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Course Overview

• Comprehensive overview of the All-on-4® concept – surgical protocol
• All-on-4® concept – immediate and final prosthetic considerations (MALO CLINIC ceramic bridge, MALO CLINIC acrylic bridge, PEEK, hi-fiber)
• All-on-4® concept – laboratory considerations
• All-on-4® concept – the science of things: clinical research, diagnosis, risk assessment, prognosis, and prophylaxis
• LIVE All-on-4® concept surgery

Synopsis

The All-on-4® concept is an innovative surgical procedure for the rehabilitation of edentulous jaws focusing entirely on the patient. By taking advantage of the dense bone available in the anterior maxilla and between the mandibular foramina, this widely applicable surgical technique allows the treatment of a significantly greater number of patients, while avoiding the need for complex, time consuming and often debilitating bone grafting procedures.

An important aspect of the long-term success of the All-on-4® concept is the full-arch implant-supported dental prosthetics. There are several options for both the immediate provisional and the definitive prosthesis with the ensemble of different materials in the infrastructure, the artificial gingiva and the crowns, each option with its own advantages and disadvantages that warrant discussion. Some examples include the MALO CLINIC ceramic bridge, the MALO CLINIC acrylic bridge, the MALO CLINIC PEEK-acrylic bridge.

The presentations by MALO CLINIC will focus on the laboratory process, clinical outcomes and scientific research using different materials in full-arch implant supported prostheses (including zygomatic implants). During these two days, the MALO CLINIC clinical team pioneer of the All-on-4® concept will demonstrate how to achieve immediate function, excellent esthetics and predictable long-term success through state-of-the-art protocols including, surgery, prosthodontics, and maintenance. In this prosthodontic clinical residency, the participant will have the opportunity to watch live surgery, perform prosthodontic hands-on and take advantage of a prosthetic mentorship, watching live patient treatments/appointments and discussing the cases.

This course is targeted to oral surgeons, prosthodontists, or dental laboratory technicians that want to stay up to date with the latest protocols related to the All-on-4® concept.

Shadowing an oral surgeon at MALO CLINIC provides a better understanding of what a doctor’s typical day is like, and a great way to gain familiarity with different surgical procedures and environments.

If you are a dentist looking to increase your knowledge in different aspects of Oral Surgery including Implant Dentistry, this is the right venue for you!

Take advantage of shadowing top oral surgeon Prof. Armando Lopes and learn directly from the source! 

Clinical features of Prof. Armando Lopes include implant dentistry, from single teeth, to the All-on-4® concept and zygomatic implants; 3-D navigated surgery (X-Guide) and digital planning; Complications management (including surgical interventions to resolve implant complications).

2 Days of Clinical Residence with Prof. Paulo Malo, doing All-on-4® cases, Zygoma cases and single as well multiple implants in complex cases. Introduction to different techniques and new products: Hands-on, live surgery, lectures, prosthetics considerations and clinical case discussions. Follow complex prosthetic cases with the Malo Dental team.

The All-on-4® treatment concept is a highly efficient and effective solution for patients who are edentulous or facing tooth loss. This innovative approach uses four implants to support a full-arch prosthesis, which can be delivered immediately, offering patients rapid and reliable results. During 2 Days of Clinical Residence with Prof. Paulo Malo, the pioneer of the All-on-4®protocol, will guide on how the patient will have immediate function and excellent esthetics with a limited number of implants This course also introduces a variety of other cases such as zygoma, single and multiple implants through hands-on activities, live surgeries, lectures, prosthetic considerations, and clinical case discussions. Participants will have the opportunity to follow complex prosthetic cases guided by Prof. Paulo Malo, gaining practical skills and deeper clinical insight.

Learning outcomes:

• Explore different techniques and new products through  hands-on activities, live surgeries, and in-depth lectures.
• Gain insight into prosthetic considerations by following  complex clinical cases with the expert team.
• Understand the application of advanced surgical and  prosthetic protocols in patient care.
• Participate in clinical case discussions to enhance  decision-making and treatment planning skills.

