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In this in-depth conversation, Dr. Melissa Seibert is joined by prosthodontist and Spear Education faculty member Dr. Kim Schlam to take a critical look at one of the most talked-about trends in dentistry: full-arch implant reconstructions and hybrid prostheses. Together, they explore the promises and pitfalls of these complex treatments, challenging the idea that hybrids should be considered a one-size-fits-all solution.
Dr. Schlam shares candid insights from years of managing both the successes and failures of full-arch implant therapy. She reminds us of the original purpose of dental implants—addressing the devastating effects of mandibular edentulism—and contrasts that with today’s market-driven push for hybrids as a default treatment. Their discussion highlights the importance of careful case selection, interdisciplinary planning, and viewing each patient as a human being rather than a set of “arches.”
Listeners will gain a deeper understanding of how digital workflows can support precision and predictability, but also why long-term maintenance protocols, prosthetic follow-up, and patient education are critical for lasting outcomes. From the ethical implications of overtreatment to the biomechanical realities that distinguish implants from natural teeth, Dr. Schlam advocates for a philosophy of dentistry that prioritizes rehabilitation, not just replacement.
This episode is a must-listen for dentists who want to think critically about full-arch implant solutions, expand their understanding of restorative decision-making, and elevate their approach to truly patient-centered care
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