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Implantology all on 4 London

The All-on-4 is an advanced surgical technique used in dental implantology for the rehabilitation of edentulous (toothless) or compromised dentition patients. This technique involves the placement of four dental implants in the upper or lower jaw, providing stable support for a fixed prosthesis.

Here is an overview of the All-on-4 technique:

Preliminary Assessment: Before initiating the procedure, the patient undergoes a comprehensive assessment, which may include radiographic exams and computerized tomography scans to analyze bone anatomy and plan the implant placement.

Treatment Planning: The medical team plans the treatment considering the quantity and quality of available bone, as well as the aesthetic and functional needs of the patient.

Implant Placement: During the surgical procedure, four dental implants are strategically placed in the upper or lower jaw. The anterior implants are generally inserted vertically, while the posterior ones are inclined to maximize the use of existing bone.

Immediate Loading: In many cases, a distinctive feature of the All-on-4 technique is immediate loading, meaning a temporary prosthesis is fixed on the implants on the same day as the surgery. This allows the patient to have an immediate and functional solution.

Healing Phase: After the surgery, a healing phase is observed, during which the implants integrate into the surrounding bone. This process may take several months.

Definitive Prosthesis: Once the healing is complete, a definitive prosthesis, often made of durable and aesthetically pleasing materials, is fixed onto the implants.

This technique was developed to address challenges associated with patients having a limited amount of bone, offering a quicker and more effective solution compared to traditional approaches.

It is important to emphasize that each case is unique, and the decision to adopt the All-on-4 technique should be made in consultation with a dental professional after a thorough evaluation.

The “Toronto Bridge” is a type of fixed prosthesis used in the field of dental implantology. The main characteristic of this prosthesis is that it relies on only four dental implants in the anterior part of the jaw (premaxilla) and, as you noted, avoids the sinus areas.

Here are some key points about the Toronto Bridge prosthesis:

  1. Placement on Frontal Implants: The Toronto Bridge prosthesis is based on four implants positioned in the front part of the jaw (premaxilla). This design is intended to avoid the sinus areas and utilize the available bone in the anterior region.
  2. Frontal Support Zone: The support zone of the four implants is concentrated in the front part of the jaw, providing a stable base for the prosthesis.
  3. Limitations of Teeth: The Toronto Bridge prosthesis has only 12 teeth, meaning it may lack a significant portion of the posterior chewing perimeter in the upper jaw, such as molars.
  4. Absence of Implants in Posterior Zones: The prosthesis may lack implant support in the posterior zones of the upper jaw, which could affect chewing ability in the back of the mouth.
  5. Aesthetic and Functional Limitations: Due to its specific design, the Toronto Bridge prosthesis may present some aesthetic and functional limitations, especially in the posterior areas of the jaw.
  6. Advantages of Frontal Design: On the other hand, the design that avoids the sinus areas and focuses on the front part can be advantageous for patients with a limited amount of bone in the posterior zone.

As with any dental treatment option, the decision to use a Toronto Bridge prosthesis should be based on a detailed assessment by your dentist or oral surgeon. These professionals can consider your oral anatomy, specific needs, and provide personalized advice to achieve the best possible outcome.

All on 4 all on four implantology surgical techniqueGalileus Cerclage Sinus®:

The prosthetic solution Galileus Cerclage Sinus® is specifically designed to address posterior maxillary atrophy, offering a comprehensive and functional restoration. Let’s delve into the prosthetic analysis and compare it with other traditional techniques.

Key Features of Galileus Cerclage Sinus® Prosthetic Solution:

  1. Full arch rehabilitation: The technique involves placing a minimum of 6-9 dental implants, depending on the available bone in the frontal premolar region. This ensures complete arch support for prosthetic restoration.
  2. Fixed prosthesis with 14 Zirconia ceramic crowns: The prosthetic component comprises zirconia ceramic crowns supported by dental implants. Zirconia is chosen for its durability, biocompatibility, and aesthetic qualities, providing a natural and functional appearance.
  3. Customized prosthetic design: The prosthetic device is meticulously crafted to adapt to the patient’s anatomy. The master craftsman, with over 40 years of experience, ensures a personalized, aesthetic, and functional outcome tailored to facial features and gingival contour.
  4. Elimination of removable prosthetics: Unlike traditional approaches, Galileus Cerclage Sinus® avoids the need for removable prosthetics. The fixed prosthetic solution improves stability, comfort, and functionality during daily activities, including chewing and speaking.
  5. Occlusal stability: The strategic distribution of implants around the perimeter of the upper jaw ensures optimal occlusal stability. This allows for efficient and balanced force distribution during chewing, mimicking a complete natural dentition.
  6. Functional and aesthetic harmony: The prosthetic design not only focuses on functional rehabilitation but also emphasizes aesthetic harmony. The absence of fake gums and precise prosthetic shaping contribute to a natural and pleasing appearance.

Comparison with Traditional Prosthetic Techniques:

  1. Removable prosthetics: Galileus Cerclage Sinus® surpasses the limitations of removable prosthetics by providing a stable and fixed solution.
  2. All-on-4/All-on-6: While these techniques offer anterior support, Galileus Cerclage Sinus® extends support to the entire arch, including the posterior region, ensuring complete masticatory efficiency.
  3. QUAD Zygomatic Implants: Galileus Cerclage Sinus® competes with the advantages of zygomatic implants by addressing atrophy without relying on these specialized implants, providing a comprehensive solution.
  4. Pterygoid Zygomatic: In cases where there is minimal residual bone in the premaxillary area, this technique allows for a fixed dentition of 14 zirconia ceramic teeth with a less invasive solution compared to the QUAD zygomatic technique.

In summary, Galileus Cerclage Sinus® stands out as a prosthetic solution that combines functional excellence with aesthetic precision. The personalized approach and attention to rehabilitating the entire arch make it a compelling alternative to traditional prosthetic techniques.

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