Author: Dr. Vladimir Malušev
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The “One Abutment One Time” Protocol: Beyond Empirical Data
One Abutment One Time (OAOT) is a surgical protocol where a definitive prosthetic component is installed immediately upon implant placement. This approach was first described by Dr. Luigi Canullo in 2010. When it is time for the final restoration, the impression—whether analog or digital—is taken at the abutment level rather than the traditional implant level. Technically, this transforms…
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The Fallacy of “All-on-X”: Why Protocol Trumps Implant Count
The evolution of full-arch rehabilitation has transitioned from “The more, the merrier” approach of the 1990s and early 2000s to the sophisticated biomechanics of the Graft Free Implantology movement. Historically, treating implants as direct analogs for natural roots led to catastrophic failures. High implant density compromised blood supply and violated the necessary 3mm biological width…
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Flap Design in Graft Free Implantology: A Paradigm of Vascular Preservation
In Graft Free Implantology (GFI), the approach to soft tissue is governed by the principle of Biological Economy. Because GFI avoids the aggressive bone-building protocols of GBR, the mucoperiosteal flap design is intentionally modified to keep maximum tissue vascularization intact. In the GFI framework, we do not “open to see”; we “access to treat,” relying on advanced…