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IMPLANT DENTISTRY

 

 

All-on-4 Immediate Function

Patient requirements: Attractive prosthetic solution, Immediate Function, fixed prosthesis.

Clinical situation: Suitable for all bone quantities.


Dental implant experience: Experienced.

"All-on-4" for edentulous jaws is a treatment procedure that uses tilting posterior implants. This facilitates an optimal support for an acrylic bridge that can be fabricated and functioning within just a few hours after surgery. "All-on-4" is based on Nobel Biocare's pioneering Immediate Function™ capability.


"All-on-4" can now also be performed using NobelGuide™.

General Considerations:

• When using NobelGuide™ computer-based planning,
a CT scan using a Radiographic Guide is required.
Please refer to the NobelGuide™ Concept Manual
for details.


• Ability to achieve primary implant stability
(35–45 Ncm insertion torque).

• No severe parafunctions.

• Indicated for totally edentulous maxilla with a minimum
bone width of 5 mm and a minimum bone
height of 10 mm from canine to canine.

• Indicated for totally edentulous mandible with a minimum bone width of 5 mm and minimum bone height of 8 mm in between the mental foramina.

• The sites must be fully healed.


• To diminish the cantilever, tilt the posterior
implants to a maximum of 45°.

• If the angulation is 30° or more, it is necessary to
splint the tilted implants.

• For tilted posterior implants, plan the distal screw access holes to be located at the occlusal face of the 1st molar, 2nd pre-molar or 1st pre-molar.

• The All-on-4 treatment does not require a wider opening of the mouth than a normal straight position of the implants due to the angulation of the
posterior implants. However, as with all NobelGuide™ treatments, it is
important to compensate for the extra height needed for NobelGuide™ components and instruments.

 


ALL-ON-4™ Immediate Function Implants for edentulous patient


• Suitable for ALL bone quantities. None or very small bone graft required.
• Flapless and Painless procedure , when combining with NobelGuide™
• Simplicity and Predictability from a surgical perspective
• Well-balanced prosthetic support for an Immediate Function™ procedure
• Attractive prosthetic solution, Immediate Function & fixed prosthesis.
• Fast , fixed and cost effective

Around the world more than 300 million people are missing one or more teeth . Being edentulous is a more common handicap than many realize. Research, documented studies and a long clinical history have proven the effectiveness and long lasting results of dental implants, especially pertaining to the physical benefits of osseointegration and bone preservation.

ALL-ON-4™ implant solution has been developed to maximize the use of available bone and allow Immediate Function™. It changes what has become "traditional" thinking with regard to immediate loading for the edentulous patient.

The concept has near universal application, with a simplified approach to the entry-level fixed restoration that has the potential to make this treatment affordable for an even greater segment of our population. Nobel Biocare is the first company with FDA clearance for Immediate Function™ on our implant systems for all indications. The procedure is clinically documented by several independent studies, covering all oral regions, showing high success rates. The single most important factor for the success is the unique TiUnite™ implant surface


"All-on-4™" for edentulous jaws is a treatment procedure that uses tilting posterior implants. This facilitates an optimal support for an acrylic bridge that can be fabricated and functioning within just a few hours after surgery.

The All-on-4™ clinical solution has been developed to maximize the use of available bone and to allow for Immediate Function™. Individual Procera® Crowns in Alumina or Zirconia cemented to a Procera®Implant Bridge framework for excellent esthetics and strength.


Is this treatment available in many dental clinics?

NO. This "immediate loading" of dental implants with All on 4 concept is a relatively advanced concept in dental care. Only some clinics around the world can do this service, as they require very experienced dental specialists and dental lab technicians , who have advanced training in implant dentistry, immediate implant placement and implant prosthodontics.

To be accomplished, it requires skilled experienced professionals who work with each individual's highly customized treatment plan. The equipment is technologically sophisticated, the materials are intricate and valuable, and all of this is subject to meticulous sterile detail.

Providing our patients with immediate function is really NOT new for All Day All Night Dental. Convinced that proper placement of the implants and meticulous engineering of the prosthesis could allow our patients to smile and chew while they healed. In the space of 3 days after implant surgery, all Bangkok Smile clients had a beautiful new smile!


Is the procedure expensive?

Dental implant treatment by its very nature is a big investment. To be accomplished, it requires skilled experienced professionals who work with each individual's highly customized treatment plan. The equipment is technologically sophisticated, the materials are intricate and valuable, and all of this is subject to meticulous sterile detail.

Still, All on 4 can be less costly than more traditional dental implant treatment. This is because it significantly reduces the time commitment for both the patient and the doctor. Most patients who prioritize their smile and opt for dental implant treatment regard the cost as a worthwhile lifetime investment.

Unlike the rest of the human body, the virtual "youth" of the mouth can be preserved right up through the age of one hundred. The concept of eating well for all of one's lifetime while sporting a timeless smile spurs many to "bite" from the Fountain of Youth.

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