One of the problems that most often affects my students and colleagues who write on social networks is the timing of performing a full-arch on immediately loaded implants (all-on-4 or other).


Some trainers mysteriously preach that time doesn’t matter and that you have to take your time, but unfortunately this is not true.

If, like me, you don’t have an operating room where you can perform general anaesthesia, it means that you have to work on an private practice basis with the patient awake!

In many regions in ITALY, absurdly, it is not even possible to sedate patients, and even where this is possible, the drugs we are allowed are not adequate for the purpose.

All this means that: EITHER YOU HURRY UP OR SOME SURGERIES CANNOT BE PERFORMED because you will go out of the ambulatory manageability of the patient (anaesthesia running out, patient panicking, starting to bleed profusely, having to go to the bathroom etc etc)… furthermore, even those that you will be able to do will be experienced by the patient in a very unpositive way…. with all the related bad feedback that follows.

Imagine spending 4 hours with your mouth open with the surgeon sweating and swearing on top of you to receive a fixed arch on implants: A NIGHTMARE!


So, we can say that speed is crucial and must be considered in every phase, or more precisely, every phase must be optimized to be carried out in the best possible way in the SHORTEST POSSIBLE TIME.

Both the study and surgical phases, as well as the prosthetic phases, which (who knows why…) are the greatest fear of many, must be optimized to the maximum and managed in the minimum and essential time.

In our course, Erik and I talk about the whole process necessary to achieve an excellent result in a predictable and fast way, but today I want to focus on the first surgical step to perform an inferior all-on-4:

The design, incision and flap raising.

You’ll see that although it’s a full-time video it’s only 6 minutes long, even though I was filming during a live surgery and had to explain the steps.

A short and honest time I would say.

And it’s not about acting high-and-mighty, it’s about giving you ideas to improve the service you give your patients every day.

Obviously if you are already an expert you won’t need it, so skip the video and spend your time in a better way.

But if you want to improve and learn the smartest and most up-to-date protocols for managing edentulous patients, you can sign up for our online full-arch rehabilitation video-course.  If you want more info click here…

Discover the course "Simplification in full arch rehabilitation".

and now I leave you with the video.

See you soon!

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