There is ample evidence that the mandible contracts when you open. The wider your open, the more it contracts. Traditionally, implant supported fixed partial dentures used to restore the fully edentulous mandible have been done in segments to accommodate this contracture. The All-on-4 plan of treatment has been successfully used in the maxilla. How many of you are doing All-on-4 in the mandible? How many of you are doing one-piece, full arch implant supported fixed partial dentures without segments to restore the fully edentulous mandible?
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