Duration: 1 hour, 4 minutes, 59 seconds

Author: Dr. Saj Jivraj

**The All-on-4 Concept Diagnosis to Delivery Part 4: Prosthetic Principles and Techniques for Fabrication of the Final Prosthesis Complications and Maintenance** Introduction: Prosthetic dentistry plays a crucial role in restoring the functionality and aesthetics of patients with missing teeth. In the context of the All-on-4 concept, the fabrication of the final prosthesis is a critical step in the treatment process. This article will discuss the key principles and techniques involved in the fabrication of the final prosthesis, along with potential complications and maintenance requirements. I. Provisional Prosthesis: A Necessary Step A. Importance of Wearing the Provisional Prosthesis 1. Establishing Comfort and Functionality 2. Promoting Osseointegration 3. Assessing Patient Satisfaction B. Recommended Duration before Fabricating the Definitive Restoration 1. Timeline for Optimal Healing 2. Monitoring Soft Tissue Adaptation 3. Ensuring Proper Esthetics II. Fabrication of the Final Restoration: A Precise Process A. The Impression Process 1. Materials Used for Accurate Impressions 2. Importance of Implant Position Assessment 3. Evaluation of Abutments B. Jaw Relation Records 1. Achieving Proper Occlusion 2. Establishing Proper Speech Patterns 3. Ensuring Stable and Functional Prosthesis C. Try-Ins: Ensuring Accurate Fit and Esthetics 1. Assessment of Prosthesis Fit and Stability 2. Evaluation of Esthetic Factors 3. Modifications to Ensure Optimal Outcome D. CAD-CAM Framework Design 1. Utilizing Advanced Technology 2. Precise Design for Optimal Strength 3. Ensuring Adequate Space for Longevity E. Delivering the Restoration to the Patient 1. Verification of Fit and Function 2. Collaboration with Dental Technicians 3. Patient Education on Proper Care III. Preventing Complications: A Key Concern A. Maintaining Sufficient Space 1. Preventing Weak Points in the Restoration 2. Importance of Adequate Clearance B. Accuracy of Mastercast 1. Impact on Framework Fabrication 2. Ensuring Precision and Quality 3. Role of Skilled Dental Technicians C. Regular Maintenance and Check-ups 1. Monitoring Prosthesis Stability 2. Identifying and Addressing Complications Early 3. Importance of Oral Hygiene Conclusion: The fabrication of the final prosthesis in the All-on-4 concept requires meticulous attention to detail and adherence to specific principles and techniques. From wearing the provisional prosthesis to delivering the restoration, every step is crucial for the success of the treatment. Preventing complications and ensuring long-term maintenance play a vital role in providing patients with functional and aesthetically pleasing results. FAQs: 1. How long should the provisional prosthesis be worn before the final restoration is fabricated? – The provisional prosthesis should be worn for at least six months to promote healing and assess patient satisfaction. 2. What is the role of jaw relation records in the fabrication process? – Jaw relation records help establish proper occlusion, speech patterns, and ensure stability in the final prosthesis. 3. Why is there a need for sufficient space between the framework and the teeth? – Providing at least three millimeters of space helps prevent weak points and promotes longevity of the restoration. 4. How important is the accuracy of the mastercast in framework fabrication? – The accuracy of the mastercast is crucial for ensuring precise framework design and quality of the final prosthesis. 5. What role does regular maintenance and check-ups play in maintaining the All-on-4 restoration? – Regular maintenance and check-ups help monitor prosthesis stability, detect complications early, and emphasize the importance of oral hygiene for long-term success.

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