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ZWR - Das Deutsche Zahnärzteblatt 2015; 124(10): 462-467
DOI: 10.1055/s-0035-1564191
Fortbildung – Implantologie
Georg Thieme Verlag KG Stuttgart · New York

Grundlagen und Workflow des All-on-4-Implantatkonzepts

D. Grünewald
1   Koblenz
› Author Affiliations
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Publication History

Publication Date:
28 October 2015 (online)

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Die Frage nach der minimalen Anzahl von Implantaten zur festsitzenden Versorgung des zahnlosen Kiefers wurde in den letzten Jahren vielfach gestellt. Wissenschaftlich etabliert und mit hohen Implantatüberlebensraten abgesichert ist das All-on-4-Behandlungskonzept der Firma Nobel Biocare. Vier Implantate reichen aus, um den zahnlosen Kiefer mit 12 Zähnen festsitzend zu versorgen. Ziel des vorliegenden Beitrags ist die Darstellung der Grundlagen und am Beispiel eines Patientenfalls die Aufarbeitung der planerischen und klinischen Abläufe bei der Anwendung dieses Behandlungskonzepts.

 

  • Literatur

  • 1 Universität Mainz, Deutschland . 27. und 28. März 2014, Konsensustext: Patientenzentrierte Versorgungskonzepte und optimale Implantatanzahl bei Zahnlosigkeit – Konsensuskonferenz der Foundation for Oral Rehabilitation (FOR). Eur J Oral Implantol 2014; 7: 395-398
    PubMedGoogle Scholar
  • 2 Capelli M, Zuffetti F, Del Fabbro M et al. Immediate rehabilitation of the completely edentulous jaw with fixed prostheses supported by either upright or tilted implants: a multicenter clinical study. Int J Oral Maxillofac Implants 2007; 22: 639-644
    PubMedGoogle Scholar
  • 3 Agliardi E, Panigatti S, Clerico M et al. Immediate rehabilitation of the edentulous jaws with full fixed prostheses supported by four implants: interim results of a 5-year single cohort prospective study. Clin Oral Implants Res 2010; 21: 459-465
    CrossrefPubMedGoogle Scholar
  • 4 Tealdo T, Bevilacqua M, Pera F et al. Immediate function with fixed implant-supported maxillary dentures: a 12-month pilot study. J Prosthet Dent 2008; 99: 351-360
    CrossrefPubMedGoogle Scholar
  • 5 Pomares C. A retrospective study of edentulous patients rehabilitated according to the „all-on-four“ or the „all-on-six“ immediate function concept using flapless computer-guided implant surgery. Eur J Oral Implantol 2010; 3: 155-163
    PubMedGoogle Scholar
  • 6 Degidi M, Nardi D, Piattelli A. Immediate loading of the edentulous maxilla with a definitive restoration supported by an intraorally welded titanium bar and tilted implants. Int J Oral Maxillofac Implants 2010; 25: 1175-1182
    PubMedGoogle Scholar
  • 7 Malo P, de Araujo Nobre M, Lopes A et al. A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years follow-up. J Am Dent Assoc 2011; 142: 310-320
    CrossrefPubMedGoogle Scholar
  • 8 Malo P, de Araujo Nobre M, Lopes A et al. „All-on-4“ immediate-function concept for completely edentulous maxillae: a clinical report on the medium (3 years) and long-term (5 years) outcomes. Clin Implant Dent Relat Res 2012; 14: 139-150
    CrossrefPubMedGoogle Scholar
  • 9 Weinstein R, Agliardi E, Del Fabbro M et al. Immediate rehabilitation of the extremely atrophic mandible with fixed full-protheses supported by four implants. Clin Implant Dent Relat Res 2012; 14: 434-441
    CrossrefPubMedGoogle Scholar
  • 10 Grandi T, Guazzi P, Samarani R et al. Immediate loading of four (all-on-4) post-extractive implants supporting mandibular cross-arch fixed prostheses: 18-month follow-up from a multicentre prospective cohort study. Eur J Oral Implantol 2012; 5: 277-285
    PubMedGoogle Scholar
  • 11 Francetti L, Romeo D, Corballa S et al. Bone level changes around axial and tilted implants in full-arch fixed immediate restorations. Interim results of a prospective study. Clin Implant Dent Relat Res 2012; 14: 646-654
    CrossrefPubMedGoogle Scholar
  • 12 Malo P, Nobre MD, Lopes A. Immediate loading of „All-on-4“ maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome. Eur J Oral Implantol 2013; 6: 273-283
    PubMedGoogle Scholar
  • 13 Krennmair G, Seemann R, Weinländer M et al. Clinical outcome and peri-implant findings of four-implant-supported distal cantilevered fixed mandibular prostheses: five-year results. Int J Oral Maxillofac Implants 2013; 28: 831-840
    CrossrefPubMedGoogle Scholar
  • 14 Malo P, Rangert B, Nobre M. „All-on-four“ immediate-function concept with Branemark System implants for completely edentulous mandibles: a retrospective clinical study. Clin Implant Dent Relat Res 2003; 5: 2-9
    CrossrefPubMedGoogle Scholar
  • 15 Krekmanov L, Kahn L, Rangert B et al. Tilting of posterior mandibular and maxillary implants for improved prosthesis support. Int J Oral Maxillofac Implants 2000; 15: 405-414
    PubMedGoogle Scholar
  • 16 Babbush CA, Kutsko GT, Brokloff J. The all-on-four immediate function treatment concept with Nobel Active implants: a retrospective study. J Oral Implantol 2011; 37: 431-445
    CrossrefPubMedGoogle Scholar
  • 17 Hinze M, Thalmair T, Bolz W et al. Immediate loading of fixed provisional prostheses using four implants for the rehabilitation of the edentulous arch: a prospective clinical study. Int J Oral Maxillofac Implants. 2010; 25: 1011-1018
    PubMedGoogle Scholar