dr alex fibishenko

Dr Alex Fibishenko

Oral Implantology & Dento-Facial Surgery

Dr Alex Fibishenko practices exclusively in Oral Implantology, Dento-Facial Surgery and Facial Aesthetics. One of Australia’s most respected implant surgeons, innovators and educators, Dr Fibishenko works in a surgical capacity with selected dentists and specialists. He is founder of All-On-4 Clinic, with numerous purpose-built facilities throughout Australia & NZ, and co-founder of Facelab, the facial aesthetics arm of his clinics.

Dr Alex Fibishenko is Fellow of ICOI and an accredited member of numerous implant educational organisations and societies including Amerian Academy of Facial Esthetics (AAFE). He is a key opinion leader and a frequently invited speaker internationally on advanced surgical concepts in dental implants. Dubbed as Australia’s ‘father of All-On-4’ Dr Fibishenko introduced the ‘Plus’ factor, which helped change the dogma and the way many dentists and specialists think of total implant rehabilitation today, ultimately to patients’ benefit, who enjoy a streamlined process and predictable results.

Visiting Faculty at the Linhart Continuing Dental Education Program NYU College of Dentistry.

All-On-4 Digital Workflow Possibilities with milled PMMA

There have been suggestions, and often a “push”, by technicians to streamline their production process with All-On-4 and full arch implant restorations by integrating a digital work flow and using materials that can be milled quickly and accurately to be used as immediate provisional restorations. One such material that is gaining popularity is milled PMMA, but how does this compare to the quality offered by our existing systems?

PMMA, All-On-4 Dental implants

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Fixed Implant Supported Prostheses VS Over-dentures

Some recent publications have attempted to compare patient experiences or perceptions between those who receive over-dentures versus those who are fitted with fixed implant-supported prostheses.

The ITI, a reputable implant organisation linked to the Strauman implants brand, appears to have postulated following a review of 13 articles on the topic, that it is not entirely clear there is any kind of difference in patient perceptions whether the restoration is fixed or removable, …really? We can also postulate that a denture replacing a single tooth is preferred by the patient to an implant or a bridge, and if we look hard enough we can probably find an argument, …but seriously, who are we kidding?

The ITI will be publishing a consensus about this, and I very much look forward to reading this. Interestingly the result of that consensus appears to already be known, …before any arguments or evidence to the contrary are actually considered?

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The Pre-Terminal Dentition: Considering Dentures | PART 2


In Part 1 of this series I responded to a dentist’s dilemma about carrying out treatment requested by his young patient and committing her to dentures. It is not uncommon within our professional environment to face this or other similar situations that challenge our moral and ethical compasses. In this segment I explore how these might affect our professional conviction, …and whether this may be limited by an inexperience?

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The Pre-Terminal Dentition: Considering Dentures | PART 1


One dentist had a dilemma about his young patient who had numerous decayed teeth, and who asked him to remove all of her teeth (including some healthy teeth) and get dentures. The dentist refused and posted his dilemma to the wider professional dental community. Below is the dentist’s post on a professional platform:


After engaging many dentists around Australia, I was asked to comment and provide my view on this.

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Quad Zygoma Tips

This article is intended for dental professionals only, who have a high level of experience with All-On-4 dental implants treatments. It is in response to a question Dr Senichi Suzuki:
What are the most important factors for Quad Zygomas?
Quad Zygoma is an advanced treatment for patients who, through bone atrophy following tooth loss, trauma, or other causes, have lost so much maxillary bone that they do not have enough remaining jawbone to house standard implants, or even single Zygomas …so double Zygomas must be placed on each side in order to provide adequate support for an immediate set of fixed replacement teeth.

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Transformation that goes beyond a ‘Before and After’

In the world of cosmetic and rehabilitative dentistry, the worst ‘Befores’ are often followed by the best ‘Afters’ because of the psychological impact of the contrast. In other words, when the situation is bad, any kind of an improvement is an improvement.

But to achieve visual aesthetics without the contrast of the situation at the start, and at the same time achieving ideal function and stomatognathic health involves more than just performing routine procedures. It involves thinking outside the square.

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Bar Design for All-On-4 Final Bridge

Post op OPGThere are various methods to make immediate All-On-4 implant-supported fixed bridges. The nature of the treatment often precludes the ability to fit the FINAL bridge immediately after surgery. This is due to a number of factors, including:

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Click here for ENGLISH versionFibishenko_All-On-4_Japan_Tour_2016 (100 of 1)


Fibishenko_All-On-4_Japan_Tour_2016 (107 of 29)今回は4日間の滞在期間に4つの都市を訪問しました。空港から鉄道の駅そしてタクシーへと入れ替えたちかえ移動し、東京、名古屋、大阪で合計3つの講義をし、また多くの著名な歯科医師の方々を訪問しました。しかも全て35℃という蒸し暑いさなかに・・・。ですが実際は聞いて想像するほど厄介ではありませんでした。非常に興味深い先生方にお会いできる機会に恵まれ、歯科インプラントによる口腔修復分野においてサブエコノミー経済を築く礎となる関係を築くことができました。


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Open Season for Japanese Visionaries …All-On-4 Style


Fibishenko_All-On-4_Japan_Tour_2016 (100 of 1)

If my first professional visit to Japan was synonymous with the famous Bullet Train, whilst similarly first class as a testament to my hosts and entourage, this one more closely resembled an overnight sleeper train …stopping all stations!

