What is it about?

• Patient-first approach: Alex Fibishenko prioritizes fast, esthetic results with his “Immediate Final Teeth” method, focusing on healing, comfort, and long-term success.

   

• Surgical precision: His “All-on-4 Plus” protocol uses advanced techniques, implant design, and digital workflows to ensure stability, efficiency, and control.

   

• Consistent outcomes: Case studies show high patient satisfaction and reliable results, even in complex cases, through adaptable, simplified, and expertly planned care.

The patient-centered philosophy behind

Known for pioneering the “Immediate Final Teeth” approach, Alex Fibishenko emphasizes the importance of improving not just clinical outcomes but the entire patient experience. His technique enables patients to receive functional, esthetic dental restorations within 24 hours of surgery. He focuses on balancing biological and mechanical principles to support healing, reduce inflammation, and ensure long-term success. Throughout, he highlights precision, collaboration, and a strong patient-centered philosophy.

Technical protocols and surgical innovation

Alex Fibishenko outlines the foundational elements of his “All-on-4 Plus” protocol, which include high primary stability, precise implant placement, and effective restorative space management. He explains the importance of cortical anchorage in anatomical zones like the piriformis triangle and nasal floor, allowing for fewer implants without compromising support. A central theme is control—achieved through alveolectomy, the use of specific implant types like Straumann BLX and TLX, and an advanced digital workflow with photogrammetry. He stresses the need for rigid bar-supported restorations to reduce biological and mechanical strain during the crucial healing phase.

Managing complex cases and ensuring success

Using case studies, Dr. Fibishenko demonstrates how he adapts techniques to manage complex situations, such as severely soft mandibular bone. He shares success data from his clinic network, showing high rates of patient satisfaction, minimal postoperative pain, and consistent esthetic and functional results. When needed, he employs advanced procedures like nerve transposition or zygomatic implants, but always aims for simplicity and patient comfort. He concludes by reaffirming that long-term success comes from surgical control, smart planning, and a clear commitment to safe, rapid, and transformative care for every patient.

Key Takeaways

• Fast, patient-centered care: Immediate restorations within 24 hours enhance comfort and satisfaction.

• Precise, controlled protocols: Advanced techniques and digital workflows ensure surgical accuracy and stability.

• Reliable outcomes: High success rates and adaptability make the approach effective even in complex cases.

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