A 55-year-old female patient with missing maxillary premolars, class IV recession on the adjacent tooth, pneumatized sinus. She was treated with simultaneous sinus elevation, implant placement, guided bone regeneration, and soft tissue grafting.

Dr. Malo discusses the evolution of the All-on-4® treatment concept as it has been the primary focus of his career. He explains the reasons for its development and how his vision of implant dentistry has shifted from large grafting solutions to the placement of implants where bone

A 32-year-old patient with missing central and lateral incisor presented significant loss of hard and soft tissues, and the midline deviated to the left. A Porcelain-fused-to-metal crown over implant with a GBR and a collagen membrane on #21 FDI (#9 US) was chosen.

Sinus graft surgery can be performed as either a one-stage or a two-stage approach.

With the single-stage surgery, the bone grafting and implant placement are performed in one surgery with the graft placed first, followed by implant placement. In the case of a two-stage surge

A 54-year-old man presented with missing right lower teeth and ridge deficiency. Horizontal and vertical augmentation by GBR (Guided Bone Regeneration) was carried out using the “Tenting Screw Technique”. Two implants and a free gingival graft were placed.

The fourth dimension of surgical reconstruction with implants involves development of an adjusted surgical protocol, which is time dependent and accounts for normal physiological changes of the skull and face. Previous treatment in 3-D did not address the possibilities of these dyn...

Rehabilitation with implants in the posterior maxilla is challenging due to the rapid reduction of the available bone which is the result of physiological resorption of the alveolar process together with increased pneumatisation of the maxillary sinus. Augmentation of the sinus...

In this presentation different ways to treat severe cases will be presented. The presentation will focus on the rationale and long term results for sinus elevation and implant placement in the extremely resorbed maxillae.

Dr. Patrick Palac

In order for a patient to receive a properly placed implant with a functional and esthetically successful restoration, the clinician must be aware of the anatomical limitations of the maxillo-mandibular complex.  

The goal of this presentation is to provide the clinician with...

Grafting options in the edentulous maxilla include autografts, allografts and heterografts. Complications for sinus grafting include membrane perforations, sinusitis and graft resorption. Onlay/ inter-positional bone grafts and GBR have resorption rates ranging from 10%-50%, graft...

Guided bone regeneration (GBR) is a well established technique for horizontal alveolar ridge augmentation. Since the first publications in the early 1980’s extensive research was carried out focusing on different membranes, grafting materials, and timing of implant placement, as...

Replacement of failed implants (functional or esthetic) can be a daunting task and often achieves unsatisfactory results. A decision on implant removal, according to set guidelines, should be made as soon as possible to avoid unnecessary tissue loss. Normal bone physiology should...

Immediate implants and immediate provisionalization (IIPP) has been shown to provide optimal preservation of soft and hard tissues which is paramount in the esthetic zone. Often IIPP are reserved for carefully selected cases with minimal risks as this technique was considered to be...

“In spite of refinements of the surgical techniques and increased sophistication of prosthetic reconstructions, there are limits to what can be achieved with a prosthesis anchored in limited basal jawbone.” PI Branemark. 

This presentation will address the following questions: What...

The All-on-4® graftless treatment concept provides an advantageous solution for delivery of full arch immediate load hybrid prosthesis for patients suffering from failing dentition. The biomechanical basis and clinical success of the All-on-4® treatment concept in both maxillary...