Definitive Solutions for Our Patients

April 24, 2019 | by Dr Alex Fibishenko
  • Share:

I was honored to present back-to-back at NYU Linhart College of Dentistry, New York, followed by the 4th Evidence Based Symposium on Oral Rehabilitation, Beijing.

My presentation was about simplifying the workflow of complex surgical cases, assessment and management of the terminal dentition, Zygoma ‘Plus’ and quality standards in advanced oral implantology.

I showed cases with terminal dentitions ranging in age from 20’s to 70′ with decay, gum disease and total deterioration. The most important question before offering these patients any kind of treatment is how did they get to that point in the first place?

There are many causative factors for tooth loss leading to a terminal state, but perhaps the critical ones are neglect due to poor hygiene, sugar consumption and/or poor compliance. These in turn can be the result of a poor dental IQ (“…I had no idea I had to floss or avoid energy drinks) or due to fear and distrust because of a poor past dental experience.

As dentists we can also be guilty of judging those patients and offering them only patch-up treatments, or things they can’t bear to wear …like dentures. The cycle of patch-up treatments inevitably leads to failure (at least according to the patient) which only reinforces their distrust, and which leads to a lack of motivation, followed by a lack of compliance to reach a point of despair.

The factors that lead to the ultimate failure of the patient’s natural dentitions can also cause issues with implants. The natural question is whether we will be risking the failure of our own work if we offer those patients implants? If we don’t break the cycle of distrust and poor compliance, then perhaps! Tough we can break that cycle by giving the patient a “Solution”, not just treatment after treatment, a definitive and more reliable solution to their ongoing cycle of breakdown and dissatisfaction.

In my presentation I demonstrated how patients can be re-engaged and become participants in their own success and long term enjoyment of their implants/teeth when we fulfil their desires with a positive experience. To attain a successful result we individualise treatments for our patients and often have to combine procedures such as bone grafting to improve the volume of lost or deficient bone in our implant procedures.

It was great to meet some of my past residency graduates and to hear about their successes.

A very special thank you to my hosts Prof. Lin Ye, Peking University, Arrail Dental, China-Japan Collaboration Hospital and Geistlich Biomaterials, for the warm welcome and all your generous hospitality.

Dr. Alex Fibishenko


Oral Implantology & Reconstructive Dento-facial Surgery
Dental Surgeon in Self-Restricted Practice
Innovator of All-On-4 Plus ® & founder of All-On-4 Clinic

Dr Alex Fibishenko practices exclusively in Oral Implantology, Dento-Facial Surgery and Facial Aesthetics.

You might also be interested in:

Oct 22
Intra-Oral Scanners and PMMA
Advancements in digital technologies and materials in recent years have been very attractive by allowing us to implement a digital workflow when treating our patients, which is less labour intensive...
Continue Reading
Apr 28
Fixed Implant Supported Prostheses VS Over-dentures
Some recent publications have attempted to compare patient experiences or perceptions between those who receive over-dentures versus those who are fitted with fixed implant-supported prostheses. The ITI, a reputable implant...
Continue Reading