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Patient cases

A 40-year-old male patient presented with agenesis of both upper lateral incisors and a Class III skeletal malocclusion. The treatment selected was: Orthodontic treatment, Implant placement #12 and #22 FDI  (#7 and #10 US).

Radiology
Anterior implants
Soft tissue management
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Patient cases

A 58-year-old male patient presented loss of multiple teeth, need for replacement of his conventional, partial removable dentures with a fixed restoration. The All-on-4® treatment concept with immediate implant placement was chosen.

Edentulous treatments
Implant prosthetics
Esthetic zone prosthetics
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Patient cases

A 67-year-old male patient with the lateral incisor who had to be extracted due to a transverse fracture right below the crown. The patient opted for a delayed implant placement with immediate provisionalization.

Anterior implants
Implant prosthetics
Single and multi-unit restorations
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Treatment guidelines

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

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

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

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

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

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

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
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Treatment guidelines

A thorough risk assessment forms the cornerstone of successful patient treatment. Four key sources of information permit the clinician to identify pertinent risks and to determine the seriousness of each risk...

Local factors
Systemic factors
Patient assessment
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Treatment guidelines

The key questions in a complete anamnesis are related to: mouth opening, salivary output, presence of mucosal diseases, gingival health, signs of previous periodontal surgeries, tooth hypermobility, TMJ problems, orthodontic...

Temporomandibular Joint
Local factors
Systemic factors
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Treatment guidelines

It is helpful if a clinician is situated so that his/her eyes are at the level of the patient's eyes. For example, if the patient is seated, the clinician should also be seated. It is beneficial if the interview between clinician and...

Systemic factors
Patient assessment
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Patient cases

A 72-year-old female patient was affected by the poor fit of her existing mandibular complete denture, especially the constant movement while chewing. The final treatment included a new maxillary complete denture and a mandibular implant fixed complete denture. 

Radiology
Guided Surgery
CAD/CAM
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Patient cases

A 56-year-old female patient was bothered by the darker shade of her right central incisor crown in comparison to the adjacent teeth. To fulfill the patient's need, a single-hand veneered zirconia crown was chosen as a treatment.

Single and multi-unit restorations
Esthetic zone prosthetics
Prosthetics on natural teeth