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ASEAN Dentistry Award 2025 winners showcase: Full-mouth implant-supported restorations

Winner of the 2025 ASEAN Dentistry Award for Full-mouth implant-supported restorations: Dr Queck Kian Loke, Malaysia.
Dr Queck Kian Loke, Malaysia

Dr Queck Kian Loke, Malaysia

Wed. 26. August 2026

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Case Description

Complaint: Requests for something fixed to replace his newly made dentures in other clinic. Can’t bite and eat well with the dentures. Most of the time not wearing the dentures due to discomfort, pain and af fected speech.

History of complaint: New maxillary full denture and mandibular partial denture were completed on 20 June 2022 in another clinic. Since then not wearing the dentures most of the time due to discomfort and pain. Affecting the life style significantly.

Extraoral examination:
Sunken peri oral facial region with loss of upper lip support.

Intraoral examination:
Maxillary arch:
– Fully edentulous.
– Healthy gum and palate.

Mandibular arch:
– Remaining 5 teeth from #42-#33, all are firm and healthy.
– Missing teeth #34-#37 and #43-#47.

Radiographic findings:
– Remaining five teeth with good prognosis with sufficient bone around these teeth.
– Very thin sinus floor on the left and right upper quadrants, with available bone heights less than 1.0 mm.

Treatment plannings:
1. Upper full-mouth dental implants rehabilitation
2. Bilateral sinus bone augmentation
3. Restoration of lower bilateral free end saddles region with multiple dental implants.

Management and definitive treatment:
19 July 2022:
– Eight dental implants were placed at maxillary arch with bilateral sinus bone augmentation.
– A total of 1.5 cc of allograft and OSTEON II sinus were used for each quadrant of the lateral sinus lift.
– Dentium DASK kit was used to performed the lateral window sinus bone augmentation.
– Six dental implants were placed at the mandibular arch, three on each quadrant.

13 February 2023:
– All dental implants were uncovered and placement of healing abutments.
– Post-treatment panaromic radiograph was taken.

4 April 2023:
– Close tray technique impression taking was done with stock trays and impregum.

2 May 2023:
– Lower left and right screw-retained crowns were fitted onto the dental implants
– Lower right three dental implants supporting four units screw-retained  crowns.
– Lower left three units dental implants supporting three units crowns.
– Upper full-arch metal framework try-in. Upper framework was separated in three pieces: #16-#15, #14-#24, #25-#26- Another new MMR was taken with the framework in place.

23 May 2023:
– Completion of the case with all three screw-retained crowns/bridges were fitted onto eight dental implants on the maxillary arch.
– Post-treatment panaromic radiograpgh was taken.

 

Fig. 1a: Pre-treatment frontal facial view at rest.

Fig. 1a: Pre-treatment frontal facial view at rest.

Fig. 1b: Pre-treatment smile view showing an edentulous maxilla and partially edentulous mandible.

Fig. 1b: Pre-treatment smile view showing an edentulous maxilla and partially edentulous mandible.

Fig. 1c: Pre-treatment open mouth view demonstrating the edentulous maxillary arch and remaining mandibular teeth.

Fig. 1c: Pre-treatment open mouth view demonstrating the edentulous maxillary arch and remaining mandibular teeth.

Fig. 2a: Definitive maxillary and mandibular implant impressions obtained using the closed-tray impression technique with polyether impression material following soft tissue healing.

Fig. 2a: Definitive maxillary and mandibular implant impressions obtained using the closed-tray impression technique with polyether impression material following soft tissue healing.

Fig. 2b: Occlusal view after exposure of the mandibular  implants and placement of healing abutments, demonstrating satisfactory peri-implant soft tissue healing.

Fig. 2b: Occlusal view after exposure of the mandibular implants and placement of healing abutments, demonstrating satisfactory peri-implant soft tissue healing.

Fig. 2c: Extraoral smile assessment performed during the prosthodontic phase to evaluate smile line, lip support, and aesthetics.

Fig. 2c: Extraoral smile assessment performed during the prosthodontic phase to evaluate smile line, lip support, and aesthetics.

Fig.  2d: Maxillary metal framework try-in to verify passive fit and adaptation prior to definitive prosthesis fabrication.

Fig. 2d: Maxillary metal framework try-in to verify passive fit and adaptation prior to definitive prosthesis fabrication.

Fig. 2e: Pre-prosthetic frontal intraoral view demonstrating the edentulous maxilla and partially restored mandibular arch before  definitive prosthetic rehabilitation.

Fig. 2e: Pre-prosthetic frontal intraoral view demonstrating the edentulous maxilla and partially restored mandibular arch before definitive prosthetic rehabilitation.

Fig. 2f: Occlusal view of the maxillary arch following healing abutment placement, showing healthy peri-implant soft tissue contours.

Fig. 2f: Occlusal view of the maxillary arch following healing abutment placement, showing healthy peri-implant soft tissue contours.

Fig. 2g: Maxillary metal framework in situ during the jaw relation appoint ment for verification of prosthesis fit and implant positioning.

Fig. 2g: Maxillary metal framework in situ during the jaw relation appoint ment for verification of prosthesis fit and implant positioning.

Fig. 2h: Definitive implant impressions with impression copings secured in the impression prior to laboratory cast fabrication.

Fig. 2h: Definitive implant impressions with impression copings secured in the impression prior to laboratory cast fabrication.

