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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...

Edentulous

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Treatment guidelines

Overdenture retention devices, overview

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...

Edentulous

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Treatment guidelines

Recall visits - overview

To achieve good long term results, regular recall control appointments should be scheduled. Ideally, recall appointments take place at least every 6 months for a systemic review of the general health...

Edentulous

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Treatment guidelines

Post-operative care

The main objectives of post-operative care include control of the healing of the surgical site and identifying risks which could affect healing and, where pertinent, osseointegration. In addition, post-operative visits provide the opportunity to evaluate the... 

Edentulous

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Treatment guidelines

Peri-operative care

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...

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

Implant overdentures, introduction

Some patients present with soft and hard tissue defects that cannot be addressed by a fixed implant prosthesis when esthetics, phonetics and oral hygiene access are considered. In these patients who have struggled...

Edentulous

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Treatment guidelines

Provisionals

Conceptually, a provisional prosthesis for an edentulous patient is a convenient tool that offers the patient a satisfactory level of function and esthetic appearance while definitive treatment is undertaken...

Edentulous

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Treatment guidelines

Wax-up, arrangement, mock-up

Treatment planning for the edentulous patient requires a diagnostic tooth arrangement which provides valuable information for pre-surgical planning (surgical guide fabrication), facilitates discussion regarding...

Edentulous

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Treatment guidelines

CT

Tomography represents 2-D images of a slice through an object. Computerized tomography (CT) can produce virtual slices and conventional CTs take slice by slice and the machine stops and moves in between slices. Spiral/helical CTs are continuous scans in a...

Edentulous

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Treatment guidelines

CBCT

Radiation source collimated at its source and then di­verges into a fan shape to reach detectors. This results in a cone beam.
Pixel (picture + element) is the smallest single component of a 2-D image, whereas a voxel is the small­est element...

Edentulous

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Treatment guidelines

Panoramic radiographs

When obtaining a panoramic film, one must be aware of the importance of following proper technique and carefully positioning the patient's skull between the X-ray generator and the film. Rotation of the film and radiation source often occurs along a...

Edentulous

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Treatment guidelines

Imaging tools overview

Because any form or radiation can impose a risk, patient history and clinical examination should be performed first to ensure that the right kind of imaging is sought and unhelpful imaging is avoided.
The four main types of imaging tools utilized, and...

Edentulous

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Treatment guidelines

Salivary output

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...