The lecture summarizes the development of implant-based treatment options for edentulous indications over time until the most up-to-date treatment techniques, like zygomatic implants, the All-on-4 technique, digital diagnostics and treatment planning and guided surgery procedures...

The surgeon should be standing or be seated behind the supine patient. Bilateral truncular anesthesia is needed. The incision can be crestal or at a distance in the labial fold. Presence of keratinized tissue both labially and palatally should...

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... 

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...

Hand-made templates are duplicates obtained from the denture/tooth arrangement with access holes or titanium tubes. These are located in the correct positions and axes of the planned prosthetic teeth according to the CBCT a...

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...

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...

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...

Accurate implant planning is the first step to achieve an optimum prosthetic result. Well-fitting, well-designed dentures can directly be used for planning and pre-surgical analysis or a new tooth arrangement and mock-up have to be considered...

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...

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...

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...

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

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.

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...