Clinical results
Real outcomes from patients treated at our Sofia clinic — smile transformations first, then documented clinical cases. Every image is published with the patient’s consent.
These photographs show clinical transformations planned and delivered by our surgical team. Results vary by anatomy, health, and treatment plan — they are examples, not guarantees.
Before & after smiles
Visual transformations of the smile — the clearest view of what full-mouth rehabilitation can look like for patients.
Full smile restoration
Missing and failing upper teeth replaced with a fixed, natural-looking prosthetic smile.
Rebuild after decay and wear
Severely decayed and worn dentition rehabilitated into a stable, functional smile.
Full-arch smile transformation
Severely worn and stained dentition rehabilitated into a bright, even fixed smile.
Documented clinical cases
Full case notes with imaging: oral status, diagnosis, plan, and outcome for complex full-arch rehabilitations.
Clinical Case #001
Full-mouth fixed implant rehabilitation
- Patient:
- Female, 65 years old
- Medical history:
- Hashimoto’s thyroiditis
Initial oral status
Maxilla: Remaining teeth 12, 11 and 21, combined with a removable partial denture. Mandible: Remaining teeth 34 and 35, completed with a removable partial denture.
Diagnosis
Chronic generalized periodontitis with severely compromised residual dentition.
Treatment plan
Extraction of the remaining teeth, followed by full-arch implant-supported rehabilitation of both jaws.
Surgical and prosthetic treatment
Extraction of the remaining teeth and placement of bicortical implants in the maxilla and mandible, followed by rehabilitation with fixed cement-retained full-arch bridges.
Final result
Full-mouth fixed implant-supported rehabilitation of the maxilla and mandible.
Treatment team: Dr. Dimitrov & Dr. Mutalibov
Before 
After 
Clinical Case #002
Full-mouth fixed implant rehabilitation
- Patient:
- Female, 57 years old
- General health:
- Good
Initial oral status
Maxilla: Remaining teeth 17, 16, 15, 14, 13, 12, 11, 21, 22, 23, 24, 25 and 27, with existing metal-ceramic restorations. Mandible: Remaining teeth 37, 36, 34, 33, 32, 31, 41, 42, 43 and 48, with existing metal-ceramic restorations.
Diagnosis
Chronic generalized periodontitis with compromised remaining dentition.
Treatment plan
Extraction of the remaining teeth followed by full-arch implant-supported rehabilitation of both jaws.
Surgical and prosthetic treatment
Extraction of the remaining teeth and placement of bicortical implants in the maxilla and mandible, followed by fixed implant-supported prosthetic rehabilitation.
Final result
Full-mouth fixed implant-supported rehabilitation of the maxilla and mandible.
Treatment team: Dr. Dimitrov & Dr. Mutalibov
Before 
After 
Clinical Case #003
Full-mouth fixed implant rehabilitation
- Patient:
- Male, 55 years old
- General health:
- Good
- Risk factor:
- Smoker
Initial oral status
Maxilla: Remaining teeth 17, 15, 14, 13, 12, 11, 21, 22 and 23. Mandible: Remaining teeth 37, 35, 34, 33, 32, 31, 41, 42, 43 and 44, with an existing metal-ceramic bridge.
Diagnosis
Chronic generalized periodontitis with compromised and fractured remaining teeth.
Treatment plan
Extraction of the remaining teeth followed by full-arch implant-supported rehabilitation of both jaws.
Surgical and prosthetic treatment
Extraction of the remaining teeth and placement of bicortical implants in the maxilla and mandible, followed by fixed implant-supported prosthetic rehabilitation.
Final treatment
Fixed full-arch implant-supported restorations of the maxilla and mandible.
Treatment team: Dr. Dimitrov & Dr. Mutalibov
Before 
After 
Clinical Case #004
Full-mouth fixed implant rehabilitation
- Patient:
- Male, 60 years old
- General health:
- Good
- Risk factor:
- Smoker
Initial oral status
Maxilla: Remaining teeth 17, 16, 15, 13, 12, 11, 21, 22, 23. Missing teeth 18, 14, 24, 25, 26, 27, 28. Mandible: Remaining teeth 36, 35, 34, 33, 32, 31, 41, 42, 43, 44. Missing teeth 38, 37, 45, 46, 47, 48.
