All-on-Four Hybrid Protocol

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Mauro Lino
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Last seen: 2 weeks 5 days ago
Joined: 5/17/15
All-on-Four Hybrid Protocol

All-on-Four Hybrid Maxilla
All-on-Four Standard Jaw
Patient C.III, Atrophic mandible with anterior bone defect.
Region of maxilla Anterior knife blade with borderline locking in canine pillar.

Luc Vrielinck
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Last seen: 2 days 21 hours ago
Joined: 6/26/13

Dear Mauro, nice clinical surgery and nice images. Concerning the upper jaw, in my experience, the two anterior (standard) implants are the most prone to bone loss and failure. Loss of one of the anterior implants is much more likely than loss of the posterior zygoma implants. How will you cope with this eventuality? 

Fabio Villamizar
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Last seen: 1 week 6 days ago
Joined: 1/5/17

Dr, have you done a case of inmedite load, with three implants , on upper or lower max.

Full arch

thanks

fabio villamizar z

Fabio J villamizar

Mauro Lino
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Last seen: 2 weeks 5 days ago
Joined: 5/17/15

Dear Fabio, this technique was formulated worse by Branemark as a cost reducer. Today it is not justified. Talking about me, I believe in Roy's polygon, where he starts from 4 implants.

Mauro Lino
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Last seen: 2 weeks 5 days ago
Joined: 5/17/15

Dear Luc, if, and only if this happens, I will deal with standard procedure, that is, I will replace the implant, only this time by zygomatic. My practice is always to leave the zygoma as a last resort, if I have anchoring conditions preliminary to the zygoma, it will be used.