The all-on-four treatment concept: A systematic review

Clinical Implant Dentistry and Related Research

Volumn , Issue , 2014, Pages 836-855

  Patzelt, Sebastian B M ^a,b   Bahat, Oded ^c   Reynolds, Mark A ^b   Strub, Joerg R ^a  

^a UNIVERSITY OF FREIBURG   (Germany)

^b UNIVERSITY OF MARYLAND DENTAL SCHOOL   (United States)

^c NONE   (United States)

Author keywords

All on four; Dental implants; Systematic review; Treatment concept

Indexed keywords

TOOTH IMPLANT;

ALVEOLAR BONE LOSS; DENTAL RESTORATION; DENTURE DESIGN; HUMAN; MANDIBLE; MAXILLA; SURGERY; SURVIVAL ANALYSIS; TOOTH IMPLANT; TOOTH PROSTHESIS;

ALVEOLAR BONE LOSS; DENTAL IMPLANTS; DENTAL PROSTHESIS, IMPLANT-SUPPORTED; DENTAL RESTORATION FAILURE; DENTURE DESIGN; HUMANS; MANDIBLE; MAXILLA; SURVIVAL ANALYSIS;

EID: 84929517136     PISSN: 15230899     EISSN: 17088208     Source Type: Journal    
DOI: 10.1111/cid.12068     Document Type: Review

References (86)

