Clinicians have been treating edentulous patients or patients with failing dentition with immediate full arch rehabilitation since Paulo Malo innovated the All-on-4® in 1998. As the procedure has evolved, new methods to treatment plan guided surgery and guided restorations have become more prevalent among clinicians performing these cases. This course will outline the surgery, immediate temporization and definitive restoration for both conventional and guided immediate full arch rehabilitation. It will also compare and contrast the advantages, disadvantages and limitations of both workflows.

At the conclusion of this program, participants should be able to:

• Identify the patient records that are needed for both workflows
• Understand, in detail, the surgical and restorative procedures followed during surgery
• Understand the use of the second Long Term Provisional in capturing records for the definitive restoration.
• Understand the prosthetic options for definitive restorations

Prerequisites :

• Conventional vs. Digitally-Guided Full Arch Rehabilitation

Treatment planning full arch rehabilitation for patients with failing dentition or fully edentulous patients is a complex process. Guided surgery software and digital dentistry have made this process easier than ever before. While many of the same traditional concepts remain, these concepts must be digitized in order to achieve a predictable result for the patient. In this program, participants will learn about the four records required to treatment plan a full arch rehabilitation case and the best practices for taking them.

At the conclusion of this program, participants should be able to:

• Understand which records are required for a digitally-guided, full arch case and how to submit those records
• Understand the standards to evaluate, and the procedures to capture, CBCT, IOS and physical impression records
• Understand which photos are necessary, and how to evaluate and capture the correct jaw relationship

Prerequisites :

• Conventional vs. Digitally-Guided Full Arch Rehabilitation
• Best Practices for Record Taking for Digital Full Arch Rehabilitation

As technology has evolved throughout the years for treating patients who are either edentulous or who have failing dentition, immediate full arch rehabilitation has become more predictable and less cumbersome than when Paulo Malo first developed the procedure in 1998.
Guided implant surgery is now widely used by clinicians treating edentulous patients. Innovative dental labs are now using software and technology to guide prosthetics and restorations for full arch patients.
This course will detail the treatment planning process, the surgery, the immediate temporization and the definitive restoration of an immediate full arch rehabilitation case with both guided surgery and proceduralized restorative prosthetics.

At the conclusion of this program, participants should be able to:

• Review conventional and guided All-on-X procedures and understand the difference
• Understand the common restorative steps necessary, including records capture, laboratory procedures and day of surgery workflows
• Understand the workflow for the definitive prosthesis and the different options available for the definitive prosthesis

This presentation will demonstrate the clinical procedures necessary for fabricating a definitive prosthesis. The course will review the steps and protocols for successful restorations in three restorative appointments.

At the end of this course, attendees should be able to:

• Predictably schedule the appropriate amount of chair time for each appointment
• Send the necessary records to their preferred lab partner
• Overcome challenges often associated with fabricating All-On-X definitive prostheses