Sino-Dental® First Launch | Nobel Biocare Introduces Digital All-on-4®: A Digital Solution to Optimize and Restructure Full-Arch Implant Workflows

In June 2026, at the Beijing exhibition, Nobel Biocare officially launched the Digital All-on-4® full digital workflow solution. Mr. Xu Xiaodong, General Manager of Envista China, delivered the opening speech for the event. Ms. Chen Xi, General Manager of Envista Nobel Biocare China, Ms. Shou Jiaping, Digital Head of Envista Nobel Biocare China, Tinne van Delm, Senior Product Director at Envista, Davide Santamaria, Global Head of Sales & Training at Envista, Mr. Li Shuai from Shuaizhen Oral, and Mr. He Yongxin from Yongxin Dental attended the press conference.

Wang Qing, Head of the Dental Implant Subspecialty in the Department of Oral Medicine at Zhongshan Hospital, Fudan University; Li Shuai, a part-time dentist at Shuaizhen Oral and the Department of Oral Implantology at Peking University School of Stomatology; and Davide Santamaria, Global Head of Sales & Training at Envista, along with several other Chinese and international experts, attended the press conference to deliver academic presentations.

This is not a single product upgrade but a process optimization and reconstruction centered around real clinical pain points—from data acquisition and diagnostic design to surgery, immediate restoration, and final restoration—attempting to bring full-arch implantology into a new phase that is truly predictable, replicable, and reliably deliverable.

When full-arch reconstruction enters the digital era, it is not just the tools that change, but the entire treatment logic.

01 From a Mature Treatment Concept to a Full Digital Workflow Upgrade

As a full-arch immediate loading protocol founded by Dr. Paulo Malo in 1989, supported by 57 global clinical studies, over 4,600 patients, and more than 24,300 Nobel Biocare original implants, the All-on-4® treatment concept has long been the gold standard for edentulous jaw reconstruction.

However, in today's clinical applications, the challenge of full-arch implantology is no longer just "whether the treatment can be completed," but how to make the complex process more controllable. Issues include difficulty in achieving passive fit of the prosthesis, long communication chains, extended patient waiting times, and repeated adjustments affecting the patient experience.

• Precision: From impression taking, data transfer, and manufacturing to the connection method, every step can potentially affect the final passive fit.
• Efficiency: Repeated communication between diagnosis, design, surgery, and restoration increases time costs and chairside occupancy.
• Experience: Traditional impression taking, waiting, and repeated adjustments can negatively impact the patient's perception of the treatment process and outcome.

— The essence of these issues is the continuous accumulation of errors and uncertainties across different stages of the workflow.

The significance of Digital All-on-4® lies in using digital methods to reconnect diagnosis, surgery, immediate restoration, and final restoration on top of the mature All-on-4® treatment concept, making the complex process more controllable.

02 A Complete System, Not Just a Single Tool

The Digital All-on-4® launched at the Beijing exhibition is not a standalone device nor a supplement to a specific workflow segment. It is a complete digital workflow system: through the continuous integration of data acquisition, diagnostic design, surgical execution, immediate restoration, and final restoration delivery, it transforms a process that relied on experience and manual coordination into a more standardized and replicable digital closed loop.

03 First, Look at the Clinical Value: How Efficiency, Experience, and Precision Are Redefined

1. Efficiency: Making Complex Workflows More Efficient

When diagnosis, design, surgery, and restoration are digitally connected, efficiency gains are not just about "doing fewer steps," but about reducing repetitive communication, shortening waiting times, and making chairside immediate restoration more practical.

• 40% reduction in chairside time
• 35% reduction in production costs
• Chairside 3D Printing enables same-day delivery within 1 hour post-surgery

2. Experience: From "Waiting and Adjusting" to "Faster, More Comfortable, and More Reassuring"

• Chairside 3D Printing supports temporary restoration completion in a short time post-surgery, reducing waiting.
• Photogrammetry reduces the discomfort associated with traditional impression taking.
• More precise interfaces combined with the original system contribute to the stability of temporary bridges and final restoration delivery.

