Rehabilitation with implants in atrophic maxilla through guided surgery using the “All-on-four” technique

Authors

DOI:

https://doi.org/10.33448/rsd-v12i5.41725

Keywords:

Dental implants; Buccal rehabilitation; Dental prosthesis design.

Abstract

Currently there are several options for oral rehabilitation in edentulous patients. An option already validated in the literature by several studies and which has been an alternative to the use of these grafts for oral rehabilitation is the total implant-supported rehabilitation protocol called All-on-four. This technique, initially published in 2003, has been proving to be a favorable option over the last two decades, as it is a fast and safe technique for complete dentate patients. The aim of this study was to present a literature review and a clinical case report of a patient with an atrophic maxilla, using the All-on-four protocol and rehabilitating with an implant-supported prosthesis. For this study, articles were searched in the PUBMED, Lilacs and Scielo databases. Articles were searched with the terms dental implants, oral rehabilitation, dental prosthesis planning and All-on-four protocol, in Portuguese and/or English. 34 articles published between 2003 and 2021 were selected. In addition, a clinical case was reported where this type of technique was chosen for rehabilitation. The All-on-four protocol has been advancing in the clinical and research areas, showing excellent success rates, numerous advantages and a high rate of acceptance by patients. The present clinical case pointed to a protocol for rapid execution, and with success in terms of aesthetics and function. It is concluded that this technique is a viable method especially for edentulous mandibles. Within the limits of this case report, it can be concluded that the All-on-four technique can be considered an alternative to rehabilitation with implants.

References

Aguiar, M. G. L., de Mello Fiallos, A. C., Valadas, L. A. R., & de Negreiros, W. A. síndrome da combinação: aspectos clínicos de importância para o odontólogo–uma revisão da literatura. Revista da Faculdade de Odontologia de Lins, 25(2): 56-66.

Babbush, C. A., Kanawati, A., & Brokloff, J. (2013). A new approach to the All-on-Four treatment concept using narrow platform NobelActive implants. Journal of Oral Implantology, 39(3): 314-325.

Balshi, Thomas J., et al. "A retrospective analysis of 800 Brånemark System implants following the All‐on‐Four™ protocol." Journal of Prosthodontics on Dental Implants (2015): 114-120.

Barbieri, C. H., & Rapoport, A. (2009). Evaluation of the quality of life of patients rehabilitated with implant-muco-suppoted prosthesis and total conventional prosthesis. Revista Brasileira de Cirurgia da Cabeça e Pescoço, 38(2): 84-87.

Bhering, C. L. B., Mesquita, M. F., Kemmoku, D. T., Noritomi, P. Y., Consani, R. L. X., & Barão, V. A. R. (2016). Comparison between all-on-four and all-on-six treatment concepts and framework material on stress distribution in atrophic maxilla: A prototyping guided 3D-FEA study. Materials Science and Engineering: C, 69(1):715-725.

Block, M. S., Haggerty, C. J., & Fisher, G. R. (2009). Nongrafting implant options for restoration of the edentulous maxilla. Journal of oral and maxillofacial surgery, 67(4): 872-881.

Butura, C. C., Galindo, D. F., Cottam, J., Adams, M., & Jensen, O. (2011). Hourglass mandibular anatomic variant incidence and treatment considerations for all-on-four implant therapy: report of 10 cases. Journal of oral and maxillofacial surgery, 69(8): 2135-2143.

Campos, A. L. (2010). Fundamentação dos implantes osseointegrados no tratamento e prevenção da síndrome da combinação. Innovations Implant Journal: 5(2), 60-64.

Cattoni, F., Chirico, L., Merlone, A., Manacorda, M., Vinci, R., & Gherlone, E. F. (2021). Digital smile designed computer-aided surgery versus traditional workflow in “all on four” rehabilitations: a randomized clinical trial with 4-years follow-up. International Journal of Environmental Research and Public Health, 18(7): 3449.

