Learning outcomes:
At the conclusion of this session, the audience will be able to:
- Have knowledge of the pre-treatment data required for the All-on-4™ solution using Zygoma implants.
- Discuss the benefits and uses of the NobelGuide software in All-on-4™ treatment planning.
- Understand the evidence-based support of treatment using the NobelGuide™ and Immediate Function™ protocols.
- Explain the applications and uses of the NobelGuide™ in surgical guide construction.
- Discuss fabrication of the surgical templates.
- Have knowledge of the process for implant prosthesis construction.
- Summarize fabrication and placement of an immediate restoration.
- Describe final restoration design, construction and cementation.
- Identify role of the TiUnite® surface in soft and hard tissue integration.
Scientific evidence:
NobelGuide™:
van Steenberghe, D., et al., A custom template and definitive prosthesis allowing immediate implant loading in the maxilla: a clinical report. Int J Oral Maxillofac Implants, 2002. 17(5): p. 663-70.
van Steenberghe, D., et al., A computed tomographic scan-derived customized surgical template and fixed prosthesis for flapless surgery and immediate loading of implants in fully edentulous maxillae: a prospective multicenter study. Clin Implant Dent Relat Res, 2005. 7 Suppl 1: p. S111-20.
Van Assche, N., et al., Accuracy of implant placement based on pre-surgical planning of three-dimensional cone-beam images: a pilot study. J Clin Periodontol, 2007. 34(9): p. 816-21.
Zygoma:
Malevez, C., et al., Clinical outcome of 103 consecutive zygomatic implants: a 6-48 months follow-up study. Clin Oral Implants Res, 2004. 15(1): p. 18-22.Bedrossian, E., et al., Immediate Function with the zygomatic implant: a graftless solution for the patient with mild to advanced atrophy of the maxilla. Int J Oral Maxillofac Implants, 2006. 21(6): p. 937-42.
Balshi, S.F., G.J. Wolfinger, and T.J. Balshi, Analysis of 164 titanium oxide-surface implants in completely edentulous arches for fixed prosthesis anchorage using the pterygomaxillary region. Int J Oral Maxillofac Implants, 2005. 20(6): p. 946-52.
Aparicio, C., et al., A prospective clinical study on titanium implants in the zygomatic arch for prosthetic rehabilitation of the atrophic edentulous maxilla with a follow-up of 6 months to 5 years. Clin Implant Dent Relat Res, 2006. 8(3): p. 114-22.
All-on-4™:
Malo, P., B. Rangert, and M. Nobre, "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: p. 2-9.
Malo, P., B. Rangert, and M. Nobre, 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: p. S88-94.
Maló P, de Araújo Nobre M, Lopes A. The use of computer-guided flapless implant surgery and 4 implants placed in Immediate Function to support a fixed denture: Preliminary results after a mean follow-up period of 13 months. J Prosthet Dent 2007; 97(suppl):S26-S34.
Khatami, A.H. and C.R. Smith, "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(1): p. 47-51.