Fibishenko_All-On-4_Japan_Tour_2016 (107 of 29)I visited four cities in as many days, shuffling between airport, bullet trains stations and private cars, conducted three lectures in Tokyo, Nagoya and Osaka, and visited numerous high profile clinicians, …all that in humid 35 degree heat. But it was not as onerous as it sounds. I had the pleasure of meeting some very interesting people, and forged relationships that will likely be a basis to the establishment of a sub-economy in Oral Rehabilitation with Dental Implants. Let me explain …

You’ve Got To Be In It to Win It!

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International Surgical Implant Conference Meet The Culinary Genius of Deb “The Secret Chef” Poratt

I have been running surgical residency programs for 9 years, and had visitors from many parts of the world with the special privilege of hosting some of the world’s most renowned dental implant experts, but never before have I looked forward to an event as much as I did to this month’s conference at my training centre. Weird as this might sound, it was Deb’s Syrian Chicken that got me excited.  She finally succumbed to my nagging and agreed to cater our event, so I knew it was going to be special.

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What defines a Dental Implants Specialist?

The common meaning of the word Specialist is “a person who concentrates primarily on a particular subject or activity; a person highly skilled in a specific and restricted field.” In other words a specialist is expected to have expertise in a specific area, and this can be facilitated through training, focus and experience, as well as through individual skills and talents. However, in dentistry, a “Specialist” does not carry its common meaning, – instead it means a Registered Specialist. As such, clinicians who may indeed fall under the common definition of a “specialist” which the public understands, are actually prohibited from advertising themselves as such.

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All-On-4 Revolution …a shotgun lecture in Tokyo

Meticulous, systematic, minimalist, and bullet-trains, …that’s Japan. So why would an invitation to speak be any different: fly-in Wednesday, do two lectures, visit a couple of clinics and fly out Thursday, …oh, and on 3 weeks notice, …plenty of time, right!?

Bullet Train

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Zygoma Plus Questions Answered

With the advancements made in dental medicine and oral surgery, dental implants have become not only an increasingly viable option, but a preferred solution for patients seeking a more permanent and aesthetically pleasing alternative to loose dentures. However, there are situations where conventional dental implants simply will not work, such as cases with advanced jawbone atrophy caused by long-term denture wearing or from severe infections in the past, cancer or even the common gum disease that can also destroy the jawbone over time.

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Jaw Surgery VS All-On-4 for Missing Teeth and Cl3 Skeletal

A recent dental graduate recently posted a complex case on dental Product Review. He faced a dilemma of how to plan a young 35 years old woman, who had numerous missing teeth and a Class III skeletal discrepancy. Here is an image of this dentist’s post, and me reply below:

Dental Product Review Treatment Planning Dilemma


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New lease on life for 75 year old who refused food as doctors suspect cancer.


After years of teaching English in China, it wasn’t hard for Yi Yu to acclimate to her new home when she relocated close to her family in Australia in 1995. Life was pleasant until five years ago when Yi Yu’s speech began to progressively slow down. Her daughter, Min, was alarmed and took her mother for medical testing. The doctors diagnosed that she had suffered a mini-stroke, which negatively impacted her speech. She lost her ability to communicate clearly, which became even more problematic when she couldn’t explain to her family why she was regularly refusing food.

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Dental Specialist Referrals

There are numerous registrable and recognised dental specialist titles such as endodontists, paediatric dentists, orthodontists, oral & maxillofacial surgeons, prosthodontists, periodontists, among other specialties. These specialists practice in a niche area of dentistry in which they were trained. However, most of those various areas of dental practice are also part of the training that general dentists receive, and the question often arises amongst my colleagues when to refer?

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Dental Implants Retreatment with Zygoma Plus

Last night I reviewed one of my patients who I treated with the  Zygoma-Plus technique, a method that I developed, borrowing from the traditional Zygomatic Implants and sinus grafting techniques, with some critical modifications. I presented this technique at the India International Dental Conference.

Zygoma-Plus_Dr-Alex-Fibishenko_All-On-4-Clinic_1The patient is a successful businessman/entrepreneur, with a busy life and completely time-deprived.  He lost his upper teeth in 2008 and received dental implants from his periodontist, who planned to maintain the natural lower teeth at the time with gum treatment. The upper implants were done using a traditional 2-stage approach,whereby the implants were fitted with locator abutments, and supported a removable clip-on denture.

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CBCT-Assisted Guided Surgery

Computer-Assisted Guided Surgery enables clinicians to better visualise the anatomy of the bone in relation to the planned design and positions of replacement teeth, and then to use a specially fabricated stent to guide the installation of the implants in the pre-planned positions.

It has become very popular in recent times because, in theory, it appears to make it possible even for novice clinicians to undertake implant surgery. It certainly has been marketed in that way by companies that sell this technology, whereas quite the opposite is actually true.

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Dr Alex Fibishenko