Full-Arch Implant Immediate Load
Same-day implant rehabilitation for edentulous and failing dentition
This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.
This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ağız ve Diş Sağlığı department. Book Appointment →
What is Full-Arch Implant Immediate Load?
Full-arch immediate-load implant rehabilitation has revolutionized treatment of edentulism and terminally compromised dentition. Pioneered by Paulo Maló (All-on-4 protocol), the technique uses 4-6 strategically placed implants (typically two anterior axial and two posterior tilted to avoid sinus or nerve), achieving primary stability of at least 35 N·cm to support immediate loading with a fixed provisional prosthesis fabricated chairside or laboratory-delivered same day.
Indications include edentulous maxilla or mandible, terminally compromised dentition requiring full-arch extraction, failing dentition with active periodontal disease, prior failed conventional implant treatment, severely atrophic ridges where conventional implant placement is impossible without grafting, and patients seeking same-day rehabilitation. Contraindications include severely atrophic ridges with insufficient bone for tilted implants (without zygomatic alternatives), uncontrolled diabetes, smoking, parafunctional habits, and bisphosphonate or denosumab therapy.
Treatment workflow includes virtual surgical planning with CBCT, customized surgical guide fabrication, atraumatic extraction of remaining teeth, implant placement with primary stability verification, immediate temporization with fixed provisional acrylic prosthesis, healing phase 3-6 months, and final prosthesis fabrication with milled titanium frameworks and ceramic or composite dentition. Long-term success rates exceed 95% at 10 years with proper case selection, hygiene, and maintenance.
Symptoms
Risk Factors
When to See a Doctor?
If you experience any of the following symptoms, seek medical attention promptly:
- Multiple failing teeth requiring extraction
- Edentulism with poor denture function
- Considering fixed implant rehabilitation
- Active periodontal disease with terminal dentition
- Failed conventional implant treatment
- Severely atrophic ridge
- Esthetic concerns from missing teeth
- Functional impairment from dental loss
- Same-day rehabilitation interest
- Avoidance of multiple staged surgeries
- Prior failed bone graft
- Considering zygomatic implants
- Comprehensive multidisciplinary planning need
Treatment Methods
Which Department to Visit?
You can visit our Ağız ve Diş Sağlığı department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.
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You can make an appointment with our specialists or contact us for your concerns.
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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.