A New Approach to the All-on-Four Treatment Concept Using Narrow Platform NobelActive Implants

被引:24
作者
Babbush, Charles A. [1 ]
Kanawati, Ali [1 ]
Brokloff, John [1 ]
机构
[1] Cleveland ClearChoice Dent Implant Ctr, Pepper Pike, OH USA
关键词
implant; severe atrophy; maxilla; mandible; All-on-Four; SINUS FLOOR; REHABILITATION; BONE; MAXILLARY;
D O I
10.1563/AAID-JOI-D-12-00223
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Although a number of approaches to implant-supported restoration of severely atrophic maxillae and mandibles have been developed, most of these treatments are costly and protracted. An exception is the All-on-Four concept, which uses only 4 implants to support an acrylic, screw-retained provisional prosthesis delivered on the day of implant placement, followed by a definitive prosthesis approximately 4 months later. After the introduction of a new implant design in 2008, a new protocol was developed for provisionally treating patients with severely atrophic jaws using the All-on-Four concept and 3.5-mm-diameter implants. This article describes that protocol and reports on the results of 227 implants after 1 to 3 years of follow-up. The cumulative survival rate was 98.7% at the end of 3 years, with a 100% prosthetic survival rate. Combining the 3.5-mm-diameter Nobel Active implants with the All-on-Four concept promises to become a new standard of care for severely compromised patients.
引用
收藏
页码:314 / 325
页数:12
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