2 Days of Clinical Residence with Prof. Paulo Malo, doing All-on-4® cases, Zygoma cases and single as well multiple implants in complex cases. Introduction to different techniques and new products: Hands-on, live surgery, lectures, prosthetics considerations and clinical case discussions. Follow complex prosthetic cases with the Malo Dental team.

The All-on-4® treatment concept is a highly efficient and effective solution for patients who are edentulous or facing tooth loss. This innovative approach uses four implants to support a full-arch prosthesis, which can be delivered immediately, offering patients rapid and reliable results. During 2 Days of Clinical Residence with Prof. Paulo Malo, the pioneer of the All-on-4®protocol, will guide on how the patient will have immediate function and excellent esthetics with a limited number of implants This course also introduces a variety of other cases such as zygoma, single and multiple implants through hands-on activities, live surgeries, lectures, prosthetic considerations, and clinical case discussions. Participants will have the opportunity to follow complex prosthetic cases guided by Prof. Paulo Malo, gaining practical skills and deeper clinical insight.

Learning outcomes:

• Explore different techniques and new products through  hands-on activities, live surgeries, and in-depth lectures.
• Gain insight into prosthetic considerations by following  complex clinical cases with the expert team.
• Understand the application of advanced surgical and  prosthetic protocols in patient care.
• Participate in clinical case discussions to enhance  decision-making and treatment planning skills.

2 Days of Clinical Residence with Prof. Paulo Malo, doing All-on-4® cases, Zygoma cases and single as well multiple implants in complex cases. Introduction to different techniques and new products: Hands-on, live surgery, lectures, prosthetics considerations and clinical case discussions. Follow complex prosthetic cases with the Malo Dental team.

The All-on-4® treatment concept is a highly efficient and effective solution for patients who are edentulous or facing tooth loss. This innovative approach uses four implants to support a full-arch prosthesis, which can be delivered immediately, offering patients rapid and reliable results. During 2 Days of Clinical Residence with Prof. Paulo Malo, the pioneer of the All-on-4®protocol, will guide on how the patient will have immediate function and excellent esthetics with a limited number of implants This course also introduces a variety of other cases such as zygoma, single and multiple implants through hands-on activities, live surgeries, lectures, prosthetic considerations, and clinical case discussions. Participants will have the opportunity to follow complex prosthetic cases guided by Prof. Paulo Malo, gaining practical skills and deeper clinical insight.

Learning outcomes:

• Explore different techniques and new products through  hands-on activities, live surgeries, and in-depth lectures.
• Gain insight into prosthetic considerations by following  complex clinical cases with the expert team.
• Understand the application of advanced surgical and  prosthetic protocols in patient care.
• Participate in clinical case discussions to enhance  decision-making and treatment planning skills.

An ideal treatment plan requires thorough esthetic, functional, and structural analysis, supported by radiographic and digital examinations. Necessary adjustments to optimize teeth and soft tissues are transferred to the technician to create a wax-up and a diagnostic/functional mock-up. With 3D technology, it is now possible to create a patient “avatar,” enhancing diagnosis, planning, communication, and interdisciplinary workflows — applicable to both esthetic cases and complex full-arch rehabilitations. In implant therapy, diagnosis and treatment planning is still more demanding due to the critical aspect of the soft tissue contour and volume.

The success of implant-supported prostheses depends on optimal integration of all interfaces prosthetic, esthetic, soft tissue, and bone — through well-chosen surgical and restorative protocols. A solid grasp of biological principles and proper material selection are essential for achieving a stable mucosal seal and natural esthetic outcomes. Perfect esthetic integration relies on three pillars: diagnosis and prosthetic planning, proper management of the bone compartment, and careful handling of the supracrestal soft tissue compartment. The latter, increasingly important in modern implantology, is critical for avoiding complications and major esthetic defects.

