mladen petranović - (2/7/2012 2:02 PM)

That is it, simple, and clear !

George Duello - (9/18/2011 11:26 AM)

Dr. Pate, The malleable guide is available through Nobel Biocare. Dr. Duello

George Duello - (9/18/2011 11:25 AM)

Dr. Murphy, Both arches were included but the majority of the implants were not tilted. Dr. Duello

K Michael Murphy - (9/12/2011 8:43 PM)

Great Video course. When Dr. Branmark placed all on four 10mm implants in his patients did that include the upper arch or just the lower arch. smiledds@aol.com Dr. Murphy

raymond pate - (9/11/2011 5:31 PM)

Dr Duello,

What ce do you recommend to learn more about this specific protocol. Also, where can I purchase the pilot hole malleable implant guide you featured on this video.

Thanks

Dr Pate

George Duello - (9/7/2011 8:51 AM)

To Webinar Attendees, Someone asked what to you do if you have an implant failure under an All-on-Four. Remove the prosthesis, remove the implant, graft-delayed implant placement, and keep the prosthesis on the remaining three implants until the new implant has healed. Then you have two choices--remake the entire prosthesis or section the prosthesis where the previous implant has failed and now healed, section the bar and prosthesis, argon laser weld a new section to fit the new implant and replace the fixed All-on-Four prosthesis on the implants. If any one has any other thoughts I would be glad to review them. Dr. Duello

George Duello - (9/7/2011 8:46 AM)

Dear Dr. Smith, I agree with your clinical observations. This is why good diagnosis, adequate alveoloplasty, and excellent laboratory support is necessary to attempt to achieve a prosthesis the has convex or flat anatomy on the intaglio surface so that oral hygiene is possible. However, I also find that overdenture prosthesis can be problematic with gingival hyperplasia under bars that many times leads to psuedo pocketing around abutments/implants. Occasionally I have had patient who can't seat their overdenture due to tissue impingments. I think all prosthesis require constant observation/monitoring with appropriate intervention when tissue problems arise. Thank you for your comments. Dr. Duello

George Duello - (9/7/2011 8:40 AM)

Dear Dr. Kozy, I don't have any cases over 6 years old that meet the definition of "All-On-Four" that was discussed in the webinar on DentalXP as I started using the Malo technique in 2005. However, I have numerous other cases using four implants in the maxilla and mandible. Most of these cases on overdentures with bar and various attachments. As I stated in the webinar, I have modified my philosophy and now use All-on-Four to provide patients with a fixed prosthetic treatment. I hope this answers your question.

George Duello - (9/7/2011 8:40 AM)

Dear Dr. Kozy, I don't have any cases over 6 years old that meet the definition of "All-On-Four" that was discussed in the webinar on DentalXP as I started using the Malo technique in 2005. However, I have numerous other cases using four implants in the maxilla and mandible. Most of these cases on overdentures with bar and various attachments. As I stated in the webinar, I have modified my philosophy and now use All-on-Four to provide patients with a fixed prosthetic treatment. I hope this answers your question.