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...

Radiographical check-ups to evaluate bone levels cannot be repeated too often to avoid unnecessary radiation. Monitoring the overlying soft tissues may help to identify eventual problems of the underlying bone, although the correlation...

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...

The lecture reviews the treatment of a failed bridge restoration supported by implants and natural teeth. Dr Gamborena and L Rutten explain the treatment sequence and the cooperation between the clinic and the dental lab. The lecture discusses patient motivation, treatment options...

The presentation explains the treatment approach and treatment steps in a complex unilateral case with two fractured upper central and lateral teeth. Dr van Dooren reviews the diagnostic tools and highlights the additional insights patient videos can provide e.g. regarding the...

Based on a 24 year long term experience with over 12.000 implants placed, 6.000 of them with immediate placement protocol, and almost 2.000 implant restored with immediate loading protocol over 12 years, Dr Gelb presents a review of success rates and the unique benefits when using...

Understanding of well established biological principles is critical for low invasive and esthetic implant treatment procedures. Immediate implant placement in the esthetic zone is a treatment option performed on a regular basis. Dr Navarro explores immediate implant placement...

In comparison to the natural tooth the implant does not have a periodontal ligament which supports vascularization of the bone and the gingival attachment. Therefore especially the buccal plate at an implant site is subject to resorption. Dr Staas emphasizes the importance of an...

Facial gingival tissue recessions can lead to considerable esthetic compromised results such as e.g. visible implant collars. Supported by a patient case, the lecture discusses how to stabilize the tissues and avoid tissue recessions. Dr Kan reviews the three mains considerations...

Peri-implantitis is an infection around implants associated with the presence of submucosal bacterial biofilm, with the biofilm microorganisms adhering and hiding on irregular surface structures such as the rough implant surface, crown margin areas and unfavorably designed...

A consensus statement is an agreement on currently available knowledge and may shift over time based on new evidence. Today there are solid data that there is an association between history of periodontitis and later peri-implant inflammation and infection. However this finding...

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...