Rebuilding a 92-Year-Old Smile with All-on-4/All-on-6 – Full mouth dental implants in older adults

At Dental Premier in Bucharest, complex full-arch implant cases are part of our daily reality. Yet some stories stand out for what they say about skill, planning, and patient-centered care. Under the leadership of Dr. Anca Rusu—Specialist in Dento-Alveolar Surgery and Dental Implantology, founder, and managing director—our team successfully completed a full mouth rehabilitation for a 92-year-old patient using a tailored full-arch All-on-4/All-on-6 dental implants approach.

Full mouth dental implants – Why experience matters at advanced ages

Full-arch implant therapy for very senior patients calls for more than surgical ability. It requires a nuanced understanding of:

• systemic health and medication profiles,
• bone quantity/quality and anatomical limits,
• bite forces, tissue response, and prosthetic load distribution,
• safe, efficient surgical timing and postoperative recovery.

With thousands of implant and full-arch procedures coordinated across the team, Dr. Anca Rusu’s experience translates into predictable protocols and careful risk management—vital when treating patients in their ninth decade of life.

A plan designed around the patient

The workflow of Dental Premier comprehensive pathway:

• Advanced diagnostics & planning – 3D CBCT evaluation, full medical and dental history, and prosthetic-driven planning to decide where All-on-4 versus All-on-6 configurations would best balance stability and long-term load.
• Guided, minimally invasive surgery – Dynamic and static guidance were used where clinically appropriate to enhance accuracy and reduce surgical time and trauma.
• Phased prosthetic protocol – A patient-specific loading strategy prioritized comfort, phonetics, esthetics, and hygiene access while protecting the implants through healing.

Maintenance & follow-up – Structured recalls, hygiene coaching, and occlusal checks to support long-term success.

Outcomes that matter

For our 92-year-old patient, treatment goals were clear: comfortable chewing, stable speech, natural esthetics, and an easier hygiene routine. The final result delivered:

• secure full-arch function,
• improved confidence in daily meals and social interactions,
• an aesthetic yet cleanable prosthetic design tailored to her dexterity and lifestyle

What sets Dental Premier apart

• Leadership at the chairside – Dr. Anca Rusu actively plans and performs complex cases, coordinating surgery and prosthetics with a multidisciplinary team.
• Digital precision – From 3D imaging and guided surgery to CAD/CAM prosthetics, each step is engineered to reduce variability and support predictable outcomes.
• Complex-case culture – Full-arch, immediate and staged rehabilitation, and challenging bone situations are handled within standardized, safety-first protocols.
• Care for patients of all ages – Treatment plans are adapted to medical realities, not the other way around. Age alone is never the decision-maker—safety, indication, and benefit are.

A note on rarity and responsibility

Successful full-arch rehabilitation in nonagenarians remains infrequently reported and demands meticulous planning. Our team approaches such cases with humility and rigor: comprehensive assessment, clear expectations, and a conservative, evidence-informed protocol tailored to the individual.

About Dr. Anca Rusu

Specialist in Dento-Alveolar Surgery and Dental Implantology, Dr. Rusu is the founder and managing director of Dental Premier (Bucharest). Her practice focuses on complex implant therapy and full-arch rehabilitation, integrating digital planning and guided surgery with prosthetic excellence.

Considering full-arch implants?

Whether you live in Romania or abroad, our team offers remote case reviews and in-clinic consultations to determine candidacy and outline safe, personalized options.

Disclaimer: Every medical case is unique. Treatment suitability and outcomes depend on individual clinical findings, risks, and medical history. This information is educational and not a substitute for professional medical advice or diagnosis.