Chaves, S. C. L., Aguiar, M. R. S., de Souza Lima, A. M. F., Santos, C. T. B., de Santana, S. F., de Barros, S. G., ... & Soares, C. L. M. (2022). The dental equipment industry in Brazil: origin, structure, and transformations of the space of the dominant companies. Research, Society and Development, 11(3), e53911326812-e53911326812.

Costa, B. E., Bueno, C. R., Momesso, N. R., Duarte, G. L. C., Junior, P. D. R., & Lopes, M. H. (2022). Management for the rehabilitation of atrophic mandible fracture: case using a conservative approach and short implants. Research, Society and Development, 11(4), e4611424249-e4611424249.

Crespi, R., Vinci, R., Capparé, P., Romanos, G. E., & Gherlone, E. (2012). A clinical study of edentulous patients rehabilitated according to the" all on four" immediate function protocol. International Journal of Oral & Maxillofacial Implants, 27(2): 428-434.

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Fardin, A. C., Jardim, E. C. G., Pereira, F. C., Guskuma, M. H., Aranega, A. M., & Garcia Júnior, I. R. (2010). Bone graft in dentistry: review of literature. Innovations Implant Journal, 5(3): 48-52.

Faverani, L. P., Ferreira, G. R., Jardim, E. C. G., Okamoto, R., Shinohara, E. H., Assunção, W. G., & Junior Garcia, I. R. (2011). Implantes osseointegrados: evolução sucesso. Salusvita, 30(1): 47-58.

Francetti, L., Romeo, D., Corbella, S., Taschieri, S., & Del Fabbro, M. (2012). Bone level changes around axial and tilted implants in full‐arch fixed immediate restorations. Interim results of a prospective study. Clinical implant dentistry and related research, 14(5): 646-654.

Jensen, O., Cottam, J., Adams, M., & Adams, S. (2011). Buccal to lingual transalveolar implant placement for all on four immediate function in posterior mandible: report of 10 cases. Journal of Oral and Maxillofacial Surgery, 69(7): 1919-1922.

Kim, K. S., Kim, Y. L., Bae, J. M., & Cho, H. W. (2011). Biomechanical comparison of axial and tilted implants for mandibular full-arch fixed prostheses. International Journal of Oral & Maxillofacial Implants, 26(5): 976-84.

Lioubavina‐Hack, N., Lang, N. P., & Karring, T. (2006). Significance of primary stability for osseointegration of dental implants. Clinical Oral Implants Research, 17(3): 244-250.

Lotif, M. A. L., Marques, L. A. R. V., Rodrigues Neto, E. M., & Dantas, T. S. (2018). O uso do plasma rico em plaquetas para correção de defeitos ósseos maxilares em Implantodontia. Full Dent. Sci: 62-67.

Malhotra, A. O., Padmanabhan, T. V., Mohamed, K., Natarajan, S., & Elavia, U. (2012). Load transfer in tilted implants with varying cantilever lengths in an all‐on‐four situation. Australian Dental Journal, 57(4): 440-445.

Maló, P., Rangert, B., & Nobre, M. (2003). “All‐on‐Four” immediate‐function concept with Brånemark System® implants for completely edentulous mandibles: a retrospective clinical study. Clinical Implant Dentistry and Related Research, 5(1): 2-9.

Malo, P., de Araújo Nobre, M., Lopes, A., Moss, S. M., & Molina, G. J. (2011). A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up. The Journal of the American Dental Association, 142(3): 310-320.

Malo, P., Nobre, M. D. A., & Lopes, A. (2012). Immediate rehabilitation of completely edentulous arches with a four-implant prosthesis concept in difficult conditions: an open cohort study with a mean follow-up of 2 years. International Journal of Oral & Maxillofacial Implants, 27(5): 1177-1190.

Marques, L. A. R. V., da Costa Júnior, E. A., Lotif, M. A. L., Neto, E. M. R., da Silva, F. F. C., & de Queiroz Martiniano, C. R. (2015). Application of BMP-2 for bone graft in Dentistry. RSBO Revista Sul-Brasileira de Odontologia, 12(1): 88-93.

