All on 4® Treatment

Minimally invasive solution with a fixed full-arch restoration for high patient satisfaction

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The All-on-4® treatment concept is the best in its class of solutions. But only when Nobel Biocare products are combined. Many have tried to mirror this groundbreaking concept, but only we have the scientifically documented success to back it up.

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Rapid improvement in quality of life

The All-on-4® treatment concept provides edentulous and soon-to-be edentulous patients with a fixed full-arch prosthesis on four implants on the day of surgery. This quickly leads to improved patient satisfaction – with regards to function, esthetics, sense, speech, and self-esteem.

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Shorter treatment times

Two key elements significantly reduce treatment complexity, the number of surgeries, and the overall treatment time: tilting of the posterior implants avoids the need for time-consuming bone grafting procedures, while immediate loading shortens time to teeth

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Lower costs

The All-on-4® treatment concept is not only the least time-consuming treatment option, but also the least costly in comparison with conventional implant treatment modalities of the edentulous and soon-to-be edentulous jaw.

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Stability even in minimum bone volume

By tilting the two posterior implants, longer implants can be used. This increases bone-to-implant contact and avoids vertical bone augmentation. In addition, the tilted implants can be anchored in better quality anterior bone, reduce cantilevers and help avoid important anatomical structures.

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1. Achieve Immediate Function

Thanks to their design and dedicated drilling protocols, Nobel Biocare implants achieve a high initial stability, which is maintained by the TiUnite surface and patented grooves throughout the critical healing phase. All our implants can therefore be loaded with a fixed provisional restoration on the day of surgery.

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2. Select Nobel Biocare Multi-unit Abutments

We have been producing Multi-unit Abutments since 2000. They are delivered with a patented, pre-mounted holder for superior handling.

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3. Provide optimal esthetics

Enjoy easy handling and long-term predictability with the precision fit of a NobelProcera restoration. The unrivaled product quality is proven to deliver patient satisfaction.

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Prosthetic-driven planning and much more

Diagnose, plan, collaborate with your team and order all the surgical components you need in one place with the NobelClinician Software.

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Make your plan a reality

Benefit from predictable implant placement with a custom-designed, ready-to-use surgical template and tailored instruments you can rely on.

image10Dr. Paulo Maló, Portugal – All-on-4® treatment concept with NobelGuide

Situation: Totally edentulous female patient in her early 50s, rehabilitated with upper and lower removable dentures over 15 years prior.

Solution:  Fixed implant-supported bimaxillary rehabilitation using the All-on-4® treatment concept. The NobelGuide protocol (flapless) is followed in the maxilla and the conventional flap technique with the All-on-4® Guide is followed in the mandible. As a final prosthesis, fixed precision-milled NobelProcera Implant Bridges were chosen for both the maxilla and the mandible.

View case (PDF, 184 kB)

image11Dr. Rubén Davó, Spain – complete solution for severely resorbed maxilla and mandible

Situation: 60-year-old female with severe bone resorption of the upper and lower jaw with complete dentures.

Solution:  Brånemark System Zygoma and NobelReplace Tapered implants were used to rehabilitate the maxilla. For the mandible, the All-on-4® treatment concept was chosen. As a final prosthesis, fixed precision-milled NobelProcera Implant Bridges were chosen for both the maxilla and the mandible.

View case (PDF, 1 MB)