dr alex fibishenko

Dr Alex Fibishenko

Oral Implantology & Dento-Facial Surgery

Dr Alex Fibishenko is a dental surgeon who practices exclusively in Oral Implantology and Reconstructive Dento-Facial Surgery. One of Australia’s most respected implant surgeons, innovators and educators, Alex leads a referrals-based practice and works in a surgical capacity with selected dentists and specialists. He is founder of All-On-4 Clinic, which has numerous purpose-built facilities throughout Australia and New Zealand.

Dr Alex Fibishenko is Fellow of ICOI and an accredited member of numerous implant educational organisations and societies. He is 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. He facilitated the establishment of some of Australia’s busiest implant practices and training centres, and is considered by many of his peers as one of our most progressive and leading experts in his field.

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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ビジョンある日本人との交流

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

仕事として初めて訪れた日本旅行を有名な新幹線に例えるとしたら、主催者および同行者の方々の対応はファーストクラスですが、旅そのものは夜行寝台列車に近いものでした。というのも全ての駅に停車したかと思うくらい色々なところに立ち寄ったからです。

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。

行動しなければ始まらない

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

ビジョンある日本人との交流

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

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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?

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_fitting

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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Are dentures a thing of the past?

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I was motivated to write this article after reading some facebook correspondence between All-On-4 Clinic’s provider Relations Manger, Laurie, and some dental prosthetists from New Zealand. I love how passionate my staff are about what we do. This article explores the contrasting views on the future of dentures as well as the roles and responsibilities of dental prosthetists.

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Dr Alex Fibishenko