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Dr. Ahmed Elbaz

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Dr. Ahmed Elbaz

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01/24/2026

الحمدلله

I am pleased to share my latest publication in the Journal of Prosthodontics—one of the most important journals in my field.

Our study, "Frequency of returns to maintenance and factors affecting follow-up in complete denture patients in a dental school setting in the United States," is now available online..

https://onlinelibrary.wiley.com/doi/10.1111/jopr.70097

01/19/2026

Lets pick up where we left off with the previous post.

Before I ever touched a handpiece, I built a "Digital Avatar" of this patient.

By superimposing the Facial Scan, Intraoral Scan, and CBCT, I get a fully digital "layered" patient. This allows me to see the bone, the teeth, the soft tissue, and the face simultaneously.This is my blueprint.

The Strategy: "Not every case needs a Double Decker" 🛑

It is easy to condemn an entire dentition, but the "All-on-X" button isn't always the right one. For the lower arch, I planned a multidisciplinary approach to preserve biology:
🔹 1st: Extraction of hopeless teeth.
🔹2nd: The Reconstruction:
#30 (LR6): Single Implant.
#19-21 (LL6-LL4): Implant Bridge.
#22-27 (LL3-LR3): Full Coverage Crowns.
#28 & #29 (LR4 & LR5): Composite Resin Overlays using the Injectable Molding Technique.

(🌍 For my international colleagues: I’m using the Universal system and palmer's notation between brackets. Too many numbering systems to keep track of 😅)

The Upper Arch & Guide Design:
In this video, you can see my digital diagnostic waxing superimposed on the face (DSD). I designed the ideal teeth position first, then planned the implants prosthetically to support that vision.

You’ll also see the digital design of the Stackable Guides here. I designed these in-house to fit perfectly over the existing anatomy so I could transition from the "Before" to the "After" in a single appointment.

🚀 Coming Next:
We take this plan from the screen to the surgery.

Stay tuned for the next post where I’ll show the implant placement and the stackable guides in action.

Let me know if you prefer saving natural dentition or if you are team "clear and replace"? Let’s debate.

01/07/2026

Not every case needs a double decker!

It’s tempting to clear the arches and go for "All-on-X" bimaxillary surgery, but as Prosthodontists, our goal should be to preserve teeth whenever possible.

This case required a facially driven approach to restore function, esthetics, and establish a new OVD.

The Blueprint: 🔹 Maxilla: Full arch implants restored with an Implant-Supported Fixed Complete Denture (ISFCD). 🔹 Mandible: A multi-disciplinary approach preserving natural dentition using single crowns, single implants, and composite build-ups on a couple of teeth to harmonize the occlusion.

This approach restored function and esthetics without unnecessary extraction.

The Tech: The entire surgery was executed using stackable guides that I designed and printed in-house, ensuring the plan on the screen matched the reality in the mouth.

📢 Series Alert: I will be breaking down this case over the next few posts, covering the stackable guide design, the DSD planning, and how the occlusion was designed.

08/16/2025

The impact of immediate placement/ immediate load

Also I'd like to mention master ceramist and applaud him for the attention to detail 👏

08/05/2025

The Blueprint for Success

As promised, we're diving into the step-by-step process of our FP1 case. It all began with a full set of diagnostic records, including photos, an intraoral scan (IOS), and a CBCT. Using this data, I completed a Digital Smile Design (DSD) to determine the ideal prosthetic position for the final restoration.

However, the initial CBCT revealed that the bone was too thin to allow for an ideal, prosthetically-driven implant position. This is where collaboration became key. We planned for a Guided Bone Regeneration (GBR) procedure performed by the magnificent .

Dr. Dzieza's work was crucial to the success of this case. She used a custom-designed CAD/CAM titanium mesh to perfectly fit the defect and augment the bone to the exact position we needed for an ideal FP1 prosthesis. The GBR photos you see in this post all belong to her and are a testament to her incredible work.

After 10 months of healing, the GBR was a complete success! In the next post, we'll move on to the next phase: implant placement, provisional restorations, soft tissue reshaping, and the final FP1 prosthesis.

07/27/2025

Picking up from the previous posts, finally the before and after.

I'll be dedicating the next few posts to a comprehensive breakdown of the steps involved, including the DSD, implant planning and soft tissue molding on my part and the gbr with a custom cad/cam ti mish by

07/26/2025

Sneak Peek! 🛠️ Crafting an FP1 prosthesis!

Full reveal of this transformation coming soon! For now, here's a little glimpse.

This particular case is an FP1 (Fixed Prosthesis 1), according to the Misch classification of implant prosthesis. For those unfamiliar, achieving an FP1 is truly challenging and requires meticulous planning and case selection.

The video you're seeing in this post highlights the crucial role of Digital Smile Design (DSD) in our implant planning. I used a simple 2D DSD to ensure this case was meticulously planned from the start, driven by both prosthetic and esthetic goals. At the end of the video, you'll see the final scan superimposed after implant placement. This superimposition demonstrates just how critical and precise implant positioning is in FP1 cases – there's very little wiggle room when aiming for this level of esthetic and functional integration!

Here's a quick breakdown of the Misch classification:

FP-1: which replaces only the crown and appears like a natural
tooth

FP-2: which replaces the crown and a portion of the root. Crown contour appears normal in the occlusal half but is elongated or hypercontoured in the gingival half

FP3: which replaces missing crowns and parts of the gingiva. Final Prosthesis usually has white and pink.

RP4: which is mainly an overdenture completely supported by implants

RP5: which is an overdenture supported by both soft tissue and implants

Stay tuned for the complete case.

07/23/2025

Molding the soft tissue > pink porcelain

More cases on instagram.com/dr.ahmed.elbaz/

02/21/2025

Shaping the tissue with zero issue.

07/06/2024

Immediate placement.. Immediate load.. Immediate smile..

https://www.instagram.com/dr.ahmed.elbaz/

06/17/2024

Waiting to be delivered 🎣

12/17/2023

New smile

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