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Treatment guidelines

Edentulous

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Overarching considerations

The primary goal is a proper oral function. This implies not only chewing but also speaking, smiling. Patients’ adaptability varies enormously. Some are satisfied with removable dentures, others object to the esthetics of...

Local factors
Patient assessment
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Videos

Friedrich Neukam, Stefan Holst: Optimal decision-making and treatment planning - a shared responsibility

The lecturers present their team approach for patient communication, diagnostics, treatment planning and treatment decisions, discuss the functional and esthetic consequences of edentulism, and review the different treatment phases. In addition to regular intro-and extra-oral...
Radiology
CAD/CAM
Prosthetic materials
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Videos

Terry Walton: Herodontics - can it be justified in this age of implant dentistry

The lecture raises the discussion about overtreatment of natural teeth or alternatively also with implants. Dr Walton introduces his thoughts as a 'tale of caution'. Is ongoing treatment of severely structurally or periodontally compromised teeth - 'herodontics' - still justified...
Patient assessment
Success & failure
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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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Videos

Shane White: To retain or replace a diseased tooth

The lecture compares the treatment options for a compromised tooth, endodontic treatment, fixed partial denture and extraction and implant placement, and discusses adjunctive procedures for each treatment as well as economical considerations. Dr White reviews the literature data...
Anterior implants
Diagnosis and treatment planning
Patient assessment
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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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Alveolar atrophy and insufficiency

Teeth extractions are followed by a reduction of the bucco-lingual as well as the vertical dimension of the residual alveolar ridge. The ensuing resorption is progressive and even the basal jaw may become involved. In the lower jaw, the....

Radiology
Systemic factors
Patient assessment
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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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Salivary output

Physiological salivary output is 0.75 to 1.5 liters per day, with most originating from the submandibular glands. Saliva is a lubricant and has a complex set of protective and healing functions for the oral cavity. It adheres instantly to...

Local factors
Patient assessment
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Treatment guidelines

Edentulous

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Microbiology

Epithelial desquamation in the oropharynx limits bacterial accumulation, except on the tongue dorsum and in the tonsillar crypts. Loss of teeth dramatically reduces the load of periodontal pathogens except for Aggregatibacter actinomycetemcomitans and to a...

Implants in compromised sites
Local factors
Patient assessment
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Treatment guidelines

Edentulous

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Occlusion

A universally accepted definition of ideal occlusion has been elusive. This is because an ideal occlusion can only be defined in broad terms of a physiological range of form and function. Functional aspects of occlusion, rather than specific anatomical...

Biomechanics and occlusion
Patient assessment
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Treatment guidelines

Edentulous

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Hyposalivation and Xerostomia

Saliva plays a significant role in the preservation and maintenance of oral health and function. It supports digestion by preparing food for mastication and swallowing, contributes to taste perception, facilitates speech communication and provides oral tissues...

Local factors
Patient assessment
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Treatment guidelines

Edentulous

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Existing prosthesis

Examination of existing dentures provides invaluable information on patients’ perceptions of teeth and soft tissue esthetics, including facial vertical dimension support. It also informs clinicians regarding their patients’ overall...

Diagnosis and treatment planning
Patient assessment
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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