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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

Neo Tee Khin: How to build a successful implant practice

Dr. Tee Khin reviews different communication channels available to the dental practice, including print marketing, newspapers and TV media, as well as online and social media activities. It is important to invest adequate resources into marketing activities, to know our market and...

Preoperative procedures
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Videos

Kenji Higuchi: Treatment planning for successful and predictable outcomes

Practitioners need to understand what patient's wants and needs are, and the ability to communicate with the patient is the foundation for a successful treatmant. The lectue focusses on the educational objectives on how to use effective communication skills with patients and to...

Patient assessment
Preoperative procedures
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Treatment guidelines

Single tooth

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Patient communication requirements

The process of informed consent requires a thorough communication between healthcare professional and patient. The communication should minimally comprise...

Patient assessment
Preoperative procedures
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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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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

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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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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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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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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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