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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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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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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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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
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Treatment guidelines

Edentulous

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Implant overdentures, introduction

Some patients present with soft and hard tissue defects that cannot be addressed by a fixed implant prosthesis when esthetics, phonetics and oral hygiene access are considered. In these patients who have struggled...

Implant prosthetics
Removable prosthetics
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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

Pierre de Grandmont: Missing multiple posterior teeth: treatment planning considerations

The lecture discusses the need for treatment and the treatment options in multiple posterior missing teeth cases, as well as the barriers to such treatments. Treatment of missing teeth is not necessary in all cases, as long as there is adaptive capacity to maintain oral function...

Posterior implants
Aftercare / follow up
Removable prosthetics