Fitz Fahey Academy
The Fitz Fahey Academy is an international faculty of dental educators with extensive knowledge and experience in delivering computer-guided surgery and guided surgical navigation courses and mentoring for simplification of implant surgery. Our seminars, webinars and courses are designed to help dental professionals enhance their clinical skills and obtain evidence-based knowledge in modern dentistry in a safe and nurturing environment.
30/06/2026
Not all implant complications begin with surgery.
I recently reviewed a patient who had seven implants restored using third-party restorative components. Unfortunately, the fit of the components was poor, leading to significant peri-implant issues. As a result, I had to recommend replacing all of the crowns, along with treatment to address the surrounding tissues.
Cases like this are a reminder that successful implant dentistry is about much more than simply placing an implant.
The restorative components, precision of fit, prosthetic design, maintenance protocols, and long-term tissue health all play a crucial role in the longevity of the outcome.
This is one of the reasons I prefer to use original manufacturer components within my own implant workflows. While third-party alternatives can sometimes appear attractive from a cost perspective, any savings achieved at the restorative stage can be quickly outweighed if complications develop later.
In implant dentistry, small compromises can sometimes have significant long-term consequences.
The most successful implant treatments are those where every stage of the process, from planning and placement through to restoration and maintenance, is considered with the end result in mind.
If you'd like to discuss complex implant cases, guided surgery, or restorative implant planning, feel free to get in touch.
💾 Save this post for future implant workflow reference.
This patient presented with failing posterior restorations across multiple quadrants, so treatment was planned in stages over several years.
The first phase involved replacing the failing UL bridge with implant placement at UL4 and UL5, alongside new restorations on UL3 and UL7.
Surgery was carried out using a combination of surgical navigation and static-guided surgery to support implant positioning and restorative planning from the outset.
Further treatment was later completed in the lower right quadrant to replace additional unrestorable teeth and restore the remaining spaces.
In full-mouth rehabilitation cases, the real value is often seen over time.
The review images show stable integration, healthy tissue response, and restorations continuing to function well several years after the initial surgery.
Long-term follow-up is where the predictability of the workflow is properly tested.
💬 DM me if you’d like to discuss similar implant rehabilitation cases.
💾 Save this post for future full-mouth rehabilitation reference and follow for more real-world implant and guided surgery insights.
BioHorizons BioHorizons Camlog Group UK & Ireland
𝗟𝗶𝘃𝗲 𝗚𝘂𝗶𝗱𝗲𝗱 𝗦𝘂𝗿𝗴𝗲𝗿𝘆 – 𝗣𝗮𝗿𝘁 𝟴
This stage focused on grafting around the implant and managing the site prior to closure.
The jump gap was packed moderately with graft material before placing a collagen membrane over the site.
At this point, the focus is on maintaining the contour around the implant and protecting the graft during healing.
The membrane used here is one I’ve found works well clinically in these situations.
I’ll show the next stage of this case in Part 9.
💬 DM me if you’d like to discuss similar workflows or guided surgery cases.
💾 Save this for your grafting and site management workflow reference.
Implant surface preparation is becoming a technologically interesting part of the workflow.
Here you can see one of our latest bits of kit at work.
The implant surface was treated using the SQUVA UV system by Dentis prior to implant placement to help remove hydrocarbons and increase surface hydrophilicity.
PRP liquid was then applied directly onto the implant surface before placement.
The idea behind this approach is to improve how the implant surface interacts with blood during the early stage after placement.
It’s an interesting addition to the workflow and something I’ll continue assessing clinically over time.
💬 I’d be interested to hear if others are using similar surface treatment protocols in practice.
More information on SQUVA can be found at www.squva.co.uk OR dentisuk.com/equipment-solutions/squva/.
💾 Save this post for future implant workflow reference.
This was a straightforward single anterior immediate implant case carried out using a guided approach.
The implant was placed at the time of extraction, allowing the patient to leave without a visible gap in their smile.
Cases like this can make a significant difference to confidence and day-to-day life, particularly in the anterior region where aesthetics matter more to patients.
Immediate tooth replacement is something I now use routinely where the biology and stability allow for it, but careful case selection and planning remain essential.
Have you moved towards more immediate implant placement and restoration in your own workflow?
💬 DM me if you’d like to discuss guided surgery workflows or similar implant cases.
BioHorizons BioHorizons Camlog Group UK & Ireland
This patient wanted to improve the appearance and function of the dentition but had decided against orthodontic treatment.
The challenge in cases like this is finding a balance between aesthetic improvement, long-term stability, and respecting the underlying biology rather than over-preparing healthy tooth structure to force an idealised result.
The treatment involved a combination of guided implant placement, minimally invasive indirect restorations, onlays, veneers, and selective crown work to improve the overall appearance while maintaining as much natural tooth structure as possible.
The implant placement was carried out using a guided workflow to improve control of positioning and restorative planning from the outset.
Cases like this are a good reminder that successful rehabilitation is often about careful sequencing and restraint rather than simply doing more treatment.
💬 DM me if you’d like to discuss similar restorative or implant cases.
💾 Save this post for future restorative workflow reference and follow for more real-world implant and restorative insights.
BioHorizons Camlog Group UK & Ireland
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