Diagnosis
Chronic generalized periodontitis with compromised remaining dentition and partial edentulism in both jaws.
Treatment plan
Extraction of the remaining teeth followed by full-arch implant-supported rehabilitation of both jaws.
Surgical and prosthetic treatment
Extraction of the remaining teeth and placement of bicortical implants in the maxilla and mandible, followed by fixed implant-supported prosthetic rehabilitation.
Final treatment
Fixed full-arch implant-supported restorations of the maxilla and mandible.
Treatment team: Dr. Dimitrov & Dr. Mutalibov
Before 
After 
Clinical Case #005
Full-mouth fixed implant rehabilitation
- Patient:
- Female, 55 years old
- Medical history:
- Atrial fibrillation
Initial oral status
Maxilla: Remaining teeth 17, 13, 12, 11, 21, 22, 23. Missing teeth 18, 16, 15, 14, 24, 25, 26, 27, 28. Multiple compromised teeth/root remnants visible radiographically. Mandible: Remaining teeth 45, 44, 43, 42, 41, 31, 32, 33, 34, 35, 36, 37. Missing teeth 48, 47, 46, 38. Severely compromised posterior dentition with root remnants.
Diagnosis
Chronic generalized periodontitis with compromised remaining dentition, multiple root remnants and partial edentulism in both jaws.
Treatment plan
Extraction of the remaining teeth and root remnants followed by full-arch implant-supported rehabilitation of both jaws.
Surgical and prosthetic treatment
Extraction of the remaining teeth and root remnants and placement of bicortical implants in the maxilla and mandible, followed by fixed implant-supported prosthetic rehabilitation.
Final treatment
Fixed full-arch implant-supported restorations of the maxilla and mandible.
Treatment team: Dr. Dimitrov & Dr. Mutalibov
Before 
After 
Clinical Case #006
Full-mouth fixed implant rehabilitation
- Patient:
- Male, 43 years old
- General health:
- Good
- Risk factor:
- Smoker
Initial oral status
Maxilla: Remaining teeth 13, 12, 11, 21, 22. Missing teeth 18, 17, 16, 15, 14, 23, 24, 25, 26, 27, 28. Mandible: Remaining teeth 45, 42, 41, 31, 32, 33, 34. Missing teeth 48, 47, 46, 44, 43, 35, 36, 37, 38.
Diagnosis
Chronic generalized periodontitis with compromised remaining dentition and extensive partial edentulism in both jaws.
Treatment plan
Extraction of the remaining teeth followed by full-arch implant-supported rehabilitation of both jaws.
Surgical and prosthetic treatment
Extraction of the remaining teeth and placement of bicortical implants in the maxilla and mandible, followed by fixed implant-supported prosthetic rehabilitation.
Final treatment
Fixed full-arch implant-supported restorations of the maxilla and mandible.
Treatment team: Dr. Dimitrov & Dr. Mutalibov
Pre-op panoramic 
Post-op panoramic 
Clinical Case #007
Full-mouth fixed implant rehabilitation
- Patient:
- Male, 68 years old
- Medical history:
- Diabetes mellitus
- Risk factor:
- Smoker
Initial oral status
Maxilla: Remaining teeth 13, 12, 11, 21, 22. Missing teeth 18, 17, 16, 15, 14, 23, 24, 25, 26, 27, 28. Mandible: Remaining teeth 35, 34, 33, 32, 42, 43, 44, 45. Root remnants 36, 37. Missing teeth 38, 31, 41, 46, 47, 48.
Diagnosis
Chronic generalized periodontitis with compromised remaining dentition, root remnants and extensive partial edentulism in both jaws.
Treatment plan
Extraction of the remaining teeth and root remnants followed by full-arch implant-supported rehabilitation of both jaws.
Surgical and prosthetic treatment
Extraction of the remaining teeth and root remnants and placement of bicortical implants in the maxilla and mandible, followed by fixed implant-supported prosthetic rehabilitation.
Final treatment
Fixed full-arch implant-supported restorations of the maxilla and mandible.
