Orthopantomography and CBCT before surgery
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig2_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig2_HTML.gif?w=960)
Orthopantomography and CBCT before surgery
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig3_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig3_HTML.gif?w=960)
Type of rehabilitation procedure according to the available bone volume from a conventional full-arch rehabilitation with six implants to an ALL-ON-4® double-zygoma protocol
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig4_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig4_HTML.gif?w=960)
Lip support and smile line evaluation
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig5_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig5_HTML.gif?w=960)
Lip support and smile line evaluation
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig6_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig6_HTML.gif?w=960)
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig7_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig7_HTML.gif?w=960)
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig8_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig8_HTML.gif?w=960)
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig9_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig9_HTML.gif?w=960)
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig10_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig10_HTML.gif?w=960)
Measuring occlusion vertical dimension
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig11_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig11_HTML.gif?w=960)
Incision on maxilla
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig12_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig12_HTML.gif?w=960)
Flap raising
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig13_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig13_HTML.gif?w=960)
Incision on mandible
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig14_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig14_HTML.gif?w=960)
Bone reduction with rongeur
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig15_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig15_HTML.gif?w=960)
Bone reduction with round bur
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig16_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig16_HTML.gif?w=960)
Osteotomy to place the All-on-4® guide
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig17_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig17_HTML.gif?w=960)
Osteotomy to place the All-on-4® guide
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig18_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig18_HTML.gif?w=960)
Placement of the All-on-4® guide
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig19_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig19_HTML.gif?w=960)
Placement of the All-on-4® Guide
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig20_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig20_HTML.gif?w=960)
Opening the access and probing the anterior sinus wall of maxilla
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig21_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig21_HTML.gif?w=960)
Opening the access and probing the anterior sinus wall of maxilla
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig22_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig22_HTML.gif?w=960)
Probing the mental foramen in order to evaluate the alveolar nerves’ loop
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig23_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig23_HTML.gif?w=960)
Initiating drill sequence after using precision drill: 2 mm twist drill (first drill)
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig24_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig24_HTML.gif?w=960)
Initiating drill sequence after using precision drill: 2 mm twist drill (first drill)
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig25_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig25_HTML.gif?w=960)
2.4–2.8 mm step drill
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig26_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig26_HTML.gif?w=960)
2.4–2.8 mm step drill
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig27_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig27_HTML.gif?w=960)
3.2–3.6 mm step drill
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig28_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig28_HTML.gif?w=960)
3.2–3.6 mm step drill
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig29_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig29_HTML.gif?w=960)
Posterior implant placement. Note the implant’s angulation to provide a more posterior emergence
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig30_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig30_HTML.gif?w=960)
Posterior implant placement. Note the implant’s angulation to provide a more posterior emergence
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig31_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig31_HTML.gif?w=960)
Bone mill to remove bone around the head of the implant
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig32_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig32_HTML.gif?w=960)
Bone mill to remove bone around the head of the implant
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig33_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig33_HTML.gif?w=960)
Connecting angulated abutments with the help of ALL-ON-4® guide
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig34_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig34_HTML.gif?w=960)
Connecting angulated abutments with the help of ALL-ON-4® guide
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig35_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig35_HTML.gif?w=960)
Drilling protocol and anterior implant placement
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig36_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig36_HTML.gif?w=960)
Drilling protocol and anterior implant placement
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig37_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig37_HTML.gif?w=960)
Drilling protocol and anterior implant placement
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig38_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig38_HTML.gif?w=960)
Drilling protocol and anterior implant placement
![../images/449968_1_En_7_Chapter/449968_1_En_7_Fig39_HTML.gif](https://i0.wp.com/pocketdentistry.com/wp-content/uploads/2018/12/449968_1_En_7_Fig39_HTML.gif?w=960)
Drilling protocol and anterior implant placement
![](https://freepngimg.com/download/social_media/63059-media-icons-telegram-twitter-blog-computer-social.png)
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