Looking for dental restoration options and worried about the invasiveness, cost, and effectiveness of traditional implants?
Porcelain All-on-4 may be the answer. This solution addresses your concerns about jawbone atrophy, long recovery times, and high costs with a less invasive and more affordable option.
What are Porcelain All-on-4 Implants?
Porcelain All-on-4 implants use four strategically placed implants to support a full-arch prosthesis, ideal for those with severe jawbone loss. This approach, pioneered by Paulo Malo, avoids bone grafting, provides immediate function, and offers high survival rates (94.4% maxilla, 96.7% mandible) over 3–17 years—an effective, affordable solution for improved aesthetics and chewing ability.
| Beneficio | Descripción |
|---|---|
| Menos invasivo | Avoids complex bone grafting procedures |
| Función inmediata | Provides immediate loading and function |
| Altas tasas de éxito | Demonstrates long-term survival rates |
| Rentable | Offers a more affordable solution compared to traditional methods |
How do Porcelain All-on-4 Implants work?
The All-on-4 Concept
The All-on-4 concept developed by Paulo Malo involves 4 implants to support a full arch prosthesis.
This is a less invasive and more affordable alternative to traditional implants.
The concept is based on immediate loading, which allows for immediate restoration and function, patient satisfaction and quality of life (1).
Advantages of Porcelain in All-on-4
Porcelain All-on-4 has several advantages over other All-on-4 materials.
Porcelain is known for its durability and aesthetic, natural look and feel that will give patients satisfaction.
Porcelain superstructures have been shown to have similar clinical outcomes to ceramic superstructures in terms of survival rates and patient satisfaction.
A 6-year clinical study showed no significant difference in implant survival rates between acrylic and ceramic superstructures (4).
Benefits of Porcelain All-on-4 Implants
High Success Rates: 98.7% at 3 years and 98.2% at 5 years (1)
Funcionalidad inmediata: Porcelain All-on-4 provides immediate restoration and function, patient satisfaction, and quality of life.
Cost Effective: Reduces overall treatment cost by no bone grafting and fewer implants.
All-on-4 | Top 3 Materials & Which is Best
Porcelain: Durability and Aesthetic
Porcelain is a popular choice for All-on-4 because of its durability and aesthetic.
It provides a natural look and feel that will give patients satisfaction and quality of life.
A study comparing the clinical outcomes of implant-supported acrylic and ceramic superstructures found that ceramic superstructures had better aesthetics and durability than acrylic superstructures (4).
Zirconia: Strength and Versatility
Zirconia is another material used in All-on-4, known for its strength and versatility.
It has high mechanical strength and wear resistance, making it a reliable material for dental restoration.
A review article on the All-On-Four treatment concept emphasized the importance of material selection to achieve high success rates and patient satisfaction; zirconia is good in some cases (3).
Acrylic: Cost and Practicality
Acrylic is a cost-effective and practical option for All-on-4.
It is known for its ease of fabrication and affordability, making it a more affordable option for patients who want full smile restoration.
A 6-year clinical study on implant-supported acrylic vs. ceramic superstructures found that acrylic superstructures had similar clinical outcomes to ceramic superstructures in terms of survival rates and patient satisfaction.
All-on-4 Material Selection
Considerations: Cost, Durability and Aesthetic
When choosing the material for your All-on-4, there are several factors to consider: cost, durability and aesthetic.
The cost of the material will affect the overall treatment cost; acrylic is more affordable than ceramic and zirconia.
But ceramic and zirconia have better durability and aesthetics, making them a better option for patient who wants long-lasting and visually appealing (4).
Ask a Professional: Key Points
Ask a professional to determine the best material for your All-on-4. Patient preference, aesthetic requirement and budget constraint should be considered.
A review article on the All-On-Four treatment concept emphasized the importance of material selection to achieve high success rates and patient satisfaction; thorough patient evaluation is necessary to achieve optimal result (3).
Conclusiones
Principales conclusiones:
High Success Rates: All-on-4 has high success rates, 94.4% for maxilla and 96.7% for mandible over 3-17 years (1)
Funcionalidad inmediata: Porcelain All-on-4 provides immediate restoration and function, patient satisfaction, and quality of life.
Cost Effective: Reduces overall treatment cost by no bone grafting and fewer implants.
Conclusión:
Porcelain All-on-4 is a reliable, cost-effective, and efficient solution for full smile restoration.
With high success rates, immediate function, and cost-effectiveness, this is a good option for patients who want to regain their confidence and oral function.
PREGUNTAS FRECUENTES
Referencias
Malo 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(6 Suppl):S26-34. doi: 10.1016/S0022-3913(07)60005-1
- Babbush CA, Kanawati A, Brokloff J. A new approach to the All-on-Four treatment concept using narrow platform NobelActive implants. J Oral Implantol. 2013;39(3):314-25. doi: 10.1563/AAID-JOI-D-12-00223
- Taruna M, Chittaranjan B, Sudheer N, Tella S, Abusaad M. Prosthodontic Perspective to All-On-4 Concept for Dental Implants. J Clin Diagn Res. 2014;8(10):ZE16-9. doi: 10.7860/JCDR/2014/9648.5020
Artículo: Perspectiva prostodóncica del concepto All-On-4 para implantes dentales
- Soyfer V. Review Article on the All-On-Four Treatment Concept in Dental Implants. Arch Surg Clin Res. 2023;7:019-023. doi: 10.29328/journal.ascr.1001070
Artículo: Artículo de revisión sobre el concepto de tratamiento All-On-Four en implantes dentales
- Lopes A, Malo P, de Araujo Nobre M, Sanchez-Fernandez E. The NobelGuide All-on-4 Treatment Concept for Rehabilitation of Edentulous Jaws: A Prospective Report on Medium- and Long-Term Outcomes. Clin Implant Dent Relat Res. 2015;17 Suppl 2:e406-16. doi: 10.1111/cid.12260
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