Treatment team: Dr. Dimitrov & Dr. Mutalibov
Pre-op panoramic 
Post-op panoramic 
Clinical Case #008
Full-mouth fixed implant rehabilitation
- Patient:
- Male, 68 years old
- Medical history:
- Diabetes mellitus
- Risk factor:
- Smoker
Initial oral status
Maxilla: Remaining teeth 13, 11, 21, 22, 24, 25. Existing metal-ceramic bridge involving 13 and 11; metal-ceramic crowns on 21 and 22; metal-ceramic bridge supported by 24 and 25 with pontic replacing 23. Impacted tooth 28. Missing teeth 18, 17, 16, 15, 14, 12, 26, 27. Mandible: Remaining teeth 38, 32, 31, 41, 42, 43. Metal-ceramic crown on 38 and existing metal-ceramic bridge in the anterior region (32–43). Missing teeth 37, 36, 35, 34, 33, 44, 45, 46, 47, 48.
Diagnosis
Chronic generalized periodontitis with compromised remaining dentition and extensive partial edentulism in both jaws.
Treatment plan
Extraction of the remaining teeth and removal of the existing prosthetic restorations, followed by full-arch implant-supported rehabilitation of both jaws.
Surgical and prosthetic treatment
Extraction of the remaining teeth and placement of bicortical implants in the maxilla and mandible, followed by fixed implant-supported prosthetic rehabilitation.
Final treatment
Fixed full-arch implant-supported restorations of the maxilla and mandible.
Treatment team: Dr. Dimitrov & Dr. Mutalibov
Pre-op panoramic 
Post-op panoramic 
Clinical Case #009
Full-mouth fixed implant rehabilitation
- Patient:
- Female, 72 years old
- Medical history:
- Arterial hypertension
Initial oral status
Maxilla: Remaining teeth 15, 14, 12, 11, 21, 22, 23, 25. Missing teeth 18, 17, 16, 13, 24, 26, 27, 28. Remaining dentition restored with an existing full-arch metal-ceramic bridge. Mandible: Remaining teeth 35, 34, 33, 32, 31, 41, 42, 43, 44, 45, 47, 48. Missing teeth 38, 37, 36, 46. Remaining dentition restored with an existing metal-ceramic bridge.
Diagnosis
Chronic generalized periodontitis with compromised remaining dentition and partial edentulism in both jaws.
Treatment plan
Removal of the existing prosthetic restorations and extraction of the remaining teeth, followed by full-arch implant-supported rehabilitation of both jaws.
Surgical and prosthetic treatment
Removal of the existing metal-ceramic restorations, extraction of the remaining teeth and placement of bicortical implants in the maxilla and mandible, followed by fixed implant-supported prosthetic rehabilitation.
Final treatment
Fixed full-arch implant-supported restorations of the maxilla and mandible.
Treatment team: Dr. Dimitrov & Dr. Mutalibov
Pre-op panoramic 
Post-op panoramic 
Clinical Case #010
Full-mouth fixed implant rehabilitation
- Patient:
- Male, 72 years old
- Medical history:
- Type 2 diabetes mellitus
Initial oral status
Maxilla: Remaining teeth 16, 15, 13, 12, 11, 21, 22, 23, 24, 25, 26. Missing teeth 18, 17, 14, 27, 28. Existing metal-ceramic crowns on 16 and 15. Mandible: Remaining tooth 47. Impacted tooth 48. Missing teeth 38, 37, 36, 35, 34, 33, 32, 31, 41, 42, 43, 44, 45, 46.
Diagnosis
Chronic generalized periodontitis with compromised remaining dentition and extensive partial edentulism, particularly in the mandible.
Treatment plan
Extraction of the remaining compromised teeth, excluding the impacted 48, followed by full-arch implant-supported rehabilitation of both jaws.
Surgical and prosthetic treatment
Extraction of the remaining compromised teeth and placement of bicortical implants in the maxilla and mandible. The impacted mandibular right third molar (48) was retained and not surgically removed. Treatment was followed by fixed implant-supported prosthetic rehabilitation.
Final treatment
Fixed full-arch implant-supported restorations of the maxilla and mandible.
Treatment team: Dr. Dimitrov & Dr. Mutalibov
Pre-op panoramic 
Post-op panoramic 
Images are shown with written patient consent for educational and informational use on this website. Faces and clinical details may be identifiable; patients have agreed to this publication.
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