 Before retracted lips
Figure 3 – And a picture of the patient’s teeth with retracted lips
4 Panoramic X-ray before OPG
Figure 4 – A panoramic X-ray gives us the overview of teeth, bone and other anatomic structures important for the treatment planning
5 Digital Scan
Figure 5 – After a discussion about possible treatment plans, the patient decided to go ahead with Smile in a day procedure. The first part are digital pictures and then a digital scan of the teeth shown here
6 3-D X-ray CBCT
Figure 6 – And a three-dimensional X-ray (CBCT)
7 All teeth digitally removed
Figure 7 – The three sets of data (pictures, digital tooth scan and 3-D Xray) go to the dental technician, who then removes the teeth we plan to extract digitally…
8 New Set up of teeth
Figure 8 – … and creates a new set of teeth.
9 Planning of the upper jaw
Figure 9 – Then the dental technical send the set-up of the new teeth back to the dentist, who uploads the new teeth and the 3-D X-ray into an implant planning software, here the implant planning of the upper jaw
10 Implant planning lower jaw
Figure 10 – and the implant planning of the lower jaw
11 Guide upper jaw
Figure 11 – After planning all the implants in the software, we create a guide which helps us to put the implants into the pre-planned position accurately, here the guide for the upper jaw
12 OP in colour
Figure 12 – The patient’s teeth have been extracted, the gums lifted and the implants placed with the help of the guide
13 Implants placed and bone augmentation and membrane
Figure 13 – All implants are in place now, the bone augmented, membranes placed to protect the new bone augmentation material from soft tissue ingrowth and the impression copings have been placed
14 Stitched and ready for impression
Figure 14 – The gums are placed back into position and a wire connects the impression copings for stability and accuracy reasons
15 Ready for temporary
Figure 15 – Then new posts are placed on the implants to connect them to a pre-manufactured temporary
16 Temporary connected to implants
Figure 16 – Due to the precise implant placement, the temporary now fits perfectly and can be connected to the temporary posts
17 Temporary two weeks after operation
Figure 17 – The patient comes back two weeks after the operation to remove the sutures and retake the bite and then again two weeks later for the final restoration. Here the temporary after 4 weeks, you can still see the brown staining from the Corsodyl mouthwash
18 Temporary two weeks after operation.JPG
Figure 18 – The temporary after four weeks with retracted lips
19 Situation three week after operation ready for permanent restoration. upper jaw
Figure 19 – In this case the final restoration was placed four weeks after the operation here the upper jaw
20 Situation three week after operation ready for permanent restoration. upper jawJPG
Figure 20 – And the lower jaw
21 Lab work Steel framework and PMMA Teeth
Figure 21 – The finished lab work (from Aion Dental Designs – Mr George Leventi) consist of a CoCrMoW (Steel) framework and PMMA teeth and composite gums (Bis-GMA composite).
22 After smiling
Figure 22 – The final work was placed four weeks after the operation, here the patient smiling…
23 After retracted lips
Figure 23 – … And with retracted lips
24 Baseline X-ray
Figure 24 – At the fitting appointment we always take a baseline X-ray to be able to compare the placement bone level with future X-rays
natalie-h
Figure 25 – The patient still happy after 2 years and the restoration still working reliably
CBCT

Experience at Wimpole Street Dental Clinic

Natalie’s treatment began with a comprehensive clinical assessment, including a review of her medical and dental history, a full examination, and analysis of her functional difficulties such as her tongue habit and altered bite. A 3D cone-beam CT scan was then taken to assess bone quality and volume, identify areas of infection, and map important anatomical structures to ensure safe implant placement.

Alongside this, a digital intraoral scan and detailed photographic records were captured. These provided accurate models of her teeth and bite, as well as valuable information about facial proportions and smile aesthetics. Together, these records ensured that planning would address both the functional and cosmetic aspects of her rehabilitation.

All data were transferred into digital treatment planning software, allowing virtual placement of implants and collaboration with the dental laboratory before surgery. This enabled careful evaluation of long-term outcomes and ensured the design of provisional and final prosthetics could be completed with precision. Following these discussions, the decision was made to proceed with the Fixed-Teeth-in-a-Day approach using the All-on-4 technique.

Surgical phase

All remaining teeth were extracted in a single appointment.
Four implants were placed in each jaw using the All-on-4 protocol, optimising available bone and angulation to provide stability without extensive grafting.
Localised bone augmentation was performed to enhance long-term implant stability.
Provisional fixed bridges were fabricated chairside and immediately loaded onto the implants, giving the patient a full set of fixed teeth on the same day.
After an initial healing phase of approximately one month, during which the patient adapted well to the temporary teeth, impressions and digital scans were taken for the definitive restoration.
The final prosthesis consisted of a high-strength, precision-milled metal framework with PMMA-milled teeth, providing both durability and excellent aesthetics.
Occlusion was carefully adjusted to counter the patient’s tongue habit and ensure comfort and function.
IMG 2677
IMG 2683
IMG 2697

Results

The moment Natalie saw her new smile, the emotion was undeniable. What had once been a source of discomfort, anxiety, and embarrassment had been completely transformed. Her new teeth restored full function and aesthetics, giving her back the ability to eat, speak, and smile without hesitation.

This result was more than cosmetic. It marked the end of a long journey filled with fear and hesitation, and the beginning of a new chapter defined by confidence and well-being. Natalie’s story is a powerful example of how modern dentistry, when led by skilled professionals and supported by cutting-edge technology, can restore much more than teeth.

What the patient said…

My first look in the mirror with my new set of teeth was incredible. I’m in disbelief and I feel a bit overwhelmed because it looks so good. At the same time, it looks so natural, it is the shape of my natural teeth and smile. They feel comfortable, I can speak with them. I feel very confident that this will work very well for me.
– Natalie

Book a consultation

Ready to enhance your smile with natural, lasting results? Book a consultation with Wimpole Street Dental Clinic today. Our expert team will guide you through your options and help you achieve a confident, healthy smile.

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