Evidence map›Paper›PMID 41372686›Full record

ReviewOral and maxillofacial surgery2025

Rehabilitation of edentulous jaws using the "All-on-Four" treatment concept: an overview of systematic reviews.

Cristiano Elias Figueiredo, Nathan Estevão de Oliveira, Gustavo Cassimiro, Walbert de Andrade Vieira, Gabriel Phelipe de Paula Santos, Luiz Renato Paranhos, Bruno Salles Sotto-Maior

Abstract readReview
PubMed Publisher
In one paragraph

Review in Oral and maxillofacial surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Cristiano Elias FigueiredoFaculdade São Leopoldo Mandic, Campinas, Brazil.ORCID http://orcid.org/0000-0003-1491-4009
Nathan Estevão de OliveiraCentro Universitário das Faculdades Associadas de Ensino, UNIFAE, São João da Boa Vista, Brazil.ORCID http://orcid.org/0009-0007-2007-5981
Gustavo CassimiroCentro Universitário das Faculdades Associadas de Ensino, UNIFAE, São João da Boa Vista, Brazil.ORCID http://orcid.org/0009-0009-8353-8941
Walbert de Andrade VieiraCentro Universitário das Faculdades Associadas de Ensino, UNIFAE, São João da Boa Vista, Brazil.ORCID http://orcid.org/0000-0001-8872-2865
Gabriel Phelipe de Paula SantosUniversidade Federal de Uberlândia, Uberlândia, Brazil.ORCID http://orcid.org/0009-0002-5595-6328
Luiz Renato ParanhosUniversidade Federal de Uberlândia, Uberlândia, Brazil. paranhos.lrp@gmail.com.ORCID http://orcid.org/0000-0002-7599-0120
Bruno Salles Sotto-MaiorFaculdade São Leopoldo Mandic, Campinas, Brazil.ORCID http://orcid.org/0000-0002-9462-0299

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001
6 · The paper itself

Abstract

purposeThis overview aimed to answer the following research question: What is the current knowledge regarding the performance of the "All-on-Four" technique compared to other full-arch implant rehabilitation methods based on evidence from systematic reviews?

methodsThis overview assessed the performance of the "All-on-Four" concept versus other implant-supported full-arch rehabilitation techniques. Outcomes included implant number, loading protocol, marginal bone loss (MBL), and cumulative survival rate (CSR). The protocol was prospectively registered in PROSPERO (CRD42023471446). A comprehensive search was performed across ten databases, including grey literature. Methodological quality was assessed using AMSTAR-2, and risk of bias was evaluated with ROBIS. Two reviewers independently conducted all steps, with a narrative synthesis of results.

resultsA total of 4,468 records were identified, and eight systematic reviews published between 2013 and 2021 were included. For the "All-on-Four" technique, CSR ranged from 94.8% to 99.3%, and mean MBL ranged from 1.1 mm to 1.5 mm. None of the reviews reported statistically significant differences suggesting the "All-on-Four" protocol is inferior to approaches with more implants. However, most reviews showed a high risk of bias and low methodological quality.

conclusions"All-on-Four" technique demonstrates clinical outcomes comparable to conventional full-arch rehabilitations, but evidence is limited by methodological weaknesses.

Indexed as

Dental Implantation, EndosseousDental Prosthesis, Implant-SupportedJaw, EdentulousDental ImplantsHumansSystematic Reviews as TopicDental ImplantsDental ImplantDental ProsthesisImplant-SupportedOsseointegrated Implants

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.