Topic: All-on-Four Concept Literature Review

Abstract

In patients with total edentulism, dental implant treatment is a treatment model which has been accepted scientifically, and with long-term outcomes [1,2]. Dental implants with immediate function by making implant-supported fixed full-arch restorations are becoming the gold standard in dental implantology [3-5]. Normally in literature successful prostheses are made using [6-8] implants in the maxilla and 6 implants in the mandible and applying posterior cantilever extension where it is necessary, in these treatments, hygiene controls can be easily performed especially in full arch screw-retained fixed prostheses [7-9]. In some cases maxillary sinuses for maxilla restricts the implant placement in the posterior region. The posterior implant treatment is also difficult in patients with resorbed mandible with a mandibular nerve located at the top of the alveolar crest. The all-on-four implant concept has been developed to prevent these disadvantages presented by Malo for the first time in 2003 and the all-on-four concept that began to be used in atrophic full arch mandibular and in the maxilla in 2005. In this technique implants are positioned in the pre-maxillary region in the maxilla and in the inter-foraminal region in the mandible.Anterior implants are placed to the lateral incisor sites or canine/first premolar region, posterior implants are placed to the second premolar or first molar region [12-16].