Watch Dr Pretam Gharat perform a full arch implant case, demonstrating digital planning and execution, including immediate loading of the provisional prosthesis.
A full-arch immediate-load implant case (often referred to as All-on-4, All-on-X or Teeth-in-a-Day) requires meticulous reverse-engineered planning to ensure long-term mechanical and biological success.
The session follows the workflow from comprehensive digital diagnostics through to precise surgical placement, concluding with the immediate delivery of a provisional, rigid fixed prosthesis.
By the end of this session, viewers will have gained valuable knowledge of the indications, pitfalls and processes involved in delivering an emotional, life-changing dental treatment.
Learning outcomes
- Understand the prosthetic blueprint and virtual implant placement
- Explore the biomechanical thinking process
- Understand the role of sedation and anaesthesia
- Follow the stages of flap reflection and bone reduction
- Understand osteotomy preparation and implant placement
- Assess primary stability and abutment fixation
- Follow the pick-up process and fabrication of the provisional prosthesis
- Understand bridge delivery and occlusal tuning.
Speaker: Dr Pretam Gharat
Dr Pretam Gharat is a dedicated dental professional with over 15 years of focused experience in complex implantology and advanced full-mouth restorations. His practice is limited to all forms of simple and complex dental implant treatments, including extra-maxillary procedures such as zygomatic, trans-nasal, trans-sinus, pterygoid and All-on-4 implants, as well as implant-supported dentures, complex restorative dentistry, bone and soft tissue reconstruction and grafting, periodontal plastic surgery, occlusal rehabilitations and full-mouth rehabilitations.
He is widely recognised as an accomplished surgeon in graftless upper-jaw reconstructions and has successfully placed pterygoid and zygomatic implants. He maintains a lifetime implant survival rate of over 98% by utilising cutting-edge CBCT-guided navigation and custom subperiosteal workflows. He is focused on delivering life-changing, immediate-load, same-day teeth to patients suffering from terminal dentition and extreme maxillary bone loss.
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