Acta Scientific Dental Sciences

Case Report Volume 9 Issue 6

Installation of Dental Implants in the Jaw After Extraction of the Elements Present and Bone Regularization of the Rim

Carlos Gleidson da Silva Sampaio Filho1, Marcos Flaminio Carlos Junior2, Ricardo da Silva Facundes2, Lionicia Maria de Souza2, Barbara Rios, Edith Zuniga Quispe2, Suzilaine Thalia Vaz Figueiredo1, Marcilio Galindo Farias Filho2, Leandro Lécio de Lima Sousa2* and Sergio Charifker Ribeiro Martins2

1Department of Oral Implantology and Dental Prosthetics - Soberana Faculdade de Saude de Petrolina - Petrolina, PE - Brasil
2Department of Oral Implantology and Dental Prosthetics - ICS UniFunorte - Centro Universitário Faculdades Unidas Norte de Minas - Recife, PE (BRAZIL)

*Corresponding Author: Leandro Lécio de Lima Sousa, Department of Oral Implantology and Dental Prosthetics - ICS UniFunorte - Centro Universitário Faculdades Unidas Norte de Minas - Recife, PE (BRAZIL).

Received: April 10, 2025; Published: May 15, 2025

Abstract

This case report aimed to demonstrate the effectiveness of the All-on-Four protocol in mandibular rehabilitation of a 68-year-old patient with severe tooth loss. The All-on-Four protocol is known for its ability to restore masticatory function and facial aesthetics in edentulous patients by using four strategically positioned implants to support a fixed prosthesis with immediate loading, thereby minimizing the need for bone grafts and invasive procedures. Traditionally, implant rehabilitations in mandibles with significant bone loss require additional grafts, increasing treatment complexity and morbidity. In the presented case, the treatment plan included the extraction of remaining teeth, alveolar ridge regularization, and the installation of four implants with immediate prosthesis provision. The results showed a satisfactory functional and aesthetic recovery, with the patient reporting a significant improvement in quality of life due to the stability and comfort of the prosthesis. The approach effectively restored masticatory function and facial aesthetics, reducing treatment time and avoiding additional surgical interventions. In conclusion, the All-on-Four protocol is a viable and less invasive solution for patients with severe tooth loss and bone resorption, providing predictable and satisfactory results with lower morbidity and accelerated recovery.

