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Andrea Ricci: Surgical and prosthetic considerations in implant therapy in healthy vs periodontally compromised patients

To obtain an esthetic result, the objective is to achieve harmony between pink and white tissues. usually this is an issue and in periodontally compromised it is likely to be an even bigger challenge. Dr Ricci gives insight in the surgical and prosthetic treatment steps, procedures...
Radiology
Guided Surgery
CAD/CAM
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Videos

Tidu Mankoo: Success criteria for soft tissue management in the esthetic zone

The lecture reviews the criteria for successful soft tissue management in the esthetic zone. Correct three-dimensional implant position around 3 mm apical and 2 mm palatal of the final desired gingival margin on the restoration support the buccal plate and adequate stable bone...
CAD/CAM
Anterior implants
Soft tissue management
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Videos

Egon Euwe: The soft tissue challenge: esthetics, health and stability

The lecture discusses the principles for tissue preservation in implant restoration and highlights their importance for the esthetic result. The goal is to create healthy and stable soft tissue framing around the implant and restoration. Dr Euwe presents single implant replacement...
Immediate implant placement
Anterior implants
Prosthetic strategies
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Videos

Roland Glauser: Long-term perspective of implant treatment - what's key to success ?

The lecture discusses the importance of healthy soft and hard tissue for long term success with implant treatment, presenting information and long-term data on bone remodeling and giving important insights in the etiology and factors influencing marginal bone reaction. Based on...
Aftercare / follow up
Success & failure
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Videos

Bertil Friberg: Long-term perspective of implant treatment - what have we learned

Dr Friberg covers the long term perspective of treatment with dental implants, ranging from the history of dental implantology and the detection of osseointegration until what has been accomplished till today in implant treatment. The lecture gives insight into treatment protocols...
Radiology
Implant surfaces
Peri-implantitis
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Treatment guidelines

Edentulous

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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....

Aftercare / follow up
Fixed prosthetics
Removable prosthetics
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Treatment guidelines

Edentulous

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Radiological Control

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...

Radiology
Aftercare / follow up
Peri-implant therapy
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Treatment guidelines

Edentulous

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Post operative soft tissue management

After treatment of edentulous patients, there is no need to schedule specific recalls for soft tissue control. Traditional post-operative controls at day 1 - 3, day 7 - 14 and week 4 - 6 after surgery involve soft tissue control and...

Aftercare / follow up
Success & failure
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Treatment guidelines

Edentulous

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Post-placement

At this appointment, a careful evaluation of the patient's oral hygiene and soft tissue response is performed and adjustments made as needed. A daily home-care program must be customized to the individual's ability to clean the...

Aftercare / follow up
Fixed prosthetics
Oral hygiene instructions
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Treatment guidelines

Edentulous

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Implant overdenture maintenance

The objective of systematic periodic recalls for patients wearing overdentures are three-fold...

Aftercare / follow up
Removable prosthetics
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Treatment guidelines

Edentulous

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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)...

Aftercare / follow up
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Treatment guidelines

Edentulous

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Suture removal

Suture removal for mucoperiosteal wounds, depending on the age of the patient and the extent of the wound takes place after 8 to 12 days. Even resorbable sutures may benefit after such healing time from removal of remnants...

 

Aftercare / follow up
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Treatment guidelines

Edentulous

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Bleeding

Damage of sublingual arteries can lead to intense hemorrhage. Subsequent elevation of floor of the mouth can lead to (fatal) airway obstruction ! An early symptom of sublingual swelling may be a muffled speech. In such situation ensure free airways (intubation, tracheotomy),...

Aftercare / follow up
Success & failure
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Treatment guidelines

Edentulous

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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...

Aftercare / follow up
Oral hygiene instructions
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Treatment guidelines

Edentulous

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Medication

the patient might need or appreciate adequate medication against pain and swelling, for example Paracetamol, Acetylsalicylicacid (ASA), or of the non-steroidal anti-inflammatory drug...

Aftercare / follow up