The All on Four technique allows us to fulfill the wishes of our patients with severe bone loss. Portuguese Dr. This method, developed by Paolo Malo and his team, involves the application of 4 implants in certain positions and at certain angles, and the application of a special prosthesis that includes the gums as well as the lost teeth (see hybrid prosthesis).
In the planning of implant treatments, the patient's jaws are applied. The quality of the bone and its length and width are of great importance. However, there are anatomical structures in both the upper jaw and lower jaw that may limit the application of implant treatment. In the upper jaw, we can see that the intra-bony space, which we call the maxillary sinus, sags downward following the extraction of the back teeth. This may make implant placement in the posterior region of the upper jaw difficult or impossible.
In the lower jaw, due to bone loss after tooth extraction, the bone length decreases and the nerve tissue located in the bone at the back of the jaw can approach. One of these problems is. Patients suffering from this disease may be deprived of implants and the fixed prostheses they will use thanks to them.
The All on Four technique allows us to place implants in front of these anatomical structures and thus allows us to provide easier treatments to our patients.
The All on Four technique provides the comfort of having fixed teeth for our patients with advanced bone loss.
“What is a Hybrid Prosthesis?”
Hybrid prostheses are a type of fixed prosthesis made on implants placed in the mouth. The most important feature of this type of prostheses is that they also contribute to pink aesthetics. Thanks to the special pink gum parts of the prosthesis; We can make prostheses with the most aesthetically ideal tooth dimensions for our patients.
Hybrid prostheses are applied to the implants by using special abutments called multiunit abutments and screwing them at certain force values. The standard practice in implant-supported prostheses was to bond them to the implant-supported abutments using adhesive materials, just like porcelain restorations made on the patients' own teeth. Current research shows that it is healthier to hold the designed porcelain teeth by screwing them rather than gluing them to implants. It shows.
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