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All-on-4 treatment concept
00:00 - 13:12
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1
Anterior treatment planning: restorative considerations
13:12 - 18:32
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2
Graftless implant placement
18:32 - 29:33
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3
Prosthesis contours and emergence profile
29:33 - 30:59
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4
Fixed graftless rehabilitation in a patient with severe lack of lip support
30:59 - 41:15
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5
Full mouth fixed implant rehabilitation in a periodontally compromised patient
41:15 - 52:42
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6
Conclusions
52:42 - 56:26
- 7 Community questions
Saj Jivraj, Hooman Zarrinkelk: Expanding treatment possibilities using the All-on-4® treatment concept
Video highlights
- Three simple goals: 12 teeth per arch, fixed appliance throughout treatment, no grafts.
- Clinical obstacles and restorative considerations
- Use of the piriform rim in maxillary implant placement
- Paradigm shifts in dentistry
- Marina del Rey 2014 symposium presentation
The All-on-4® concept originally has been developed as a cost effective way to treat edentulous patients with moderately atrophied jaws. Today expanded treatment options have been introduced, and the concept can also be used for highly resorbed situations. There are three simple goals: 12 teeth per arch, fixed appliance throughout treatment, no grafts. The presentation reviews the clinical obstacles for implant treatment, such as patient age, atrophy, anatomical limitations, bone quality, and highlights that in many patients there is even too much bone available and bone has to be removed, to provide sufficient vertical restorative space. Dr Jivraj and Dr Zarrinkelk guide through the restorative considerations, incisal edge position, restorative space, lip support smile line, lip length, contours and emergence, appropriate tissue and occlusal contact. Several clinical patient treatment examples are presented, including clinical procedures for bone reduction guides and Zygomatic implant placement.