All-on-four treatment in implantology: concept and updates

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.6045

Keywords:

Dentistry; Therapeutics; Rehabilitation.

Abstract

Introduction: Rehabilitation through the "all-on-four" treatment maximizes the use of the remaining bone available in atrophic jaws. Objectives: To analyze the concept of all-on-four treatment and its updates, based on surgical and prosthetic topics. Methodology: A review of the literature was carried out through the search for scientific articles of the last 10 years, in the Pubmed database. Data were analyzed descriptively. Results: The studies revealed a survival rate of 98.9%, implant angles ranging from 30 to 45 degrees. This technique allows maximum use of the remaining bone structure and avoids regenerative procedures to the patient and is favorable in terms of quality of life. Conclusion: The all-on-four treatment in Implantology consists of an innovative and effective technique with predictability, with a high success rate in edentulous jaws.

References

Malo, P., Rangert, B., & Nobre M. (2003) "All-on-Four" immediate-function concept with Branemark System implants for completely edentulous mandibles: a retrospective clinical study. Clin Implant Dent Relat Res. 1, 2-9.

Malo, P., Rangert, B., Nobre, M. (2003) All-on-4 immediate-function concept with Branemark System implants for completely edentulous maxillae: a 1-year retrospective clinical study. Clin Implant Dent Relat Res.7(1), S88-94.

Meloni, SM., De Riu, G., Pisano, M., Cattina, G., Tullio, A. (2010) Implant treatment software planning and guided flapless surgery with immediate provisional prosthesis delivery in the fully edentulous maxilla. A retrospective analysis of 15 consecutively treated patients. Eur J Oral Implantol. 3(3), 245-51.

Malo, P., Rangert, B., Dvarsater, L. (2000) Immediate function of Branemark implants in the esthetic zone: a retrospective clinical study with 6 months to 4 years of follow-up. Clin Implant Dent Relat Res. 2(3), 138-46.

Lopes, A., Malo, P., de Araujo Nobre, M., Sanchez-Fernandez, E., Gravito, I. (2017) The NobelGuide((R)) All-on-4((R)) Treatment Concept for Rehabilitation of Edentulous Jaws: A Retrospective Report on the 7-Years Clinical and 5-Years Radiographic Outcomes. Clin Implant Dent Relat Res. 19(2), 233-44.

Malo, P., Friberg, B., Polizzi, G., Gualini, F., Vighagen, T., Rangert, B. (2003) Immediate and early function of Branemark System implants placed in the esthetic zone: a 1-year prospective clinical multicenter study. Clin Implant Dent Relat Res. 1, 37-46.

Malo, P., de Araujo Nobre, M., Lopes, A., Francischone, C., Rigolizzo, M. (2012) "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. 14(1), 1708-8208.

Malo, P., de Araujo Nobre, M., Lopes, A., Moss, SM., Molina, GJ. (2011) A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up. J Am Dent Assoc. 142(3), 310-20.

Derks, J., Schaller, D., Hakansson, J., Wennstrom, JL., Tomasi, C., Berglundh, T. (2016) Peri-implantitis - onset and pattern of progression. J Clin Periodontol.43(4), 383-8.

Derks, J., Tomasi, C. (2015) Peri-implant health and disease. A systematic review of current epidemiology. J Clin Periodontol.42(16), 12334.

Soto-Penaloza, D., Zaragozi-Alonso, R., Penarrocha-Diago, M., Penarrocha-Diago, M. (2017) The all-on-four treatment concept: Systematic review. J Clin Exp Dent.9(3), e474-e88.

Malo, P., de Araujo Nobre, M., Moura Guedes, C., Almeida, R., Silva, A., Sereno, N., et al. (2018) Short-term report of an ongoing prospective cohort study evaluating the outcome of full-arch implant-supported fixed hybrid polyetheretherketone-acrylic resin prostheses and the All-on-Four concept. Clin Implant Dent Relat Res.20(5), 692-702.

Bhering, CL., Mesquita, MF., Kemmoku, DT., Noritomi, PY., Consani, RL., Barao, VA. (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. Mater Sci Eng C Mater Biol Appl.69, 715-25.

Patzelt, SB., Bahat, O., Reynolds, MA., Strub, JR. (2014) The all-on-four treatment concept: a systematic review. Clin Implant Dent Relat Res.16(6), 836-55.

Butura, CC., Galindo, DF., Jensen, OT. (2011) Mandibular all-on-four therapy using angled implants: a three-year clinical study of 857 implants in 219 jaws. Dent Clin North Am. 2011;55(4), 795-811.

