Rehabilitation of atrophic jaws without bone grafting and the all-on-four technique: an integrative review
Reabilitação de maxilares atróficos sem enxerto ósseo e a técnica all-on-four: uma revisão integrativa
Palavras-chave:
Oral rehabilitation, Atrophic jaws, Bone grafting, All-on-Four techniqueResumo
This article presents an integrative review that aimed to analyze and synthesize the available scientific literature on the rehabilitation of atrophic jaws without the need for bone grafting, using the All-on-Four technique. Searches were performed in scientific databases and selected studies published between 2018 and 2023. The review included clinical studies, meta-analyses, and systematic reviews that addressed the All-on-Four technique and the rehabilitation of atrophic jaws. The selected studies were analyzed for their objectives, methodology, and results. The results of the studies indicated that the All-on-Four technique is an effective approach for the rehabilitation of atrophic jaws, presenting, in most cases, a protocol pathway that dispenses with the need for extensive bone grafting. The integrative review identified limitations in the included studies, such as a lack of standardization in patient selection and techniques used, and a limited number of long-term studies. Therefore, further high-quality clinical research and long-term follow-up studies are needed to strengthen the evidence related to the All-on-Four technique in the rehabilitation of atrophic jaws.
Downloads
Referências
BEDROSSIAN, E.; STUMPEL, LJ.; BECKLEY, M.L.; INDRESANO, T. Immediate loading of the edentulous maxilla with a final fixed restoration using a novel graftless approach. The International Journal of Oral & Maxillofacial Implants, v.23, n.5, p.945-954, 2008.
COPPEDÊ, A.R.; FACOETTI, I.S.; SÁNCHEZ-SILES, M. Comparing the Clinical Outcomes of All-on-Four Fixed Complete Denture Prosthesis Supported by Conventional or Tilted Implants: A Systematic Review and Meta-Analysis. Journal of Prosthodontics, v.29, n.3, p.189-198, 2020. doi: 10.1111/jopr.13147.
DURKAN, R.; OYAR, P.; DESTE, G. Maxillary and Mandibular All-on-Four Implant Designs: Review. Nigerian Journal of Clinical Practice, v.22, n.8, p.1003-1040, 2019. Doi: 10.4103/njcp.njcp_273_18.
ESPOSITO, M.; GRUSOVIN, M.G.; COULTHARD, P.; OLIVER, R.; WORTHINGTON, H.V. The efficacy of various bone augmentation procedures for dental implants: a cochrane systematic review of randomized controlled clinical trials. The International Journal of Oral & Maxillofacial Implants, v.34, n.2, p.61-79, 2019.
GONÇALVES, G. S. Y., DE MAGALHÃES, K. M. F., ROCHA, E. P., DOS SANTOS, P. H., & ASSUNÇÃO, W. G. Oral health-related quality of life and satisfaction in edentulous patients rehabilitated with implant-supported full dentures all-on-four concept: a systematic review. Clinical oral investigations, v. 26, n1, p. 83–94, 2022. https://doi.org/10.1007/s00784-021-04213-y
GRANDI, T.; SIGNORINI, L. Rehabilitation of the Completely Edentulous Mandible by All-on-Four Treatment Concept: A Retrospective Cohort Study with Up to 10 Years Follow-Up. Medicina (Kaunas), v. 58, n.1, p.10-22, 2021. 10.3390/medicina58010010.
LEE, S.Y; KIM, J.H.; KIM, T.W.; YUN, M.J.; YUN, P.Y. Accuracy of computer-guided implant surgery with tooth-supported, digitally designed surgical templates and accuracy of implant placement: A retrospective study. Journal of Prosthetic Dentistry, v.126, n.1, p. 134-140, 2021.
MALÓ, P.; NOBRE, M.; LOPES, A.; FRANCISCHONE, C.; RIGOLIZZO, M. All-on-4 immediate-function concept with Brånemark System implants for completely edentulous maxillae: a 1-year retrospective clinical study. Clinical Implant Dentistry and Related Research, v.7, n.1, p. 88-94, 2005.
MALÓ, P.; NOBRE, M.D.; LOPES, A. The rehabilitation of completely edentulous maxillae with different degrees of resorption with four or more immediately loaded implants: a 5-year retrospective study and a new classification. European Journal of Oral Implantology, v. 4, n.3, p. 227–243, 2011.
MANGANO, C.; MANGANO F.; RICCI, M.; SAMMONS, R. L.; SHIBLI, J.; PIATTELLI, A. Single-tooth Morse taper connection implants placed in fresh extraction sockets of the anterior maxilla: an aesthetic evaluation. Clinical Oral Implants Research, v.21, n.11, p. 1224-1233, 2012. doi: 10.1111/j.1600-0501.2010.01933.x.
REIS, L.D.; MELO, A.C.; PASSONI, B.B. Análise comparativa de resultados entre as técnicas All-on-Four e All-on-Six: uma revisão sistemática e meta-análise. The International Journal of Oral & Maxillofacial Implants, v. 33, n.6, p.1265-1273, 2018. doi: 10.11607/jomi.6577.
SALIM, M.A.; AL-ZOUBI, H.; ALMASRI, M. Rehabilitation of Severely Resorbed Maxilla Using Angulated Implants and All-on-Four Concept: A Randomized Clinical Trial. The International Journal of Oral & Maxillofacial Implants, v.36, n., p. 21-28, 2021. doi: 10.11607/jomi.8945.
SHAMS, N.; FAHIMI, H.; SHEIKHZADEH, S. Clinical and Radiographic Evaluation of Two Different Implant Designs Supporting Maxillary All-on-4 Prostheses: A Randomized Controlled Trial. Journal of Prosthodontics, v.29, n.1, p. 28-33, 2020. doi: 10.1111/jopr.13128.
SHRESTHA, B., KUMAR, Y.R., BARAL, D. All-on-4 versus conventional implant-supported dentures: A systematic review and meta-analysis. Journal of Prosthetic Dentistry, v. 125, n.3, p. 367-377, 2021.
SOARES, Cassia B.; HOGA, Luiza A.K.; PEDUZZI, M.; SANGALETI, C.; YONEKURA, T.; SILVA, Deborah R.A.D. Revisão integrativa: conceitos e métodos utilizados na enfermagem. Revista Escola de Enfermagem da USP, São Paulo, v.48, n.2, p. 335-345, 2014. DOI: 10.1590/S0080-623420140000200020.
STELLINGSMA, K.; BOUMA, H.; DE BRUIJN, H. Taxas de sobrevivência de implantes e próteses a longo prazo no conceito all-on-four: uma revisão sistemática. Journal of Dentistry, n.102, p. 1034-1077, 2020. doi: 10.1016/j.jdent.2020.103477.
TALLARICO, M.; MELONI, S.M.; CANULLO, L.; CANEVA, M.; POLIZZI, G. Five-year results of a randomized controlled trial comparing patients rehabilitated with immediately loaded maxillary cross-arch fixed dental prostheses supported by four or six implants placed using guided surgery. Clinical Oral Implants Research, v. 29, n.10, p.1035-1043, 2018. 2018.
WEINSTEIN, R.; AGLIARDI, E.; FABBRO, M. D.; ROMEO, D.; FRANCETTI, L. Immediate rehabilitation of the extremely atrophic mandible with fixed full-prosthesis supported by four implants. Clinical Oral Implants Research, v. 14, n.3, 434–441, 2012. https://doi.org/10.1111/j.1708-8208.2009.00265.x
