All-on-X FP1 Case: Full-Arch Implants With No Pink Gum

All-on-X FP1 Case: Full-Arch Implants With No Pink Gum

Patients often ask: “Do All-on-X teeth always need pink gum?” Not always. In this case the upper teeth were planned as an FP1 bridge, so they look close to natural teeth with no artificial pink gum. Getting there took several careful steps.

In short: All-on-X is a fixed full-arch bridge supported by several dental implants. FP1 means the bridge is shaped like natural teeth without artificial gum, which is possible when bone and gum levels allow it. In this case, infected teeth were removed in stages first. Once the tissue had healed, 10 implants were placed in the upper and lower jaws and fixed temporary teeth were fitted on the same day.

The patient’s situation

The patient came to discuss full-mouth implants. The remaining upper teeth could no longer be saved, and the patient had worn a removable denture for a long time. Their wish was simple: “Take the teeth out and do the surgery all at once.”

• General health: an underlying medical condition that needed careful planning
• Upper jaw: infection around the roots of several teeth; the gum and bone were not ready for extraction and implant surgery at the same visit
• Lower jaw: the lower front teeth were natural teeth that could be kept, with back teeth missing

Why the treatment was staged

With infection in several places and a medical condition to consider, removing every tooth and placing implants immediately was not the right fit for this patient. The treatment was planned in stages:

1. Staged extractions and wound care: infected teeth were removed gradually and the sites were cared for until the tissue recovered. The timing depended on how the wounds and infection healed.
2. Digital planning: a CBCT scan and a stackable surgical guide were used to place the implants in the planned positions.
3. Surgery day: 10 implants were placed in the upper and lower jaws in one session, and fixed temporary teeth were connected the same day. In the end, the patient did get their “all at once” surgery day, once the body was ready.
4. Healing: about one week after the temporary teeth were fitted, the gums looked well healed. The patient is now waiting for the implants to bond with the bone before the final teeth are made.

Treatment summary

What is FP1, and is it right for everyone?

FP1 (Fixed Prosthesis 1) is a fixed implant bridge whose teeth have the shape and length of natural teeth, without artificial pink gum. Whether it suits you depends on your gum, bone volume, implant positions and bite. Not every case is suitable for FP1. Where bone loss is significant, a bridge with artificial gum may give a better result. Your dentist will explain which design fits you after an examination and CBCT scan.

“Taking things step by step doesn’t mean going too slowly. It means giving the body time to be ready, so treatment can move forward in the right way.”

Questions about this treatment

Do All-on-X teeth always have pink gum?

No. If your bone and gum levels are suitable, an FP1 bridge without artificial gum is possible. With more severe bone loss, a bridge with artificial gum may be needed so the teeth and lips look balanced.

Can everyone have implants placed right after extraction?

Many people can. But with infection in several areas, or a medical condition that needs extra care, your dentist may recommend removing teeth in stages and letting the sites heal first, so the bone and gum are ready for implants.

Will I have teeth while waiting for the final bridge?

In this case, fixed temporary teeth were attached to the implants on the day of surgery, so the patient had teeth while the implants bonded with the bone. This usually takes about 3–6 months, depending on the person.

How much does All-on-X cost?

It depends on the number of implants, the implant system, the bridge material and whether bone grafting is needed. See the dental implant cost page, or send your X-rays on LINE for a preliminary plan.

Treatment team
Staged extractions and wound care: Dr. Isi Sawasdijeera
Implant placement and prosthesis: Dr. Nalat Wongwatjana
Stackable surgical guide: Surgical Guide BY.OPAS
Temporary teeth: PC DENTAL LAB
Implant system: Neobiotech

Photos shared with the patient’s permission. Treatment results vary from person to person. This case is for information and does not replace an examination by a dentist.