Full thickness flap All-on-4® surgery with Enrico Agliardi
- Conventional flap procedure and ridge regularization
- Identification of the mental foramen and exiting inferior dental nerve, to plan the position of the implant in front of the foramen, avoiding the nerve loop.
- All-on-4 guide sets the inclination of the posterior implants between 30 and 45 degrees
- Drill sequence and primary stability for immediate loading
- Bone mill to remove bone that could hinder correct seating of the abutment
The rehabilitation of severely atrophic mandible using implant‐supported prosthesis is often challenging because of the poor quality and quantity of residual jawbone, especially in patients with long‐term edentulism. The combined use of axially placed and tilted implants are an alternative to rehabilitate fully edentulous jaws without resorting to bone grafting. Follow the detailed surgical steps of this treatment approach applying a conventional flap procedure with traditional planning and surgery using a standardized All-on-4® Guide.
1. Weinstein R, Agliardi E, Fabbro MD, Romeo D, Francetti L. Immediate rehabilitation of the extremely atrophic mandible with fixed full-prosthesis supported by four implants. Clin Implant Dent Relat Res. 2012 Jun;14(3):434-41
2. Agliardi E, Clericò M, Ciancio P, Massironi D. Immediate loading of full-arch fixed prostheses supported by axial and tilted implants for the treatment of edentulous atrophic mandibles. Quintessence Int 2010;41(4):285-293.