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Edentulous

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Treatment guidelines

Need for grafting

There are three main indications for grafting from an anatomical perspective...

Edentulous

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Treatment guidelines

Hard tissue management - maxilla

3-D imaging seems the best option unless clinical examination reveals an ample bone volume. The bone quality can be derived from density measurements if CT scan images are available or approximately from the trabecular pattern of 2-D images. Pano....

Edentulous

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Treatment guidelines

Grafting, maxilla

In the edentulous upper jaw implant insertion can be limited due to the adjacent anatomical structures (nasal floor, maxillary sinus). Less than 5-6 mm in height and 6 mm in width requires augmentation before implant placement....

Vorschaubild

Videos

Aaron Fenton: The impact of osseointegration on the edentulous predicament - the fixed management option

Where would we be without the gift of dental implants today ? In light of a growing elderly population, Dr Fenton presents a journey through treatment of edentulous patients from the pre-implant times in dentistry till today's advanced options and future advances and opportunities...

Close OR

Checklists

Close OR

Primary responsibility: Nurse/Dental Assistant
Timing: End of the day
Location: OR/Surgical Suite/Operatory
Comments: Refers to one room (not patient); only performed 1x per day

Edentulous

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Treatment guidelines

Occlusal schemes

A choice of occlusal schemes can be employed for the prosthodontic rehabilitation of the edentulous patient. Clinical outcomes with different schemes continue to be debated and no one scheme has emerged as clearly superior. However, although the...

Edentulous

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Treatment guidelines

Alveolar atrophy and insufficiency

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....

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

Biologic complications

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, ...

Edentulous

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Treatment guidelines

Radiological Control

At the beginning of the recall control it is necessary to define the intention of a radiograhical control and if it is needed. Radiological controls are only justified in the presence of certain symptoms, anamnesis and/or clinical examination...

Edentulous

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Treatment guidelines

Post operative soft tissue management

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...

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

Implant overdenture maintenance

The objective of systematic periodic recalls for patients wearing overdentures are three-fold...

Edentulous

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Treatment guidelines

General health check

Patient health can change considerably over time - therefore at every recall visit, check and get updated information on general health of patient, and if needed adapt maintenance policy adequately. Information (for example a poster)...

Edentulous

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Treatment guidelines

Suture removal

Suture removal for mucoperiosteal wounds, depending on the age of the patient and the extent of the wound takes place after 8 to 12 days. Even resorbable sutures may benefit after such healing time from removal of remnants...