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Edentulous

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Treatment guidelines

Mouth opening

Most patients’ mouth opening readily permits access for routine prosthodontic and surgical treatment interventions. Limited mouth opening or microstomia is encountered in patients exposed to sclerodermia, diffuse systemic...

Edentulous

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Treatment guidelines

Lip line

Optimal esthetic treatment outcomes require a harmonious reconciliation between lip morhology and teeth positioning. Lips provide a picture frame for the anterior teeth that support them; with mouth size and labial contours depending on genetically...

Edentulous

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Treatment guidelines

Risk factors

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...

Edentulous

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Treatment guidelines

Recreational drugs and alcohol abuse

It is important to evaluate signs indicating if the patient abuses alcohol or takes recreational drugs and may have developed addictions. In general these drugs have a psychedelic,...

Edentulous

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Treatment guidelines

Drug abuse

The medical history should reveal if the patient takes any prescribed medication and especially whether in the correct dosage. Fear of oral surgery may induce a temporary overconsumption of drugs such as beta-blockers or...

Edentulous

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Treatment guidelines

Smoking

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...

Edentulous

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Treatment guidelines

Compliance

Implant based treatment is a comprehensive long-term therapy with various treatment steps and ongoing need for adequate aftercare. It therefore requires considerable involvement, cooperation and dedication – compliance – from the patient. Therefore, during the...

Edentulous

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Treatment guidelines

Age

Edentulism as a consequence of (sub)total agenesis of deciduous and/or permanent teeth in children and adolescents is extremely rare. It is commonly a component of a generalized underlying condition such as ectodermal dysplasia. There are...

Edentulous

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Treatment guidelines

Risk assessment & special high risk categories, overview

A thorough risk assessment forms the cornerstone of successful patient treatment. Four key sources of information permit the clinician to identify pertinent risks and to determine the seriousness of each risk...

Edentulous

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Treatment guidelines

General patient history

It is helpful if a clinician is situated so that his/her eyes are at the level of the patient's eyes. For example, if the patient is seated, the clinician should also be seated. It is beneficial if the interview between clinician and...

Vorschaubild
Gerard Chiche

Videos

Gerard Chiche: Esthetic parameters to achieve esthetic excellence

The presentation gives a close look at a systematic approach, how to plan implant restorations step by step, from an esthetic perspective. It is an esthetic-occlusal system and applied in a way that the interdisciplinary team has a common ground. Supported by several clinical...

Vorschaubild
Andrew Dawood

Videos

Andrew Dawood: Impact of imaging on treatment planning

The lecture gives insight in the tremendous change, advanced imaging techniques can provide to implant dentistry and dentistry in general. Dr Dawood presents examples where 3D visualization is able to reveal surprising diagnostic findings having a strong influence on treatment...

Pre treatment consultation
Franck Renouard
Kenji Higuchi
Joseph Kan
Jaime Lozada
Göran Urde

Checklists

Administrative Pre-Treatment Consultation

Primary responsibility: Nurse/Dental Assistant
Timing: After pre-treatment consultation before patient leaves
Location: Consultation room and/or front desk

Mithridade Davarpanah

Patient cases

Implant placement through an impacted canine

A 32-year-old female patient presents with mobile primary canines and requires implant therapy. The impacted canines are located where the implants need to be placed. To avoid this invasive surgery, implants have been placed through the impacted teeth. 

Louwrens  Swart

Patient cases

Multi-disciplinary treatment of absent central incisors

A 28-year-old male patient presented after a bilateral sagittal split osteotomy performed to correct a Class II deep bite. During the same surgery, an autogenous chin graft was placed in order to augment the anterior maxilla.