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A recent @aoxsurgery post on Instagram asked what questions you may have regarding full-arch surgery that you would like answered here on the blog. I received a lot of great questions and it’s my goal to respond to all of them. In order to make it more manageable for me to write, and easier for […]

While the mandibular arch often presents with more predictable bone volume and density, it comes with its own headaches. Most notably, the tongue and the floor of the mouth. Working around these structures can be annoying, and in some patients with an unusually large tongue or prominent floor of mouth tissue, it can be plain

It happens.  Sometimes implants fail.  Ironically, whether you work in a DSO style full-arch practice or a traditional private practice, it is often the restorative provider who first notices a potential failed implant upon “prosthetic follow-up” – not the surgeon. As such, I have created a Failed Implant Protocol to help guide my referrals on

AOX surgery is a team sport. There is simply no way around it.  For those of us in a referral relationship, one of the most important aspects of the full-arch team culture is the ability of the surgeon to work with – and not against – their referring restorative doctor.  It is always easy as

Ahhh bruxism…  The irony. Patients who frequently require a procedure like AOX, yet a group who we are often hesitant or unwilling to treat.  Should we or should we not treat bruxers? And how should we do it?  Today I’m going to share with you a brief outline regarding how I approach these cases.  I

One of my biggest pet peeves as an AOX surgeon is when someone tells me,  Oh so and so is such a great surgeon. They never turn anyone away. They treat every patient. It is true that a more experienced full-arch surgeon should and will treat more patients than a surgeon with less experience.  It

In a previous article titled Benefits of Performing Reduction on Both Jaws Prior to Implant Placement, I discussed 5 key advantages as to why I prefer to perform my bone reduction on both jaws prior to implant placement.  However, in that article I alluded to the fact that there are certain scenarios in which I

All-On-X surgery is about as big a procedure as is consistently done in the outpatient oral surgery setting. Given the magnitude and transformative nature of the procedure, there is a lot at stake for both the patient and the surgeon.  This incredibly impactful power of AOX surgery is also why this procedure is arguably the

Many surgeons are naturally interested in full-arch surgery. Most, however, are hesitant about looking at a “full-time” career in All-On-X surgery.  As a surgeon that focuses solely on full-arch surgery, I am often asked why I chose this path and if I truly enjoy only performing All-On-X surgery… and nothing else.  The answer, which you

I always attempt, with a fervent passion, to avoid removing a full arch prosthetic during the first four months of osseointegration.  During this time, the implants have not yet integrated. Furthermore, the recently placed implants go through a period known as the stability dip, which makes them even more susceptible to negative effects from operator