Naconecy, M. M., Geremia, T., Cervieri, A., Teixeira, E. R., & Shinkai, R. S. (2010). Effect of the number of abutments on biomechanics of Branemark prosthesis with straight and tilted distal implants. Journal of Applied Oral Science, 18(1): 178-185.

Patzelt, S. B., Bahat, O., Reynolds, M. A., & Strub, J. R. (2014). The all‐on‐four treatment concept: a systematic review. Clinical Implant Dentistry and Related Research, 16(6): 836-855.

Penarrocha-Diago, M., Penarrocha-Diago, M., Zaragozí-Alonso, R., & Soto-Penaloza, D. (2017). Consensus statements and clinical recommendations on treatment indications, surgical procedures, prosthetic protocols and complications following All-On-4 standard treatment. 9th Mozo-Grau Ticare Conference in Quintanilla, Spain. Journal of Clinical and Experimental Dentistry, 9(5): e712.

Pomares, C. (2009). A retrospective clinical study of edentulous patients rehabilitated according to the'all on four'or the'all on six'immediate function concept. European Journal of Oral Implantology, 2(1): 55-60.

Serag, M., Ismail, H., & Zichella, J. (2021). Correction of a Class III Malocclusion with All-on-4 Concept Implant Supported Full Mouth Rehabilitation. Journal of Oral Implantology, 47(6): 525-528.

Siadat, H., Rokn, A., & Beyabanaki, E. (2018). Full Arch All-on-4 Fixed Implant-Supported Prostheses with 8.5 Years of Follow-Up: A Case Report. Journal of Dentistry (Tehran, Iran), 15(4): 259.

Soni, R., Yadav, H., Pathak, A., Bhatnagar, A., & Kumar, V. (2020). Comparative evaluation of biting force and chewing efficiency of all-on-four treatment concept with other treatment modalities in completely edentulous individuals. The Journal of the Indian Prosthodontic Society, 20(3): 312.

Soto-Peñaloza, D., Zaragozí-Alonso, R., Peñarrocha-Diago, M., & Peñarrocha-Diago, M. (2017). The all-on-four treatment concept: Systematic review. Journal of Clinical and Experimental Dentistry, 9(3): e474.

Spazzin, A. O., Alfredo, E., Federizzi, L., Schuh, C., & Alessandretti, R. (2015). Reabilitação oral utilizando diferentes possibilidades em prótese dentária: conceito “all-on-four” e cerâmicas termo-prensadas, Prosthes. La. Sci, 4(16): 302-313.

Tallarico, M., Canullo, L., Pisano, M., Peñarrocha-Oltra, D., Peñarrocha-Diago, M., & Meloni, S. M. (2016). An up to 7-year retrospective analysis of biologic and technical complication with the All-on-4 concept. Journal of Oral Implantology, 42(3):265-271.

Taruna, M., Chittaranjan, B., Sudheer, N., Tella, S., & Abusaad, M. D. (2014). Prosthodontic perspective to all-on-4® concept for dental implants. Journal of clinical and diagnostic research: JCDR, 8(10): 6-19.

Weinstein, R., Agliardi, E., Fabbro, M. D., Romeo, D., & Francetti, L. (2012). Immediate rehabilitation of the extremely atrophic mandible with fixed full‐prosthesis supported by four implants. Clinical Implant Dentistry and Related Research, 14(3): 434-441.

Published

28/05/2023

How to Cite

MOREIRA, T. C. A.; COSTA, S. O. .; SILVA JUNIOR , E. V. da .; QUIDUTE, L. T. C. .; CRAVINHOS, J. C. de P. .; FIRMIANO, C. S. C. .; VALENTE , V. da S. . Rehabilitation with implants in atrophic maxilla through guided surgery using the “All-on-four” technique. Research, Society and Development, [S. l.], v. 12, n. 5, p. e27512541725, 2023. DOI: 10.33448/rsd-v12i5.41725. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41725. Acesso em: 14 nov. 2024.

Issue

Section

Health Sciences