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How Long do full-arch implant cases take to fail — and how can clinicians prevent it? The answer may surprise you. At LMT Lab Day Chicago 2026, Dr. Carl Drago broke down the real causes of full-arch complications — and how it could take as long as 5-10 Years for those issues to show up. Dr. Drago walks through decades of restorative evolution while highlighting the biologic, mechanical, cognitive, and financial factors that truly impact long-term implant success, and how one change to your workflow can change the outcome. 00:00 - Intro 01:07 - Course Overview 03:30 - Osseointegration Review 06:15 - Original Branemark Protocol 06:58 - Fixed Hybrid Prostheses 08:50 - Maxillary/Mandibular Fixed Full Arch Protheses (circa 2010) 10:09 - Definitive Prostheses In Place 10:41 - Patient Jason: Maxillary Fixed Full Arch ZR Prothesis 12:19 - Making Restorations Back In the Day 12:33 - Jason Final Images from Laboratory 13:11 - Jason: ZR Prosthesis In Place 13:31 - Today’s Program 13:55 - Traditional Impressions & Measurements 14:44 - What Did We Have to do to Get Accurately Fitting Frameworks? 17:01 - Analysis of Precision of Fit 18:00 - Effect of Splinting in Accuracy of Two Implant Impression Techniques 20:00 - One Screw Test (Passive Fit) 21:24 - Virtual One Screw Test 22:51 - In Vitro Precision of Fit of CAD Design & Manufacturing 23:58 - Significance 24:20 - Today’s Program 30:26 - What Exactly Are We Selling? 31:08 - Treatment Goals: Clinical Excellence not Perfection 32:16 - ICam Photogrammetry 34:25 - Aesthetic Determination of Incisal Edges 34:44 - Articulator Mounting - Existing VDO 35:04 - Denture Set Ups Completed with New Occlusal Plane 35:49 - Onew Week Post Operative 37:02 - With 4 Moving Cameras, ICam is the Industry’s Only True Photogrammetry 38:05 - Traditional Analog vs. ICam Procedure Comparison 39:02 - Time and Appointments Comparison 39:29 - Traditional Analog Cost 40:40 - Overall Cost Comparison 41:38 - Estimated ROI Time - Break Even Point 42:44 - Avoid These Clinical Complications 45:14 - Clinical Complications Incidence 46:10 - Schedule of Average Day In a Prosthodontics Practice 46:52 - What Is the Problem? My Bridge Is Loose 48:35 - What Is the Problem? Something Isn’t Right with My New Teeth 50:32 - What Is the Problem? Something Fell Out of My Mouth 51:19 - What is the Problem? Everything Seems to be Chipping 52:15 - Fractured Framesworks 54:32 - Costs of Prosthetic Complications 57:16 - Dental Malpractice Awards 58:38 - Review Connect with us: / imetricphotogrammetry / @imetric / imetric4d