1. Att W, Bernhart J, Strub JR. Fixed rehabilitation of the edentulous maxilla: possibilities and clinical outcome. J Oral Maxillofac Surg 2009; 67:60-73.
2. Att W, Stappert C. Implant therapy to improve quality of life. Quintessence Int 2003; 34:573-581.
3. Guckes AD, Scurria MS, Shugars DA. A conceptual framework for understanding outcomes of oral implant therapy. J Prosthet Dent 1996; 75:633-639.
4. Bergendal T, Engquist B. Implant-supported overdentures: a longitudinal prospective study. Int J Oral Maxillofac Implants 1998; 13:253-262.
5. Engquist B, Bergendal T, Kallus T, Linden U. A retrospective multicenter evaluation of osseointegrated implants supporting overdentures. Int J Oral Maxillofac Implants 1988; 3:129-134.
6. Del Fabbro M, Testori T, Francetti L, Weinstein R. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent 2004; 24:565-577.
7. Del Fabbro M, Bellini CM, Romeo D, Francetti L. Tilted implants for the rehabilitation of edentulous jaws: a systematic review. Clin Implant Dent Relat Res 2012; 14:612-621.
8. Maló 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 (Suppl 1):2-9.
9. Branemark PI, Hansson BO, Adell R, etal. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl 1977; 16:1-132.
10. Bevilacqua M, Tealdo T, Menini M, etal. The influence of cantilever length and implant inclination on stress distribution in maxillary implant-supported fixed dentures. J Prosthet Dent 2011; 105:5-13.
11. Krekmanov L, Kahn M, Rangert B, Lindstrom H. Tilting of posterior mandibular and maxillary implants for improved prosthesis support. Int J Oral Maxillofac Implants 2000; 15:405-414.
12. NobelBiocare. Nobel_All-on-4_Brochure_2010.1_GB. Maufactures Manual Goeteburg, 2010.
13. Agliardi E, Clerico M, Ciancio P, Massironi D. Immediate loading of full-arch fixed prostheses supported by axial and tilted implants for the treatment of edentulous atrophic mandibles. Quintessence Int 2010; 41:285-293.
14. Agliardi E, Panigatti S, Clerico M, Villa C, Maló P. Immediate rehabilitation of the edentulous jaws with full fixed prostheses supported by four implants: interim results of a single cohort prospective study. Clin Oral Implants Res 2010; 21:459-465.
15. Capelli M, Zuffetti F, Del Fabbro M, Testori T. 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.
16. Crespi R, Vinci R, Cappare P, Romanos GE, Gherlone E. A clinical study of edentulous patients rehabilitated according to the "all on four" immediate function protocol. Int J Oral Maxillofac Implants 2012; 27:428-434.
17. Francetti L, Agliardi E, Testori T, Romeo D, Taschieri S, Del Fabbro M. Immediate rehabilitation of the mandible with fixed full prosthesis supported by axial and tilted implants: interim results of a single cohort prospective study. Clin Implant Dent Relat Res 2008; 10:255-263.
18. Francetti L, Romeo D, Corbella S, Taschieri S, Del Fabbro M. 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.
19. Weinstein R, Agliardi E, Fabbro MD, Romeo D, Francetti L. Immediate rehabilitation of the extremely atrophic mandible with fixed full-prosthesis supported by four implants. Clin Implant Dent Relat Res 2012; 14:434-441.
20. Maló P, de Araujo Nobre M, Lopes A. The use of computer-guided flapless implant surgery and four implants placed in immediate function to support a fixed denture: preliminary results after a mean follow-up period of thirteen months. J Prosthet Dent 2007; 97:S26-S34.
21. Maló P, de Araujo Nobre M, Lopes A, Francischone C, Rigolizzo M. "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 (Suppl 1):e139-e150.
22. Maló P, de Araujo Nobre M, Lopes A, Moss SM, Molina GJ. A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up. J Am Dent Assoc 2011; 142:310-320.
23. Maló P, Rangert B, Nobre M. All-on-4 immediate-function concept with Branemark System implants for completely edentulous maxillae: a 1-year retrospective clinical study. Clin Implant Dent Relat Res 2005; 7 (Suppl 1):S88-S94.
24. Babbush CA, Kutsko GT, Brokloff J. The all-on-four immediate function treatment concept with NobelActive implants: a retrospective study. J Oral Implantol 2011; 37:431-445.
25. Butura CC, Galindo DF, Jensen OT. Mandibular all-on-four therapy using angled implants: a three-year clinical study of 857 implants in 219 jaws. Oral Maxillofac Surg Clin North Am 2011; 23:289-300.
26. Galindo DF, Butura CC. Immediately loaded mandibular fixed implant prostheses using the all-on-four protocol: a report of 183 consecutively treated patients with 1 year of function in definitive prostheses. Int J Oral Maxillofac Implants 2012; 27:628-633.
27. Landazuri-Del Barrio RA, Cosyn J, De Paula WN, De Bruyn H, Marcantonio E Jr. A prospective study on implants installed with flapless-guided surgery using the all-on-four concept in the mandible. Clin Oral Implants Res 2013; 24:428-433.
28. Hinze M, Thalmair T, Bolz W, Wachtel H. 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.
29. Albrektsson T, Buser D, Sennerby L. On crestal/marginal bone loss around dental implants. Int J Oral Maxillofac Implants 2012; 27:736-738.
30. Esposito M, Grusovin MG, Achille H, Coulthard P, Worthington HV. Interventions for replacing missing teeth: different times for loading dental implants. Cochrane Database Syst Rev 2009; (1)CD003878.
