21/05/2026
Here is a case that landed on my desk last month. I want you to think through it with me. 🧠
A woman, 58 years old. She has diabetes, managed with medication, stable for years. She has been taking a bone medication for osteoporosis for three years. She is missing 3 teeth in the upper back region. The teeth next to the missing ones have old crowns, placed 12 years ago, still functional but aged. She grinds her teeth at night and she knows it. And she wants everything fixed before her daughter's wedding. 8 months from now. 😁
Each of these variables on its own is manageable. I can treat a patient with diabetes. I can work around bone medication with modified protocols. I can replace old crowns. I can manage bruxism. I can plan an eight-month timeline.
Combined, they create a decision tree where each branch changes the others.
There is no single right answer in a textbook for this case. There are trade-offs. And the quality of the outcome depends on which trade-offs I choose, in what order, for this specific patient.
This is complexity. And complexity is not solved with better surgical skill. It is solved with a framework for making connected decisions when the information is incomplete. 📎
That framework is what I teach in The Implantology Roadmap.
Want to know more? Send me a DM and I will get back to you.