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Proceedings of the 2018 Oral Rehabilitation Symposium

This publication contains the proceedings of the Oral Rehabilitation Symposium held at the University of Sydney in June 2018. 21 chapters cover findings on implant osseointegration, occlusion, orofacial pain, TMD and jaw function.

Biomechanics and occlusion
Temporomandibular Joint
Immediate loading / provisionalization
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Videos

Hannes Wachtel - Various treatment options for the terminal dentition and for the edentulous

It has been our experience, over the last ten years, that the vast majority of patients presenting with “terminal dentition” prefer to maintain fixed “teeth”. The All-on-4® treatment concept will meet these requirements. Furthermore treatment time, costs and treatment effort is...

Edentulous treatments
Implant prosthetics
Prosthetics on natural teeth
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Videos

Sanda Moldovan: Peri-implant maintenance of the full-arch prosthesis

The biggest disappointment for patients and practitioners is failure of dental implants. One of the most overlooked parts of implant therapy is hygiene and a robust peri- implant maintenance program. Recognizing early signs of peri-mucositis and resolving the inflammation in its...

Radiology
Prosthetic strategies
Peri-implantitis
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Patient cases

Maxillary implant-supported overdenture to replace a failed, fixed restoration

A 68-year-old female patient wearing an implant-supported restoration with a very high mobility due to periimplantitis. The treatment consisted in placement of new implants and a new prosthesis to re-establish function, esthetics and provide overall comfort.

Radiology
CAD/CAM
Edentulous treatments
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Treatment guidelines

Edentulous

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Primary splinting

Implant supported overdentures are an evidence-based treatment option for edentulous patients leading to a significantly increased quality of life.
There are various retention elements available which connect the implants directly...

CAD/CAM
Prosthetic materials
Implant prosthetics
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Treatment guidelines

Edentulous

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Secondary splinting

Implant overdentures are an excellent treatment option for edentulous patients and lead to significant improvement of quality of life. There are various options for their retention mechanism...

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Prosthetic materials
Implant prosthetics
Removable prosthetics
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Videos

Lyndon Cooper: Endosseous dental implants - transformational for the edentulous

AAOMS data estimate that by the age of 74, 26 % of all adults will have lost all of their permanent teeth. Dr Cooper points out, that the care of the octagenarian is a challenge for dental profession, but also a major opportunity. Dr Cooper reviews the main parameters related to...
Radiology
Digital workflow
CAD/CAM
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Videos

Andrew Dawood: Graftless management of the resorbed ridge

The lecture gives insight in the use of short, narrow and zygomatic implants in cases with severe bone resorption and how using these technologies can avoid bone grafting and protracted treatment periods. Supported by impressive patient cases, Dr Dawood reviews a treatment solution...
Edentulous treatments
Implants in compromised sites
Fixed prosthetics
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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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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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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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Oral hygiene instructions

All tissue surfaces, prosthesis surfaces and 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...

Aftercare / follow up
Fixed prosthetics
Oral hygiene instructions
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Treatment guidelines

Edentulous

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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...

Aftercare / follow up
Fixed prosthetics
Oral hygiene instructions
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Treatment guidelines

Edentulous

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Overdenture retention devices, overview

Attachment selection

The relative merits of different prosthodontic treatment objectives - resilient versus rigid attachments - are controversial and empirical. A resilient retention mechanism is recommended on the assumption that this will protect implants from overload; while in...

Prosthetic materials
Implant prosthetics
Biomechanics and occlusion