Dr. Maxim Kopylov - "A Systematic Approach for the Rehabilitation of the Atrophic Maxilla"
Episode summary
Dr. Maxim Kopylov, an oral surgeon in Moscow and the first certified ZAGA doctor in the city, presents the framework behind the session he co-delivers with Dr. Taras Yurov at Edentulism 2025 in Barcelona: a systematic approach to rehabilitating the atrophic maxilla. He proposes a decision-tree that begins with the simplest viable treatment and escalates only when required, guiding clinicians between classic All-on-4, trans-sinus and pterygoid implants, and more complex zygomatic, quad-zygoma or hybrid protocols. Kopylov stresses matching treatment to indication rather than defaulting to complexity, noting that roughly half his practice now involves failed prior implant and bone-grafting cases, which he frames as a global epidemic. His central conclusion is that a broader portfolio of options lets clinicians avoid overtreatment and deliver more predictable, patient-centered care.
Key takeaways
- Dr. Maxim Kopylov graduated in dentistry from Samara State Medical University in 2004 and became the first certified ZAGA surgeon in Moscow in June 2024.
- Kopylov estimates that about half of his current practice, and that of Dr. Taras Yurov, consists of patients with failed prior dental implant treatments.
- He characterizes the volume of failed implant and bone-grafting rehabilitations as a global, not merely national, epidemic driven by aggressive extraction and grafting practices 10-15 years ago.
- The proposed decision-tree for the atrophic maxilla escalates from the simplest viable option to progressively more complex ones, and warns clinicians against over-increasing the indication for complex surgery.
- The treatment portfolio spans regular and longer implants, trans-sinus and pterygoid implants, All-on-4, zygomatic implants, quad-zygoma and hybrid protocols, with subperiosteal implants discussed as an option whose use is a matter of indication.
- Kopylov and Yurov's Edentulism 2025 session, 'A Systematic Approach for the Rehabilitation of the Atrophic Maxilla,' addresses two patient histories: long-term removable denture wearers and current All-on-X failures.
- Kopylov cites Paulo Malo's observation that clinicians looking back after ten years will recognize errors in today's work, underscoring the need for treatment that is predictable and honest in the present.
What you'll learn
- How to build a decision-tree that starts from the simplest viable treatment and escalates only as needed
- Distinguishing when to use classic All-on-4, trans-sinus or pterygoid implants versus zygomatic or quad-zygoma protocols
- Recognizing and avoiding overtreatment by not over-increasing the indication for complex surgery
- Managing the growing caseload of failed prior implant and bone-grafting rehabilitations
- Treating two distinct atrophic-maxilla patient histories: long-term removable denture wearers versus current implant failures
About the guest
Dr. Maxim Kopylov
Dr. Maxim Kopylov is an oral surgeon practicing in Moscow who graduated in dentistry from Samara State Medical University in 2004 and has worked with dental implants ever since. He is the owner and chief oral surgeon of the MaxTreat Perio Center, and in June 2024 became the first certified ZAGA surgeon in Moscow. His practice increasingly focuses on complex full-arch rehabilitation and the treatment of failed prior implant work, which he estimates accounts for about half his caseload.
Credentials: Oral surgeon, periodontist and prosthetist; owner and chief oral surgeon of MaxTreat Perio Center, Moscow; first certified ZAGA doctor in Moscow (2024); Assistant at the Institute of Digital Dentistry, RUDN University; Vice-President of the Periodontal Association of Russia
