“All-on-4” concept as a modern way of fixed prosthetics in complex clinical conditions

/ “All-on-4” concept as a modern way of fixed prosthetics in complex clinical conditions

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The patient refused to perform implantation in the lateral parts for prosthetics on 6 or 8 implants due to the necessity of bone grafting performing, the long-time term treatment, and high financial expenses. A decision was taken to implement the “All-on-4” concept.

The stages of treatment:

- Teeth were extracted.

- The bone tissue was reduced to the required level.

- Nobel Parallel CC implants were installed ( lateral implants at an angle of 30 degrees, multiunits at the angle of 30 degrees, frontal - straight, the height of all implants is 3.5 mm). The position of implants is determined by the position and angle of adjacent.

- Impressions for temporary construction of long-term use were taken. The construction is based on a cast beam.

- The model was mounted and a wax-up created.

On the 3rd day, the model was tried in the mouth to confirm functional and aesthetics. The patient made a few adjustments. The patient’s changes were transferred to the dental technician. On the 7th day, the sutures were removed and a temporary construction was fixed in the oral cavity.

A full removable denture was made on the upper jaw. The patient is satisfied with the work done.

Photo report of work

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“All-on-4” concept as a modern way of fixed prosthetics in complex clinical conditions
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