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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
icon-treatment_guides_article

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
icon-treatment_guides_article

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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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
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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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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
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Treatment guidelines

Edentulous

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Occlusion

A universally accepted definition of ideal occlusion has been elusive. This is because an ideal occlusion can only be defined in broad terms of a physiological range of form and function. Functional aspects of occlusion, rather than specific anatomical...

Biomechanics and occlusion
Patient assessment
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Treatment guidelines

Edentulous

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Hyposalivation and Xerostomia

Saliva plays a significant role in the preservation and maintenance of oral health and function. It supports digestion by preparing food for mastication and swallowing, contributes to taste perception, facilitates speech communication and provides oral tissues...

Local factors
Patient assessment
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Treatment guidelines

Edentulous

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Muco-gingival junction

The gingiva is tightly connected to the underlying periosteum. It is globally keratinized and has a stippled surface. Its color varies from pink to brown or even black, depending on race and/or melanin deposits. It can be distinguished from alveolar mucosa, which...

Soft tissue management
Patient assessment
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Treatment guidelines

Edentulous

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Existing prosthesis

Examination of existing dentures provides invaluable information on patients’ perceptions of teeth and soft tissue esthetics, including facial vertical dimension support. It also informs clinicians regarding their patients’ overall...

Diagnosis and treatment planning
Patient assessment
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Treatment guidelines

Edentulous

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Temporo-mandibular disorders (TMD)

Routine evaluation of a patient’s temporo-mandibular joint function is an integral part of any oral examination.
Moreover, good muscular control and painless coordination of jaw movements are desirable in the management of edentulism...

Temporomandibular Joint
Patient assessment