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Teeth are out. Bone reduction is complete. And, implants have all torqued well.  Smooth sailing now. But what the…?! Why can’t I get that freaking abutment to fully seat in the implant housing?! I’ve rotated it, and rotated it, and taken it in and out… but that stubborn abutment is still “loose” and will not […]

I exclusively use a tapered implant for All-On-X surgery.  And by exclusively, I mean 100% of the time.  While most implant options today are tapered, there are still parallel walled (and/or very minimally tapered) implants in use and preferred by some doctors. One reason practitioners lean toward a parallel walled implant is that these implants

I have had the opportunity to work with many exceptional All-On-X assistants over the years.  I have learned a great deal from these assistants that has shaped how I perform surgery today. This is especially true regarding the way in which I utilize my surgical team to optimize AOX efficiency.   Below are The Most

An All-On-X surgeon should not look at an incision as a way to create access to their surgical field. This is merely a byproduct of the incision.  An All-On-X surgeon should see their incision, first and foremost, as the initial step in their closure.   An experienced AOX surgeon understands that the second they lay

I am not a fan of traditional surgical guides in the setting of All-On-X surgery.  Not even a little bit.  To be fair, while I have seen traditional AOX reduction and implant guides used, I have never actually used either myself. So, you can argue that I haven’t fully experienced traditional AOX guided surgery.  However,

While it should not be common, a complication that you will see on more than one occasion in All-On-X surgery, is incision line dehiscence.  A dehiscence can be troublesome as it can create the following:  Increased infection risk. Pain and discomfort for the patient. Poor tissue healing around implants and abutments.  The creation of bony

Ahhh, abutment placement. The end of the surgery is near. You can relax a little. Your mind might start to wander a bit. Your team may even begin to remove a few instruments off your mayo stand.  You begin to ponder your abutment choices. Maybe you take the cute little try-in abutments and place one

There are many benefits to All-On-X surgical efficiency. However, providers often assume that it takes hundreds of arches to reach a predictable, smooth AOX workflow.  While there is some truth to this, there are also a few things that even inexperienced AOX surgeons can do to instantly improve their surgical efficiency and the flow of

One of the best pieces of All-On-X advice I ever received had nothing to do with surgical technique. Before completing my very first arch, I was told by a friend and mentor,  “Matt, you’re starting from scratch. Keep track of everything you do. Write down in a notebook each arch you complete and any notes

In a recent blog post, I addressed a question I received from a colleague regarding what to do if you cannot get primary closure during your surgery. I wanted to piggyback on this topic and also address how I manage a post-op dehiscence of my AOX incision.   In the scenario I will address here,