Safe treatment in esthetic zones begins with thorough evaluation and selection of the most suitable surgical-prosthetic strategy. Finalization requires in-depth knowledge of restorative materials to replicate in the definitive prosthesis all the features tested in provisionals. Close collaboration with the lab and the use of digital workflows improve quality and efficiency. Cementation — especially adhesive protocols — is a critical phase, with specific guidelines for glass ceramics and zirconia. New ceramic materials and adhesive techniques have reshaped restorative dentistry, promoting minimally invasive preparations that preserve enamel and tooth structure.             

Digital workflows, including intraoral scanning, integrate these solutions seamlessly. Managing provisional restorations and accurately transferring esthetic and functional parameters to the lab are key steps. During this week-long course, all these aspects will be thoroughly explored from both a scientific and clinical perspective, with a strong practical approach to enable immediate application of the illustrated protocols. Ample attention will be devoted to the latest advancements in fixed prosthodontics and interdisciplinary protocols, with the aim of optimizing prognosis and the integration of the prosthetic restoration.

The objective of this 3 days course, is to provide the attendees with a deep theoretical knowledge but more important with a deep hands-on experience on the management of implants in the esthetic zone in order to achieve the best esthetic results.

In this course one live surgery will be performed by Dr. Gamborena placing an implant in the esthetic zone either immediate or staged. 4 Attendees will learn to harvest tissue for connective tissue grafts as well as different suturing techniques. A prosthetic and a surgical hands-on workshop will be performed by the attendees in order to have a global experience in this type of high advance implant esthetic courses.

2 Days of Clinical Residence with Prof. Paulo Malo, doing All-on-4® cases, Zygoma cases and single as well multiple implants in complex cases. Introduction to different techniques and new products: Hands-on, live surgery, lectures, prosthetics considerations and clinical case discussions. Follow complex prosthetic cases with the Malo Dental team.

The All-on-4® treatment concept is a highly efficient and effective solution for patients who are edentulous or facing tooth loss. This innovative approach uses four implants to support a full-arch prosthesis, which can be delivered immediately, offering patients rapid and reliable results. During 2 Days of Clinical Residence with Prof. Paulo Malo, the pioneer of the All-on-4®protocol, will guide on how the patient will have immediate function and excellent esthetics with a limited number of implants This course also introduces a variety of other cases such as zygoma, single and multiple implants through hands-on activities, live surgeries, lectures, prosthetic considerations, and clinical case discussions. Participants will have the opportunity to follow complex prosthetic cases guided by Prof. Paulo Malo, gaining practical skills and deeper clinical insight.

Learning outcomes:

• Explore different techniques and new products through  hands-on activities, live surgeries, and in-depth lectures.
• Gain insight into prosthetic considerations by following  complex clinical cases with the expert team.
• Understand the application of advanced surgical and  prosthetic protocols in patient care.
• Participate in clinical case discussions to enhance  decision-making and treatment planning skills.

Learning outcomes

• Crucial steps that will lead to a predictable treatment outcome
• Digital planning and prosthetic workflow
• How to achieve primary stability needed for immediate loading
• Step-by-step procedure by means of literature, cases and live surgery
• Get familiar with the surgical protocol for NobelActive, a reliable implant solution for high initial stability and soft and hard tissue preservation

This immersive course is designed to elevate your skills in implant surgery and prosthetic rehabilitation, taking you through a complete learning journey—from foundational anatomical principles to complex clinical applications. Whether you are an experienced clinician looking to refine your expertise or a practitioner eager to deepen your understanding of implantology, this course offers a unique blend of theory, hands-on practice, and clinical case management.

Starting with a thorough evaluation of anatomical bases, we will explore the indications for implant placement, focusing on the crown-down approach. This technique enables participants to identify the future free gingival margin and assess whether the site requires tissue regeneration or is in an optimal condition. We will then dive into prosthetic profile evaluation as a fundamental step in surgical planning, followed by an in-depth analysis of various implant site scenarios: immediate post-extraction implants, implants in healed tissues, and advanced soft and hard tissue management.

Session 1: Sassuolo, Italy | July 1-4, 2026

Session 2: Santos, Brazil | November 23-27, 2026