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Treatment guidelines

Edentulous

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Provisionals/temporary prosthesis

Whenever possible, provisional restorations should be fabricated to simulate the desired definitive prosthesis in form, albeit with different and less durable materials. The lessened durability and functional capacity of a provisional restoration...

Immediate loading / provisionalization
Aftercare / follow up
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Treatment guidelines

Edentulous

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Esthetic and function check

Because many patients are anticipating an ideal esthetic and functional outcome, proper preparation of the patient’s expectations during the treatment planning phase is imperative. Afterwards during treatment and follow-up, occasionally...

Aftercare / follow up
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Treatment guidelines

Edentulous

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Professional oral hygiene

The regular recall control appointment, at least every 6 months, should comprise a hygiene check by the dental/oral hygienist or other auxiliary, and include professional cleaning of the restoration, prosthetic components, sulcus and any...

Aftercare / follow up
Fixed prosthetics
Oral hygiene instructions
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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 Overdenture post-placement

At post-placement visits, the same factors evaluated carefully at the placement appointment should be reviewed and adjusted where necessary. Overdenture base fit, extensions, occlusion, esthetics, function, comfort and overall patient...

Implant prosthetics
Aftercare / follow up
Removable prosthetics
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Treatment guidelines

Edentulous

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Implant overdenture placement

Placement of a removable prosthesis requires attention to detail to cover all important clinical items such prosthesis fit, denture base extensions, esthetics, occlusion, patient comfort and post-insertion instructions. Implant overdentures may or may not...

Implant prosthetics
Biomechanics and occlusion
Removable prosthetics
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Treatment guidelines

Edentulous

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Immediate dentures

The patient with a terminal dentition and who faces total teeth extractions can choose from a number of treatment options from immediate complete denture to one of the implant supported protocols.
Immediate dentures are chosen by patients who are unwilling...

Biomechanics and occlusion
Immediate loading / provisionalization
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Treatment guidelines

Edentulous

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Complete Denture post-placement

At post-placement visits, the same factors evaluated carefully at the insertion appointment should be reviewed again and adjustments made where necessary.  Denture base fit, extensions, occlusion, esthetics, function, comfort and overall...

Aftercare / follow up
Removable prosthetics
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Treatment guidelines

Edentulous

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Complete denture placement

Placement of a complete denture requires attention to detail to cover all important clinical items such prosthesis fit, denture base extensions, esthetics, occlusion, patient comfort and post-placement instructions.  In addition, the clinician...

Removable prosthetics
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Treatment guidelines

Edentulous

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Complete Denture Clinical Protocol

Successful oral rehabilitation of edentulous patients with removable prostheses demands careful adherence to a clinical protocol. Some simplified protocols have been successfully introduced...

 

 

 

Removable prosthetics
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Treatment guidelines

Edentulous

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Recall visits - overview

To achieve good long term results, regular recall control appointments should be scheduled. Ideally, recall appointments take place at least every 6 months for a systemic review of the general health...

Aftercare / follow up
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Treatment guidelines

Edentulous

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Post-operative care

The main objectives of post-operative care include control of the healing of the surgical site and identifying risks which could affect healing and, where pertinent, osseointegration. In addition, post-operative visits provide the opportunity to evaluate the... 

Aftercare / follow up
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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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Prosthodontic Options - overview

Fixed implant prostheses are associated with the best oral health and quality of life, as chewing performance and patient comfort are usually better than with a removable prosthesis. The use of all-ceramic, metal-ceramic or metal-resin prostheses offers...

Removable prosthetics
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Treatment guidelines

Edentulous

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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