Self-pay (non-insured)
Full upper rehabilitation — zirconia bridges + partial denture
Multiple missing teeth in the upper arch with periodontal disease, failing existing prostheses, and several carious teeth. Chief complaints: difficulty chewing and aesthetic concerns.
Case details
Treatment, cost and duration
- Patient profile
- Female, 40s
- Diagnosis
- Multiple missing teeth in the upper arch with periodontal disease, failing existing prostheses, and several carious teeth. Chief complaints: difficulty chewing and aesthetic concerns.
- Treatment
- Two three-unit monolithic zirconia bridges in the upper arch, one aesthetic partial denture replacing the remaining missing teeth, and caries treatment on the affected teeth. Sequenced to stabilise the periodontal condition before final prosthetics were delivered.
- Material
- Monolithic zirconia (bridges) + thermoplastic resin / cobalt-chromium framework (partial denture)
- Period
- Approx. 4 months
- Visits
- 7 visits
- Cost
- Self-pay total ¥1,179,600 (incl. tax). Breakdown: ¥499,900 × 2 three-unit zirconia bridges + ¥179,900 aesthetic partial denture + caries treatment and consultation.
Risks & side effects
Main risks & side effects
- Periodontal disease must be stabilised and maintained long-term; progression can affect both bridges and the partial denture, with risk of additional tooth loss
- Abutment teeth must be prepared (irreversible enamel reduction) to seat the bridges
- Bone resorption at edentulous sites continues over time and cannot be fully prevented with bridges or removable dentures
- Risk of debonding or fracture of the zirconia bridges over time, especially under heavy bite forces
- Cleaning under the pontic and around the partial denture clasps requires tools such as floss threaders and interdental brushes
- The partial denture must be removed and cleaned daily; periodic adjustments are typically needed to maintain fit
- If an abutment tooth fails, the corresponding bridge may need to be remade in full
- Untreated periodontal disease, poor oral hygiene, or bruxism can shorten the lifespan of all restorations
Self-pay (non-insured) treatment. Individual results vary. Published with the patient's written consent.
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