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Edentulous

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Treatment guidelines

Complete denture placement

Placement of a complete denture requires attention to detail to cover all important clinical items such prosthesis fit, denture base extensions, esthetics, occlusion, patient comfort and post-placement instructions.  In addition, the clinician...

Edentulous

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Treatment guidelines

Complete Denture trial placement

The trial placement appointment is crucial 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...

Edentulous

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Treatment guidelines

Complete Denture - maxillo-mandibular relations

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

Edentulous

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Treatment guidelines

Complete denture impressions

Impression taking for a complete denture records available denture-bearing tissue surfaces. An ideal force distribution pattern based upon the load bearing capacity of supporting tissues is desirable while avoiding dislodging by the oro-facial...

Edentulous

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Treatment guidelines

Complete Denture Clinical Protocol

Successful oral rehabilitation of edentulous patients with removable prostheses demands careful adherence to a clinical protocol. Some simplified protocols have been successfully introduced...

 

 

 

Edentulous

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Treatment guidelines

Recall visits - overview

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...

Edentulous

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Treatment guidelines

Placement of implants - Height

The overall aim after implant placement concerning the periimplant bone height is to minimize marginal bone loss. However, several bone remodelling processes that occur after implant placement lead to periimplant bone loss and the establishment of...

Edentulous

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Treatment guidelines

Wound closure

Wound closure ensures and accelerates wound healing by protecting the site and influencing migration of keratinocytes over the granulation tissue. Some wound eversion maximizes epidermal approximation. Square knots, with two ties in one direction and a reverse...

Edentulous

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Treatment guidelines

Peri-operative care

As described in Patient Assessment, a thorough evaluation of patient factors influencing whether to proceed with surgical therapy is relevant.
Depending on the tpe of surgery prescribe pre-operative medication (for example antibiotic coverage), if...

Edentulous

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Treatment guidelines

Submerged or non-submerged

Oral endosseous implants are successful even longterm in the edentulous jaws. After insertion implants osseointegrate. This process is characterized by the development of an intimate bone contact with the implant surface. The direct anchoring of bone to the implant predicts the...

Edentulous

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Treatment guidelines

Fixed implant prostheses, introduction

A fixed prosthesis offers benefits from both a functional and esthetic point of view and may be regarded as quite similar to a patient's own natural dentition when compared to alternative treatment options such as complete dentures....

Edentulous

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Treatment guidelines

Implant overdentures, introduction

Some patients present with soft and hard tissue defects that cannot be addressed by a fixed implant prosthesis when esthetics, phonetics and oral hygiene access are considered. In these patients who have struggled...

Edentulous

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Treatment guidelines

Prosthodontic Options - overview

Fixed implant prostheses are associated with the best oral health and quality of life, as chewing performance and patient comfort are usually better than with a removable prosthesis. The use of all-ceramic, metal-ceramic or metal-resin prostheses offers...

Edentulous

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Treatment guidelines

Mucosally supported removable - complete denture

Research and clinical experience show that conventional complete dentures are acceptable for a large segment of the edentulous population. Satisfied complete denture wearers are well adapted to their prosthodontic experience and have...

Edentulous

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Treatment guidelines

Mucosally supported - Overview and important considerations

The human face represents a small proportion of the body’s surface; but it embodies our social identities and is a major vehicle for interpersonal communication. Facial appearance reflects inherited characteristics on which may be...