
Dr. K Sharada Reddy, Author
Senior Dentist & Full Mouth Rehabilitation Expert
Fixed teeth solution without bone graft
The Permanent Fixed Teeth Solution has transformed the lives of thousands of people providing missing teeth solution, alternative to loose dentures and avoid repeated dental procedures. Unlike removable dentures that need daily removal, adhesives, and often cause discomfort, permanent fixed teeth are supported by dental implants that remain in the mouth 24/7. They look, feel, and function like natural teeth, allowing patients to eat comfortably, speak clearly, and smile confidently. Importantly, they also slow down further bone loss by transmitting chewing forces directly to the jawbone. With the advanced CPBCCI Protocol (Crestal Polished Bicortical Conventional Implants), patients can now receive permanent fixed teeth in 7 days, even in cases where they were told that they have “no bone for implants,” and without the need for bone grafts before implants or sinus lifts.
Modes of Treatment
There are several approaches to permanent teeth replacement, depending on the amount of bone available and the complexity of the case.

The CPBCCI Protocol is the most advanced and widely preferred method. It involves placing conventional two-piece dental implants with bicortical anchorage, which means the implants are anchored into dense, strong bone areas such as the nasal floor, pterygoid plates, or Zygomatic buttress. This provides excellent stability and allows for immediate loading dental implants, so patients can receive a full set of permanent fixed teeth in 7 days. In severe bone loss cases, pterygoid implants or zygomatic implants (Quad Zygoma technique) can be added for additional support, avoiding the need for bone grafting.
Another method is the All-on-4 dental implants, where 4 tilted implants are placed in each arch to support a fixed bridge. While this is cost-effective and faster, in cases of severe bone loss it may result in long cantilevers, which increase stress on implants and affect long-term stability.

A third option is the two-stage implant protocol with bone grafts or sinus lifts, where bone is first built up using grafting procedures and implants are placed after several months of healing. This traditional approach involves more surgeries, higher cost, and longer treatment time.

Some clinics also use basal implants (monobloc one-piece systems), which are placed in cortical bone and allow immediate loading implants without bone grafting. While they work in very resorbed jaws, they are difficult to restore or replace if something fails, and are therefore less preferred compared to retrievable conventional implants used in CPBCCI.
How the 7-Day CPBCCI Protocol Works
The 7-Day Permanent Teeth Protocol is simple, predictable, and minimally invasive. On Day 1, a CBCT scan and digital records are taken, followed by smile design and treatment planning. On Day 2, the implants are placed through a flapless keyhole dental implants, which ensures faster healing and minimal pain or swelling. Over the next few days, bite checks and trial frameworks are done to ensure proper fit and aesthetics. By Day 6 or 7, patients receive a screw-retained fixed bridge made of solid Zirconia or Zirconia with titanium framework, known for its durability, strength, and natural appearance. Patients can immediately chew, smile, and function normal