 Fig. 2i: Frontal intraoral view following completion of  the mandibular implant-supported restorations, demonstrating improved aesthetics and occlusal support.

Fig. 2i: Frontal intraoral view following completion of the mandibular implant-supported restorations, demonstrating improved aesthetics and occlusal support.

Fig. 2j: Extraoral smile evaluation after mandibular restoration and maxillary framework try-in, confirming the planned occlusal vertical  dimension, overjet, overbite, and smile line before definitive prosthesis delivery.

Fig. 2j: Extraoral smile evaluation after mandibular restoration and maxillary framework try-in, confirming the planned occlusal vertical dimension, overjet, overbite, and smile line before definitive prosthesis delivery.

Fig. 3a: Intaglio view of the definitive maxillary implant-supported full-arch prosthesis demonstrating the screw-access channels for eight dental implants.

Fig. 3a: Intaglio view of the definitive maxillary implant-supported full-arch prosthesis demonstrating the screw-access channels for eight dental implants.

Fig. 3b: Lateral view of the definitive maxillary implant-supported prosthesis prior to  insertion.

Fig. 3b: Lateral view of the definitive maxillary implant-supported prosthesis prior to insertion.

Fig. 3c: Frontal view of the definitive prosthesis mounted on the master cast before clinical delivery.

Fig. 3c: Frontal view of the definitive prosthesis mounted on the master cast before clinical delivery.

Fig. 3d: Occlusal view following insertion of the maxillary implant-supported fixed prosthesis, demonstrating passive fit on the eight implant abutments.

Fig. 3d: Occlusal view following insertion of the maxillary implant-supported fixed prosthesis, demonstrating passive fit on the eight implant abutments.

Fig. 3e: Frontal intraoral view after delivery of the definitive maxillary implant-supported prosthesis, showing restored occlusion and aesthetics.

Fig. 3e: Frontal intraoral view after delivery of the definitive maxillary implant-supported prosthesis, showing restored occlusion and aesthetics.

Fig. 3f: Right lateral intraoral view demonstrating stable posterior occlusal  contacts following definitive prosthesis insertion.

Fig. 3f: Right lateral intraoral view demonstrating stable posterior occlusal contacts following definitive prosthesis insertion.

Fig. 3g: Left lateral intraoral view confirming harmonious occlusion and functional intercuspation after treatment.

Fig. 3g: Left lateral intraoral view confirming harmonious occlusion and functional intercuspation after treatment.

Fig. 3h: Mandibular occlusal view demonstrating the completed implant-sup ported prosthetic rehabilitation and occlusal relationship.

Fig. 3h: Mandibular occlusal view demonstrating the completed implant-sup ported prosthetic rehabilitation and occlusal relationship.

Fig. 3i: Maxillary occlusal view showing the definitive full-arch implant-supported prosthesis following insertion.

Fig. 3i: Maxillary occlusal view showing the definitive full-arch implant-supported prosthesis following insertion.

Fig. 3j: Post-treatment frontal smile view demonstrating improved  dental aesthetics and lip support.

Fig. 3j: Post-treatment frontal smile view demonstrating improved dental aesthetics and lip support.

Fig. 3k: Right oblique smile view illustrating the functional and aesthetic integration of the definitive prosthesis.

Fig. 3k: Right oblique smile view illustrating the functional and aesthetic integration of the definitive prosthesis.

 Fig. 3l: Left oblique smile view demonstrating facial profile support and smile aesthetics after  rehabilitation.

Fig. 3l: Left oblique smile view demonstrating facial profile support and smile aesthetics after rehabilitation.

 Fig. 3m: Frontal smile at rest showing the final aesthetic outcome following full-arch implant-supported rehabilitation.

Fig. 3m: Frontal smile at rest showing the final aesthetic outcome following full-arch implant-supported rehabilitation.

Fig. 3n: Frontal view during maximum smile demonstrating appropriate tooth display and smile harmony  after treatment

Fig. 3n: Frontal view during maximum smile demonstrating appropriate tooth display and smile harmony after treatment

Fig. 3o: Final postoperative smile demonstrating successful full-mouth implant-supported prosthetic rehabilitation with restored function, aesthetics, and occlusal stability

Fig. 3o: Final postoperative smile demonstrating successful full-mouth implant-supported prosthetic rehabilitation with restored function, aesthetics, and occlusal stability

Fig. 4a: Pretreatment panoramic radiograph.

Fig. 4a: Pretreatment panoramic radiograph.

 Figs. 4b: Post-treatment panoramic radiographs.

Figs. 4b: Post-treatment panoramic radiographs.

 Figs. 4c: Post-treatment panoramic radiographs.

Figs. 4c: Post-treatment panoramic radiographs.

 Figs. 4d: Post-treatment panoramic radiographs.

Figs. 4d: Post-treatment panoramic radiographs.

Fig. 5a: Pre-treatment smile view.

Fig. 5a: Pre-treatment smile view.

 Fig. 5b: Post-treatment smile view following full-mouth implant-supported rehabilitation.

Fig. 5b: Post-treatment smile view following full-mouth implant-supported rehabilitation.

Fig. 5c: Pre-treatment facial view at rest.

Fig. 5c: Pre-treatment facial view at rest.

Fig. 5d: Post-treatment facial view demonstrating improved smile aesthetics

Fig. 5d: Post-treatment facial view demonstrating improved smile aesthetics

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