Previsibilidade de reabilitações de maxilas edêntulas com a técnica all-on-four: revisão de literatura

  • Patricia Kolling Marquezan Universidade Federal de Juiz de Fora, Minas Gerais, Brasil.
  • Felipe Borsa Lago Universidade Federal de Juiz de Fora, Minas Gerais, Brasil.
  • Rodrigo Moreira Bringel da Costa Faculdade de Odontologia, Universidade Federal de Juiz de Fora, Minas Gerais, Brasil.
  • Patricia Hamester Faculdade de Odontologia, Universidade Federal de Juiz de Fora, Minas Gerais, Brasil.
Palavras-chave: reabilitação oral, all-on-four, maxila edêntula

Resumo

Objetivo: avaliar a previsibilidade das reabilitações de maxilas edêntulas através da técnica all-on-four, mensurada pelas tensões sobre implantes em estudos laboratoriais e sobrevida de próteses, perda óssea marginal e sucesso dos implantes em estudos clínicos. Revisão de literatura: foi executada uma busca na literatura nas bases de dados Lilacs, SciELO e PubMed/Medline, utilizando termos relacionados ao tema, sem restrição temporal e adaptados para cada base. As buscas foram realizadas por um único examinador no período de setembro a novembro de 2019. Após a leitura crítica dos 21 artigos selecionados, constata-se que existem vários estudos com muitos delineamentos que avaliaram a previsibilidade mensurada de várias formas. Considerações finais: diante das evidências científicas encontradas, a reabilitação de maxilas edêntulas com a técnica all-on-four demonstra ser previsível e estável. Estudos retrospectivos, prospectivos e revisões sistemáticas relatam altos índices de sucesso, baixa perda óssea marginal, embasando o uso da técnica all-on-four na odontologia.

Downloads

Não há dados estatísticos.