Jensen, OT., Adams, MW., Cottam, JR., Parel, SM., Phillips, WR.. (2010) The All-on-4 shelf: maxilla. J Oral Maxillofac Surg. 68(10):2520-7.

Jensen, OT., Adams, MW., Cottam, JR., Parel, SM., Phillips, WR. (2011) The all on 4 shelf: mandible. J Oral Maxillofac Surg.69(1), 175-81.

Ferreira, EJ., Kuabara, MR., Gulinelli, JL. (2010) "All-on-four" concept and immediate loading for simultaneous rehabilitation of the atrophic maxilla and mandible with conventional and zygomatic implants. Br J Oral Maxillofac Surg. 48(3), 218-20.

Hsu, YT., Fu, JH., Al-Hezaimi, K., Wang, HL. (2012) Biomechanical implant treatment complications: a systematic review of clinical studies of implants with at least 1 year of functional loading. Int J Oral Maxillofac Implants. 27(4), 894-904.

Malo, P., de Araujo Nobre, M., Lopes, A., Ferro, A., Gravito, I. (2016) Complete Edentulous Rehabilitation Using an Immediate Function Protocol and an Implant Design Featuring a Straight Body, Anodically Oxidized Surface, and Narrow Tip with Engaging Threads Extending to the Apex of the Implant: A 5-year Retrospective Clinical Study. Int J Oral Maxillofac Implants. 31(1), 153-61.

Moraschini, V., Velloso, G., Luz, D., Barboza, EP. (2015) Implant survival rates, marginal bone level changes, and complications in full-mouth rehabilitation with flapless computer-guided surgery: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 44(7), 892-901.

Crespi, R., Vinci, R., Cappare, P., Romanos, GE., Gherlone, E. (2012) A clinical study of edentulous patients rehabilitated according to the "all on four" immediate function protocol. Int J Oral Maxillofac Implants.27(2), 428-34.

Di, P., Lin, Y., Li, JH., Luo, J., Qiu, LX., Chen, B., et al. (2013) The All-on-Four implant therapy protocol in the management of edentulous Chinese patients. Int J Prosthodont. 26(6), 509-16.

Del, Fabbro M., Ceresoli, V. (2014) The fate of marginal bone around axial vs. tilted implants: a systematic review. Eur J Oral Implantol.7(2), S171-89.

Sanz-Sanchez, I., Sanz-Martin, I., Figuero, E., Sanz, M. (2015) Clinical efficacy of immediate implant loading protocols compared to conventional loading depending on the type of the restoration: a systematic review. Clin Oral Implants Res.26(8), 964-82.

Albrektsson, T., Canullo, L., Cochran, D., De Bruyn, H. (2016) "Peri-Implantitis": A Complication of a Foreign Body or a Man-Made "Disease". Facts and Fiction. Clin Implant Dent Relat Res. 18(4), 840-9.

Lopes, A., Malo, P., de Araujo Nobre, M., Sanchez-Fernandez, E. (2015) The NobelGuide(R) All-on-4(R) Treatment Concept for Rehabilitation of Edentulous Jaws: A Prospective Report on Medium- and Long-Term Outcomes. Clin Implant Dent Relat Res.17(2), 5.

Francetti, L., Corbella, S., Taschieri, S., Cavalli, N., Del Fabbro, M. (2015) Medium- and Long-Term Complications in Full-Arch Rehabilitations Supported by Upright and Tilted Implants. Clin Implant Dent Relat Res. 17(4), 758-64.

Ventura, J., Jimenez-Castellanos, E., Romero, J., Enrile, F. (2016) Tooth Fractures in Fixed Full-Arch Implant-Supported Acrylic Resin Prostheses: A Retrospective Clinical Study. Int J Prosthodont.29(2), 161-5.

Branemark, PI., Hansson, BO., Adell, R., Breine, U., Lindstrom, J., Hallen, O., et al. (1977) Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 16, 1-132.

Adell, R., Lekholm, U., Rockler, B., Branemark, PI. (1981) A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 10(6), 387-416.

Published

01/10/2020

How to Cite

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. . All-on-four treatment in implantology: concept and updates. Research, Society and Development, [S. l.], v. 9, n. 10, p. e4079106045, 2020. DOI: 10.33448/rsd-v9i10.6045. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/6045. Acesso em: 16 nov. 2024.

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Section

Review Article