Stephen Parel: Rehabilitation concepts for the edentulous patient - how many implants do we have to place

Scientific and clinical evidence on how many implants need to be placed, have evolved over time. 6 or more implants being the standard years ago, today 4 implants can be considered standard of care for the mandible and in most cases also for the maxilla, with the All-on 4 concept being a game changer. In the mandible even 3 implants may work well, whereas in the maxilla 4 implants may not always be sufficient, depending on presenting factors. Dr Parel discusses risk patterns for increased implant failure rates in the maxilla and presents the primary and secondary risk factors. Profiling patients for these factors, adapting the treatment plan to these individual risk factors and if needed placing more implants has considerably increased success rates in maxilla treatments in Dr Parel's practice.