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Single tooth

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Treatment guidelines

Benefits and limitations of single implant treatment

The application of implants for single-tooth replacements has evolved into a viable surgical and prosthodontic treatment option with reporting of excellent implant survival rates and satisfied patients. Psychological benefits of restoring the dental...

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Videos

Christer Dahlin: Hard and soft tissue integration - where do we stand today and what will be the future ?

Bone regeneration today has become a frequent and routine procedure in implant dentistry. The next step is to ensure optimal soft tissue outcomes to be able to establish long term esthetic results. Dr Dahlin discusses current status and trends in tissue regeneration, protocols and

Single tooth

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Treatment guidelines

Bleeding

Possible causes: Wound dehiscence/adaptation, insufficient suturing, patient unrest or non-compliance, damaged vessel, anticoagulant medication Management: Compression of the wound for > 10 minutes, re- and additional suturing, modulate...

Single tooth

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Treatment guidelines

Oral hygiene instructions

All tissue, restoration and accessible 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, implant...

Single tooth

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Treatment guidelines

General patient history

It is helpful if a clinician is situated so that his/her eyes are at the level of the patient's eyes. For example, if the patient is seated, the clinician should also be seated. It is beneficial if the interview between clinician and...

Single tooth

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Treatment guidelines

Patient compliance in recall

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...

Single tooth

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Treatment guidelines

General health check

Patient health can change considerably over time - therefore at every recall visit, check and get updated information on general health of patient, and if needed adapt maintenance policy adequately. Information (for example a poster)...

Single tooth

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Treatment guidelines

Professional oral hygiene

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...

Single tooth

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Treatment guidelines

Systematic recall/review

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 systematic review of general health, medication...

Single tooth

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Treatment guidelines

Esthetic and functional check

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...

Single tooth

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Treatment guidelines

Post-surgical recommendations

Inform patient about adequate actions after surgery. Leave around the clock emergency contact numbers in case of urgent complications. Plan or delegate to the referring dentist postoperative recall visits, at day 1 or 2, day 8 - 14 and 4 – 6 weeks...

Single tooth

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Treatment guidelines

Medication

Depending on type and size of surgical intervention the patient might need or appreciate adequate medication against pain and swelling, for example Paracetamol, Acetylsalicylic acid (ASA), or of the non-steroidal anti-inflammatory drug...

Single tooth

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Treatment guidelines

Recreational Drug and Alcohol Abuse

It is important to evaluate signs indicating if the patient abuses alcohol or takes recreational drugs and may have developed addictions. In general these drugs have a psychedelic...

Single tooth

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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...

Single tooth

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Treatment guidelines

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. There is clinical evidence...