Quick comparison at a glance
Mode | Surgery time & grafts | Speed to teeth | Serviceability | Longevity drivers |
---|---|---|---|---|
CPBCCI graftless (with pterygoid/zygoma as needed) | Minimal; usually no grafts | ~7 days | Excellent (two-piece, screw retained) | Bicortical anchorage, posterior support, cross-arch stabilization. |
All-on-4 (no pterygoids) | Minimal; no grafts | Delayed | Good | May have longer cantilevers in atrophic jaws |
Two-stage with grafts | More surgeries, grafts | Months | Good | Rebuilt bone; longer timeline/cost |
Basal/monobloc cortical | Minimal; no grafts | Fast | Limited vs two-piece | Harder revisions; select centers only |
What Ensures Longevity of Permanent Fixed Teeth?
The success and longevity of full mouth dental implants depend on a few critical factors. Firstly, engineering principles like cross-arch splinting, adequate number of implants, and no cantilever design ensure even load distribution. Secondly, bicortical anchorage and the use of pterygoid implants in the posterior most segment of the upper arch being the upper third molars for maximum torque and stability or Zygomatic implants in very highly resorbed upper jaw cases, when needed give strong posterior support and eliminate the need for bone grafts. Thirdly, prosthetic materials matter, monolithic Zirconia or Zirconia on titanium frameworks provide unmatched strength and esthetics, whereas hybrid acrylic may wear out faster. In addition, achieving proper primary stability during surgery, controlling bite forces, providing a night-guard for patients who grind teeth, and shaping the prosthesis for easy cleaning all play an important role. Finally, regular maintenance ensure the implants remain healthy for decades, and in many cases, for a lifetime.
Who Can Benefit from Permanent Fixed Teeth?
The fixed teeth implants solution is ideal for patients who have lost multiple or all teeth, people seeking solution for loose dentures who want to fix loose dentures permanently for comfort and stability, those who were told they have “no bone” for implants, and even elderly or diabetic patients who require a quick, safe, and predictable treatment. With the CPBCCI protocol, full mouth dental implants in India are now possible for almost everyone, regardless of age or bone condition.
Cost Benefits and Dental Tourism in India
One of the major reasons why many patients from the USA, UK, Australia, and the Middle East travel to India for dental treatment is the affordable dental tourism. Patients save up to 70% on full mouth implants, permanent zirconia teeth, and smile makeovers compared to their home countries. Clinics like LBR Dental & Implant Center, best clinic for Zygomatic Implants, Hyderabad, under the leadership of Dr. K.A. Reddy, top Zygomatic implantologist in India are internationally recognized for successfully treating even the most complicated cases, including those rejected elsewhere due to lack of bone or high treatment costs.
Technology and Materials Used
Modern dental implantology in India uses FDA-approved conventional dental implants that integrate naturally with the bone, ensuring long-term stability. The prosthesis is usually made of solid Zirconia, which is durable, biocompatible, and highly aesthetic. Unlike basal implants, the CPBCCI implants are retrievable, which means they can be repaired, restored, or replaced easily if required, giving patients long-term security and peace of mind.
Conclusion
The Permanent Fixed Teeth Solution is truly a life-changing treatment for people suffering from missing teeth, loose dentures, or severe bone loss. With the CPBCCI implant protocol, patients can now get permanent fixed teeth in just 7 days, implants without bone grafts, sinus lifts, or painful surgeries. The use of advanced technology, solid Zirconia prosthesis, and affordable dental tourism in India has made world-class smile restoration accessible to patients from all over the world. Choosing the right clinic and protocol not only brings back your smile and confidence but also ensures a solution that is predictable, safe, and lasts for a lifetime.
Frequently Asked Questions
The permanent fixed teeth solution is an advanced dental implant treatment where missing teeth are replaced with a fixed set of teeth supported by implants. Using the CPBCCI protocol, patients can get full mouth dental implants in 7 days, without the need for bone grafts or multiple surgeries. It is suitable even for patients with severe bone loss who were previously told they are not candidates for implants.
No. The procedure uses flapless, keyhole dental implant surgery, which is minimally invasive. Most patients experience very little discomfort, much less than with traditional surgeries. Healing is faster, there is minimal swelling, and most people return to normal routine activities within a few days.
Yes. This is where the CPBCCI protocol is revolutionary. By engaging the second layer of bone (bicortical anchorage) and using special implants such as pterygoid implants and Zygomatic implants, it is possible to provide permanent fixed teeth even in extreme bone loss cases.
The 7-day implant protocol allows patients to complete full mouth rehabilitation within one week. This includes implant placement, followed by required trials, bite adjustments, and delivery of a permanent solid Zirconia bridge.
With proper oral hygiene, regular follow-ups, and maintenance, permanent fixed teeth can last a lifetime. Since they are made with FDA-approved implants and high-quality Zirconia prosthesis, they provide excellent strength, durability, and stability for decades.
Yes, full mouth restoration with permanent fixed teeth is absolutely suitable for elderly, diabetic patients and also individuals who smoke, especially when done using the CPBCCI protocol (Crestal Polished Bicortical Conventional Implants). This innovative treatment eliminates the need for bone grafts, sinus lifts, or complex surgeries, making it safe and predictable even for medically compromised individuals. The implants used in this protocol are uniquely designed with a polished collar, which prevents plaque accumulation and protects the gums from infection-crucial for diabetic patients. The rough-surfaced implant body promotes faster and stronger bone integration, allowing for immediate loading of fixed teeth, even in cases with no bone or poor bone quality. These implants are placed using keyhole surgery, a minimally invasive technique that results in less pain, minimal bleeding, and faster recovery. The bicortical anchorage offers exceptional primary stability, enabling patients to receive permanent fixed teeth in a few days. For elderly patients and those with diabetes, this treatment provides a long-term, reliable, and comfortable alternative to loose dentures, restoring full chewing function, natural smile aesthetics, and improving overall quality of life, truly a lifetime solution.
By traveling to India, patients can save up to 70% on dental implant treatments, full mouth rehabilitation, and zirconia crowns, compared to the USA, UK, or Australia. Clinics like LBR Dental & Implant Center considered as the best dental implant clinic in India, known worldwide for providing affordable, world-class dental implant treatments.
Absolutely. Once the permanent fixed teeth are in place, patients can chew comfortably, eat all types of food, and enjoy normal function just like natural teeth. There is no risk of slipping or discomfort as seen with removable dentures.
Yes. The CPBCCI implants used for permanent fixed teeth are retrievable, restorable, and naturally integrate with bone, which ensures long-term success. Basal implants, while immediate, are one-piece designs that are difficult to remove or replace in case of failure.
LBR Dental & Implant Center, under the leadership of Dr. K.A. Reddy, best implant dentist in India, is one of the most trusted implant clinics in India. The clinic has restored smiles for thousands of patients from across the globe, handling even complex “no bone” cases successfully with the permanent fixed teeth in 7 days protocol. Patients choose LBR Dental for its experience, advanced technology, affordable treatment, and internationally recognized expertise.