Immediate Prosthetic Treatment of an Edentulous Patient With “All-On-4®” Concept

Year 2016, Volume: 2 Issue: 2, 59 - 64, 01.05.2016

Alper Uyar Simel Ayyıldız Bülent Pişkin Can Durmaz

Abstract

Background: Protocols of immediate and early loading of dental implants are well documented and described. “Allon-4” technique has become an alternative option for fixed immediate rehabilitation of edentulism especially with severe bone loss. Objective: In this case report it is aimed to present full mouth immediate restoration of an edentulous patient following the concept of “All-on-4”. Case Description: After radiographs and pictures taken, a CT scan was performed and diagnostic models were prepared. Following the placement of the implants and ending the surgery, impressions were taken and dentures, fabricated before the surgical phase, were checked. These dentures were converted to screw retained prostheses in the lab and placed next day. After three months, hybrid prostheses were fabricated and screwed in place. After one-year follow-up, any problems were encountered. Practional Implication: With immediate loaded screw retained provisional dentures, patient’s esthetic and functional expectations were met in the shortest time period possible

Keywords

Immediate loading, edentulism, all-on-4

References

• Henry PJ. Clinical experiences with dental implants. Adv Dent Res 1999 Jun;13:147-52.
• Babbush CA, Kanawati A, Kotsakis GA, Hinrichs JE. Patient-Related and Financial Outcomes Analysis of Conventional Full-Arch Rehabilitation Versus the All-on-4 Concept: A Cohort Study. Imp Dent 2014; 23(2):218-224.
• Maló P, de Araşjo Nobre M, Lopes A, Francischone C, Rigolizzo M. “All-on-4” Immediate-function concept for completely edentulous maxillae: A clinical report on the medium (3 Years) and long-term (5 Years) outcomes. Clin Implant Dent Relat Res 2012;14(s1):e139-e150.
• Maló P, de Araşjo Nobre M, Lopes A, Moss SM, Molina GJ. A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up. JADA 2011;142(3):310-320.
• Agliardi E, Panigatti S, Clerico M, Villa C, Malo P. Immediate rehabilitation of the edentulous jaws with full fixed prostheses supported by four implants: interim results of a single cohort prospective study. Clin Oral Imp Res 2010;21(5):459-465.
• Balshi TJ, Wolfinger GJ, Slauch RW, Balshi SF. A retrospective analysis of 800 Brånemark system implants following the All-on-Four protocol. J Prosthodont 2014 Feb; 23(2 ): 83-88.
• Begg T, Geerts GA, Gryzagoridis J. Stress patterns around distal angled implants in the all-on-four concept configuration. Int J Oral Maxillofac Imp 2008; 24(4):663-671.
• Crespi R, Vinci R, Capparé P, Romanos GE, Gherlone E. A clinical study of edentulous patients rehabilitated according to the “All-on-Four” immediate function protocol. Int J Oral Maxillofac Imp 2011; 27(2):428-434.
• Chrcanovic BR, Albrektsson T, Wennerberg A. Immediate nonfunctional versus immediate functional loading and dental implant failure rates: A systematic review and meta-analysis. J Dent 2014; 42:1052-59.
• Lopes A, Maló P, Araşjo NM, Sanchez-Fernández E. The Nobel Guide All-on-4 treatment concept for rehabilitation of edentulous jaws: A prospective report on medium and long term outcomes. Clin Implant Dent Relat Res 2014 Sep 5. doi: 10.1111/cid.12260.