The “All-On-Four” & Immediate Loading Techniques

Pre-Op Close Up Photos

What She Has—What We Are Planning

Pre-Op Frontal View

Lateral View

Pre-Op Occlusal View

Begin Surgical Procedure

Begin Contouring The Remaining Bone

“Leveling Off” The Remaining Bone

Bone Surgery Complete

Surgical “Guide”

Dr. Neal B Gittleman

Surgical Guide Pin

Insertion Of The First Implant

Angled Posterior Implants

All Four Implants Are In Place

“Connection Hardware” Paced In The Mouth

Torque To 35 Ncm.

Healing Caps In Place

Phase IIAttaching (in the same day) her

new teeth to the implants…

Tissue Surface Of The Immediate Prosthesis Is “Hollowed” Out…

Impression Putty Is Employed To Register The Location Of The Implants

Readying The Prosthesis For Conversion

All Four Cylinders Are Secured

Voids Are Filled—Ready For Try-In

Finished Case : 124 Minutes Elapsed

Dr. Neal B GittlemanDr. Neal B Gittleman

Close-Up Of Seated Prosthetics

Another “All-On-Four “ Case to Look At…

Pre-Op

Post-Op Pano

Tissue View & Occlusal View

Case Lined Up Nicely

A Maxillary (Upper) Same Day Case To Observe…

Immediate Load Maxillary Case

The Case Is Carefully Planned

An Excellent Surgical Result Has Been Achieved

Same Day Temporary Teeth

Immediate Post-Op View

Finished Case

Patient Is Ready For Her “Permanent” Teeth

Finished Case