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.

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....

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...

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

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....

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, ...

A 28-year-old female patient was referred by an endodontist. The root showed signs of resorption and a long-term survival was questionable. The tooth had to be removed and an immediate implant with an adjacent muco-gingival surgery was placed. 

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...

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...

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...

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)...

Inflammation can be limited to the soft tissue around the implant (mucositis) or involve the underlying bone tissue as well (peri-implantitis). Infection can be caused by various risk factors, such as inadequate hygiene and patient compliance...

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...

Damage of sublingual arteries can lead to intense hemorrhage. Subsequent elevation of floor of the mouth can lead to (fatal) airway obstruction ! An early symptom of sublingual swelling may be a muffled speech. In such situation ensure free airways (intubation, tracheotomy),...

Inform patient about adequate actions after surgery. Leave around the clock emergency contact numbers in case of urgent complications. Plan or delegate to the referring dentist postoperative recall visits, at day 1 or 2, day 8 - 14 and 4 – 6 weeks...