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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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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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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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Age

Edentulism as a consequence of (sub)total agenesis of deciduous and/or permanent teeth in children and adolescents is extremely rare. It is commonly a component of a generalized underlying condition such as ectodermal dysplasia. There are...

Fixed prosthetics
Removable prosthetics
Local factors
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Videos

Björn Klinge: Is there a connection between previous periodontitis and later peri-implantitis

A consensus statement is an agreement on currently available knowledge and may shift over time based on new evidence. Today there are solid data that there is an association between history of periodontitis and later peri-implant inflammation and infection. However this finding...

Radiology
Peri-implantitis
Aftercare / follow up