Thank You, Dr. Arnaldo Castellucci for a great presentation of vital & fine tuning steps for a predictable access to RC systems & WL confirmation and validation. Of course the case report from the MASTER is another approach to deal with different supply & armamentarium is a treat to watch.

With implant studies the measures of success are problematic as you pointed out many times. What is relevant to us as clinicians is to look the complication rates at the PATIENT level because implant complications are neither randomized nor democratical, meaning few patients get majority of the problems.

Furthermore there is a whole other world of technical complications that really few people talk about but forms inseparable interplay with overall success of the implants or it would be more appropriate to say implant-prosthesis complex (ref studies: P Kim et al. 2016. : The impact of cantilevers on biological and technical success outcomes of implant-supported fixed partial dentures. A retrospective cohort study; Derks et al. 2016. Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-implantitis)

Great to hear from you, Dino!

I trust all is well and you’re staying healthy and remain in great spirits. Thank you for your comments regarding implants.

You make a good point when you propose that dentistry would benefit if the word “implant” was referred to as the “Implant-Prosthesis complex". I like that suggestion as the new term identifies the variables that must be discussed with every patient to maximize expectations and success.

Finally, thank you for sending the references! I'm grateful I’m an endodontist as I have far more control in the outcome.

Your friend,
Cliff