Referências

1. Ravazi R, Zena RB, Khan Z, Gould AR. Anatomic site evaluation
of edentulous maxillae for dental implant placement.
Journal of Prosthodontis 1995; 4(2):90-944.
2. Ulm CW. The edentulous maxillary alveolar process in the
region of the maxillary sinus - a study of Thysical dimension.
International Journal of Oral Maxillofacial Surgery 1995;
24(4):279-82.
3. Truhlar RS, Orenstein IH, Morris HF, Ochi S. Distribution
of bone quality in patients receiving endosseous dental implants.
J Oral Maxillofac Surg 1997 Dec; 55(12Suppl 5):38-
45. DOI: 10.1016/s0278-2391(16)31196-x. PMID: 9393425.
4. Ulm CW. The edentulous maxillary alveolar process in the
region of the maxillary sinus - a study of Thysical dimension.
International Journal of Oral Maxillofacial Surgery 1995;
24(4):279-82.
5. Ata-ali J, Peñarrocha-diago M. Oral rehabilitation with tilted
dental implants: a metaanalysis. Medicina Oral, Patologia
Oral y Cirurgia Bucal 2012; 17(4):582-7.
6. Patzelt SBM, Bahat O. The all-on-four Treatment Concept: a
Systematic Review. Clinical Implant Dentistry and Related
Research 2013; 16(6):836-55.
7. Asawa N, Shah R. Angulated implans: an alternative to bone
augmentation and sinus lift procedure: systematic review.
Journal of Clinical Diagnostic Research 2015; 9(3):10-3.
8. Maló P, Rangert B, Nobre M. “All-on-Four” immediate function
concept with Brånemark System implants for completely
edentulous mandibles: a retrospective clinical study. Clinical
Implant Dentistry Related Research 2003; 5:2-9.
9. Brånemark PI. Osseointegration and its experimental background.
J Prosthet Dent 1983; 50(3):399-409. DOI: 10.1016/
s0022-3913(83)80101-2. PMID: 6352924.
10. Aparicio C, Perales P. Tilted implants as an alternative to
maxillary sinus grafting: a clinical, radiologic and periotest
study. Clinical Implant Dentistry and Related Research
2001; 3(1):39-49.
11. Krekmanov L. Placement of posterior mandibular and maxillary
implants in patients with severe bone deficiency: a
clinical case report procedure. International Journal Oral &
Maxillofacial Implants 2000; 15(5):722-30.
12. Navarro I. Rehabilitación del edéntulo total utilizando la técnica
de implantes angulados ALL-ON-4, puentes híbridos de
zirconio. Revista Odontologia Vital 2015; 57-67.
13. Krekmanov L. Placement of posterior mandibular and maxillary
implants in patients with severe bone deficiency: a
clinical case report procedure. International Journal Oral &
Maxillofacial Implants 2000; 15(5):722-30.
14. Francetti L. Immediate Reabilitation of the mandible witc
Fixed Full Protesis Supported by Axial and Tilted Implants:
Interin Results of a Single Cohor Prospective Study. Clinical
Implant Dentistry Related Research 2008; 10(4):255-63.
15. Capelli M, Zuffetti F. Immediate rehabilitation of the completely
edentulous jaw with fixed prostheses supported by either
upright or tilted Implants: a Multicenter clinical study.
International Journal of Oral Maxillofaciall Implants 2007;
22(4):639- 44.
16. Rosen A, Gynther G. Implant treatment without bone grafting
in edentulous severly resorbed maxillas: a long-term
follow-up study. Journal of Oral and Maxillofaciall Surgery
2007; 65(5):1010-6.
17. Calandrielo R. Simplified treatment of the atrophic posterior
maxilla via immediated/early function and tilted implants: a
prospective 1-year clinical study. Clinical Implant Dentistry
and Related Research 2005; 7(1):1-12.
18. Pereira AS, Shitsuka DM, Parreira FJ, Shitsuka R. Metodologia
da pesquisa científica. [E-book]. Santa Maria: Ed. UAB/
NTE/UFSM; 2018.
19. Bellini CM, Taschieri S. Comparison of tilted versus nontilted
implant-supported prosthetic designs for the restoration
of the edentulous mandible: a biomechanical study. International
Journal of Oral Maxillofac Implants 2009; 24:(5):511-
7.
20. Cidade CPV, Pimentel MJ, Amaral RC, Nóbilo MAA, Barbosa
JRA. Photoanalysis of all-on-four concept using different
implants angulations for maxila. Brazilian Oral Research
2014; 28(1):1-7.
21. Saber SF, et al. The comparison of stress distribution with
different implant numbers and inclination angles in all-on-
-four and conventional methods in maxilla: a finite element
analysis. Journal of Dental Research, Dental Clinics, Dental
Prospects 2015; 9(4):246-53.
22. Gümrükçü Z, et al. Biomechanical evaluation of implant- supported
prosthesis with various tilting implant angles and
bone types in atrophic maxilla: a finite element study. Computers
in Biology and Medicine 2017; 1:47-54.
23. Casar-Espinosa JC, Castillo-Oyagüe R, Serrera-Figallo MÁ,
Garrido-Serrano R, Lynch CD, Menéndez-Collar M, et al.
Combination of straight and tilted implants for supporting
screw-retained dental prostheses in atrophic posterior maxillae:
A 2-year prospective study. Journal of Dentistry 2017
Aug; 63:85-93.
24. Agliardi E, Francetti L. Immediate rehabilitation of the
edentulous maxilla: Preliminary results of a single-cohort
prospective study. International Journal of Oral Maxillofaciall
Implants 2009; 24(5):887-95.
25. Semper W, Heberer S, Nelson K. Retrospective analysis of
bar-retained dentures with cantilever extension: marginal
bone level changes around dental implants over time. International
Journal of Oral Maxillofaciall Implants 2010;
25(2):385-93.
26. Babbush CA, Kutsko GT, Brokloff J. The all-on-four immediate
function treatment concept with NobelActive implants:
a retrospective study. J Oral Implantol 2011 Aug; 37(4):431-
45. DOI: 10.1563/AAID-JOI-D-10-00133. E-pub 2010 Dec 27.
PMID: 21186961.
27. Pozzi A, Agliardi IE. Clinical and radiological outcomes of
two implants with different prosthetic interfaces and neck
configurations: randomized, controlled, split mouth clinical
trial. Clinical Implant Dentistry and Related Research 2014;
16(1):96-106.
28. Tang T. A prospective study of changes in oral health-related
quality of life during “all on four” immediate restoration for
edentulous individuals. Shanghai Journal of Stomatology
2018; 27(1):52-5.
29. Lindhe J. Group D of European Workshop on Periodontology.
Peri-implant diseases: Consensus Report of the Sixth European
Workshop on Periodontology. Journal of Clinical Periodontology
2008; 35(8):282-5.
Publicado
2021-09-30
Como Citar
Marquezan, P., Borsa Lago, F., Moreira Bringel da Costa, R., & Hamester, P. (2021). Previsibilidade de reabilitações de maxilas edêntulas com a técnica all-on-four: revisão de literatura. Revista Da Faculdade De Odontologia - UPF, 25(3), 404-409. https://doi.org/10.5335/rfo.v25i3.12224
Seção
Artigos