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.
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