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.
• 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:
Malò P, de Araùjo 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): 26 - 34

Malò P, Rangert B, de Araùjo Nobre M. All - on- 4 Immediate Function concept with Branemark System implants for ocmpletely edentolous maxillae: a 1 year retrospective clinical study. Clin Implant Dent Relat Res 2005; 7 (Suppl 1): 88 - 94

Francetti L, Agliardi E et al. Immediate rehabilitation of the mandible with fixed full prosthesis supported by axial and tilted implants: Interim results of a single cohort prospective study. Accepted for publication Clin Implant Dent Relat Res