Contemporary "All-on-4" concept.
Identifieur interne : 001288 ( Main/Merge ); précédent : 001287; suivant : 001289Contemporary "All-on-4" concept.
Auteurs : Michael H. Chan [États-Unis] ; Curtis Holmes [États-Unis]Source :
- Dental clinics of North America [ 1558-0512 ] ; 2015.
Descripteurs français
- KwdFr :
- Analyse de survie, Conception d'appareil de prothèse dentaire, Humains, Implants dentaires, Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Phénomènes biomécaniques, Planification des soins du patient, Pose d'implant dentaire endo-osseux (), Pose immédiate d'implant dentaire, Prothèse dentaire complète immédiate, Prothèse dentaire implanto-portée, Rétention d'appareil de prothèse dentaire (instrumentation).
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Analyse de survie, Conception d'appareil de prothèse dentaire, Humains, Implants dentaires, Mâchoire édentée, Phénomènes biomécaniques, Planification des soins du patient, Pose d'implant dentaire endo-osseux, Pose immédiate d'implant dentaire, Prothèse dentaire complète immédiate, Prothèse dentaire implanto-portée, Rétention d'appareil de prothèse dentaire.
English descriptors
- KwdEn :
- Biomechanical Phenomena, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Denture Design, Denture Retention (instrumentation), Denture, Complete, Immediate, Humans, Immediate Dental Implant Loading, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Patient Care Planning, Survival Analysis.
- MESH :
- chemical : Dental Implants.
- instrumentation : Denture Retention.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous.
- Biomechanical Phenomena, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Complete, Immediate, Humans, Immediate Dental Implant Loading, Patient Care Planning, Survival Analysis.
Abstract
Restoration of the atrophic edentulous maxilla and mandible with implant retained prostheses has involved the use of axially placed implants in regions of the maxilla and mandible based on the adequate availability of bone, often using a staged surgical approaches. Anatomic limitations including pneumatized maxillary sinus, proximity of the inferior alveolar nerve and lack of available native bone have many clinicians performing traditional grafting procedure prior to implant placement. Utilization of the "All-on-4" concept has overcome these anatomic restrictions by allowing placement of 2 vertical and 2 angled implants in the premaxilla and anterior mandible. This technique has enabled immediate placement of full arch fixed restoration at the time of implant surgery if sufficient torque is achieved. It has biomechanical advantages including increasing in A-P spread, enhancing load distribution with cross arch stabilization, shorten cantilever, longer implants to be placed by titling them posteriorly, and maintenance of marginal bone height. High implant survival rates of in the maxilla (92.5-100%), in the mandible (93-100%) and restoration (99.2-100%) prove that the "All-on-4" concept is a viable treatment option for edentulous patients with atrophic alveolar ridges circumventing these traditional grafting procedures.
DOI: 10.1016/j.cden.2014.12.001
PubMed: 25835803
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pubmed:25835803Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>Oral & Maxillofacial Surgery/Dental Service, Department of Veterans Affairs, New York Harbor Healthcare System (Brooklyn Campus), 800 Poly Place (Bk-160), Brooklyn, NY 11209, USA; Department Dentistry/Oral and Maxillofacial Surgery, The Brooklyn Hospital Center, 121 DeKalb Avenue, Box 187, Brooklyn, NY 11201, USA. Electronic address: chanoms@yahoo.com.</nlm:affiliation>
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<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture Retention (instrumentation)</term>
<term>Denture, Complete, Immediate</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Patient Care Planning</term>
<term>Survival Analysis</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Analyse de survie</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Phénomènes biomécaniques</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Rétention d'appareil de prothèse dentaire (instrumentation)</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
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<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Complete, Immediate</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Patient Care Planning</term>
<term>Survival Analysis</term>
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<term>Conception d'appareil de prothèse dentaire</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire édentée</term>
<term>Phénomènes biomécaniques</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
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<front><div type="abstract" xml:lang="en">Restoration of the atrophic edentulous maxilla and mandible with implant retained prostheses has involved the use of axially placed implants in regions of the maxilla and mandible based on the adequate availability of bone, often using a staged surgical approaches. Anatomic limitations including pneumatized maxillary sinus, proximity of the inferior alveolar nerve and lack of available native bone have many clinicians performing traditional grafting procedure prior to implant placement. Utilization of the "All-on-4" concept has overcome these anatomic restrictions by allowing placement of 2 vertical and 2 angled implants in the premaxilla and anterior mandible. This technique has enabled immediate placement of full arch fixed restoration at the time of implant surgery if sufficient torque is achieved. It has biomechanical advantages including increasing in A-P spread, enhancing load distribution with cross arch stabilization, shorten cantilever, longer implants to be placed by titling them posteriorly, and maintenance of marginal bone height. High implant survival rates of in the maxilla (92.5-100%), in the mandible (93-100%) and restoration (99.2-100%) prove that the "All-on-4" concept is a viable treatment option for edentulous patients with atrophic alveolar ridges circumventing these traditional grafting procedures.</div>
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