Full contour zirconia hybrid: are sinus lifts indicated?

Immediate upper denture, reline in 3-6 mos. Suppose the patient does well? If not a few locators? Attachment loss on lower evident. Full upper might better preserve lower dentition Why not keep it simple? Remunetation is seldom worth aggravation.

Very well said, I like to rely on my prostodontist for design of the prosthesis, I can pretty much place the implants according to his plan. Sometimes staging the grafting and extractions to allow healing so that the bone is preserved can be done. Fully mounted case with face bow and wax up to determine finish line and vertical dimension. Most importantly enough room for the fixture planned, lip support and speech. These are done in several steps with periods of provisionalization. The disease also has to be removed. Complex case. If you want to fly the big jets a good copilot and flight plan needed, otherwise it will crash and burn✈️💥✈️

Okay If someone gets hurt by constructive criticism and good advice that may keep them and an innocent patient out of trouble it I feel it should be posted. Just because a poster thinks they can handle a complex case does not mean they should. If their feelings are hurt by facts then I think that the practice of implant dentistry may be too much for them emotionally. Now read the posts although very descriptive the truth is there, good judgement and knowledge of limitations is very important and wise not shaming. A certain amount of maturity and judgement is required that's what our patients expect and trust us to do. When I am unsure if a treatment I listen to my colleagues advice, all I care about are the facts not the delivery. I can separate my feelings. I have shortcomings in certain techniques so I refer for the best interest of the patient. I see a lot of mishandled cases and untoward results that I get to fix. I would rather see it done right the first time. Unfortunately I feel that there are a lot of mentors that are not truly honest which really does not help the situation. In medicine, residents and attendings get consultations, weigh the facts and advice and thru judgement and reasoning formulate a plan. In dentistry it seems to be different since this process is not taught. Dentists tend to be critical and judge mental, myself included. We are in the Wild West of dentistry now, time will tell as more of these stretch cases surface, trying to avoid referral to the appropriate practioners. At least the case was posted for advice. I do care. Thanks for reading. A Te