31. Cannizzaro G, Felice P, Giorgi A, etal. Immediate loading of 2 (all-on-2) flapless-placed mandibular implants supporting cross-arch fixed prostheses: interim data from a 1-year follow-up prospective single cohort study. Eur J Oral Implantol 2012; 5:49-58.
32. Heydecke G, Zwahlen M, Nicol A, etal. What is the optimal number of implants for fixed reconstructions: a systematic review. Clin Oral Implants Res 2012; 23 (Suppl 6):217-228.
33. Menini M, Signori A, Tealdo T, etal. Tilted implants in the immediate loading rehabilitation of the maxilla: a systematic review. J Dent Res 2012; 91:821-827.
34. Hammerle CH, Bragger U, Burgin W, Lang NP. The effect of subcrestal placement of the polished surface of ITI implants on marginal soft and hard tissues. Clin Oral Implants Res 1996; 7:111-119.
35. Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981; 10:387-416.
36. Mombelli A, Muller N, Cionca N. The epidemiology of peri-implantitis. Clin Oral Implants Res 2012; 23 (Suppl 6):67-76.
37. Chaytor DV. Clinical criteria for determining implant success: bone. Int J Prosthodont 1993; 6:145-152.
38. Albrektsson T, Zarb GA. Current interpretations of the osseointegrated response: clinical significance. Int J Prosthodont 1993; 6:95-105.
39. Zarb GA, Albrektsson T. Consensus report: towards optimized treatment outcomes for dental implants. J Prosthet Dent 1998; 80:641.
40. Harrison JW, Svec TA. The hopeless tooth: when is treatment futile? Quintessence Int 1999; 30:846-850.
41. Iqbal MK, Kim S. A review of factors influencing treatment planning decisions of single-tooth implants versus preserving natural teeth with nonsurgical endodontic therapy. J Endod 2008; 34:519-529.
42. Mordohai N, Reshad M, Jivraj S, Chee W. Factors that affect individual tooth prognosis and choices in contemporary treatment planning. Br Dent J 2007; 202:63-72.
43. Mordohai N, Reshad M, Jivraj SA. To extract or not to extract? Factors that affect individual tooth prognosis. J Calif Dent Assoc 2005; 33:319-328.
44. Samet N, Jotkowitz A. Classification and prognosis evaluation of individual teeth - a comprehensive approach. Quintessence Int 2009; 40:377-387.
45. Agliardi EL, Francetti L, Romeo D, Del Fabbro M. Immediate rehabilitation of the edentulous maxilla: preliminary results of a single-cohort prospective study. Int J Oral Maxillofac Implants 2009; 24:887-895.
46. Jensen OT, Adams MW. All-on-4 treatment of highly atrophic mandible with mandibular V-4: report of 2 cases. J Oral Maxillofac Surg 2009; 67:1503-1509.
47. Aparicio C, Perales P, Rangert B. Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study. Clin Implant Dent Relat Res 2001; 3:39-49.
48. Jensen OT, Adams MW, Cottam JR, Parel SM, Phillips WR 3rd. The All-on-4 shelf: maxilla. J Oral Maxillofac Surg 2010; 68:2520-2527.
49. Ata-Ali J, Penarrocha-Oltra D, Candel-Marti ME, Penarrocha-Diago MA. Oral rehabilitation with tilted dental implants: a metaanalysis. Med Oral Patol Oral Cir Bucal 2012; 17:e582-e587.
50. Jensen OT, Adams MW, Cottam JR, Parel SM, Phillips WR 3rd. The all on 4 shelf: mandible. J Oral Maxillofac Surg 2011; 69:175-181.
51. Balmer S, Mericske-Stern R. [Implant-supported bridges in the edentulous jaw. Clinical aspects of a simple treatment concept]. Schweiz Monatsschr Zahnmed 2006; 116:728-739.
52. Jensen OT, Cottam J, Ringeman J, Adams M. Trans-sinus dental implants, bone morphogenetic protein 2, and immediate function for all-on-4 treatment of severe maxillary atrophy. J Oral Maxillofac Surg 2012; 70:141-148.
53. Bedrossian E. Rescue implant concept: the expanded use of the zygoma implant in the graftless solutions. Oral Maxillofac Surg Clin North Am 2011; 23:257-276, vi.
54. Khatami AH, Smith CR. "All-on-Four" immediate function concept and clinical report of treatment of an edentulous mandible with a fixed complete denture and milled titanium framework. J Prosthodont 2008; 17:47-51.
55. Bedrossian E. Rescue implant concept: the expanded use of the zygoma implant in the graftless solutions. Dent Clin North Am 2011; 55:745-777.
56. Butura CC, Galindo DF, Cottam J, Adams M, Jensen O. Hourglass mandibular anatomic variant incidence and treatment considerations for all-on-four implant therapy: report of 10 cases. J Oral Maxillofac Surg 2011; 69:2135-2143.
57. Cannizzaro G, Felice P, Soardi E, Ferri V, Leone M, Esposito M. Immediate loading of 2 (all-on-2) versus 4 (all-on-4) implants placed with a flapless technique supporting mandibular cross-arch fixed prostheses: preliminary results from a pilot randomised controlled trial. Eur J Oral Implantol 2011; 4:205-217.
58. Orentlicher G, Abboud M. Computed tomography-guided surgery and all on four. J Oral Maxillofac Surg 2011; 69:2947.
59. 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.
60. Oyama K, Kan JY, Kleinman AS, Runcharassaeng K, Lozada JL, Goodacre CJ. Misfit of implant fixed complete denture following computer-guided surgery. Int J Oral Maxillofac Implants 2009; 24:124-130.
61. Penarrocha M, Carrillo C, Boronat A. Maximum use of the anterior maxillary buttress in severe maxillary atrophy with tilted, palatally positioned implants: a preliminary study. Int J Oral Maxillofac Implants 2010; 25:813-820.
