Not a Candidate for All-on-4? What a Second Opinion Can Find

In this video, Dr. Thomas Hanson explains how a second opinion may uncover alternative implant options for patients with insufficient bone.

If a patient comes to us and has a request for a second opinion because they were told that they were not eligible for an All-on-4-type implant system, what we would do is take our own CBCT, sit down and look, examine the situation, and then get back with the patient about what we believe might work for them.

Typically, in the lower, we can sometimes go with mini implants because of the smaller diameter versus the conventionals with the larger diameter. The lack of bone might be such that the minis would be preferred.

In the upper, we would have to look at the CBCT and look at the density of the bone. The density of the bone in the maxilla is less than in the mandible, so we’d have to go with a larger diameter in the posterior maxilla. But then again, if there’s not enough bone, we may not be able to do that either.

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