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Edentulous

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Treatment guidelines

Soft tissue and hard tissue

Removable prostheses should always be removed over night. Since the acrylic denture base is tightly covering the keratinised mucosa, it often leads to fungal/candida infections of the ginigiva under the prosthesis....

Edentulous

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Treatment guidelines

Post-placement

At this appointment, a careful evaluation of the patient's oral hygiene and soft tissue response is performed and adjustments made as needed. A daily home-care program must be customized to the individual's ability to clean the...

Edentulous

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Treatment guidelines

Placement

Placement of a provisional prosthesis takes place by attaching the conversion denture (either patient's exisiting prosthesis or a new conversion denture) to the implants or to implant abutments. The provisional prosthesis can be...

Edentulous

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Treatment guidelines

Oral hygiene instructions

All tissue surfaces, prosthesis surfaces and implant surfaces should be accessible by oral hygiene aids like toothbrushes, interdental brushes and dental floss or dental tape. It is paramount that, during treatment planning...

Edentulous

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Treatment guidelines

Professional oral hygiene

The regular recall control appointment, at least every 6 months, should comprise a hygiene check by the dental/oral hygienist or other auxiliary, and include professional cleaning of the restoration, prosthetic components, sulcus and any...

Vorschaubild

Videos

Patrick Rutten: Creating substructures from the lab perspective

Patrick Rutten reviews the laboratory part within the digital workflow and the opportunities with CAD/CAM procedures being an excellent alternative to casting technique. CAD/CAM technology provides excellent and predictable precision, passive fit, significant labor and time savings...

Edentulous

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Treatment guidelines

Fixed implant prostheses, introduction

A fixed prosthesis offers benefits from both a functional and esthetic point of view and may be regarded as quite similar to a patient's own natural dentition when compared to alternative treatment options such as complete dentures....

Edentulous

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Treatment guidelines

Age

Edentulism as a consequence of (sub)total agenesis of deciduous and/or permanent teeth in children and adolescents is extremely rare. It is commonly a component of a generalized underlying condition such as ectodermal dysplasia. There are...

Vorschaubild

Videos

Björn Klinge: Is there a connection between previous periodontitis and later peri-implantitis

A consensus statement is an agreement on currently available knowledge and may shift over time based on new evidence. Today there are solid data that there is an association between history of periodontitis and later peri-implant inflammation and infection. However this finding...

Charles Goodacre

Patient cases

Immediate loading in the edentulous mandible for CAD/CAM prostheses

A 72-year-old female patient was affected by the poor fit of her existing mandibular complete denture, especially the constant movement while chewing. The final treatment included a new maxillary complete denture and a mandibular implant fixed complete denture. 

Charles Goodacre
Jaime Lozada
Satoshi Sakamoto

Patient cases

Splinted implant restorations replacing posterior teeth

A 73-year-old female patient presented with extensive bone loss around the posterior tooth abutment, requiring extraction. Two crowns were used to replace the missing teeth and they were splinted to control the leverage due to the distal location of the implant in the molar crown.

James Chow

Patient cases

Fixed implant-supported rehabilitation of edentulous patient

A 75-year-old female patient with multiple medical conditions asking for dental implants to improve her masticatory function. As such, the All-on-4® treatment concept protocol for the mandible and later on a flapless implant surgery for the maxilla have been employed.

Mithridade Davarpanah

Patient cases

Immediate placement and loading in the anterior maxilla

A 54-year-old male patient presented for rehabilitation of an extended maxillary edentulous space. The patient was rehabilitated without any grafting by using artificial pink gingiva and implants with bone expansion properties.