Intraoral radiographs still remain one of the most important imaging modalities available in dentistry to the dental practitioner. The intraoral technique provides high spatial resolution imaging of teeth and potential associated dental and jawbone diseases. With careful....
Single tooth
Treatment guidelines
Diagnostic imaging overview
Diagnostic imaging is an important element of the treatment planning in oral rehabilitation of a missing single tooth. There should be no imaging prior to a thorough clinical examination. One should consider cost and radiation issues prior to choosing the...
Single tooth
Treatment guidelines
Temporo-mandibular disorders (TMD)
Routine evaluation of a patient’s temporo-mandibular joint (TMJ) function is an integral part of any oral examination.Moreover, good muscular control and painless coordination of jaw movements are desirable. A compromised ability or...
Single tooth
Treatment guidelines
Bone volume and interdental space
Residual bone volume in a single-tooth gap is mainly reflected by the cause of the missing tooth. A preserved gap due to aplasia implies an under-developed alveolar crest, mainly in bucco-lingual dimension, whereas defects after extraction of...
Single tooth
Treatment guidelines
Periodontitis
Periodontitis is a most common oral disease and 5 to 20% of any population suffers from its severe forms, while mild and moderate periodontitis affect a majority of adults. Causative factors may be both local and systemic, but regularly one...
Single tooth
Treatment guidelines
Soft tissue condition
The gingiva is tightly connected to the underlying periosteum. It is globally keratinized and has a stippled surface. Its color varies from pink to brown or even black, depending on race and/or melanin deposits. It can be distinguished from alveolar mucosa, which is not...
Single tooth
Treatment guidelines
Occlusion and functional aspects
Occlusion describes the relationship between the opposing masticating surfaces of teeth and the movements of the mandible dictated by way of the temporomandibular joint and associated orofacial musculature...
Single tooth
Treatment guidelines
Condition of natural teeth
A healthy oral condition is a prerequisite for successful dental implant treatment. A thorough investigation of remaining teeth with respect to caries disease, quality of restorations, and quality of endodontic treatments is important for the prognosis of these...
Single tooth
Treatment guidelines
Mouth opening
Most patients’ mouth opening readily permits access for routine prosthodontic and surgical treatment interventions. Limited mouth opening or microstomia is encountered in patients with a small mouth and patients exposed to sclerodermia, diffuse systemic sclerosis...
Single tooth
Treatment guidelines
Lip line, smile line
Lip line can be defined as the vertical position of the lower border of the upper lip. It is important to evaluate the lip line when smiling (smile line). The maximum upper lip elevation, during a strained smile, should also be assessed. As the smile...
Single tooth
Treatment guidelines
Local history
Missing a permanent single tooth may be due to aplasia, trauma, or extraction of a decayed or periodontally compromised tooth. The cause of aplasia is not fully understood, but one suspects genetic and/or environmental disturbances during tooth...
Single tooth
Treatment guidelines
Dentogingival complex and biologic width
The peri-implant mucosa consists of an externally located keratinized oral epithelium, which is connected to the peri-implant junctional epithelium facing the abutment. The latter extends approximately 2 mm apical to the...
Missing single teeth imply a variety of bone sites for implant placement. Incisor regions are frequently impeded by inadequate mesio-distal and/or bucco-lingual bone dimensions, whereas second bicuspid/molar regions are generally affected by inadequate...
The process of informed consent requires a thorough communication between healthcare professional and patient. The communication should minimally comprise...
There are several treatment options for a single missing tooth; the most common are an implant-supported crown, a 3-unit fixed partial denture supported by two natural teeth, a fixed resin-bonded fixed partial denture, a removable partial denture...