The Hidden Costs No One Calculates in Full-Arch Dentistry | Dr. Carl Drago on Photogrammetry's ROI

Описание: How Long do full-arch implant cases take to fail — and how can clinicians prevent it? The answer may surprise you.

At LMT Lab Day Chicago 2026, Dr. Carl Drago broke down the real causes of full-arch complications — and how it could take as long as 5-10 Years for those issues to show up.

Dr. Drago walks through decades of restorative evolution while highlighting the biologic, mechanical, cognitive, and financial factors that truly impact long-term implant success, and how one change to your workflow can change the outcome.

00:00 - Intro
01:07 - Course Overview
03:30 - Osseointegration Review
06:15 - Original Branemark Protocol
06:58 - Fixed Hybrid Prostheses
08:50 - Maxillary/Mandibular Fixed Full Arch Protheses (circa 2010)
10:09 - Definitive Prostheses In Place
10:41 - Patient Jason: Maxillary Fixed Full Arch ZR Prothesis
12:19 - Making Restorations Back In the Day
12:33 - Jason Final Images from Laboratory
13:11 - Jason: ZR Prosthesis In Place
13:31 - Today’s Program
13:55 - Traditional Impressions & Measurements
14:44 - What Did We Have to do to Get Accurately Fitting Frameworks?
17:01 - Analysis of Precision of Fit
18:00 - Effect of Splinting in Accuracy of Two Implant Impression Techniques
20:00 - One Screw Test (Passive Fit)
21:24 - Virtual One Screw Test
22:51 - In Vitro Precision of Fit of CAD Design & Manufacturing
23:58 - Significance
24:20 - Today’s Program
30:26 - What Exactly Are We Selling?
31:08 - Treatment Goals: Clinical Excellence not Perfection
32:16 - ICam Photogrammetry
34:25 - Aesthetic Determination of Incisal Edges
34:44 - Articulator Mounting - Existing VDO
35:04 - Denture Set Ups Completed with New Occlusal Plane
35:49 - Onew Week Post Operative
37:02 - With 4 Moving Cameras, ICam is the Industry’s Only True Photogrammetry
38:05 - Traditional Analog vs. ICam Procedure Comparison
39:02 - Time and Appointments Comparison
39:29 - Traditional Analog Cost
40:40 - Overall Cost Comparison
41:38 - Estimated ROI Time - Break Even Point
42:44 - Avoid These Clinical Complications
45:14 - Clinical Complications Incidence
46:10 - Schedule of Average Day In a Prosthodontics Practice
46:52 - What Is the Problem? My Bridge Is Loose
48:35 - What Is the Problem? Something Isn’t Right with My New Teeth
50:32 - What Is the Problem? Something Fell Out of My Mouth
51:19 - What is the Problem? Everything Seems to be Chipping
52:15 - Fractured Framesworks
54:32 - Costs of Prosthetic Complications
57:16 - Dental Malpractice Awards
58:38 - Review

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