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Treatment guidelines

Single tooth

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Peri-operative care

As described in Patient Assessment, a thorough evaluation of patient health factors and psychology influencing whether to proceed with surgery is relevant.
If surgery is the chosen option, prescribe eventually pre-operative medication and antibiotic coverage: Oral antiseptic rinse...

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Treatment guidelines

Single tooth

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Anesthesia

Infiltration anesthesia with or without vasoconstrictor, depending on the general anamnesis normally applies. Mandibular block anesthesia should be considered in the distal areas of the lower jaw, since diffusion of local anesthetics is prevented by a thick mandibular cortex...

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Treatment guidelines

Single tooth

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Single implant restorations with cantilever

The prosthodontic literature has documented the use of cantilever restorations on teeth. The specific guidelines for the use of cantilevers in conventional fixed prosthodontics can be found in traditional prosthodontic text books (Schillenburg, etc). The use of a single...

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Treatment guidelines

Single tooth

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Posterior Solution

With the development of the NB posterior solution the ability to restore posterior dentition in a predictable, esthetic, functional and cement free option is available. The component parts of the system are: The NobelActive WP (Wide Platform) implant, PEEK anatomic-shaped...

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Treatment guidelines

Single tooth

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Single tooth efficiency model (STEM)

Special attention should be paid on oral hygiene, health condition of adjacent teeth (active caries lesions, former restorative treatment, periodontal status) and other oral tissues (remaining alveolar bone volume, pathology within alveolar bone, mucosa...

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Treatment guidelines

Single tooth

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Abutment and material selection, final restoration, posterior zone

Following the placement of an end osseous implant the clinician will need to decide on the choice of retention for the final restoration. When there is a choice one will need to choose from the cement or screw retained options. The advantages and disadvantages have be...

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Treatment guidelines

Single tooth

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Abutment and material selection for provisionalization, posterior zone

The first choice the clinician will be faced with once the implant is placed is to whether to immediate load the implant. This decisions is related to the implant stability, implant relationship to hard and soft tissue, esthetics, functional demands, occlusion, patient...

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Treatment guidelines

Single tooth

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Implant position (posterior zone)

Prior to implant placement in the posterior site, a thorough radiographic examination by means of panoramic x-ray and/or dental CT or CBCT scan is recommended. This allows visualization of possible anatomic pitfalls, bone quantity and neuro-vascular...

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Treatment guidelines

Single tooth

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Implant design and implant selection, posterior zone

In the posterior jaw areas, tooth loss is usually associated with alveolar bone resorption and sinus pneumatization or alveolar nerve superficialization. Today, the most commonly used implant design is a tapered body, with a moderately rough implant surface, and conical...

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Treatment guidelines

Single tooth

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Abutment and material selection, final restoration, esthetic zone

After some period of healing and soft tissue manipulation, the temporary abutment is replaced with a final abutment in preparation for the final restoration. Often, a final abutment can be placed at the time of provisionalization, and therefore the abutment and any attached soft...

icon-treatment_guides_article

Treatment guidelines

Single tooth

TG2_3230_thumb_Abutment-and-material-selection-copy.png

Abutment and material selection for provisionalization, esthetic zone

The first choice the clinician will be faced with once the implant is placed is to whether to immediate load the implant. This decisions is related to implant stability, implant relationship to hard and soft tissue, esthetics, functional demands, occlusion...

icon-treatment_guides_article

Treatment guidelines

Single tooth

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Implant position esthetic zone

Prior to implant placement a thorough radiographic (e.g. conventional/panoramic x-ray, CT scan, cone beam CT) and clinical evaluation (Angle's class, adjacent teeth, gingival biotype, recessions, mesiodistal width) is indicated. Anatomic landmarks of...

icon-treatment_guides_article

Treatment guidelines

Single tooth

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Implant design and implant selection

Today, the most commonly used implant design is a tapered screw, with a moderately rough implant surface, thus facilitating one-stage surgical procedures and allowing for immediate or early loading protocols. A root-form implant design with a variable-threaded geometry, and a...

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Treatment guidelines

Single tooth

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Angulated Screw Channel system (ASC)

The ability to correct implant deviation from the long axis of ideal tooth position with angled abutments and custom abutments is well documented. With the custom abutment it many times results in a cement retained final restoration. Current evidence suggests there may be an...

icon-treatment_guides_article

Treatment guidelines

Single tooth

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Screw-retained vs. cement-retained

The choice of whether to screw or cement retain an implant restoration remains one considerable debate amongst dental professionals. The literature is consistent that the success of both options are very high. Complication rates of both are essentially...