Diagnostically Driven Planning and Execution of an All-on-4 Treatment Concept

The All-on-4 treatment concept offers advantages to patients seeking full-arch immediate function, including reduced treatment time and costs, improved esthetics, and high patient satisfaction. The biomechanical basis and clinical success of the All-on-4 concept have been validated by numerous scientific and clinical studies. Nevertheless, relatively few clinicians have successfully implemented this extraordinary service for their patients. This article introduces specific planning and treatment protocols advanced by the authors that are intended to: reduce surgical and restorative chairtime; circumvent surgical site disruption; improve the durability and esthetics of the provisional restoration; optimize patient comfort and convenience; and increase clinical implementation compared to first-generation protocols.