Toothless jaw is an old problem in prosthetic dentistry. Only implants gave the ability to change patient satisfaction in this difficult indication. Increased life expectancy has contributed to the percentage and number of toothless patients in the world. In addition, patients are demanding rapid transition from soon to be toothless mouths to the fixed rehabilitated mouths. Although immediate loading is an old technique in literature, that was not evidence based. All on 4 techniques, which has been developed by Dr. Malo is clinically proven.
In upper and lower jaws, a support by 4 strategically inserted implants, will create a fixed restauration. The tilted implants in posterior regions can be loaded immediately due to the rigid fixation of all the implants. In this lecture, the main rules of All on 4 technique will be summarized and afterwards different cases will be presented.
Special attention will be given to immediate fixed bridges made from acrylic, to clarify the most questionable part of the treatment. Additionally, different techniques with or without surgical guides will be discussed during the lecture. Finally, the advantages of this method will be summarized and take home message for practitioners’ usage will be presented.
1. Difficulties of implant therapy in edentulous jaws.
2. Basics of immediate loading.
3. Localisation and angulations of implants.
4. Types of impression techniques and superstructures.