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“All‐on‐Four” Immediate Function Concept and Clinical Report of Treatment of an Edentulous Mandible with a Fixed Complete Denture and Milled Titanium Framework

Identifieur interne : 001116 ( Istex/Corpus ); précédent : 001115; suivant : 001117

“All‐on‐Four” Immediate Function Concept and Clinical Report of Treatment of an Edentulous Mandible with a Fixed Complete Denture and Milled Titanium Framework

Auteurs : Amir H. Khatami ; Christopher R. Smith

Source :

RBID : ISTEX:22E740FE143B0669C68C780A5A6C500C56A4BCCE

English descriptors

Abstract

The “All‐on‐Four” concept—tilting the distal implants in the edentulous arches improves the prosthetic support—increases the inter‐implant distance and provides better implant anchorage in the bone by using longer implants. Computer milling of a solid block of titanium also provides frameworks with improved fit and fewer technical challenges than conventional cast or noncast approaches. This clinical report describes a method of restoring an edentulous mandible with the “All‐on‐Four” immediate function concept and a milled titanium framework. The patient in our clinical report has reported for follow‐up visits for 1 year and is satisfied with the outcome of the treatment. No discernable clinical and radiographic changes were noted around the dental implants. To date, there have been no prosthetic complications. The patient is scheduled for quarterly follow‐ups to determine the effectiveness of home care.

Url:
DOI: 10.1111/j.1532-849X.2007.00246.x

Links to Exploration step

ISTEX:22E740FE143B0669C68C780A5A6C500C56A4BCCE

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Amir H. Khatami, Department of Restorative Dentistry and Prosthodontics, The Ohio State University, College of Dentistry, 305 W. 12th Ave, Columbus, OH 43210. E‐mail:
<email>akhatami@msn.com</email>
Presented at the Table Clinic Session, American College of Prosthodontists 2005 Annual Session, Los Angeles, CA.</correspondenceTo>
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<title type="main">“All‐on‐Four” Immediate Function Concept and Clinical Report of Treatment of an Edentulous Mandible with a Fixed Complete Denture and Milled Titanium Framework</title>
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<title type="short">“All‐on‐four” concept and treatment of edentulous mandible</title>
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<p>The “All‐on‐Four” concept—tilting the distal implants in the edentulous arches improves the prosthetic support—increases the inter‐implant distance and provides better implant anchorage in the bone by using longer implants. Computer milling of a solid block of titanium also provides frameworks with improved fit and fewer technical challenges than conventional cast or noncast approaches. This clinical report describes a method of restoring an edentulous mandible with the “All‐on‐Four” immediate function concept and a milled titanium framework. The patient in our clinical report has reported for follow‐up visits for 1 year and is satisfied with the outcome of the treatment. No discernable clinical and radiographic changes were noted around the dental implants. To date, there have been no prosthetic complications. The patient is scheduled for quarterly follow‐ups to determine the effectiveness of home care.</p>
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<abstract lang="en">The “All‐on‐Four” concept—tilting the distal implants in the edentulous arches improves the prosthetic support—increases the inter‐implant distance and provides better implant anchorage in the bone by using longer implants. Computer milling of a solid block of titanium also provides frameworks with improved fit and fewer technical challenges than conventional cast or noncast approaches. This clinical report describes a method of restoring an edentulous mandible with the “All‐on‐Four” immediate function concept and a milled titanium framework. The patient in our clinical report has reported for follow‐up visits for 1 year and is satisfied with the outcome of the treatment. No discernable clinical and radiographic changes were noted around the dental implants. To date, there have been no prosthetic complications. The patient is scheduled for quarterly follow‐ups to determine the effectiveness of home care.</abstract>
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