Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
All-On-Four Implant Protocol - Fad or Phenomena

Description:
The All-on-Four protocol uses fewer implants, generally four or five, that are placed at mechanical inclinations to maximize support in the fabrication of fixed implant supported prosthetics in fully edentulous patients. The use of angled implant placement allows the clinician to avoid encroachment of anatomic structures such as the sinus, nasal floor or mandibular canal that may make vertical placement difficult or impossible without significant grafting of deficient sites. This webinar with Dr. George Duello and Dr. Maurice Salma will discuss the various treatment options available today for this patient segment and emphasize when and where the All-On-Four protocol can be successfully utilized to eliminate the need for costly augmentation procedures and months of healing time.

Date Added:
8/30/2011

Author(s):

George V. Duello, DDS, MS George V. Duello, DDS, MS
George V. Duello, DDS, MS has been in private practice in St. Louis since 1983 after serving as Chief of Periodontics, MacDill AFB, Tampa, Florida. Dr. Duello was born in St....
[read more]


Featured Products
Nobel Biocare USA, Inc.
All-on-4® treatment concept




Online Videos / Surgery / Implant / All-On-Four Implant Protocol - Fad or Phenomena




Questions & Comments
mladen petranović - (2/7/2012 2:02 PM)

That is it, simple, and clear !

George Duello - (9/18/2011 11:26 AM)

Dr. Pate, The malleable guide is available through Nobel Biocare. Dr. Duello

George Duello - (9/18/2011 11:25 AM)

Dr. Murphy, Both arches were included but the majority of the implants were not tilted. Dr. Duello

K Michael Murphy - (9/12/2011 8:43 PM)

Great Video course. When Dr. Branmark placed all on four 10mm implants in his patients did that include the upper arch or just the lower arch. smiledds@aol.com Dr. Murphy

raymond pate - (9/11/2011 5:31 PM)

Dr Duello,

What ce do you recommend to learn more about this specific protocol. Also, where can I purchase the pilot hole malleable implant guide you featured on this video.

Thanks

Dr Pate

George Duello - (9/7/2011 8:51 AM)

To Webinar Attendees, Someone asked what to you do if you have an implant failure under an All-on-Four. Remove the prosthesis, remove the implant, graft-delayed implant placement, and keep the prosthesis on the remaining three implants until the new implant has healed. Then you have two choices--remake the entire prosthesis or section the prosthesis where the previous implant has failed and now healed, section the bar and prosthesis, argon laser weld a new section to fit the new implant and replace the fixed All-on-Four prosthesis on the implants. If any one has any other thoughts I would be glad to review them. Dr. Duello

George Duello - (9/7/2011 8:46 AM)

Dear Dr. Smith, I agree with your clinical observations. This is why good diagnosis, adequate alveoloplasty, and excellent laboratory support is necessary to attempt to achieve a prosthesis the has convex or flat anatomy on the intaglio surface so that oral hygiene is possible. However, I also find that overdenture prosthesis can be problematic with gingival hyperplasia under bars that many times leads to psuedo pocketing around abutments/implants. Occasionally I have had patient who can't seat their overdenture due to tissue impingments. I think all prosthesis require constant observation/monitoring with appropriate intervention when tissue problems arise. Thank you for your comments. Dr. Duello

George Duello - (9/7/2011 8:40 AM)

Dear Dr. Kozy, I don't have any cases over 6 years old that meet the definition of "All-On-Four" that was discussed in the webinar on DentalXP as I started using the Malo technique in 2005. However, I have numerous other cases using four implants in the maxilla and mandible. Most of these cases on overdentures with bar and various attachments. As I stated in the webinar, I have modified my philosophy and now use All-on-Four to provide patients with a fixed prosthetic treatment. I hope this answers your question.

George Duello - (9/7/2011 8:40 AM)

Dear Dr. Kozy, I don't have any cases over 6 years old that meet the definition of "All-On-Four" that was discussed in the webinar on DentalXP as I started using the Malo technique in 2005. However, I have numerous other cases using four implants in the maxilla and mandible. Most of these cases on overdentures with bar and various attachments. As I stated in the webinar, I have modified my philosophy and now use All-on-Four to provide patients with a fixed prosthetic treatment. I hope this answers your question.

Related Videos
Current Concepts for the Preservation of the Post-Extraction Alveolar Ridge Premium Member Content

Current Concepts for the Preservation of the Post-Extraction Alveolar Ridge
Different techniques have been presented in literature in order to preserve the post-extraction site; including the use of barrier membranes, tri-dimensional matrix and bone fillers. An “open-healing” approach is nowadays commonly used, combining a proper management of soft tissues with biological integration of biomaterials. Once hard tissue has been successfully augmented, an adequate soft tissue thickness becomes mandatory in order to create healthy and stable peri-implant tissues. An innovative volume-stable collagen matrix provides the opportunity to treat soft tissue defects around implants as an alternative to connective tissue graft.

Presented By:: Daniele Cardaropoli, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Single Tooth Implant Premium Member Content

The Single Tooth Implant
A lecture by Dr. Michael Sonick on the restoration of a single edentulous space.

