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Related Experiment Video

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Digital Workflow for Interim Prosthetic Rehabilitation Through the All-on-4 Concept Using 3D Printing Additive

Miguel de Araújo Nobre1, Ricardo Almeida2, Carlos Moura Guedes2

  • 1Research, Development and Education, MALO CLINIC, Avenida dos Combatentes, 43, 1600-042 Lisbon, Portugal.

Journal of Clinical Medicine
|December 11, 2025
PubMed
Summary
This summary is machine-generated.

Fully digital workflows using 3D-printed prostheses with the All-on-4 concept show promising short-term success for full arch rehabilitation. This approach offers high patient satisfaction and good implant survival rates, validating its viability in implant dentistry.

Keywords:
3D printingAll-on-4immediate loadingimplant-supported prosthesisphotogrammetryprosthesis failure

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Area of Science:

  • Dentistry
  • Biomaterials Science
  • Digital Health

Background:

  • The evolution of fully digital workflows in implant dentistry aims to enhance rehabilitation efficiency and patient satisfaction.
  • Further scientific validation is required for these advanced digital protocols.

Purpose of the Study:

  • To evaluate the 6-month outcomes of implant-supported fixed prostheses for full edentulism rehabilitation.
  • To assess the efficacy of OnX Tough 2 resin and the Pro 2 3D printer within the All-on-4 concept.

Main Methods:

  • The study included 16 patients receiving 20 implant-supported fixed full-arch prostheses using the All-on-4 concept.
  • Both stackable guide and photogrammetry protocols were employed.
  • Primary outcome: implant and prosthetic survival. Secondary outcomes: manufacturing issues, passive fit, marginal bone loss, complications, hygiene indexes, and patient-reported outcomes (OHIP-14).

Main Results:

  • A 90% prosthesis survival and 97.5% implant survival rate at 6 months were observed.
  • Mean marginal bone loss was 0.31 mm ± 0.52 mm at 4 months.
  • High patient satisfaction reported for comfort (9.35/10) and chewing (8.79/10), with a low mean OHIP-14 score of 1.61.

Conclusions:

  • Fully digital workflows utilizing 3D-printed prostheses with the All-on-4 concept are a viable short-term solution for full-arch rehabilitation.
  • The study demonstrates favorable implant survival and high patient-reported outcomes.