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All on 4 Cases

All on 4 (Noble Biocare Full mouth Implantation Technique)

The All-on-4 technique represents a viable clinical protocol for Rapid, Graftless, Four Implant Restoration for the management of edentulous patient or soon-to-be edentulous (hopeless and mobile teeth).

Osseointegration has become a predictable biological response to implant placement, enabling dental professionals to focus on surgical and restorative processes that simplify implant therapy. This has resulted in techniques that improve the predictability of aesthetic implant placement and make such treatment options accessible for a greater portion of the patient population. As shown in the following clinical protocol, the All-on-4 technique provides numerous advantages in the management of the edentulous patient or the soon-to-be edentulous patient.

  • Ease of the procedure
  • Ability to avoid grafting procedures
  • Potential of immediate loading at the surgical appointment
  • Decreased cost to the patient
  • Aesthetics
  • Can be performed on the partially or fully edentulous patient
  • Ease of maintenance
  • Can be flapless when using Nobel Guide guided surgery
This case was done at Dr. Kumar's Advanced Dental Implant Centre by Dr. Vijay Kumar

Patient hasitate to talk

Preoperative clinical view of hopeless upper teeth.

Pre operative CBCT planning

CBCT planning for All-on -4 technique

Intraoral picture showing healing after implant surgery

Postoperative facial view of the temporary fixed detachable prosthesis delivered that same day utilizing the All-on-4 technique.

Patient's fixed teeth

This case was done at Dr. Kumar's Advanced Dental Implant Centre by Dr. Vijay Kumar NRI patient came to our multi speciality dental care centre and asked for fixed lower teeth. On oral examination and x-ray/CBCT evaluation, it is found that she has missing teeth in lower posterior region on both sides, lower anterior teeth were having crowns and were mobile. The treatment plan was proposed after meticulous, multidisciplinary oral examination and CBCT/ X-ray evaluation. She consented to have lower jaw implant surgery (All on 4 Nobel Biocare ) for fixed prosthesis.
This surgery is done in Dr. Kumar’s Advanced Dental Implant Centre.

Preoperative clinical view of hopeless mobile lower teeth.

Pre operative CBCT planning

CBCT planning for All-on -4 technique

Post operative panoramic radiograph showing successful placement of four implants in the mandibular arch.

Intraoral view during second stage surgery

Postoperative facial view of the temporary fixed detachable prosthesis delivered that same day utilizing the All-on-4 technique.

Before

After

Before

After

Preoperative panoramic radiograph of the partially edentolous patient, which permits evaluation of the bone levels

Preoperative clinical view of partially edentolous patient

Postoperative panoramic radiograph showing successful placement of four implants in the maxilary arch

Intraoral view showing titanium straight and angulated abutments

Titanium copings for fixed detachable prosthesis

Postoperative facial view of the fixed detachable prosthesis utilizing the All-on-4 technique

Confident smile after fixed prosthesis

Before

After

This case was done at Dr. Kumar's Advanced Dental Implant Centre by Dr. Vijay Kumar

Patient hasitate to talk

Preoperative clinical view of hopeless mobile upper teeth.

CBCT planning for All-on -4 technique

Postoperative facial view of the temporary fixed detachable prosthesis delivered that same day utilizing the All-on-4 technique.

This case was done at Dr. Kumar's Advanced Dental Implant Centre by Dr. Vijay Kumar

Patient

Case 5

Case 5

 
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