All-On-4® TIAD patient fully enjoying benefits of Mo2 Maneuver methodology !

And here we are… capturing most glorious moment just milliseconds after the immediately loaded procedure restored through Mo² Maneuver has ended…

… I guess this genuine “moment of truth” is the most rewarding moment for all clinicians and their restorative teams ! 

 

... Some blood, some exhaustion after whole day in the chair but this life changing realization by the patient, just a milliseconds after the final screw hole is sealed, is priceless and most emotional reason when rehabilitating this type of patients ! 

On top of that, NO OCCLUSAL ADJUSTMENT when Mo² Maneuver is followed!

Dr.Löberg fingers brilliant as always! >>> His application of PRP (Platelet-Rich-Plasma) unit highly authentic; more  http://www.facebook.com/drloberg

...Seeing him fully enjoying benefits of Mo² Maneuver methodology in meticulously restoring patient with terminal dentition and immediately loading them “smooth like a charm” and without any further adjustment at the end of Mo² Maneuver protocol is incredibly enjoying >>

>> being a part of that contribution it is very humble >>

>> seeing the patient shed a tear or two of amazement and disbelief after finally stepping out from the chair is everything!  

>>> will break down the steps in the next post or reach info@momolaboratories.com for more stuff...

The final outcome and most glorious smile just seconds after..
 More photos at STRIATUM DENTAL

Next All-On-4®, Mo2 Maneuver patient scheduled for Friday...

 

Meanwhile few ^thoughts....

Chronologically throughout the entire history of dentistry the mainstream thinking applied to restorative dentistry is based on a concept of starting to rebuild missing part from bottom and up i.e. from dento-osseous or tissue level and then "hunting" upwards towards the opposing occlusion…

In conventional dentistry working this is undoubtedly the only correct way of working.

 

When translated  into our situations of restoring patients with immediate loading  that would commensurate to use of “denture-like”  prosthetics that is resting on mucosa as a tissue-borne  devices that are eventually “fitted”  or assembled into a screw- retained prosthetic restoration which particularly in All-On-4^® protocol, relies on 4 incorporated titanium cylinders resting on four newly inserted implants.

However in these situations and due to delicacy of multidisciplinary protocols obtaining well occluded prosthetics is mostly omitted.

Actually if performing any same_day  immediate loading implant procedures and in accordance to traditional restorative “tissue-borne” based thinking, obtaining well occluded prosthetics is to be considered more as a lucky accident than a predetermined outcome! 

(Exclusion of well-trimmed high-frequency performing teams, a part of large implant centers).

Mo² Maneuver methodology turns all these odds ups and down for the success of sole practitioners performing Immediate Loading procedures by conceptually relying on a pre-set parameter, which is a perfect occlusion, and then work its way downwards towards the newly inserted implants.

Ask more at  info@momolaboratories.com

Therefore there are three (3) items resolving four (4) objectives that Mo² Maneuver methodology addresses and provides corresponding tools for performing clinician or clinical team, these are:

- Bone Remodeling Reduction Guide

- Surgical & Prosthetics Bone Level Guide

- Mo² Maneuver flange_less Interim Prosthesis  

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See you with on Saturday with the update on the new patient restored in accordance to
Mo² Maneuver methodology

New All-On-4® patient following Mo2 Maneuver methodology ready...

Good morning to everyone who reads this blog… This time we’ll start with a real  test of Mo² Maneuver and see what this it is worth for, therefore let us simply  follow on the new patient prepared for the next week All-On-4^® procedure.

The clinician (Leif.Löberg DDS) has prescribed “All-On-4^® protocol following Mo² Maneuver” which is very concise way to prescribe for the implant laboratory on what is needed… will capture the outcome seconds after & share with you...

Please remember that surgical & prosthetic methodology  called shortly Mo² Maneuver and applied within any Immediate Loading protocol for the patients with terminal dentition is indeed designed for a solo practitioner(s) and his/her temporarily conjured restorative team in mind rather that teams within a large chains of restorative centers focused on this modality…  

The clinician(s) who are performing All-On-4^® procedure on any particular patient with terminal dentition and by following Mo² Maneuver will receive three (3) small essential items that will represent the entire key to the road map to follow.

As per current technological situation, the value of DICOM CT-scan data and advances of current computerized guided dentistry is unfortunately not applicable for the typical immediately loaded All-On-4^® procedures since the preexistence of terminal dentition, which will be removed first on the time of surgery hence not justifying for any functional computerized guide stent being pre-made.

Therefore there approximately are four (4) main reasons that could cause failure of the entire All-On-4^® or any Immediate Loading procedures and they can interject either as a standalone or as a combined interference reasons. They are:
-        Bone remodeling i.e bone height optimization is not sufficient and do not correlate stone planning model anticipation, thus even if the implant position is great, mechanically failed prosthetic is to expect due to the lack of vertical space and compromising with the overall dimension requirements.

-   The implant position and its trajectory is impeding against achieving good esthetics so even if the interim prosthetics were great in the planning phase, the final outcome will be unsatisfactory.

-    The trajectory of the prosthetic Multi-Unit abutment is chosen poorly hence even if the 3D implant placement is adequate the overall esthetic appearance of the interim prosthesis will be compromised.  

-    The prosthetic lab work does not correlate with the newly achieved intra-oral conditions thus even if bone optimization as well as the implants & abutment position are highly satisfactory it will result into uncontrollable chain of faults with a wide-open occlusion, no fundamental functionality nor basic esthetics obtained.

 Contending all these factors in one single visit is delicate not to say complex, especially for a temporarily conjured restorative teams performing particular All-On-4^® procedure, thus much higher satisfactory rate of the clinicians belonging to well trimmed teams of the large clinical chains.

Instead of contending all these factors as in case of the teams in a large clinical centers can do, the Mo² Maneuver is a methodology based on “Checks & Balances” to be followed that is self-contending.

…Avoidance of undetected error introduction into the restorative protocol commensurate with overall  success and well-being of the patient as well as how comfortable the entire restorative team is in conducting "one-visit" immediate loading procedures in the long run… 

P.S. Eventually, I will try to capture the very immediate post-op outcome (seconds after) and sincerely share the result with you! This should provide another dimension for you, almost being on a Hands-On course on your own and HOPE YOU WILL ENJOY IT ! 

Thank you,