In this lecture Dr Dyer discusses criteria for the restoration of edentulous jaws with a focus on the questions how many implants and which patient receives which treatment and why, and reviews the key basic prosthodontic principles, retention, stability, support, as well as...

The lecturers present their team approach for patient communication, diagnostics, treatment planning and treatment decisions, discuss the functional and esthetic consequences of edentulism, and review the different treatment phases. In addition to regular intro-and extra-oral...

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...

Tooth loss is an important change in a patient's life. The decision to remove healthy or restorable teeth within a comprehensive treatment therefore requires a strategic approach and evaluation within the guidelines of medical/ dental ethics. Implant treatment is certainly a game...

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 choice of anesthesia depends on many variables including the complexity of treatment, duration of treatment, need for patient awareness and the response during treatment, only to name a few. In general, the clinician and patient should discuss the...

Teeth extractions are followed by a reduction of the bucco-lingual as well as the vertical dimension of the residual alveolar ridge. The ensuing resorption is progressive and even the basal jaw may become involved. In the lower jaw, the....

As described in Patient Assessment, a thorough evaluation of patient factors influencing whether to proceed with surgical therapy is relevant.
Depending on the tpe of surgery prescribe pre-operative medication (for example antibiotic coverage), if...

Physiological salivary output is 0.75 to 1.5 liters per day, with most originating from the submandibular glands. Saliva is a lubricant and has a complex set of protective and healing functions for the oral cavity. It adheres instantly to...

Epithelial desquamation in the oropharynx limits bacterial accumulation, except on the tongue dorsum and in the tonsillar crypts. Loss of teeth dramatically reduces the load of periodontal pathogens except for Aggregatibacter actinomycetemcomitans and to a...

A universally accepted definition of ideal occlusion has been elusive. This is because an ideal occlusion can only be defined in broad terms of a physiological range of form and function. Functional aspects of occlusion, rather than specific anatomical...

Examination of existing dentures provides invaluable information on patients’ perceptions of teeth and soft tissue esthetics, including facial vertical dimension support. It also informs clinicians regarding their patients’ overall...

Relevant risk factors for implant treatment:

• Children and adolescents (during ongoing bone/skeletal development), unless in selected anodontia patients. However, implant placement for orthodontic treatment purposes is indicated.
• Uncontrolled metabolic diseases such as Diabetes Mellit...

Radiotherapy

Rehabilitation of patients with oral cancers is usually done in a combined way with surgical, chemo- and radio-therapy. Radiotherapy predisposes to fibrotization, ischemia and xerostomia. The latter side-effect renders mucosally supported dentures even more difficult to...

A critical side effect in the oro-maxillo-facial region observed in patients undergoing administration over a long period of time and especially intravenously, bisphosphonate therapy may predispose to ‘bisphosphonate-related osteonecrosis of the...