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All On Four Dental Implant System
1.
2. WHAT IS ALL ON FOUR????
Its revolutionary approach , which allows the
rehabilitation of totally edentulous patients with
placement of only 4 implants in each jaw
This technique was innovated by Dr paulo malo and
nobel biocare company .
3. All on four implant system
In this system 2 implants in the front of the arch and 2 in the back at an
intended angle (tilted at 45 degree) , and together these form the required
foundation to support the prosthesis, and can give you indistinguishable
from of natural teeth.
By using fewer dental implants to support the prosthesis, thus increase
versatility to design the most optimal function and aesthetics.
Importantly there is also less in the way of cleaning, which helps simplify
the hygiene and maintenance over time.
4. Advantages of this system
Two posterior implants are angled to avoid anatomical
structures interference.
Angled implant reduces
cantilevering.
Immediately Provisional
bridge can be fabricated
Teeth in a day
No ill fitting dentures any more
feel and function just like natural teeth!
5.
6. Steps in all on four implant
Pre operative—Radiographs ,Ct scans and Impressions
and discussion for treatment planning
7. Steps in all on four implant
Step 2---Removal of any remaining teeth, Placement
of 4 dental implants, 2 in front and 2 at back angled at
approximately 45 degrees to avoid compromising the
sinus cavity in the upper jaw and the nerve canal in the
jaw.
Insertion of temporary denture
8. Steps in all on four implant
Step 3--A few months later (usually 6 months), once
complete healing and integration of the dental
implants to the bone has taken place, a final complete
denture is usually custom fabricated.
This bridge typically consists of a metal framework.
This allows for a stronger system, and usually has a few
more back teeth.
9. Post-Operative Care
Soft foods in starting weeks for better healing
Habits to avoid like smoking, excessive drinking etc
Maintaining good oral hygiene habits
Continue pain medication, anti-biotics, anti-
inflammatories etc