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There are many different surgical styles when it comes to where a surgeon positions themselves relative to the patient in order to complete different aspects of the AOX procedure. I have been asked on more than one occasion if I “switch sides” during surgery to better visualize anatomy when operating. This discussion most commonly surfaces […]

I do not routinely perform bone grafting during All-On-X surgery.  While opinions on grafting during full arch surgery vary widely, in my experience, one of the more profound benefits of the AOX procedure is that it is often a graftless surgery.  In this week’s AOX Newsletter I discussed 4 reasons “Why I Don’t Routinely Bone

I always attempt to perform both the maxillary and the mandibular bone reductions, prior to beginning my implant placement.  Ok, full disclosure: There are a few select instances where I will not do this – and I will discuss these in an upcoming article.  That being said, the vast majority of the time I strategically

I am fortunate to have the luxury of practicing alongside a prosthodontist. Therefore, in my practice I do not do the prosthetic work-up for our All-On-X cases. And quite frankly, that’s how I prefer it.   I am able to focus solely on what I love, the surgical aspect.  That being said, prior to surgery

Ok – I know this isn’t an action packed clinical technique article. But hold on just a minute before you skip to the next post… As a surgeon, this may very well be one of the most important articles you read on AOXSurgery.com.  Building the right referral relationships in your growing practice can have a

Closure says more about who a surgeon is than any other aspect of AOX surgery.  It separates those surgeons who are meticulous, from those who just want to be done.  Closure not only impacts healing and long term implant health, but it is also your final surgical signature.  Your closure is one of the only

The periodontal probe is not the surgical instrument most commonly associated with All-On-X Surgery. In fact, I’m not even sure you can classify it as a “surgical instrument”.  I avoided the perio probe for years as a means of preventing traumatic flashbacks to three hour SRP appointments in dental school. In fact, until I started

The infamous, anxiety-ridden, dreaded high smile line.  This is the patient that has kept many an All-On-X provider up at night, tossing and turning restlessly. Some lay awake wondering if that transition line will actually be hidden after surgery? Others may even be second guessing if the case should have ever been taken on in

Ahhh… the amazing maxillary molar palatal root socket. So frequently overlooked. And yet it keeps showing up, waiting patiently to be noticed.  Hoping to help make our lives easier. A built in cantilever destroyer. I love it when I see a maxillary molar still present in a pre-surgical All-On-X dentition.  That palatal root socket is

I almost always load all of the AOX implants in my arch at the time of initial surgery.   In the vast majority of cases, I am confident in achieving adequate and loadable torque, and I also trust the cross-arch stabilization of the prosthetic.  Furthermore, I attempt to avoid delayed loading of an implant as