The lecture discusses in how far the assessment of marginal bone can be a suitable measure for bone integrity and implant oesseointegration. Dr Koka reviews aspects of definition of bone quality and the concept of osseo-sufficiency, and shows that we still are influenced by biases...

Distinguishing normal and abnormal marginal bone behaviour around osseointegrated implants is a complex and controversial topic. Dr Chvartszaid reviews why this distinction is difficult, and discusses topics such as the existence of multiple proposed etiologies, deficiencies in...

The lecture raises the discussion about overtreatment of natural teeth or alternatively also with implants. Dr Walton introduces his thoughts as a 'tale of caution'. Is ongoing treatment of severely structurally or periodontally compromised teeth - 'herodontics' - still justified...

The lecture reviews and compares a data pool with almost 40.000 implants placed in an over 20 year time period. Dr Laureen Langer concludes that there are high and equivalent survival rates and no statistical differences between immediate and delayed placement, and that the...

The lecture compares the treatment options for a compromised tooth, endodontic treatment, fixed partial denture and extraction and implant placement, and discusses adjunctive procedures for each treatment as well as economical considerations. Dr White reviews the literature data...

The lecture discusses the importance of healthy soft and hard tissue for long term success with implant treatment, presenting information and long-term data on bone remodeling and giving important insights in the etiology and factors influencing marginal bone reaction. Based on...

Dr Friberg covers the long term perspective of treatment with dental implants, ranging from the history of dental implantology and the detection of osseointegration until what has been accomplished till today in implant treatment. The lecture gives insight into treatment protocols...

The tradition to insert 6 implants, and eventually more, in an arch-wide pattern dates back to the early days of osseointegration when implants with a machined surface were used and risk for early...

The treatment of the edentulous jaw can be a mixture of placing implants in healed and fresh extraction sockets. Unequal hard and soft tissue levels around the implants (Fig. 1&2), especially in the interforaminal region, can be adjusted by leveling the bone...

This is the reversible inflammatory process in the soft tissues around functioning implants. Peri-implant mucositis occurs in almost 60% of subjects (± 30% of sites), restored with implants. Diagnosis is stated by clinical examination: redness, ...

After treatment of edentulous patients, there is no need to schedule specific recalls for soft tissue control. Traditional post-operative controls at day 1 - 3, day 7 - 14 and week 4 - 6 after surgery involve soft tissue control and...

Damage of sublingual arteries can lead to intense hemorrhage. Subsequent elevation of floor of the mouth can lead to (fatal) airway obstruction ! An early symptom of sublingual swelling may be a muffled speech. In such situation ensure free airways (intubation, tracheotomy),...

Attachment selection

The relative merits of different prosthodontic treatment objectives - resilient versus rigid attachments - are controversial and empirical. A resilient retention mechanism is recommended on the assumption that this will protect implants from overload; while in...

Smoking and nicotine consumption have a constrictive effect on blood vessels thereby reducing blood supply. It increases the susceptibility to periodontal inflammatory diseases, dry extraction sockets and wound healing...

What can go wrong when restoring a full-arch with immediate provisionalization ? Dr Parrish gives insight in the most common complications and pitfalls and how they can be avoided. Often failures are due to human errror. Implant component failures are rare, provided premium quality...