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Edentulous

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Treatment guidelines

CBCT

Radiation source collimated at its source and then di­verges into a fan shape to reach detectors. This results in a cone beam.
Pixel (picture + element) is the smallest single component of a 2-D image, whereas a voxel is the small­est element...

Edentulous

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Treatment guidelines

Panoramic radiographs

When obtaining a panoramic film, one must be aware of the importance of following proper technique and carefully positioning the patient's skull between the X-ray generator and the film. Rotation of the film and radiation source often occurs along a...

Edentulous

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Treatment guidelines

Imaging tools overview

Because any form or radiation can impose a risk, patient history and clinical examination should be performed first to ensure that the right kind of imaging is sought and unhelpful imaging is avoided.
The four main types of imaging tools utilized, and...

Edentulous

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Treatment guidelines

Salivary output

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...

Edentulous

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Treatment guidelines

Microbiology

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...

Edentulous

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Treatment guidelines

Probing

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...

Edentulous

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Treatment guidelines

Occlusion

A universally accepted definition of ideal occlusion has been elusive. This is because an ideal occlusion can only be defined in broad terms of a physiological range of form and function. Functional aspects of occlusion, rather than specific anatomical...

Edentulous

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Treatment guidelines

Existing prosthesis

Examination of existing dentures provides invaluable information on patients’ perceptions of teeth and soft tissue esthetics, including facial vertical dimension support. It also informs clinicians regarding their patients’ overall...

Edentulous

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Treatment guidelines

Overdenture Clinical Protocol

Successful oral rehabilitation of edentulous patients with removable prostheses demands careful adherence to a clinical protocol.
Clinical objectives are met by using a routine clinical protocol that includes most or all of the following steps...

Edentulous

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Treatment guidelines

Risk factors

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...

Edentulous

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Treatment guidelines

Radiotherapy

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...

Edentulous

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Treatment guidelines

BRONJ / ARONJ

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...

Edentulous

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Treatment guidelines

Parafunction

Parafunctional activities can apply high forces to both implant and prosthetic components. These forces can lead to fracture or loosening of screws and abutments, chipping of the veneering material or fracture of the prosthetic reconstruction...

Vorschaubild
Armando Lopes

Videos

Armando Lopes: Minimally invasive surgical protocols

Oral implant surgical procedures may comprise grafting and flap procedures and subsequently cause prolonged treatment and healing periods as well as chance of pain and morbidity for the patient. In this presentation Dr Lopes highlights that with the know-how, expertise, and the...
Vorschaubild
Iñaki Gamborena
Luc Rutten

Videos

Iñaki Gamborena and Luc Rutten: Key technical considerations for soft tissue integrity and associated optimal esthetic outcomes

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...