Fitz Fahey Academy

Sometimes, the best implant cases are the ones that are reviewed years later.

This patient presented with multiple failing molars and elected to replace them with two implants.

The treatment involved extraction of the failing teeth, socket grafting to preserve the sites, and subsequent implant placement once the foundations were ready.

📸 The final photos and X-rays show the case one year post surgery, with stable bone levels, healthy soft tissues, and implants functioning as intended.

After placing over 8000 implants, one thing remains true: successful implant dentistry is built on careful planning, respect for the biology, and creating a stable foundation from the outset.

It's not just about replacing teeth. It's about delivering results that continue to perform over time.

💬 DM me if you'd like to discuss similar cases.

💾 Save this for your treatment planning reference and follow for more real-world implant workflows and long-term outcomes.



BioHorizons BioHorizons Camlog Group UK & Ireland

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

This is where small design decisions can make a big difference in the final crown.

Here I am making a video for the technician, where I am asking for a few changes to the proposed design for the final crown

In anterior cases, it’s not just about placing the implant correctly but also about how the final crown integrates with the surrounding dentition.

Here, we’re looking at:
✔️ Zenith position
✔️ Line angles
✔️ Tooth shape and proportions
✔️ How the crown compares to the contralateral

After years of doing this, one thing is clear: If you don’t control these details at the planning stage, you end up trying to fix them later… and that’s always harder.

You can see here the difference between a wider, more square proposal and a more natural tapered form, and how subtle adjustments to the zenith and distal line angle can completely change the aesthetic outcome.

Soft tissue will adapt. But the design of the restoration is what guides it.

This is exactly the level of thinking we go into on:
Unlock the Art of Guided Implant Surgery Part 1*

Join us for the next course!
📅 5-6 November 2026
📍 The Royal Oak, Yattendon
🎓 14 CPD Hours
*Part 1 is a prerequisite to joining Part 2 later.

Because implant placement is only part of the job.

👉 Secure your place bit.ly/48XW0uf

💬 DM me if you’d like to discuss aesthetic cases.

💾 Save this for your anterior planning reference and follow for more real-world implant and restorative insights.

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

John attended one of the 2025 Part 1 Guided Surgery courses after already completing a Master’s in Implant Dentistry and placing implants in practice.

One thing he mentioned was how useful it was to spend time focusing on fully guided surgery, from guide design and fit, through to using the guides clinically during surgery.

He also spoke about how relevant the discussions felt to everyday implant dentistry, which is exactly how these courses are intended to be.

Good to hear the course was both useful and enjoyable for him.

I’ll be running the next Part 1* course again in November. Come and join us.

📍 The Royal Oak, Yattendon
📅 5–6 November 2026
🎓 14 CPD Hours

*Part 1 is a prerequisite for joining Part 2.

Click this link http://bit.ly/48XW0uf to secure your place.

💬 DM me if you’d like to discuss the course or guided surgery workflows.



BioHorizons BioHorizons Camlog Group UK & Ireland

𝗟𝗶𝘃𝗲 𝗚𝘂𝗶𝗱𝗲𝗱 𝗦𝘂𝗿𝗴𝗲𝗿𝘆 - 𝗣𝗮𝗿𝘁 𝟳

With the implant placed and grafting completed, the next step was picking up the provisional restoration.

At this stage, the focus shifts towards soft tissue support and controlling the emergence profile from the outset rather than trying to correct it later once healing is already underway.

The PMMA had already been prepared, allowing us to verify the fit and secure everything in a controlled manner during surgery.

A small amount of flowable was then carefully added during pickup, avoiding material locking into undercuts.

These are the stages that often look minor on video, but they make a significant difference to how the tissues mature and how stable the restoration becomes over time.

👀 More from this case in Part 8.

💬 DM me if you’d like to discuss similar workflows or guided surgery cases.

💾 Save this for your restorative and emergence profile workflow reference.