Jensen Ole T, Adams Mark W, Cottam Jared R, Parel Stephen M, Phillips William R
Colorado Tissue Engineering Institute, Greenwood Village, CO, USA.
J Oral Maxillofac Surg. 2011 Jan;69(1):175-81. doi: 10.1016/j.joms.2010.06.207. Epub 2010 Nov 4.
The use of full arch alveolar reduction as an aide to doing All on 4 implant restoration in the mandible is presented. The osteoplasty is described as a flat "shelf" on which to place the restoration. The shelf approach is used to establish optimal implant position and angulation as well as to define anatomy to maximize implant fixation for immediate load prosthetics.