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Treatment guidelines

Single tooth

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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...

Systemic factors
Patient assessment
Preoperative procedures
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Videos

Christian Coachman: Smile design and material selection for white and pink esthetics over implants

Dr Coachman develops how the smile design can be the primary principle of a restorative treatment plan, and how nowadays technologies assist us in achieving predictable esthetic restorations adressing functional and biologic aspects at the same time. Guided surgery is at times...
Digital workflow
Guided Surgery
CAD/CAM
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Patient cases

Complete arch treatment using four implants

A 58-year-old male patient presented loss of multiple teeth, need for replacement of his conventional, partial removable dentures with a fixed restoration by Dr. Jevgenij Travkin. The All-on-4® treatment concept with immediate implant placement was chosen.

Edentulous treatments
Implant prosthetics
Esthetic zone prosthetics
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Patient cases

Esthetic and functional aspects in a full mouth rehabilitation

A 62-year-old male patient with a long history of periodontitis which resulted in extensive gingival recessions compromising the aesthetics. The treatment plan involved a combination of implant-and tooth-supported restorations.

Radiology
Posterior implants
Bone grafting and regeneration
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Patient cases

Implant- and tooth-supported full mouth rehabilitation

A 67-year-old male patient presented with visible black triangles and a cracked tooth in need of replacement. Failing teeth were extracted and replaced by implant-supported restorations, bridges on natural teeth and single crowns or veneers.

Posterior implants
Implant prosthetics
Esthetic zone prosthetics
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Videos

Tristan Staas, Michiel Wouters: Custom esthetics powered by NobelProcera

Dr Staas and Michiel Wouters discuss the team approach between lab and clinician from an esthetic, biological, predictability and reliability perspective. They review material selection and restoration design aspects, such as CAD/CAM and Zirpress techniques, emergence profile...
Radiology
CAD/CAM
Implant designs
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Videos

Steven Eckert: Decision making on residual "healthy" teeth

Tooth loss is an important change in a patient's life. The decision to remove healthy or restorable teeth within a comprehensive treatment therefore requires a strategic approach and evaluation within the guidelines of medical/ dental ethics. Implant treatment is certainly a game...
Patient assessment
Preoperative procedures
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Videos

Kenji Higuchi: Applying effective interviewing skills to uncover patient expectations

There is only one chance to make first good impression. The first patient consultation therefore plays an important role in order to adequately perform the initial patient interview, medical examination, the diagnostic evaluation and discuss logistic information such treatment plan...
Patient assessment
Preoperative procedures
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Videos

Edmond Bedrossian: Case presentation: Advanced treatment planning - integrating and applying innovative clinical concepts

Dr Bedrossian presents a patient case with the clinical findings: loss of posterior support, primary periodontal disease, secondary occlusal trauma, CR MI (centric relation to maximum intercuspation) slide of 2 mm, tardive dyskinesia, labial incompetence, and discusses his...
Radiology
Digital workflow
Guided Surgery
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Treatment guidelines

Edentulous

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Anesthesia

The choice of anesthesia depends on many variables including the complexity of treatment, duration of treatment, need for patient awareness and the response during treatment, only to name a few. In general, the clinician and patient should discuss the...

Patient assessment
Preoperative procedures
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Treatment guidelines

Edentulous

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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...

Patient assessment
Preoperative procedures
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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...

Radiology
CAD/CAM
Anterior implants
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Videos

Bernard Touati, Jean-Marc Etienne: Implant esthetics in the digital age

Over the recent years dentistry has undergone a considerable evolution, providing new technologies and materials, and become more digital. The challenge and opportunity is to combine digital technologies, esthetics and function. Dr Touati and Jean-Marc Etienne discuss long distance...

Radiology
Digital workflow
CAD/CAM
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Patient cases

Single all-ceramic crown to replace discoloured right central incisor crown

A 56-year-old female patient was bothered by the darker shade of her right central incisor crown in comparison to the adjacent teeth. To fulfill the patient's need, a single-hand veneered zirconia crown was chosen as a treatment.

Single and multi-unit restorations
Esthetic zone prosthetics
Prosthetics on natural teeth
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Patient cases

Implant- and tooth-supported central incisor crowns

A 22-year-old football player suffered from a traumatic injury which led to an avulsion of his maxillary left central incisor. The treatment selected was the placement of a single crown on tooth #11 FDI (#8 US) and a single implant to replace tooth #21 FDI (#9 US). 

Anterior implants
Bone grafting and regeneration
Implant prosthetics