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Surgical and Restorative Considerations for the Direct Approach to the Keystone Arch

Full-arch hybrid restorations have evolved into mainstream reconstructive management of the edentulous or hopeless arch. Surgical and restorative clinicians need to be familiar with full-arch hybrid techniques to provide appropriate patient management or to make an educated referral.

Keystone Dental has provided a variety of implant options within their product line to help surgical and restorative clinicians manage these more complex cases efficiently with a high degree of patient and clinician satisfaction. This presentation will review surgical and prosthetic considerations utilizing the direct conversion technique without guided surgery. The non-guided option provides the clinician with some surgical and restorative flexibility and options at the time of surgery and provisional restoration, utilizing clinical experience and judgement to steer the case. This presentation will be based on my personal clinical experience and that of my restorative colleagues clinical experience and literature references after completing hundreds of hybrid cases over the past 15 years. This presentation will focus on clinical pearls and potential risks to avoid to prevent complications.

Learning Objectives:

  • Identify indications for hybrid restorations and understand clinical features that may influence case selection and treatment planning
  • Understand surgical and prosthetic steps and sequencing for the direct conversion technique for the Keystone Arch
  • Learn some clinical pearls, and pitfalls to avoid to help provide successful long-term outcomes

Speakers

Michael J. Will

Dr. Michael J. Will DDS,MD, FACS

More courses with Dr. Michael J. Will

Dr. Will received his Bachelor’s degree with honors from Washington and Jefferson College, his dental degree with honors from Georgetown University and his medical degree from the University of Texas, where he was inducted into the Alpha Omega Alpha medical honor society and was ranked at the top of his class. He completed his General Surgery and Oral and Maxillofacial Surgery training at Brooke Army Medical Center in San Antonio, Texas. Dr. Will also completed a General Cosmetic Surgery Fellowship. He is retired from the US Army with over 20 years of service as a maxillofacial and cosmetic surgeon. His final military assignment was spent as Chairman, Residency Program Director and Consultant to the Surgeon General at Walter Reed Army Medical Center. Dr. Will is the distinguished author of numerous textbook chapters and scientific articles, and is a nationally recognized lecturer in Maxillofacial and Cosmetic Surgery. Dr. Will established the areas first free-standing outpatient surgery center accredited by the “Accreditation Association for Ambulatory Health Care” that was designed to meet the highest nationally recognized standards of care. Dr. Will is on staff at Shady Grove Adventist Hospital, the Montgomery Surgery Center and Frederick Memorial Hospital.