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Edentulous

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Treatment guidelines

Digital treatment planning protocols, introduction

Spiral or Cone Beam CT (CBCT) data sets of the patient jaw bones and of the scan template are transcoded by a specific software to produce three-dimensional (3-D) images of the jaw bones and thickness of the mucosa. Software planning... 

Vorschaubild
Peter Wöhrle

Videos

Peter Woehrle: Esthetics and soft tissue health around implants-outcomes for long-term predictability

The lecture reviews the parameters for soft tissue management around implants. The implant insertion depth targets to place the implants in relationship to the future free gingival margin, influenced by the implant design such as connection type, platform shift and size discrepancy...

Edentulous

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Treatment guidelines

Implant placement - maxilla

Incision can be made either on top of the crest or at some distance in the labial fold. The outcome for both approaches seems comparable. A sagittal release incision at the midline eases the reflection of the labial mucoperiosteum. It is logical to try to achieve...

Edentulous

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Treatment guidelines

Number of implants maxilla and mandible

The tradition to insert 6 implants, and eventually more, in an arch-wide pattern dates back to the early days of osseointegration when implants with a machined surface were used and risk for early...

Edentulous

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Treatment guidelines

Direct to implant vs. abutment

Advantages of abutment-supported prostheses are 1) When implants are not parallel to each other, the use of angulated abutments can "correct" for the non-parallelism 2) Angulated abutments are available for a screw-retained prosthesis and 3) Custom abutments can be...

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...

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...

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

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

Framework trial placement

At this appointment, the prosthesis framework is evaluated for accuracy of fit, appropriate contour to faciltate oral hygiene access and the necessary balance of structural morphology for rigidity/strength and sufficient space to...

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)...