3. Behind the Precision Improvement: Truly Managing "Error Accumulation"

The key to precision improvement is not that a single step is "more accurate," but that the error at each node is brought under control. In traditional workflows, errors can accumulate during impression taking, data transfer, manufacturing, and bonding; digital workflows reduce these uncertainties through a data closed loop.

Cumulative errors in traditional workflows can reach 200–600 μm; digital immediate restoration workflows can control errors within 70–125 μm, while digital final restoration workflows can further control them within 20–35 μm.

04 Three Workflows: Providing Suitable Digital Pathways for Different Cases

(1) Freehand: Freehand Workflow + ICam® Photogrammetry

Suitable for routine full-arch immediate cases where surgeons wish to retain surgical flexibility while incorporating high-precision photogrammetry data.

• Surgeons can perform freehand implant placement based on clinical experience.
• Post-operatively, rapid photogrammetry is performed using ICamBodies to acquire implant position data.
• Combined with chairside 3D Printing, it supports same-day temporary fixed restoration.

(2) Surgical Guide: Surgical Guide Workflow

Suitable for cases requiring pre-operative planning guidance, where implant positions are intended to follow the design plan as closely as possible.

• Pre-operative virtual articulation, wax-up, and implant plan design are completed.
• Intra-operatively, a surgical guide assists in placing the implants at the pre-determined sites.
• Post-operatively, restoration data is acquired using photogrammetry.

(3) Navigation: XGuide® Navigation + FastMap®

XGuide® + FastMap® represents a higher-level digital pathway: performing position transfer and data integration during real-time intra-operative navigation, bringing navigation, photogrammetry, and restoration interface generation into a single workflow logic.

• Real-time intra-operative visualization guides precise implant placement.
• Simultaneous FastMap® navigation photogrammetry captures post-operative positional relationships.
• Automatically matches planning data to generate new interface data required for temporary restoration.

The value of this workflow lies in reducing the matching steps required in traditional CT transfer or intraoral scanning transfer, moving immediate restoration from "relying on multi-step conversion" towards "automatic integration within the navigation system."

05 From Immediate Restoration to Final Restoration: Integrating Long-Term Stability into the Same System

The endpoint of the digital workflow is not just completing the temporary teeth faster, but ensuring the final restoration is also built upon the same data, the same connection, and the same original system.

• Immediate Restoration Phase: A dedicated temporary resin bridge database, chairside 3D Printing, and ASC temporary restoration screws support a temporary bridge solution that can be directly screwed onto the multi-unit abutment without a Ti-base.
• Final Restoration Phase: The NobelProcera® ASC titanium-free, cementless full-zirconia implant bridge, relying on original factory data, original screws, and centralized manufacturing capabilities, enhances long-term delivery stability.
• System Integration Value: Reduces conversion errors between different steps and lowers the risk of long-term mechanical complications and restoration failure.

Final Thoughts

From "completing the case" to "reliably delivering the restoration outcome," full-arch implantology, with the assistance of Digital All-on-4®, is transitioning from being experience-driven to system-driven.

Following its launch at the Beijing exhibition, this full digital workflow will offer new options for more clinical teams: leave the complexity to the system, keep the certainty for the doctor, and usher edentulous jaw reconstruction into a new phase of greater efficiency, higher precision, and more replicable workflows.

This conference not only witnessed the significant launch of Digital All-on-4® but also paid tribute to medical institutions that have made outstanding contributions to the field of digital All-on-4®! Shuaizhen Oral and Shanghai Yongxin Dental were honored with the title of "Digital All-on-4® Center of Excellence"!

We look forward to more institutions joining the ranks of Centers of Excellence in the future, jointly promoting the development and popularization of Digital All-on-4® technology.

Envista Senior Product Director Tinne van Delm and Envista Global Head of Sales & Training Davide Santamaria present the COE certification.

June 2026 · Launched at the Beijing Exhibition

*Content from Nobel Biocare