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The "All-on-Four" concept is based on the placement of four implants in the anterior part of fully edentulous jaws to support a provisional, fixed, and immediately loaded full-arch prosthesis. Combining tilted and straight implants for supporting fixed prostheses can be considered a viable treatment modality resulting in a more simple and.
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The superior and inferior limits of bone reduction are the occlusal plane and anatomical structures. The vertical dimension of occlusion can be altered within esthetic and functional parameters.. Lopes A, Ferro A, Botto J. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: a longitudinal study with.
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The term All-on-4, also known as All‐on‐Four and All‐in‐Four, refers to 'all' teeth being supported 'on four' dental implants, a prosthodontics procedure for total rehabilitation of the edentulous (toothless) patient, or for patients with badly broken down teeth, decayed teeth, or compromised teeth due to gum disease. It.
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This approach is also excellent to use without inferior border perforation if somewhat greater bone mass is available. The V-4 technique is biomechanically favorable in 3 ways: 1) mandibular continuity preservation; 2) a greater length of implants; and 3) the V-shape is very stable biomechanically.
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Immediate-function implants have become an accepted alternative for fixed restoration protocols in edentulous mandibles on the basis of documented high success rates. The All-on-4 concept (Nobel Biocare, Göteborg, Sweden), a surgical and prosthetic protocol for immediate function involving the use of four implants to support a fixed prosthesis in patients with completely edentulous mandibles.
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Se ilustra una cirugía bajo el protocolo All on Four, además de la adquisición digital de la posición de los implantes mediante fotogrametría Icam4D, y entre.
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Advantages of the All-on-4® treatment concept. With adequate implant design, implant surface and drill protocol, also depending on the bone quality, a sufficient primary stability can be achieved. This is a basic requirement for the immediate loading. Treatment time is reduced to one surgical intervention. The patient receives a restored.
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Enhanced Appearance and Confidence. All-on-4 dentures can be designed to look like natural teeth, significantly improving a patient's facial appearance and boosting self-confidence. Patients can smile, eat, and speak confidently, knowing their teeth are secure and stable. Preserved Jawbone and Oral Health.
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Utilization of the "All-on-4" concept has overcome these anatomic restrictions by allowing placement of 2 vertical and 2 angled implants in the premaxilla and anterior mandible. This technique has enabled immediate placement of full arch fixed restoration at the time of implant surgery if sufficient torque is achieved.. Inferior alveolar.
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The All-on-4 ® method uses four implants-two placed axially in the anterior incisor region and two placed in the posterior and angled distally up to 45 o. Tilting the posterior implants avoids interference with anatomical structures such as maxillary sinuses and inferior alveolar nerve, allows for maximum anterior/posterior spread, and.
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Presurgical cross-sectional CBCT scan slice of an All-on-4-style dental implant patient with crestal location of the inferior alveolar nerve (yellow crosshairs on nerve) secondary to bone resorption.
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In the all-on-4 technique, tilting the posterior im-plant increases the length in the bone by 50%.31 If anterior implants are also tilted 30°, this same figure also applies. By tilting all 4 implants toward the mid-line in a V formation, 5-mm vertical bone can house 10-mm-length implants if the implants are allowed to
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The creation of the All on 4 shelf in the mandible is a necessary precursor to implant placement for All on 4 delivery and provides a number of advantages for implant placement (Fig 9A,B). Placement schemes without bone reduction may need to rely on axial placement, guided bone regeneration, nerve lateralization, and possibly increased number.
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With the All-on-4™, only the 10- to 12-unit prosthesis is delivered over the four implants, and often patients request the addition of more posterior teeth to maximize chewing efficiency and improve the overall maxillofacial prosthesis. 5.. Perforation through the inferior or anterior wall of the sinus. It can be avoided by proper.
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All-on-4 implants are a dental implant treatment created by Nobel Biocare. A type of ClearChoice implant, this surgical procedure replaces a full arch of upper or lower teeth with a new set of fixed prosthetic teeth.. These arches, or implant bridges, are attached to the upper or lower jawbone with four dental implants, tiny metal screws that replace the original tooth roots.
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The All-on-four concept offers various advantages. The first main benefit of this concept is that it allows a fixed rehabilitation of edentulous patients without bone grafting or advanced augmentation procedures even in severely resorbed ridges that are close to anatomical structures in both the maxilla and the mandible such as the maxillary sinus and inferior alveolar nerve, respectively [].
