Author: Dr. Vladimir Malušev
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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…