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Treatment guidelines

Edentulous

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Guided surgery with drill guides

Surgery using a drill guide fabricated on the basis of CT scan images transformed by a planning software offers several clinical advantages...

Radiology
Digital workflow
Guided Surgery
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Treatment guidelines

Edentulous

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Biologic complications

This is the reversible inflammatory process in the soft tissues around functioning implants. Peri-implant mucositis occurs in almost 60% of subjects (± 30% of sites), restored with implants. Diagnosis is stated by clinical examination: redness, ...

Peri-implantitis
Peri-implant therapy
Local factors
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Treatment guidelines

Edentulous

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Radiological Control

At the beginning of the recall control it is necessary to define the intention of a radiograhical control and if it is needed. Radiological controls are only justified in the presence of certain symptoms, anamnesis and/or clinical examination...

Radiology
Aftercare / follow up
Peri-implant therapy
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Treatment guidelines

Edentulous

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Closed versus open tray technique

The open tray technique for making a definitive impression is one of two choices (the other being a closed tray impression) in the fabrication of a fixed complete denture. The open tray technique is specifically indicated, when the implants are not...

Implant prosthetics
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Treatment guidelines

Edentulous

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Framework trial placement

At this appointment, the prosthesis framework is evaluated for accuracy of fit, appropriate contour to faciltate oral hygiene access and the necessary balance of structural morphology for rigidity/strength and sufficient space to...

Implant prosthetics
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Treatment guidelines

Edentulous

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Placement

Placement of a provisional prosthesis takes place by attaching the conversion denture (either patient's exisiting prosthesis or a new conversion denture) to the implants or to implant abutments. The provisional prosthesis can be...

Implant prosthetics
Fixed prosthetics
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Treatment guidelines

Edentulous

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Trial placement

The trial placement appointment is a significant one for successful edentulous patient care. It will be the first time that dentist and patient can see what has been created in the laboratory; and a decision will then be one...

CAD/CAM
Implant prosthetics
Diagnosis and treatment planning
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Treatment guidelines

Edentulous

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Maxillo-mandibular relations

One goal in the treatment of the fully edentulous patient is to re-establish the maxillo-mandibular relation in the transversal and sagittal dimensions comprising adequate facial height. The occlusal contact situation be...

Implant prosthetics
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Treatment guidelines

Edentulous

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Impression - parallel vs non-parallel implants

It is important to evaluate whether the implants are parallel to each other. If the implants are fairly parallel to each other (Fig 1) a closed tray impression technique can be employed. Since the implants are parallel to each other, the polymerized...

Implant prosthetics
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Treatment guidelines

Edentulous

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Splinted vs unsplinted impression copings

In vitro research studies have compared splinted versus unsplinted impression techniques and have, in general, shown that the splinted impression technique yields more accurate master casts when compared to a reference...

Implant prosthetics
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Treatment guidelines

Edentulous

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Impressions - overview

The goals of an impression are to accurately capture tissue contours necessary and relevant for fabrication of a prosthesis that adapts well to mucosa or a prosthesis that fits well and passively on implants...

 

Implant prosthetics
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Treatment guidelines

Edentulous

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Fixed Implant Prosthesis Clinical Protocol

A fixed implant prosthesis is completely anchored and supported by dental implants. There are different terms used to describe a fixed implant prosthesis, such as fixed complete denture, fixed detachable prosthesis, the hybrid prosthesis, or the...

Implant prosthetics
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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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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