Dentaltown August 2013 - (Page 28)

implants message board » All-on-4? Dentaltown.com > Message Boards > Implantology > Implantology > All-on-4? MarcinOpole Member Since: 09/12/11 Post: 1 of 85 t This board presents cases on implants and riles up some stirring discussion. An OPG of my 62-year-old patient. Expects a budget treatment with implants. Preferably two-stage treatment starting with maxilla. Luxation of all maxillary teeth except first premolar on the right side (14). What are your suggestions? Do you think the all-on-4 option would be suitable or shall I make a removable denture (overdenture on the locators)? I crossed out the teeth to be extracted for sure. n JUL 29 2012 greg moritz Member Since: 01/28/08 Post: 2 of 85 You won’t see too many people who want to talk about the all-on-four on this forum. This patient is very likely an excellent candidate for the procedure because most patients are. Not sure why you would want to keep any of those teeth in either arch really. If you want to treat the arches separately, make the temporary appliance on the bottom first. If he’s happy, do the same on top and then make the final prostheses at the same time after implants have all integrated. I’ve only done a couple true all-on-four cases, but the patients and I were very pleased with the results. I’m a believer. The key to success on these is to remove enough bone at the time of extraction. If you do not there will be never-ending problems. n JUL 30 2012 The Green Hulk Member Since: 06/15/07 Post: 3 of 85 Patient has plenty of bone. If money is not an issue, keep the teeth that can be saved. Looks like 10 implants on top, eight implants for the lower. Immediate placement and immediate load. n JUL 30 2012 mark_jackson Member Since: 09/30/03 Post: 4 of 85 I agree 100 percent. Surgical guides and bone reduction guides make these a breeze. This case was done by Dr. Smith in Merced, California, via our planning services at PrecisionSurgicalGuides.com. n JUL 30 2012 ChipPayet Member Since: 07/08/03 Post: 17 of 85 I’m curious – How long has the all-on-4 concept been around? I mean, I really don’t know, so I have no way of judging how predictably successful they are (especially as a beginning to implant placement and prosthetic restoration – not singles, but overdentures, hybrids, etc.). My biggest concern goes back to the idea, “It doesn’t matter how few or many implants you put in – the patient only cares if what you put on top works.” You know, if you place five to six implants and one fails, your restoration will probably still be successful. But if you continued on page 30 28 AUGUST 2013 » dentaltown.com http://www.Dentaltown.com http://www.PrecisionSurgicalGuides.com http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown August 2013

Dentaltown.com Highlights
Howard Speaks: Dentists Are Still Doing Way Too Many Three-Unit Bridges
Professional Courtesy: Hire Slow, Fire Fast
Continuing Education Update
Second Opinion: Finally, One Adhesive that Can Do It All
All-on-4?
Intracornal Bleaching of Endodontically Treated Teeth
Product Profile: CAESY
Product Profile: ClearCorrect
Product Profile: DENTIS USA
Product Profile: Imaging Sciences
Corporate Profile: 123 Postcards
New Products
The Silent Killer of Dentistry
Industry News
Smile Design
Endo Versus Implants: Does Your Treatment Plan Pass the “Mama Test”?
Improving the Future of Overdentures with Small Diameter Implants and Locator Attachments
The Democratization of Dental Implants for General Dentistry
Single Tooth Implant Case
Continuing Education: The Dental CAD/CAM Evolution of 2013
Beatlemania Has Deep Roots
In This Issue: The Value of Saliva Testing
Perio Reports
Ad Index
Profile in Oral Health: Salivary Testing in the Office
Dentally Incorrect

Dentaltown August 2013