Abstract
This case report details the successful rehabilitation of a 53-year-old female patient presenting with a severely compromised dentition due to advanced periodontal disease, posterior bite collapse, and dental neglect. A personalized treatment plan, deviating from the classic “All-on-4” approach, was implemented. The strategy focused on patient education, bacterial load reduction, ridge augmentation, strategically placed implants, and retention of select natural teeth in the mandible and maxilla. This approach prioritized long-term stability, function, and esthetics, resulting in significant improvements in the patient’s oral health, overall well-being, and self-confidence. Five years of post-treatment, the patient remains highly satisfied with the outcome.