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Edentulous

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Treatment guidelines

Healed vs fresh extraction socket

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...

Edentulous

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Treatment guidelines

Anesthesia

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...

Edentulous

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Treatment guidelines

Time to function

Traditional endosseous oral implant treatment protocols ad modum Brånemark required a variable healing period (usually 3-6 months) before prosthesis placement. The healing period was considered necessary to achieve osseointegration and establish a load-bearing interface...

Edentulous

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Treatment guidelines

Soft tissue management

The aims of peri-implant soft tissue management in the edentulous mandible are the eventual reconstruction of attached gingiva or immobilizing the soft tissue at the implant-soft tissue interface. Vestibuloplasty means deepening of the...

Edentulous

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Treatment guidelines

Hard tissue management - mandible

The scientific literature shows that short implants with a length of ≥ 6 mm are able to support prosthetics in the edentulous mandible. After tooth removal the mandible displays different degrees of atrophy (Fig 1&2). Regarding hard tissue management...

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

Guided surgery with drill guides

Surgery using a drill guide fabricated on the basis of CT scan images transformed by a planning software offers several clinical advantages...

Stefano Magrin

Patient cases

Delayed implant placement with immediate provisionalization in the esthetic zone

A 67-year-old male patient with the lateral incisor who had to be extracted due to a transverse fracture right below the crown. The patient opted for a delayed implant placement with immediate provisionalization.

Francisco Teixeira Barbosa

Patient cases

Single tooth extraction and implant rehabilitation

A 34-year-old male patient presented with the central incisor severely damaged, it had to be extracted. A socket preservation approach was chosen and an implant was placed following a delayed placement protocol with a connective tissue graft.

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

Admin post op
Franck Renouard
Kenji Higuchi
Joseph Kan
Jaime Lozada
Göran Urde

Checklists

Administrative Post-Operative Steps

Primary responsibility: Nurse/Dental Assistant
Timing: After leaving OR
Location: Consultation room and/or front desk

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....