Delayed implant placement with immediate provisionalization in the esthetic zone
A 67-year-old male patient with the lateral incisor who had to be extracted due to a transverse fracture right below the crown. The patient opted for a delayed implant placement with immediate provisionalization.
Single tooth extraction and implant rehabilitation
A 34-year-old male patient presented with the central incisor severely damaged, it had to be extracted. A socket preservation approach was chosen and an implant was placed following a delayed placement protocol with a connective tissue graft.
In the edentulous upper jaw implant insertion can be limited due to the adjacent anatomical structures (nasal floor, maxillary sinus). Less than 5-6 mm in height and 6 mm in width requires augmentation before implant placement....
Aaron Fenton: The impact of osseointegration on the edentulous predicament - the fixed management option
Where would we be without the gift of dental implants today ? In light of a growing elderly population, Dr Fenton presents a journey through treatment of edentulous patients from the pre-implant times in dentistry till today's advanced options and future advances and opportunities...
Paulo Malo: Variation in the use of the zygoma implant in treatment planning for the edentulous maxilla
Dr. Paulo Malo discusses the variable uses of zygomatic implants in the rehabilitation of patients. He reviews principles guiding the placement of zygomatic implants. He specifically refers to two techniques: the internal and external approaches to zygomatic implant placement.
The...
Checklists
Close OR
Primary responsibility: Nurse/Dental Assistant
Timing: End of the day
Location: OR/Surgical Suite/Operatory
Comments: Refers to one room (not patient); only performed 1x per day
A choice of occlusal schemes can be employed for the prosthodontic rehabilitation of the edentulous patient. Clinical outcomes with different schemes continue to be debated and no one scheme has emerged as clearly superior. However, although the...
Teeth extractions are followed by a reduction of the bucco-lingual as well as the vertical dimension of the residual alveolar ridge. The ensuing resorption is progressive and even the basal jaw may become involved. In the lower jaw, the....
Stefan Holst, Patrick Rutten: New restorative solutions for efficiency and esthetics. The concept of an angulated screw channel system.
There are several advantages and disadvantages for screw- or cement-retained restorations, at times controversially discussed. Subgingivally retained cement excess can be considered one of the primary causes for peri-implant infection and subsequent bone loss. Screw-retained...
Edentulous
Treatment guidelines
Soft tissue and hard tissue
Removable prostheses should always be removed over night. Since the acrylic denture base is tightly covering the keratinised mucosa, it often leads to fungal/candida infections of the ginigiva under the prosthesis....
This is the reversible inflammatory process in the soft tissues around functioning implants. Peri-implant mucositis occurs in almost 60% of subjects (± 30% of sites), restored with implants. Diagnosis is stated by clinical examination: redness, ...
Soft tissue management: single tooth rehabilitation
A 28-year-old female patient was referred by an endodontist. The root showed signs of resorption and a long-term survival was questionable. The tooth had to be removed and an immediate implant with an adjacent muco-gingival surgery was placed.
At the beginning of the recall control it is necessary to define the intention of a radiograhical control and if it is needed. Radiological controls are only justified in the presence of certain symptoms, anamnesis and/or clinical examination...
