Title: New Standards in Full-Arch Implant Rehabilitation – how to do immediate loading in a predictable way – As univ. dr. Tirban Pantelimon Florin

Dr. Tîrban Pantelimon-Florin, specialist in Oral and Maxillofacial Surgery, graduated from the Faculty of Dental Medicine at the ‘’Vasile Goldiș’’ University of Medicine in Arad and the Faculty of General Medicine at the ‘’Victor Babeș’’ University of Medicine in Timișoara. Of all the pathologies encountered, he fell in love with and focused on total oral implant-prosthetic rehabilitation, helping patients by pursuing studies at Medical Universities in Italy, Portugal and Brazil.

New standards in total oral rehabilitation with dental implants according to PFAST and PATZ protocols using transnasal, transsinusal, pterygoid and zygomatic implants.    

Recent breakthroughs in implantology have offered revolutionary protocols such as PFAST (Palatal-Free Advanced Surgical Technique) and PATZ (Pterygoid, Antral, Transnasal, and Zygomatic), which redefine the criteria for entire oral rehabilitation, particularly in situations of severe maxillary atrophy.  These protocols use strategic attachment points that extend beyond the typical alveolar bone, allowing implants to be placed in locations such as the pterygoid plates, zygomatic bone, nasal floor, and maxillary sinus walls.

 Transnasal and transsinusal implants provide vertical and anterior support, particularly when bone grafting is contraindicated or unwanted.  Pterygoid implants give posterior support and remove the need for cantilevers, resulting in greater prosthesis stability.  Zygomatic implants, which are anchored in dense zygomatic bone, allow for rapid loading even in severely resorbed maxillae.

 Together, these technologies enable minimally invasive, graft-free alternatives that reduce treatment time and enhance patient outcomes.  The PFAST and PATZ procedures represent a paradigm change in biomechanical efficiency and prosthetic adaptability, allowing for full-arch rehabilitation with significant long-term success rates.  These procedures are especially useful for patients with significant anatomical restrictions, providing predictable function and aesthetics in difficult clinical settings