62. Di P, Lin Y, Li JH, Qiu LX, Chen B, Cui HY. [Clinical study of "All-on-4" implant immediate function in edentulous patients]. Zhonghua Kou Qiang Yi Xue Za Zhi 2010; 45:357-362.
63. Penarrocha M, Vina JA, Carrillo C, Penarrocha D. Rehabilitation of reabsorbed maxillae with implants in buttresses in patients with combination syndrome. J Oral Maxillofac Surg 2012; 70:e322-e330.
64. Ferreira EJ, Kuabara MR, Gulinelli JL. "All-on-four" concept and immediate loading for simultaneous rehabilitation of the atrophic maxilla and mandible with conventional and zygomatic implants. Br J Oral Maxillofac Surg 2010; 48:218-220.
65. Penarrocha-Oltra D, Candel-Marti E, Ata-Ali J, Penarrocha M. Rehabilitation of the atrophic maxilla with tilted implants: review of the literature. J Oral Implantol. In press.
66. Graves S, Mahler BA, Javid B, Armellini D, Jensen OT. Maxillary all-on-four therapy using angled implants: a 16-month clinical study of 1110 implants in 276 jaws. Dent Clin North Am 2011; 55:779-794.
67. 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.
68. Graves S, Mahler BA, Javid B, Armellini D, Jensen OT. Maxillary all-on-four therapy using angled implants: a 16-month clinical study of 1110 implants in 276 jaws. Oral Maxillofac Surg Clin North Am 2011; 23:277-287, vi.
69. Rosen A, Gynther G. Implant treatment without bone grafting in edentulous severely resorbed maxillas: a long-term follow-up study. J Oral Maxillofac Surg 2007; 65:1010-1016.
70. Jensen O, Cottam J, Adams M, Adams S. Buccal to lingual transalveolar implant placement for all on four immediate function in posterior mandible: report of 10 cases. J Oral Maxillofac Surg 2011; 69:1919-1922.
71. Wu YQ, Huang W, Zhang ZY, Wang XD, Wang F, Wang S. [Tilted implants treatment without maxillary sinus grafting in severely resorbed posterior maxilla]. Shanghai Kou Qiang Yi Xue 2011; 20:506-511.
72. Arvidson K, Bystedt H, Frykholm A, von Konow L, Lothigius E. A 3-year clinical study of Astra dental implants in the treatment of edentulous mandibles. Int J Oral Maxillofac Implants 1992; 7:321-329.
73. Parel SM, Phillips WR. A risk assessment treatment planning protocol for the four implant immediately loaded maxilla: preliminary findings. J Prosthet Dent 2011; 106:359-366.
74. Arvidson K, Esselin O, Felle-Persson E, Jonsson G, Smedberg JI, Soderstrom U. Early loading of mandibular full-arch bridges screw retained after 1 week to four to five Monotype implants: 3-year results from a prospective multicentre study. Clin Oral Implants Res 2008; 19:693-703.
75. Penarrocha-Oltra D, Penarrocha-Diago M, Balaguer-Martinez J, Ata-Ali J. Full-arch fixed prosthesis supported by four implants in patients with recessive dystrophic epidermolysis bullosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 112:e4-10.
76. Astrand P, Almfeldt I, Brunell G, Hamp SE, Hellem S, Karlsson U. Non-submerged implants in the treatment of the edentulous lower jar. A 2-year longitudinal study. Clin Oral Implants Res 1996; 7:337-344.
77. Pieri F, Aldini NN, Fini M, Corinaldesi G. Immediate occlusal loading of immediately placed implants supporting fixed restorations in completely edentulous arches: a 1-year prospective pilot study. J Periodontol 2009; 80:411-421.
78. Eccellente T, Piombino M, Piattelli A, D'Alimonte E, Perrotti V, Iezzi G. Immediate loading of dental implants in the edentulous maxilla. Quintessence Int 2011; 42:281-289.
79. Pomares C. A retrospective clinical study of edentulous patients rehabilitated according to the "all on four" or the "all on six" immediate function concept. Eur J Oral Implantol 2009; 2:55-60.
80. Ekelund JA, Lindquist LW, Carlsson GE, Jemt T. Implant treatment in the edentulous mandible: a prospective study on Branemark system implants over more than 20 years. Int J Prosthodont 2003; 16:602-608.
81. Friberg B, Jemt T. Rehabilitation of edentulous mandibles by means of four TiUnite implants after one-stage surgery: a 1-year retrospective study of 75 patients. Clin Implant Dent Relat Res 2010; 12 (Suppl 1):e56-e62.
82. Romanos GE, May S, May D. Treatment concept of the edentulous mandible with prefabricated telescopic abutments and immediate functional loading. Int J Oral Maxillofac Implants 2011; 26:593-597.
83. Heschl A, Payer M, Platzer S, Wegscheider W, Pertl C, Lorenzoni M. Immediate rehabilitation of the edentulous mandible with screw type implants: results after up to 10 years of clinical function. Clin Oral Implants Res 2012; 23:1217-1223.
84. Wolfinger GJ, Balshi TJ, Rangert B. Immediate functional loading of Branemark system implants in edentulous mandibles: clinical report of the results of developmental and simplified protocols. Int J Oral Maxillofac Implants 2003; 18:250-257.
85. Li W, Chow J, Hui E, Lee PK, Chow R. Retrospective study on immediate functional loading of edentulous maxillas and mandibles with 690 implants, up to 71 months of follow-up. J Oral Maxillofac Surg 2009; 67:2653-2662.
86. Butura CC, Galindo DF, Jensen OT. Mandibular all-on-four therapy using angled implants: a three-year clinical study of 857 implants in 219 jaws. Dent Clin North Am 2011; 55:795-811.