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Int'lMalo Dental All-on-4™ Protocol is a revolutionary approach in Full-mouth Rehabilitation which was developed by Dr. Paulo Malo with his medical and clinical research team. It allows the rehabilitation of totally edentulous (and soon to be edentulous) patients with the placement of only 4 titanium dental implants in each jaw, utilizing a quick and minimally invasive surgical technique (the All-on-4 Surgical Protocol). The 4 implants act as a stable foundation for the DENTAL Bridge, which allows the installation of a fixed set of dentition, which closely mimics a set of natural teeth. The technique stabilizes bone levels, thus keeping the jaws healthy. By uniquely tilting the two posterior implants at an angle of 45°, patients with low or even no bone conditions are allowed to have implants without the need for any bone grafting (transplant) procedures. This results to a fixed or non-removable natural-looking set of teeth, which is indistinguishable from a natural dentition.
Malo Dental All-on-4™ Protocol Evolution Timeline
1989
Initial study of the Immediate Loading Protocol for Single Tooth and Small Bridges
1990 to 1993
Problem: Identify Total Edentulism Challenge
Establishment of Immediate Loading Protocol for Single Tooth and Small Bridges
Non-clinical Stage of Development of the All-on-4 Surgical Protocol
Anatomical and Biomechanical Study of the Mandible Rehabilitation Protocol with All-on-4 Surgical Protocol
1993
First Case: All-on-4 Standard Mandible
Development and Improving the All-on-4 Surgical Protocol for the Mandible
1996
First Case: All-on-4 Standard Maxilla
Development and Improving the All-on-4 Surgical Protocol for the Maxilla
1998
Single Tooth and Small Bridges Immediate Load Protocol Article Published
Talk of the Times 1998, December 3(3)
Establishment of the All-on-4 Surgical Protocol (Mandible)
NobelSpeedy® Implant Development
1999
Dental Ceramic Bridge Clinical Studies (Initial Phase)
2000
Immediate Function of Brånemark Implants Retrospective Study
2001
Establishment of the All-on-4 Surgical Protocol (Maxilla)
2002
NobelSpeedy® Implant Clinical Studies (Initial Phase)
2003
All-on-4 Mandible Retrospective Study Publication
2004
Study of the All-on-4 Hybrid and Double Zygoma, with Zygomatic Anchorage (Initial Phase)
2005
NobelGuide™ Adaptation to the All-on-4 Concept
All-on-4 Maxilla Retrospective Study
2006
New Implant Design: Pilot Study
2007
NobelGuide™ with All-on-4 Study Publication
Short Implants: Retrospective Study Publication
All-on-4 with Implants placed in Periodontally Compromised Sites: Study Publication
2008
All-on-4 with Extra-Maxillary Anchorage: Study Publication
2009
3.3 mm diameter Implants for Rehabilitation of Edentulous Posterior Regions: Study Publication
2011
All-on-4 Mandible Study
All-on-4 Maxilla Study
Short Implants Prospective Study
All-on-4 Implant Philosophy Overview
All-on-4 Extra-Maxilla: Case Report
The Rehabilitation of Edentulous Maxilla: Study and New Classification
Half All-on-4 Study
2012
All-on-4 Extra-Maxillary Anchorage Study
All-on-4 in Non-Ideal Conditions Study
Dental Ceramic Bridge Follow-up Study
2013
All-on-4 Maxilla with Trans-Sinus Implants Study
All-on-4 with Longer Tilted Implants (20-25mm) Study
All-on-4 Nobelguide™ in Mandible: Technique Modification: Pilot Study
All-on-4: Extra-Maxillary Surgical Technique
Partial Implant-supported Fixed Dental Prostheses with Cantilevers
2014
The Influence of Rehabilitation Characteristics in the Incidence of Peri-Implant Pathology
Posterior Maxillary Implants inserted with Bicortical Anchorage and placed in Immediate Function for Partial or Complete Edentulous Rehabilitations
All-on-4™ Treatment Concept for the Rehabilitation of the Completely Edentulous Mandible
Individual Lithium Disilicate Crowns in a Full Arch, Implant-supported Rehabilitation
Immediate Loading of Implants placed in Patients with Untreated Periodontal Disease
Rehabilitation of Completely Edentulous Atrophic Maxillae with Immediately-loaded Zygomatic Implants placed Extra-Maxillary
The Nobelguide® All-on-4™ Treatment Concept for Rehabilitation of Edentulous Jaws: A Prospective Report on Medium- & Long- Term Outcomes
Immediate Function Single-Tooth Dental
Double Full Arch versus Single Arch, 4 Implant-supported Rehabilitations: A Retrospective Study
2015
Long-Term Outcome of Implant Rehabilitations in Patients with Systemic Disorders and Smoking Habits
Fixed Partial Rehabilitations Supported by Implants Inserted with Flap or Flapless Surgical Techniques
Axial Implants in Immediate Function for Partial Rehabilitation in the Maxillla and Mandible
2016
Immediate Loading Short Implants inserted on Low Bone Quantity for the Rehabilitation of the Edentulous Maxilla using an All-on-4 Design
Evaluation of Clinical Soft Tissue Parameters for Extramaxillary Zygomatic Implants and Conventional Implants in All-on-4 Hybrid Rehabilitations
Complete Edentulous Rehabilitation Using an Immediate Function Protocol and an Implant Design Featuring a Straight Body, Anodically Oxidized Surface, and Narrow Tip with Engaging Threads Extending to the Apex of the Implant
