Consensus statements and clinical recommendations on treatment indications, surgical procedures, prosthetic protocols and complications following All-On-4 standard treatment. 9th Mozo-Grau Ticare Conference in Quintanilla, Spain

Journal of Clinical and Experimental Dentistry
Miguel Peñarrocha-DiagoMeeting On Behalf Of The Ticare Consensus

Abstract

The present consensus report critically evaluates the scientific evidence based on a comprehensive systematic review of the All-On-4 treatment concept, focusing primarily on the treatment indications, surgical procedures and prosthetic protocols, and secondarily on the mechanical and biological complications involved. A systematic review was made in advance of the meeting. Consensus statements, treatment guidelines and recommendations for future research were based on within-group as well as plenary debates and discussions of the systematic review. The main indication of All-On-4 standard care is an atrophic maxilla or mandible, with or without remnant hopeless tooth. in ASA I or II patients. This surgical-prosthetic protocol seems efficient, safe and effective in the case of Cawood & Howell class IV, V and VI. It is necessary for the implant to have had an insertion torque of over 35 Ncm for immediate loading. The provisional prosthesis should provide rigidity, being non-flexible in order to avoid micro-movements, and should be strong enough to not fracture. Balanced occlusion without interferences is required, ensuring very gentle dynamic movements. The design of the definitive prosthesis must be cleanable and biomechanically...Continue Reading

Citations

Oct 17, 2017·Clinical Implant Dentistry and Related Research·Manú Van WeehaegheStefan Vandeweghe
Dec 6, 2018·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Nurullah TürkerMehmet M Özarslan
Jul 15, 2020·The Journal of Oral Implantology·Nurullah TürkerUlviye Şebnem Büyükkaplan
Aug 25, 2020·The Journal of Oral Implantology·Oguz OzanBurak Yilmaz
Sep 1, 2021·Evidence-based Complementary and Alternative Medicine : ECAM·Zhe Cheng, Wanlai Zheng

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