Tilted Implants: A Complete Surgical and Theoretical Guide to Tilted Implants

Introduction

The rehabilitation of fully edentulous patients or those with terminal dentition has been a challenge for many years. The traditional approach involved bone augmentation followed by the placement of multiple implants to support the fixed prosthesis. This approach was not only time-consuming but also expensive, and the treatment outcome was unpredictable. With the advent of the All-on-4® treatment concept, a new era has begun, which ensures reduced treatment times, minimum invasiveness, and significant reduction of costs. The All-on-4® protocol aims to maximize the use of available bone to avoid or at least strongly limit the need to perform bone augmentation. The protocol involves the placement of four implants in the anterior region of the edentulous arch, two of which are placed vertically, and the other two are tilted up to 45 degrees. This protocol has revolutionized the rehabilitation of edentulous patients, and today it is considered the gold standard in the field of implant dentistry.

This video course is dedicated to the All-on-4® rehabilitation protocol, and it is designed to provide participants at all levels of experience with a comprehensive understanding of the tilted implant technique. Dr. Enrico Agliardi and his team guide participants through a multi-specialist training path aimed at illustrating the uses of a less invasive treatment protocol for totally edentulous patients and patients with terminal dentition.

The Course

The course is divided into six theoretical video lectures and seven surgical video lectures. The theoretical lectures cover the principles behind the All-on-4® treatment concept, the steps involved in the All-on-4® surgical protocols in the upper and lower jaw, innovative restorative approaches for the atrophic maxilla, the comparison between analog and digital workflow in immediate loading All-on-4® restorations, and prosthetic restoration approaches. The surgical lectures focus on the implementation of implant-prosthetic protocols and how to manage complex cases.

Theoretical Video Lectures

The first theoretical video lecture covers the principles behind the All-on-4® treatment concept. The lecture explains the rationale behind the placement of tilted implants and the biomechanics involved in the distribution of forces. The lecture also discusses the advantages of the All-on-4® protocol, such as reduced treatment times, minimum invasiveness, and significant reduction of costs.

The second theoretical video lecture covers the steps involved in the All-on-4® surgical protocols in the upper and lower jaw. The lecture explains the surgical procedure involved in the placement of four implants, two of which are placed vertically, and the other two are tilted up to 45 degrees. The lecture also covers the post-operative care and the management of complications.

The third theoretical video lecture discusses innovative restorative approaches for the atrophic maxilla, such as tilted All-on-6 and zygomatic implants. The lecture explains the rationale behind the use of these techniques and the advantages they offer in terms of stability and support.

The fourth theoretical video lecture covers the comparison between analog and digital workflow in immediate loading All-on-4® restorations. The lecture explains the advantages and disadvantages of both approaches and discusses the importance of careful planning and communication between the surgeon and the dental technician.

The fifth theoretical video lecture covers prosthetic restoration approaches, such as immediate provisional restoration and final full-arch restoration. The lecture explains the steps involved in the fabrication of provisional and final restorations and discusses the advantages and disadvantages of both approaches.

The sixth theoretical video lecture focuses on phonation and the contribution of guided surgery. The lecture explains the importance of considering phonation during the planning and execution of implant-prosthetic rehabilitation protocols. The lecture also discusses the advantages of using guided surgery to ensure the accurate placement of tilted implants.

Surgical Video Lectures

The first surgical video lecture covers the implementation of implant-prosthetic protocols in the All-on-4® technique. The lecture explains the surgical procedure involved in the placement of tilted implants and the prosthetic procedures involved in the fabrication of provisional and final restorations.

The second surgical video lecture covers the management of complex cases in the All-on-4® technique. The lecture explains the steps involved in the diagnosis and treatment planning of complex cases, such as those with severe bone resorption or compromised implant positions. The lecture also covers the surgical and prosthetic procedures involved in the rehabilitation of these cases.

The third surgical video lecture covers the placement of tilted implants in the upper jaw. The lecture explains the anatomical considerations involved in the placement of tilted implants in the upper jaw and the surgical procedure involved in their placement. The lecture also covers the prosthetic procedures involved in the fabrication of provisional and final restorations.

The fourth surgical video lecture covers the placement of tilted implants in the lower jaw. The lecture explains the anatomical considerations involved in the placement of tilted implants in the lower jaw and the surgical procedure involved in their placement. The lecture also covers the prosthetic procedures involved in the fabrication of provisional and final restorations.

The fifth surgical video lecture covers the placement of tilted All-on-6 implants in the atrophic maxilla. The lecture explains the rationale behind the use of tilted All-on-6 implants and the surgical procedure involved in their placement. The lecture also covers the prosthetic procedures involved in the fabrication of provisional and final restorations.

The sixth surgical video lecture covers the placement of zygomatic implants in the atrophic maxilla. The lecture explains the anatomical considerations involved in the placement of zygomatic implants and the surgical procedure involved in their placement. The lecture also covers the prosthetic procedures involved in the fabrication of provisional and final restorations.

The seventh surgical video lecture covers the management of complications in the All-on-4® technique. The lecture explains the common complications associated with the All-on-4® technique, such as implant failure, peri-implantitis, and prosthesis fracture. The lecture also covers the management of these complications.

Conclusion

The All-on-4® protocol has revolutionized the rehabilitation of fully edentulous patients and those with terminal dentition. The use of tilted implants has allowed for reduced treatment times, minimum invasiveness, and significant reduction of costs. This video course provides participants with a comprehensive understanding of the tilted implant technique and its applications in implant dentistry. The course covers both theoretical and practical aspects of the All-on-4® protocol, from diagnosis and treatment planning to surgical and prosthetic procedures. At the end of the course, participants will be able to evaluate, diagnose and plan treatment in fully edentulous patients and post-extraction cases, apply immediate load implant-prosthetic rehabilitation protocols and the All-on-4® protocols, make provisional and definitive prosthetic restorations, and make the most of the practical tips and tricks illustrated in their daily practice, with a focus on pre-implant preparation, the potential of digital approaches, and phonation in odontoprosthesis.