Two masters of full-arch implant dentistry face off in a thought-provoking debate that challenges conventional wisdom about photogrammetry and implant placement strategies. What begins as a discussion about digital scanning accuracy evolves into a fascinating exploration of biomechanical principles that could fundamentally change how you approach your next full-arch case.

Dr. Stanley boldly asserts that photogrammetry isn't always necessary, revealing how his team consistently achieves impeccable results using only intraoral scanning. His engineer's mind breaks down the physics of prosthesis flexure, explaining why adding an extra implant can reduce mechanical stress by 300% when maintaining the same anterior-posterior spread. When he states, "After a couple of years of doing dual scans, my assistant stopped because they were always accurate every single time," you'll understand why his confidence in this approach is unwavering.

Dr. Damon counters with equally compelling arguments for a different philosophy. "When we really treat a titanium deficiency with a lot of titanium, we now incorporate lack of blood flow into those areas," he explains, advocating for strategic implant placement rather than simply adding more titanium. His preference for pterygoid implants creates wider support without crowding the anterior region, potentially providing better contingency options when complications arise.

Both experts share insider tips on achieving predictable outcomes, whether through guided surgery and perfect parallelism or mastery of freehand techniques with anatomical considerations. Their respectful debate reveals that successful implant dentistry isn't about dogmatically following a single approach but understanding the biomechanical and biological principles that govern long-term success.

Whether you're just beginning your implant journey or have placed thousands of implants, this exchange between two leading clinicians will give you valuable perspectives to enhance your practice. Listen now to determine which philosophy aligns with your clinical style and patient needs.