Keywords: All-on-Four; Mandibular Rehabilitation; Dental Implants

References

  1. Gonçalves GSY., et al. “Oral health-related quality of life and satisfaction in edentulous patients rehabilitated with implant-supported full dentures all-on-four concept: a systematic review”. Clinical Oral Investigation1 (2022): 83-94.
  2. Alsulimani O., et al. “The Precision of All-on-Four Implant Position Recorded from Three Different CBCT Machines”. The European Journal of Dentistry (2024).
  3. Sharka R., et al. “Oral health-related quality of life and satisfaction of edentulous patients using conventional complete dentures and implant-retained overdentures: An umbrella systematic review”. Gerodontology 3 (2019): 195-204.
  4. Turgut H and Turgut S. “Effect of Edentulism and Oral Quality of Life on Sexual Functions in Men: A Cohort Prospective Study”. Sexual Medicine 2 (2021): 100305.
  5. Gennai S., et al. “Impact of rehabilitation versus edentulism on systemic health and quality of life in patients affected by periodontitis: A systematic review and meta-analysis”. Journal of Clinical Periodontology 24 (2022): 328-358.
  6. Pandey A., et al. “Comparison between all-on-four and all-on-six treatment concepts on stress distribution for full-mouth rehabilitation using three-dimensional finite element analysis: A biomechanical study”. Journal of Indian Society of Periodontology 2 (2023): 180-188.
  7. Bhering C., et al. “Comparison between all-on-four and all-on-six treatment concepts and framework material on stress distribution in atrophic maxilla: A prototyping guided 3D-FEA study”. Materials Science and Engineering C, Materials for Biological Applications 69 (2016): 715-725.
  8. Durkan R., et al. “Maxillary and mandibular all-on-four implant designs: A review”. Nigerian Journal of Clinical Practice 8 (2019): 1033-1040.
  9. Maló P., et al. “All-on-Four” Immediate-Function Concept with Brånemark System® Implants for Completely Edentulous Mandibles: A Retrospective Clinical Study”. Clinical Implant Dentistry and Related Research 1 (2003): 2-9.
  10. Bassir SH., et al. “Outcome of early dental implant placement versus other dental implant placement protocols: A systematic review and meta-analysis”. Journal of Periodontology 5 (2019): 493-506.
  11. Hagiwara Y., et al. “Dental implant status in elderly individuals requiring domiciliary dental care in Japan”. Journal of Clinical and Experimental Dentistry 1 (2021): 53.
  12. Soto-Penaloza D., et al. “The all-on-four treatment concept: Systematic review”. Journal of Clinical and Experimental Dentistry 3 (2017).
  13. Mitsias M., et al. “Immediate, early (6 weeks) and delayed loading (3 months) of single, partial and full fixed implant supported prostheses: 1-year post-loading data from a multicenter randomised controlled trial”. European Journal of Oral Implantology 1 (2018): 63-75.
  14. França S and Paraguassu E. “Carga imediata em prótese total implantosuportada: revisão de literature”. Brazilian Journal of Implantology and Health Sciences1 (2022): 14-34.
  15. Szabó ÁL., et al. “Distally Tilted Implants According to the All-on-Four® Treatment Concept for the Rehabilitation of Complete Edentulism: A 3.5-Year Retrospective Radiographic Study of Clinical Outcomes and Marginal Bone Level Changes”. Dentistry Journal (Basel)5 (2021): 82.
  16. Fernandes A., et al. “Total rehabilitation with implant-supported and implant- retained prostheses in atrophic maxillae: Aesthetic and functional resolution for totally edentulous patients”. Research, Society and Development16 (2022).
  17. Uesugi T., et al. “The All-on-four concept for fixed full-arch rehabilitation of the edentulous maxilla and mandible: a longitudinal study in Japanese patients with 3-17-year follow-up and analysis of risk factors for survival rate”. International Journal of Implant Dentistry 1 (2023): 43.
  18. Bevilacqua M., et al. “Three-dimensional finite element analysis of load transmission using different implant inclinations and cantilever lengths”. The International Journal of Prosthodontics 21 (2018): 539-542.
  19. Tallarico M., et al. “Three-year clinical and radiographic outcomes of patients treated according to the All-on-4 concept in the daily practice: A prospective observational study on implants and prosthesis survival rates and complications”. Journal of Oral Rehabilitation 2 (2016): 16-25.
  20. Tribst JPM., et al. “Influence of Framework Material and Posterior Implant Angulation in Full-Arch All-on-4 Implant-Supported Prosthesis Stress Concentration”. Dentistry Journal 10 (2022): 12.
  21. Beretta M., et al. “Peri-Implant Soft Tissue Conditioning by Means of Customized Healing Abutment: A Randomized Controlled Clinical Trial”. Materials (Basel) 18 (2019): 3041.
  22. Peñarrocha-Oltra D., et al. “Immediate Versus Conventional Loading of Complete-Arch Implant-Supported Prostheses in Mandibles with Failing Dentition: A Patient-Centered Controlled Prospective Study”. The International Journal of Prosthodontics 5 (2015): 499-508.k

Citation

Citation: Leandro Lécio de Lima Sousa., et al. “Installation of Dental Implants in the Jaw After Extraction of the Elements Present and Bone Regularization of the Rim". Acta Scientific Dental Sciences 9.6 (2025): 07-13.

Copyright

Copyright: © 2025 Leandro Lécio de Lima Sousa., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.

Contact US









ff

© 2024 Acta Scientific, All rights reserved.