The All-In-One® Workflow: Extract - Implant - Restore All in One Session

The All-In-One® Workflow: Extract - Implant - Restore All in One Session

Category: Implantology

Instructor(s): Maxim Baini

Course structure: Lessons: 4 lessons | Duration: 4 h 23 min

Course overview

The All-In-One® Workflow is a structured and clinically applicable framework for full-arch rehabilitation — from the first patient consultation and diagnostic planning to surgical execution and immediate prosthetic delivery in a single clinical session.

It integrates bicortical anchorage principles, remote graftless anchorage strategies, guided surgery concepts, and advanced protocols for the management of severely resorbed maxillae.

Course lessons

Lesson 1: Bicortical Anchorage: Standard Full Arch Rehabilitation

• Biological, biomechanical, and technical risk factors determining success and failure in immediate full-arch rehabilitation
• The complete All-In-One® workflow: step-by-step decision algorithm from the first patient appointment through extraction, implant placement, and provisional delivery
• Indications for 4 vs. 6 implants: bone quality and quantity, arch configuration, occlusal load distribution, and prosthetic design criteria
• Anaesthesia and sedation protocols: local anaesthesia, intravenous sedation, and general anaesthesia indications
• Bone reduction planning based on bone resorption levels and gingival display during full smile
• Transition line design principles: planning, common mistakes, and correction of compromised transition lines
• Guided full-arch surgery: indications, contraindications, workflow, precision limitations, and integration with the All-In-One® concept
• Bicortical implant placement in the maxilla: three-dimensional positioning for reliable immediate-loading primary stability
• Avoidance of inadequate stability and excessive torque during maxillary implant placement
• Mandibular implant positioning: nerve localisation, safe proximity placement, tilted vs. axial implant selection, guided vs. freehand execution, and anterior mandibular anatomical landmarks.

Lesson 2: Remote Anchorage in the Severely Resorbed Atrophic Maxilla

• Epidemiological context of peri-implantitis and implant failure in severely resorbed edentulous maxillae
• General principles of graftless atrophic maxilla rehabilitation: patient selection, risk stratification, and prosthetic planning prior to surgical sequencing
• The PATZI protocol: systematic decision-making matrix based on residual bone anatomy
• Anterior nasal implants: nasal vomer anchorage, nasal spine, nasal floor engagement, and the trans-nasal approach
• Anatomy, technique, indications, and complications of trans-nasal implant approaches
• Pterygoid implants: three-dimensional angulation for cortical engagement of the pterygoid process
• Prosthetic implications and comparison of pterygoid implants with alternative posterior anchorage solutions
• Tilted implant strategies in intermediate resorption cases: M-technique and V-technique
• Long implants and palatal approach implants in graftless rehabilitation
• Trans-sinus implants: Bedrossian Zones I–IV and the ZAGA concept
• Tilting strategies and the contributions of Maló, Aparicio, Bedrossian, and Davó
• Zygomatic implants: neck positioning in anterior, premolar, and molar zones
• Single vs. quad-zygoma configurations and indications for each strategy
• Integration of zygomatic implants into prosthetic design
• Combining remote anchorage techniques in hybrid full-arch configurations
• Load distribution principles and sequencing during the same surgical session.

Lesson 3: Guided Implant Surgery: From Single Units to Full Arch

• Evidence base of guided implant surgery: accuracy, complications, and failure risk compared with freehand and navigator-assisted placement
• Critical analysis of current literature on guided implantology
• Guided vs. flapless surgery: clarifying the distinction between concepts
• Static guided surgery for single units and short spans
• Drilling protocols, sleeve-to-implant accuracy, guided key vs. full-guided protocols, and offset mechanics
• Common errors in single-unit guided implant placement
• Full-arch guided surgery protocols within the All-In-One® concept
• CBCT acquisition standards, diagnostic wax-up, and virtual planning workflows
• Guide design for immediate-loading cases and integration with prosthetic conversion
• Impact of bone reduction and flap elevation on guide fit and surgical accuracy
• Static guided surgery for severely resorbed maxillae
• Guided zygomatic and pterygoid implant placement: anatomical planning and safe angulation design
• Guide design considerations for extraoral implant trajectories
• Clinical evidence comparing guided and freehand zygomatic surgery
• Dynamic navigation in implantology: principles, indications, and limitations
• Differences between real-time navigation and static guidance systems
• Stackable guides and immediate temporaries in full-arch rehabilitation
• Simultaneous fabrication of surgical guides and immediate provisional restorations
• Workflow integration, material selection, and conversion protocols for stackable systems
• Guided surgery in totally edentulous patients
• Fixation pin requirements and management of guide-to-bone gaps in severe alveolar resorption cases.

Lesson 4: Trans-sinus Implants: Indications, Technique, and a Modified Original Approach

• Defining trans-sinus implants: length, angulation, crestal engagement, and sinus cavity trajectory
• Bedrossian Zones and their practical implications for trans-sinus case selection
• Historical development and contributions to the trans-sinus concept
• Residual crestal bone height requirements for safe trans-sinus placement
• Favourable vs. unfavourable sinus anatomy and sinus floor topography
• Membrane integrity assessment on CBCT and cone beam pre-surgical planning
• Patient-level risk factors: sinusitis history, anatomical variants, systemic conditions, and antibiotic prophylaxis
• Comparative analysis of trans-sinus and zygomatic implants
• Decision criteria for trans-sinus, zygomatic, and combined implant approaches
• Trans-sinus implants with or without membrane elevation and bone grafting
• Standard trans-sinus technique: pre-surgical CBCT analysis and virtual implant planning
• Flap design, crestal access, and osteotomy preparation through the sinus floor
• Controlled membrane management and implant trajectory control
• Implant selection, primary stability assessment, and immediate loading criteria
• Modified “Wand” technique for buccal bone anchoring
• Buccal cortical plate engagement as an additional anchorage point
• Modified osteotomy trajectory and implant angulation planning
• Stabilisation mechanics and biomechanical rationale of the “Wand” technique
• Enhanced primary stability in low-density posterior maxillary bone
• Improved biomechanical load distribution with shorter implants
• Direct visualization of apical implant engagement
• Comparison of trans-sinus implants with sinus lifting procedures.
• Course includes next lessons:
• 1h 17min
• Lesson 1
• Clinical Video
• Bicortical Anchorage: Standard Full Arch Rehabilitation
• Maxim Baini
• Show lesson program
• 54min
• Lesson 2
• Exclusive Library
• Remote Anchorage in the Severely Resorbed Atrophic Maxilla
• Maxim Baini
• Show lesson program
• 1h 22min
• Lesson 3
• Exclusive Library
• Guided Implant Surgery: From Single Units to Full Arch
• Maxim Baini
• Show lesson program
• 49min
• Lesson 4
• Exclusive Library
• Trans-sinus Implants: Indications, Technique, and a Modified Original Approach
• Maxim Baini
• Show lesson program
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Who is this course for?

This online course is designed for dentists and dental professionals interested in implantology, clinical decision-making and evidence-informed dental practice.