Archived Newsletter Re-Post. The AOX Newsletter • May 2024 #17 At the heart of any hospital based procedure is a pre-operative protocol that includes a “surgical time-out”. This is a brief but important time where everyone in the OR stops and confirms the patient and procedure, as well as the presence of pertinent surgical instrumentation […]
The AOX Surgical Time-Out Read More »
Archived Newsletter Re-Post. The AOX Newsletter • April 2025 #46 No fluff. Just the good stuff. 1. Resist the temptation to offset less AOX experience by placing more implants per case. Four well placed implants with good torque and A-P spread are better than eight poorly placed implants. (Yes, I’m aware some cases require more
Twenty AOX Pearls, Thoughts, & Reflections Read More »
Archived Newsletter Re-Post. The AOX Newsletter • April 2024 #16 One of the many benefits of All-On-X surgery is that it is typically a graftless procedure. That being said, there are no absolute rules regarding when to graft and when not to graft. And, in discussing AOX grafting with providers, I have noted that there
Why I Don’t Routinely Bone Graft During AOX Surgery Read More »
Archived Newsletter Re-Post. The AOX Newsletter • April 2024 #15 A debate as old as time… Ok, not really. But it’s a logical question. Should we start with the maxilla or the mandible first when performing AOX surgery?? Or, should it vary depending on the patient presentation and the case at hand? I know
Maxilla or Mandible First?? Read More »
Archived Newsletter Re-Post. The AOX Newsletter • April 2024 #14 I’m a huge fan of Graphite-Guided Surgery. This technique, however, relies heavily on being able to utilize anatomical references or bony irregularities to demarcate where to apply our graphite-guide. When delineating our implant sites on the mandible, we will always have a consistent, reproducible
Why I Mark My Implant Sites BEFORE I Perform Bone Reduction Read More »
Archived Newsletter Re-Post. The AOX Newsletter • April 2024 #13 The vast majority of the time I place my anterior implants in an “Inverted V” configuration at lateral incisor sites #7/10. The rationale behind placing the anterior implants at these anatomical locations is that when combined with the posterior implants, a stable “trapezoid” outline
When & Why I Place Implants at #8/9 (Instead of #7/10) Read More »
Archived Newsletter Re-Post. The AOX Newsletter • March 2024 #12 I remember residency well 👆. Countless surgeries, endless learning opportunities, and little sleep. These were some of the most difficult, yet also some of the best years of my life. While OMFS residency provides an incredible exposure to maxillofacial surgery as a whole, most
Where Do I Start?? Advice for Resident Surgeons Hungry for AOX Read More »
Archived Newsletter Re-Post. The AOX Newsletter • March 2024 #11 The atrophic jaw often presents significant challenges for All-On-X surgeons. This is especially true in the setting of immediately loaded prosthetics. Not only can these cases be difficult clinically, but they can also be just plain intimidating. Despite this added surgical stress, successful management
3 Surgical Pearls for the Atrophic Jaw Read More »
Archived Newsletter Re-Post. The AOX Newsletter • March 2024 #10 I absolutely love Platelet Rich Fibrin. I have found it to be incredibly beneficial in All-On-X surgery. Furthermore, PRF comes at almost no cost to the practice and requires no additional surgical intervention for the patient. While I don’t use PRF on every AOX
The 3 Most Common Ways I Utilize PRF in AOX Surgery Read More »
Archived Newsletter Re-Post. The AOX Newsletter • February 2024 #9 First of all, I’d like to say that it is rare that I am doing any significant grafting during All-On-X surgery. However, in about 10-15% of cases, I will do low volume particulate grafting around an implant that may have slight thread exposure due
My Preferred Bone Graft for AOX Surgery Read More »