Rehabilitation of atrophic maxilla using the all-on-four technique: A narrative literature review
DOI:
https://doi.org/10.33448/rsd-v13i7.46270Keywords:
Maxilla; Dental implants; Immediate dental implant loading.Abstract
The rehabilitation of atrophic maxillas is a challenge in dentistry due to the anatomical complexity and the need for durable restorations. The All-on-Four technique, developed by Dr. Paulo Malo, is an innovative approach that uses four strategically placed dental implants to support a complete fixed prosthesis, maximizing the use of available bone and minimizing bone grafts. Studies show high success rates and patient satisfaction, improving masticatory function and quality of life, as well as offering economic advantages and lower postoperative morbidity. Despite positive results, the technique faces challenges such as bone density assessment, patient selection, implant longevity, and peri-implant health maintenance. Thus, this narrative literature review aims to analyze publications regarding the rehabilitation of atrophic maxillas using the All-on-Four technique.
References
Aalam, A. A., Krivitsky-Aalam, A., Kurtzman, G. M., & Mahesh, L. (2023). The severely atrophic maxilla: Decision making with zygomatic and pterygoid dental implants. Journal of oral biology and craniofacial research, 13(2), 202–206.
Abu Alfaraj, T., Al-Madani, S., Alqahtani, N. S., Almohammadi, A. A., Alqahtani, A. M., AlQabbani, H. S., Bajunaid, M. K., Alharthy, B. A., & Aljalfan, N. (2023). Optimizing Osseointegration in Dental Implantology: A Cross-Disciplinary Review of Current and Emerging Strategies. Cureus, 15(10), e47943.
Al-Johany, S. S., Al Amri, M. D., Alsaeed, S., & Alalola, B. (2017). Dental Implant Length and Diameter: A Proposed Classification Scheme. Journal of prosthodontics : official journal of the American College of Prosthodontists, 26(3), 252–260.
Aparicio, C., Manresa, C., Francisco, K., Claros, P., Alández, J., González-Martín, O., & Albrektsson, T. (2014). Zygomatic implants: indications, techniques and outcomes, and the zygomatic success code. Periodontology 2000, 66(1), 41–58.
Chan, M. H., & Holmes, C. (2015). Contemporary "All-on-4" concept. Dental clinics of North America, 59(2), 421–470.
Chan, M. H., & Nudell, Y. A. (2021). All-on-4 Concept Update. Dental clinics of North America, 65(1), 211–227.
Dubey, R. K., Gupta, D. K., & Singh, A. K. (2013). Dental implant survival in diabetic patients; review and recommendations. National journal of maxillofacial surgery, 4(2), 142–150.
Freitas, D. F. de, Freire, J. C. P., Melo, W. O. de S., Figueirêdo Júnior, E. C., Costa, B. P., Formiga Filho, A. L. N., Lima, S. A. N. de, Pereira, J. V., & Ribeiro, E. D. (2020). All-on-four treatment in implantology: concept and updates. Research, Society and Development, 9(10), e4079106045.
Kämmerer, P. W., Fan, S., Aparicio, C., Bedrossian, E., Davó, R., Morton, D., Raghoebar, G. M., Zarrine, S., & Al-Nawas, B. (2023). Evaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review. International journal of implant dentistry, 9(1), 11.
Liaw, K., Delfini, R. H., & Abrahams, J. J. (2015). Dental Implant Complications. Seminars in ultrasound, CT, and MR, 36(5), 427–433.
Liu, Z., Liu, X., & Ramakrishna, S. (2021). Surface engineering of biomaterials in orthopedic and dental implants: Strategies to improve osteointegration, bacteriostatic and bactericidal activities. Biotechnology journal, 16(7), e2000116.
Martins, A. F., Cézar, I. E. S., Soares, L. P., & Barbosa, M. L. G. (2024). Evaluation of the mandibular canal in stereolithographic biomedical prototypes. Research, Society and Development, 13(1), e4113144735.
Miyasawa, E. M., Macêdo, F. C. de, Valenga Filho, J., Trojan, L. C., Klüppel, L. E., & Padovan, L. E. M. (2022). Biomechanical comparison of four treatment models for the totally edentulous maxilla: a finite element analysis. Research, Society and Development, 11(10), e135111032509.
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. (2023). Rehabilitation with implants in atrophic maxilla through guided surgery using the “All-on-four” technique. Research, Society and Development, 12(5), e27512541725.
Ozkan, A., Çakır, D. A., Tezel, H., Sanajou, S., Yirun, A., Baydar, T., & Erkekoglu, P. (2023). Dental Implants and Implant Coatings: A Focus on Their Toxicity and Safety. Journal of environmental pathology, toxicology and oncology : official organ of the International Society for Environmental Toxicology and Cancer, 42(2), 31–48.
Penarrocha-Diago, M., Penarrocha-Diago, M., Zaragozí-Alonso, R., Soto-Penaloza, D., & On Behalf Of The Ticare Consensus, M. (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–e715.
Rosenstein, J., & Dym, H. (2020). Zygomatic Implants: A Solution for the Atrophic Maxilla. Dental clinics of North America, 64(2), 401–409.
Rother, E. T. (2007). Revisão sistemática x revisão narrativa. Acta Paul. Enferm, 20(2).
Sotova, C., Yanushevich, O., Kriheli, N., Grigoriev, S., Evdokimov, V., Kramar, O., Nozdrina, M., Peretyagin, N., Undritsova, N., Popelyshkin, E., & Peretyagin, P. (2023). Dental Implants: Modern Materials and Methods of Their Surface Modification. Materials (Basel, Switzerland), 16(23), 7383.
Taruna, M., Chittaranjan, B., Sudheer, N., Tella, S., & Abusaad, M. (2014). Prosthodontic perspective to all-on-4® concept for dental implants. Journal of clinical and diagnostic research : JCDR, 8(10), ZE16–ZE19.
Yang, B. C., Zhou, X. D., Yu, H. Y., Wu, Y., Bao, C. Y., Man, Y., Cheng, L., & Sun, Y. (2019). Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology, 37(2), 124–129.
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