Rehabilitation of the total edentulous patient using the technique of angled implants ALL-ON-4, zirconium hybrid bridges

Abstract

In the current implant techniques have been developed that can offer better treatments to patients, from restoring
a lost tooth to fully edentulous rehabilitation of a patient. The protocols vary widely, parallel implants versus
angled implants, immediate loading versus conventional loading, acrylics versus zirconium.
The most important to determine which of these options is ideal factor for the patient, is conducting a proper
diagnosis dependent on the needs and possibilities of each specific patient.
Because the pattern of resorption of the maxilla and bone density available in this area, the percentage of
successful treatment decreases, we must considerate these characteristics in order to provide a adequate diagnosis
and treatment plan. In a globalized world, where our patients are increasingly informed and updated of treatments that can be offered, the clinician must strive to meet the expectations of these patients. The rehabilitation of the total edentulous maxilla with medium or severe alveolar resorption and pneumatization of the maxillary sinus has always presented a challenge, especially when the patient does not want to go through surgery for bone grafts, such as sinus lift augmentation or reconstruction of bone in block. Placing 4-6 angulated implants for rehabilitation treatment has been fixed that overdosed boom in recent years. Since Dr. Paulo Malo in Portugal described the technique in 1993, this procedure has crossed borders and more and more clinicians who perform. In this article the rehabilitation of the edentulous maxilla and mandible with implants and hybrid technique zirconia bridges is presented.