Сhallenges of the ALL-ON-4® total rehabilitation

Lesson 1 - Malo protocols. ALL-ON-4® Concept

Instructor: Paulo Malo, Professor

Overview:

All-on-4® method is an innovative concept of rehabilitation which helps toothless patients get new teeth, that looks and functions just like natural teeth, in one day and without bone augmentation.

Paulo Malo created All-on-4® method, which is based on precise placing of four implants, designed to be used even for patients with substantial bone loss. A bridge with full arch of teeth is fixed to the implants on the day of the procedure. All-on-4® procedure can be used to fully reconstruct maxillary and/or mandibular arch.

Lesson Objectives:

– Review indications and contraindications for treatment in the All-on-4® concept️

– Review All-on-4® protocol for maxilla and mandible

– Review Malo Protocols for navigational surgery

– Review implantation in patients with periodontal tissue diseases

Detailed lesson program:

– Evolution and history of MALO protocols

– Evolution of used implants

– Evolution of prosthesis in the All-on-4® concept️

– Indications and contraindications for treatment in the All-on-4® concept️

– The importance of tilting the implant in the All-on-4® concept️

– Malo Protocols for Navigational Surgery

– Implantation in patients with periodontal tissue diseases

– What is All-on-4®?

– Criteria for the selection of implants

– All-on-4® protocol: maxilla

– All-on-4® protocol: mandible

Recommended for: General dentists, Implantologists, Periodontists.

Time: 91 min

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Lesson 2 - Implants for treatment in the ALL-ON-4® Concept️

Instructor: Paulo Malo, Professor

Overview:

Dr. Malo's total rehabilitation protocol is presented in the lesson. You will learn the features of implant placement in the All-on-4® concept: All-on-4® Standard, All-on-4® Hybrid, All-on-4® Double-Zygomatic, All on-4® Extreme.

Detailed lesson program:

1. Benefits of the All-on-4® concept

2. MALO protocol diagnosis:

– Type of rehabilitation

– Type of prosthesis

– Transition zone and lip support

– Bone volume and bone density.

3. Comparative characteristics of various methods of treatment of complete adentia

4. Criteria for choosing an prosthesis

5. MALO bridge. Evolution, varieties, features of work

6. Principles of the All-on-4® concept

7. Features of implant placement in the All-on-4® concept:

– All-on-4® Standard

– All-on-4® Hybrid

– All-on-4® Double-Zygomatic

– All-on-4® Extreme.

8. Impressions in the manufacture of temporary prostheses

Lesson Objectives:

– Review Malo Protocol diagnosis

– Compare various methods of treatment of complete adentia

– Review criteria for choosing an prosthesis

– Review features of implant placement in the All-on-4® concept

Recommended for: General dentists, Implantologists, Periodontists, Prosthetists, Dental technicians.

Time: 118 min

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Lesson 3 - Maintenance therapy in the ALL-ON-4® Concept. Peri-implantitis

Instructor: Paulo Malo, Professor

Overview:

The lesson presents an analysis of modern approaches and schemes of maintenance treatment after dental implantation, the purpose of which is the prevention of complications in the postoperative and prosthetic periods. The expediency is substantiated and specific recommendations are presented to practitioners regarding a differentiated approach to the choice of hygiene items and medications and the frequency of their use. Professional oral hygiene protocols will be considered.

Lesson Objectives:

– Review detailed protocol of professional care of prosthetics on implants

– Review professional oral hygiene protocols

– Review peri-implantitis prevention and treatment protocols

– Review recommendations for patients after surgery (home care).

Detailed lesson program:

– Maintenance aims

– Home care: detailed protocol

– Used medicines for home care

– Professional care of prosthetics on implants: detailed protocol

– Bleeding index, plaque index, probing pocket depth

– Oral hygiene protocols

– Oral hygiene methods

– Clinical appointments after total rehabilitation: frequency, procedures

– Recommendations for patients: selection of individual hygiene items

– Peri-implantitis. Prevention and treatment.

Recommended for: General dentists, Implantologists, Periodontists, Dental hygienists, Prosthetists.

Time: 109 min

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Lesson 4 - Full arch rehabilitation with Malobridge Concept

Instructor: Andreia Rodrigues, MDM

Overview:

MaloBridge was created by Dr. Malo and his team and it is a fixed solution over implants to rehabilitate the totally edentulous patients with the highest quality based on the CAD/CAM NobelProcera™ technology.

MaloBridge is fabricated with the highest quality materials and allow the dentist to give back to the patient comfort, quality of life and reconstruct not only the teeth but also the soft tissues. With this solution we can offer to the patient high aesthetics, a bridge with high mechanical resistance and with a high hygiene maintenance capability.

Lesson Objectives:

– Review impressions and bite registration protocols during prosthetics in the ALL-ON-4 concept

– Review the detailed protocol for working in MaloBridge Concept

– Review complications of prosthetics on implants

– Review MaloBridge’s maintenance and repair

Detailed lesson program:

– Temporary prosthetics for total rehabilitation

– Impressions during prosthetics in the All-on-4 concept

– Bite registration

– Complications of prosthetics on implants: causes, prevention and treatment

– Working with occlusion in total rehabilitation

– Comparison of traditional and Malo Bridges

– Re-thinking oral rehabilitation

– Making the definitive prosthesis

– Immediate Prosthesis

– Malo bridge concept

– Benefits of using Malo Bridges

– Indications for the use of Malo Bridges

– Types of Malo Bridge

– Malo Bridge’s maintenance and repair.