Presented By:: Michael Sonick, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Palatal Implant for Anchor Premium Member Content

Palatal Implant for Anchor
Animation using implants on the palatal region

Presented By:: Maurice Salama, DMD;Consult Pro
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
The Surgical-Restorative Digital Work Flow In Comprehensive Therapy Premium Member Content

The Surgical-Restorative Digital Work Flow In Comprehensive Therapy
Traditional methods of treating our patients are being been replaced by digital processes, impacting our daily life. The intake of various technologies such as CBCT imaging, scanning, digital restorative design and CAD/CAM production have contributed to this movement. In the same time, restorative materials have also been developed and studied that have improved strength and esthetic qualities. All these capabilities create opportunities for better restorative outcome. This presentation will highlight a practice-based model centered on digitally enhanced treatment for efficient and predictable esthetic restorative outcomes.

Presented By:: Karim Dada, DDS, MS;Leon Pariente, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Immediate Implants: Partial / Full Arch Rehabilitation & GBR - Part 2 Premium Member Content

Immediate Implants: Partial / Full Arch Rehabilitation & GBR - Part 2
By scientific studies produced in recent years has been confirmed, in selected cases, the validity of the post-extraction implants. The use of this method implies a lower emotional impact, a single surgery and a healing often better for the patient. We will be discussed traumatic extraction methods, perfect insertion of the implants with or without bone regeneration with bone substitutes and membranes and the opportunity to combine an advanced method as immediate implant with the execution of an immediate loading to restore aesthetics in more complex cases.

Presented By:: Alfonso Coscarella, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
A Treatment For The Prevention of Maxillary Edentulism: All On Four For The Maxilla Premium Member Content

A Treatment For The Prevention of Maxillary Edentulism: All On Four For The Maxilla
Since the advent of osseointegration, the patient who is edentulous or soon to be edentulated has many options to prevent wearing complete removable prosthesis. In the maxillary arch there are anatomical features that may preclude patients successfully utilizing an implant prosthesis. Some of these include alveolar resorptive changes after extractions, pnuematized sinuses, hard and soft tissue palatal vault configurations, and bone exostosis with associated undercuts. Psychological, many patients suffer after the loss of teeth with loss of self-esteem and avoidance behaviors. This program will focus specifically on the diagnostic, surgical, and prosthetic procedures of the All On Four patient. In this webinar, Dr. Duello will build upon the material provided in previous presentations on DentalXP with detailed guidance on clinical procedures for the All On Four in the maxilla.

Presented By:: George V. Duello, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry

The Pontic-Shield: Partial Extraction Therapy for Implant Dentistry
Augmentive ridge preservation techniques aim to manage the postextraction ridge. The partial extraction of teeth may better preserve the ridge form by maintaining the bundle bone-periodontal tissues and preserve the ridge beneath dentures or fixed prostheses. The socket-shield technique entails preparing a tooth root section simultaneous to immediate implant placement and has demonstrated histologic and clinical results contributory to esthetic implant treatment. A retrospective 10-patient case series treating 14 partial extraction sites demonstrates how a modification of the socket-shield technique can successfully develop pontic sites and preserve the ridge.

Author(s): Howard Gluckman, BDS, MChD, PhD;Maurice Salama, DMD;Jonathan Du Toit, BChD, Dipl Implantol, Dipl Oral Surg, MSc Dent
View Article>>
Progressive Bone Adaptation of Titanium Implants During and After Orthodontic Load in Humans

Progressive Bone Adaptation of Titanium Implants During and After Orthodontic Load in Humans
The aim of the present work was the evaluation of implant stability and periimplant bone reaction by histologic and clinical evaluation after therapeutic orthodontic loads. Forty-one adult patients received titanium implants as an orthodontic anchorage device; 12 patients received a retromolar or palatal implant to obtain tooth movement. Seven implants were removed at the end of the orthodontic therapy, after 2, 4, 6, and 12 months of orthodontic load, and processed for histologic examination. It…

Author(s): Paolo Trisi, DDS, PhD;Alberto Rebaudi, MD, DDS
View Article>>
Vertical Distance from the Crest of Bone to the Height of the Interproximal Papilla Between Adjacent Implants

Vertical Distance from the Crest of Bone to the Height of the Interproximal Papilla Between Adjacent Implants
As patient demand increases for more natural restorations in the esthetic zone, clinicians must have the highest level of skill and knowledge to maintain or reform the interdental papilla between teeth, between implants and teeth, and between adjacent implants. To date, there are no reports that have measured the distance from the contact point to the bony crest between implants. One reason for this may be the fact that, with two adjacent implants, the contact point of the crown can be established at any distance from the gingival margin according to the restorative dentist's specifications. Therefore, in this study, the height of the soft tissue to the crest of bone was measured between two adjacent implants independent of the location of the contact point. The purpose of this study was to determine the range and average height of tissue between two adjacent implants.

Author(s): David Garber, DMD;Maurice Salama, DMD;Henry Salama, DMD;Dennis P. Tarnow, DDS;Dr. Paul Fletcher, Dr. Stuart Froum, Dr. Ann Magner, Dr. Sang-Choon Cho
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2023

Preferred Language: English Flag
Contact Us · Login · Register