Patient compliance is a critical factor in promoting the long-term success of oral rehabilitation. The issue of patient compliance should be enthusiastically engaged by the clinician/dental practitioner. The practitioner may see a non-compliant...

The use of acrylic or porcelain artificial teeth brings different challenges related to nocturnal paranormal function. High occlusal forces can be mitigated by wearing of a protective occlusal guard. Acrylic teeth may wear over time and/or become dislodged from...

All tissue surfaces, prosthesis surfaces and implant surfaces should be accessible by oral hygiene aids like toothbrushes, interdental brushes and dental floss or dental tape. It is paramount that, during treatment planning...

Whenever possible, provisional restorations should be fabricated to simulate the desired definitive prosthesis in form, albeit with different and less durable materials. The lessened durability and functional capacity of a provisional restoration...

Because many patients are anticipating an ideal esthetic and functional outcome, proper preparation of the patient’s expectations during the treatment planning phase is imperative. Afterwards during treatment and follow-up, occasionally...

The regular recall control appointment, at least every 6 months, should comprise a hygiene check by the dental/oral hygienist or other auxiliary, and include professional cleaning of the restoration, prosthetic components, sulcus and any...

Attachment selection

The relative merits of different prosthodontic treatment objectives - resilient versus rigid attachments - are controversial and empirical. A resilient retention mechanism is recommended on the assumption that this will protect implants from overload; while in...

At post-placement visits, the same factors evaluated carefully at the placement appointment should be reviewed and adjusted where necessary. Overdenture base fit, extensions, occlusion, esthetics, function, comfort and overall patient...

Placement of a removable prosthesis requires attention to detail to cover all important clinical items such prosthesis fit, denture base extensions, esthetics, occlusion, patient comfort and post-insertion instructions. Implant overdentures may or may not...

The trial placement appointment is a significant one for successful edentulous patient care.
The tooth arrangement (set-up) provides a tangible orientation index of the teeth’s spatial positions in relation to each...

Accurate and repeatable recording of patient’s maxillo-mandibular relationships are essential for all types of oral rehabilitation. They provide essential clinical documentation that enables dentists and technicians to create...

Impression making in implant overdenture therapy simultaneously records healthy available denture-bearing tissue surfaces and implants’ positions in edentulous arches. The objective is a shared retention and...

Implant design and implant surface structures have evolved over time and today various versions are available. Dr Wennerberg reviews the evolution of implant surface structures from the orignal Branemark machined Titanium designs to recent nanostructured surfaces, and discusses...

To achieve good long term results, regular recall control appointments should be scheduled. Ideally, recall appointments take place at least every 6 months for a systemic review of the general health...

The main objectives of post-operative care include control of the healing of the surgical site and identifying risks which could affect healing and, where pertinent, osseointegration. In addition, post-operative visits provide the opportunity to evaluate the...