Recommended for: General dentists, Implantologists, Periodontists, Prosthetists, Dental technicians.

Time: 123 min

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Lesson 5 - Technical stage. ALL-ON-4® provisional and definitive dental prostheses

Instructor: Pedro Sobreira

Overview:

A prerequisite for successful total rehabilitation is high-quality temporary and permanent prostheses. In the lesson, you will learn step-by-step protocols for manufacturing prostheses: from working with occlusion to transferring the prosthesis to the clinic.

Lesson Objectives:

– Review manufacturing techniques of provisional restorations

– Review working with occlusion in the technical part

– Learn detailed prosthesis manufacturing protocols.

Detailed lesson program:

– Plan and stages of rehabilitation with All-in-4® technique

– Professional oral hygiene before and after surgery

– Protocol All-in-4®: planning, landmarks and photographs

– Provisional restorations: manufacturing techniques and characteristics

– Stages of making a direct prosthesis: step by step

– Bite registration and setting of teeth

– Construction design: clinical recommendations

– Recording VDO

– Laboratory stage: recommendations and features

– Concept of Malo-bridge

– Method of obtaining the most accurate impression

– Aesthetic checklist: production of a new of the provisional prosthesis

– Choosing an abutment: criteria and indications

– Definitive prosthetics: design selection criteria

– MaloDental ceramic and acryl dentures: advantages and disadvantages

– Manufacturing of titanium frame: аdvantages of CAD-CAM and titanium

– Lithium disilicate: advantages and indications

– Imitation of gingiva: materials

– Palajet: plastic injection system

– Benefits of acrylic frame.

Recommended for: General dentists, Implantologists, Periodontists, Prosthetists, Dental technicians.

Time: 109 min

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Refund and cancellation policies:

If the Customer refuses to provide the Service the funds are returned to the Customer minus penalties, the amounts of which are indicated below:

Deadline before the planned date of submission of information material – From 60 to 46 days 45 days or less ; Amount of penalties.

The funds that will be withheld by the Contractor as penalties are transferred to bonus points and added to the Customer's personal account on the website https://ohi-s.com. If the payment is made in a currency other than the euro, the funds withheld by the Contractor as a penalty are transferred to bonus points at the rate of the Bank of Estonia on the date of payment. These bonus points can be used for the subsequent purchase of the training product posted on the website www.ohi-s.com. When returning funds, the commissions of the receiving bank are paid at the expense of the Customer, the commissions of the sending bank - at the expense of the Contractor. The term for the return of funds is within 60 calendar days from the date of application. In the event of emergencies of an international scale, as well as for other reasons associated with the onset of force majeure, the period for returning the funds paid by the Customer specified in this clause may be increased.

References, resources and additional readings:

1. Esthetic implant restoration in the edentulous maxilla: a simplified protocol. Karim Dada, Marwan Daas, Paulo Maló. 2014

2. Malo Clinic Dental Care: World Leader In Implatology. Paulo Malo. 2013

3. The NobelGuide® All-on-4® Treatment Concept for Rehabilitation of Edentulous Jaws: A Retrospective Report on the 7-Years Clinical and 5-Years Radiographic Outcomes. Armando Lopes, Paulo Maló, Miguel de Araújo Nobre, Elena Sánchez-Fernández, Inês Gravito. 2016

4. Risk Factors for Implant Failure and Peri-Implant Pathology in Systemic Compromised Patients. Joana Neves, Miguel de Araújo Nobre, Epi, Pedro Oliveira, José Martins dos Santos, Paulo Malo. 2018

5. Short implants in posterior jaws. A prospective 1-year study. Paulo Maló, Miguel De Araújo Nobre. 2011

6. Short implants placed one-stage in maxillae and mandibles: a retrospective clinical study with 1 to 9 years of follow-up. Paulo Maló, Miguel de Araújo Nobre, Bo Rangert. 2007

7. Immediate loading of implants placed in patients with untreated periodontal disease: A 5-year prospective cohort study. Paulo Maló, Miguel De Araújo Nobre. 2017

8. Non-surgical treatment of peri-implant pathology. M De Araújo Nobre, C Capelas, A Alves, T Almeida, R Carvalho, E Antunes, D Oliveira, A Cardador, P Maló. 2006

9. A pilot study of complete edentulous rehabilitation with immediate function using a new implant design: case series. Paulo Maló, Miguel de Araújo Nobre, Ulrika Petersson, Stina Wigren. 2006

10. Peri-implant maintenance of immediate function implants: a pilot study comparing hyaluronic acid and chlorhexidine. M de Araújo Nobre, N Cintra, P Maló. 2007

11. The use of computer-guided flapless implant surgery and four implants placed in immediate function to support a fixed denture: preliminary results after a mean follow-up period of thirteen months. Paulo Malo, Miguel de Araujo Nobre, Armando Lopes. 2007

12. Double Full-Arch Versus Single Full-Arch, Four Implant-Supported Rehabilitations: A Retrospective, 5-Year Cohort Study. Paulo Maló, Miguel De Araújo Nobre, Armando Lopes, Rolando Rodrigues. 2015

13. Fixed-prosthetic implant restoration of the edentulous maxilla: a systematic pretreatment evaluation method. Edmond Bedrossian, Richard M Sullivan, Yvan Fortin, Paulo Malo, Thomas Indresano. 2008