Skip to main content

Explore our online learning platform

Filters

icon-treatment_guides_article

Treatment guidelines

Edentulous

1245-skeletal-consequences.png

Skeletal consequences of edentulism

Teeth loss in the maxilla initiates residual ridge/alveolar resorption, especially in the anterior region, which is flared labially. The consequences of this resorption is a gradual medial or palatal shift of the crest of the maxilla. This...

Patient assessment
icon-treatment_guides_article

Treatment guidelines

Edentulous

Anatomical-Location.png

Anatomical location

Oral implants are usually placed in the mandibular and maxillary bone and sometimes in additional bone structures such as the zygomatic, pterygoid or vomer bone. In order to identify relevant anatomical structures, diagnostic evaluation of the anatomy...

Radiology
Implants in compromised sites
Patient assessment
icon-treatment_guides_article

Treatment guidelines

Edentulous

0110.png

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
icon-treatment_guides_article

Treatment guidelines

Edentulous

3070_final.png

Semi-guided surgery with prosthetic template

Hand-made templates are duplicates obtained from the denture/tooth arrangement with access holes or titanium tubes. These are located in the correct positions and axes of the planned prosthetic teeth according to the CBCT a...

Guided Surgery
Edentulous treatments
icon-treatment_guides_article

Treatment guidelines

Edentulous

3064-Guided-vs-non-guided.png

Guided vs non-guided

Accurate implant planning is the first step to achieve an optimum prosthetic result. Well-fitting, well-designed dentures can directly be used for planning and pre-surgical analysis or a new tooth arrangement and mock-up have to be considered...

Guided Surgery
Edentulous treatments
Diagnosis and treatment planning
icon-treatment_guides_article

Treatment guidelines

Edentulous

3050-Anesthesia.png

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
icon-treatment_guides_article

Treatment guidelines

Edentulous

3080.png

Guided surgery with drill guides

Surgery using a drill guide fabricated on the basis of CT scan images transformed by a planning software offers several clinical advantages...

Radiology
Digital workflow
Guided Surgery
icon-treatment_guides_article

Treatment guidelines

Edentulous

Thumb_Alveolar_atrophy.png

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
icon-treatment_guides_article

Treatment guidelines

Edentulous

3056-Flap-or-flapless.png

Flap or flapless

Flapless implant surgery is a minimally invasive procedure that can be performed either using guided surgery or custom fabricated surgical guides made of casts taken at the first patient visit. Several clinical papers reported excellent short- and long...

Radiology
Guided Surgery
Edentulous treatments
icon-treatment_guides_article

Treatment guidelines

Edentulous

3052-perioerative-care.png

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
icon-treatment_guides_article

Treatment guidelines

Edentulous

1385-provisionals.png

Provisionals

Conceptually, a provisional prosthesis for an edentulous patient is a convenient tool that offers the patient a satisfactory level of function and esthetic appearance while definitive treatment is undertaken...

Guided Surgery
Immediate loading / provisionalization
Diagnosis and treatment planning
icon-treatment_guides_article

Treatment guidelines

Edentulous

1500_1380-splints.png

Splints for imaging and surgery

The primary goal of creating a preliminary teeth arrangement for a try-in diagnostic evaluation is the opportunity to visualize those specific morphological features that impact functional and esthetic considerations for each treated patient...

Radiology
Guided Surgery
icon-treatment_guides_article

Treatment guidelines

Edentulous

1330-salivary-output.png

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
icon-treatment_guides_article

Treatment guidelines

Edentulous

1320-microbiology.png

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
icon-treatment_guides_article

Treatment guidelines

Edentulous

1280-Head-neck_cancer.png

Head-neck cancer

Head and neck cancers is mainly represented by head and neck squamous cell carcinoma (HNSCC). Incidence in males is higher than in females (2,8:1). Human papilloma virus (HPV) has been demonstrated to be related to the increased...

Implants in compromised sites
Systemic factors
Patient assessment