Biomechanical Advances and Material Selection in the All-on-4® Concept: A Literature Review
Juan Jose Cabanillas, Otto Aleman Miranda*, Valeria Simonovis and Lianet Camila Menendez Martinez
Doctor of Stomatology, Specialist in oral and Maxillofacial surgery, Cuba
*Corresponding Author: Otto Aleman Miranda, Doctor of Stomatology, Specialist in oral and Maxillofacial surgery, Cuba.
Published: September 03, 2025
DOI: 10.55162/MCMS.09.314
Abstract  
The All-on-4® protocol has become a predictable and efficient treatment modality for the immediate rehabilitation of edentulous patients. This literature review analyzes the biomechanical foundations, surgical and prosthetic considerations, material selection, and clinical outcomes associated with this concept. Emphasis is placed on the importance of surgical expertise, multidisciplinary collaboration, pain management, patient communication, and continuous scientific development. The findings confirm that the All-on-4® concept provides high survival rates, functional and esthetic benefits, and significant psychological improvement for patients.
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