Implant case study
rehabilitation Implant
Arshad Ali describes the use of the All-On-4 technique on a patient with a neglected dentition at the Scottish Centre for Excellence in Dentistry
I
mplant treatments have revolu- tionised dentistry. Techniques are continually evolving and developing. Many patients no longer wish to have removable restorations
on either a short or long-term basis, increasing the demand for immediate implant rehabilitation. The All-On-4 technique was developed
by Paulo Malo and extensive studies published on the technique show very high success rates, even when there is minimal bone volume present. The technique can be used for edentulous patients or patients who require extractions and immediate replacement of teeth, which can usually be carried out on the same day. This case report describes the use of the All-On-4 technique on a patient who had neglected her dentition for many years.
History Patient CK attended a consultation at Scottish Centre for Excellence in Dentistry on 22 October 20ı2. She was very upset and crying when she came into the
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Table 1 – BPE score
consultation room. She reported that she had most of her upper teeth removed at the age of ı7 years and had an upper denture constructed. She was due to go back to have
treatment on her lower teeth carried out but did not return to have this done. She reported that she was not in any pain but was very concerned about the appearance of her teeth. She was coping reasonably well with her partial upper denture but wished to consider fixed implants in the lower arch. Her medical history revealed that
she was allergic to penicillin. She also had arthritis, for which she was taking co-codamol and diclofenac. She had
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Fig 1 Palatal erythema of the upper arch
Fig 2 Carious lower teeth Scottish Dental magazine 61
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