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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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Treatment guidelines

Edentulous

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Temporo-mandibular disorders (TMD)

Routine evaluation of a patient’s temporo-mandibular joint function is an integral part of any oral examination.
Moreover, good muscular control and painless coordination of jaw movements are desirable in the management of edentulism...

Temporomandibular Joint
Patient assessment
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Treatment guidelines

Edentulous

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Mouth opening

Most patients’ mouth opening readily permits access for routine prosthodontic and surgical treatment interventions. Limited mouth opening or microstomia is encountered in patients exposed to sclerodermia, diffuse systemic...

Temporomandibular Joint
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Parafunction

Parafunctional activities can apply high forces to both implant and prosthetic components. These forces can lead to fracture or loosening of screws and abutments, chipping of the veneering material or fracture of the prosthetic reconstruction...

Temporomandibular Joint
Implant designs
Biomechanics and occlusion
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Treatment guidelines

Edentulous

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Local history

The key questions in a complete anamnesis are related to: mouth opening, salivary output, presence of mucosal diseases, gingival health, signs of previous periodontal surgeries, tooth hypermobility, TMJ problems, orthodontic...

Temporomandibular Joint
Local factors
Systemic 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
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Patient cases

Fixed implant-supported rehabilitation of edentulous patient

A 75-year-old female patient with multiple medical conditions asking for dental implants to improve her masticatory function. As such, the All-on-4® treatment concept protocol for the mandible and later on a flapless implant surgery for the maxilla have been employed.

Radiology
Digital workflow
CAD/CAM
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Checklists

Stock and Materials Control

Primary responsibility: Nurse/Dental Assistant
Timing: At least one week before surgery
Location: Stock room

Preoperative procedures
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Checklists

Administrative Pre-Treatment Consultation

Primary responsibility: Nurse/Dental Assistant
Timing: After pre-treatment consultation before patient leaves
Location: Consultation room and/or front desk

Preoperative procedures
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Checklists

OR Setup

Primary responsibility: Nurse/Dental Assistant
Timing: Morning of the surgery (beginning of the day)
Location: OR/Surgical Suite/Operatory
Comments: Refers to one room (not patient); only performed 1x per day

Preoperative procedures
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Checklists

Patient Pre-Operative Steps

Primary responsibility: Clinician/Surgeon or Nurse/Dental Assistant
Timing: Shortly before surgery
Location: Chairside in OR/Surgical Suite/Operatory

Preoperative procedures
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Checklists

Clinical Pre-Treatment Consultation

Primary responsibility: Clinician/Surgeon
Timing: End of the pre-treatment consultation while patient is still present
Location: Consultation room and/or chairside

Preoperative procedures