Mo2 Maneuver, a groundbreaking novel methodology for stress-free restoration of immediately loaded All-On-4 patients
4h 37min All-On-4 entire procedure following Mo2
Maneuver
In a typical All-On-4® protocol both surgical and
prosthetic restorative parts are explicitly described and fairly recognizable.
Being an alternative to any grafting, maxillary sinus elevation or other bone-augumentation
procedure,
All-On-4® surgical distinction is based on placing four (4) intraforaminal implants for supporting the entire edentulous jaw. Two anterior implants are placed vertically with a perfectly straight trajectory and with the implant access hole distally of the second lateral and the middle of the canine. Consecutively, two posterior implants are placed still before foramina, but tilted in order to maximize AP spread thus minimizing the cantilever length.
All-On-4® surgical distinction is based on placing four (4) intraforaminal implants for supporting the entire edentulous jaw. Two anterior implants are placed vertically with a perfectly straight trajectory and with the implant access hole distally of the second lateral and the middle of the canine. Consecutively, two posterior implants are placed still before foramina, but tilted in order to maximize AP spread thus minimizing the cantilever length.
This surgically
astute approach, introduced by Paolo Maló
in 1993, is substantially decreasing the overall morbidity of the entire
procedure thus probably being one of the main factors for such a popularity of
the technique when restoring edentulous population.
However scrutinizing present evolution of implant
dentistry we can find out that due to further scientific and bio-mechanical
improvements, the overall healing time requirements for the implants obtaining
optimal osseointegration has been
significantly decreased, as much so as to have implants placed into the fresh
extraction socket and after achieving primary stability with the implants,
consecutively proceeding with the immediate loading of the implants with
prosthetics at the very same moment of surgery- a signature ellement of a standard All-On-4® protocol.
Nevertheless, although relying on four implants the
entire All-On-4® rehabilitation process is highly demanding hence requiring highly synchronized multidisciplinary teams for obtaining persistent success in rehabilitating and restoring the patients in one single visit.
Therefore having to successfully fit multiple extractions of existing terminal
dentition, substantial bone remodeling, restored vertical dimension, newly
placed implants, totally rearranged occlusal plane, esthetically reestablished
smile line with a new tooth set-up that will be converted into the interim prosthesis
delivered at the end of the entire surgical and prosthetic procedure is nowadays often a privilege of large specialized
All-On-4® implant centrals rather than a outcome of a sole dental practitioner- disregarding how much of expertize he/she possess.
All-On-4® implant centrals rather than a outcome of a sole dental practitioner- disregarding how much of expertize he/she possess.
As it is today there are virtually no balanced blueprints to be followed nor a procedure scorecard based on checks and balances for a typical, temporarily assembled, All-On-4® restorative team consisting often of surgeon, restorative dentist, lab or similar...
Accordingly, there are no consequent and predictably successful outcomes for these procedures but more of a "action and reaction" strategy within the team i.e. it is unknown if and when someone of the restorative team participants induces an error into the chain of events during the entire protocol but rather all efforts are focused on reacting to fix the errors i.e. reduce dimension of prosthesis due to inadequate bone remodeling, hide screw access hole due to the inadequate implant or abutment trajectory, adjust enormous amount of occlusion because the laboratory procedures have not anticipated right conditions etc. ...
The outcome is often hours of lengthy and counterproductive adjustments in the sore patient mouth after whole day of hard work with surgical and reconstructive dentistry.... NOT FUN...
Therefore
the new, patent pending method has been developed i.e. Mo2
Maneuver that ties tasks of all team members into one sequential
surgical and prosthetic road map to follow, reassuring predetermined success of
each particular procedure step alone, as well as the outcome of the overall All-On-4® protocol as a whole.
Mo2
Maneuver prevents for any possible error induced into the chain of events
by a sole independent team member and creates an interdisciplinary mutual
blueprint for that particular
All-On-4® session to be followed by the entire restorative team!
All-On-4® session to be followed by the entire restorative team!
Mo2 Maneuver
will for the first time reduce burden from performing clinician(s) providing
for them explicit tools to follow a predetermined restorative road map and allowing
them to show to the patient the mock-up of the final result a just few minutes
into the procedure!
The esthetic makeover is so powerful that it will always
result in enormous enthusiasm and positive cooperation by the patient
throughout the entire procedure!
There are three (3) main subjects that Mo2 Maneuver method is taking into the consideration.
They are:
>>>>>>TO BE CONTINUED >>>>> meanwhile go to link above and peruse through restorative photos or take link below ans see the latest All-On-4® patients restored by using Mo2
Maneuver...
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