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Christian Coachman: Smile design and material selection for white and pink esthetics over implants

Dr Coachman develops how the smile design can be the primary principle of a restorative treatment plan, and how nowadays technologies assist us in achieving predictable esthetic restorations adressing functional and biologic aspects at the same time. Guided surgery is at times...
Digital workflow
Guided Surgery
CAD/CAM
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Videos

Paulo Malo: All-on-4® - state-of-the art concept

It is very important and beneficial to avoid grafting in elderly patients, who often have compromised health conditions such as diabetes and osteoporosis. The All-on-4® treatment concept is a specific surgical procedure developed to avoid grafting procedures in edentulous...

Edentulous treatments
Implants in compromised sites
Prosthetic materials
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Videos

Bertil Friberg: The Brånemark Clinic - current research and clinical implications

Based on extensive literature review and clinical resarch at the Gothenburg Brånemark clinic over 3 decades, Dr Friberg is reviewing causes for bone loss in implant treatment, in single, partial and edentulous situations, and discussing the influence of traumatized and ankylotic...
Radiology
Implant surfaces
Anterior implants
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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

Rubén Davó: Management of the extremely resorbed maxilla

The lecture reviews the principles of the rehabilitation of the extremely resorbed maxilla and compares Zygomatic implants with sinus lift and augmentation procedures, and highlights the importance of the Zygomatic concept for implantology. Under extreme clinical circumstances like...
Radiology
Digital workflow
Edentulous treatments
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Videos

Dennis Rohner: The prefabricated fibular flap reconstruction technique

For reconstruction of severe maxillofacial defects there are various bony and soft tissue flap locations available. Dr Rohner gives insight in the advantages of the fibula for maxillofacial reconstruction and presents the prefabricated fibular flap reconstruction technique step by...
Implants in compromised sites
Systemic factors
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Videos

Sreenivas Koka: Assessment of bone quality relevant for marginal bone integrity ?

The lecture discusses in how far the assessment of marginal bone can be a suitable measure for bone integrity and implant oesseointegration. Dr Koka reviews aspects of definition of bone quality and the concept of osseo-sufficiency, and shows that we still are influenced by biases...
Implant surfaces
Peri-implantitis
Systemic factors
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Videos

Paulo Malo: Immediate Function: benefits to patient and practice

The presentation gives an insight on the restoration of edentulous situations from both surgical and restorative aspects, with focus on the immediate function protocol and the All-on-4 solution. Dr Malo reviews the indications and contraindications, advantages and benefits as well...
Edentulous treatments
Immediate loading / provisionalization
Aftercare / follow up
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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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Mouth opening

Most patients’ mouth opening readily permits access for routine prosthodontic and surgical treatment interventions. Limited mouth opening or microstomia is encountered in patients exposed to sclerodermia, diffuse systemic...

Temporomandibular Joint
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Risk factors

Relevant risk factors for implant treatment:

  • Children and adolescents (during ongoing bone/skeletal development), unless in selected anodontia patients. However, implant placement for orthodontic treatment purposes is indicated.
  • Uncontrolled metabolic diseases such as Diabetes Mellit...
Local factors
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Recreational drugs and alcohol abuse

It is important to evaluate signs indicating if the patient abuses alcohol or takes recreational drugs and may have developed addictions. In general these drugs have a psychedelic,...

Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Drug abuse

The medical history should reveal if the patient takes any prescribed medication and especially whether in the correct dosage. Fear of oral surgery may induce a temporary overconsumption of drugs such as beta-blockers or...

Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Smoking

Smoking and nicotine consumption have a constrictive effect on blood vessels thereby reducing blood supply. It increases the susceptibility to periodontal inflammatory diseases, dry extraction sockets and wound healing...

Peri-implantitis
Systemic factors
Patient assessment
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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