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Treatment guidelines

Edentulous

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Soft tissue management

The aims of peri-implant soft tissue management in the edentulous mandible are the eventual reconstruction of attached gingiva or immobilizing the soft tissue at the implant-soft tissue interface. Vestibuloplasty means deepening of the...

Soft tissue management
Peri-implant therapy
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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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Soft tissue and hard tissue

Removable prostheses should always be removed over night. Since the acrylic denture base is tightly covering the keratinised mucosa, it often leads to fungal/candida infections of the ginigiva under the prosthesis....

Aftercare / follow up
Fixed prosthetics
Removable prosthetics
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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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Implant overdenture maintenance

The objective of systematic periodic recalls for patients wearing overdentures are three-fold...

Aftercare / follow up
Removable prosthetics
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Treatment guidelines

Edentulous

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Oral hygiene instructions

All tissue surfaces, prosthesis surfaces and implant surfaces should be accessible by oral hygiene aids like toothbrushes, interdental brushes and dental floss or dental tape. It is paramount that, during treatment planning...

Aftercare / follow up
Fixed prosthetics
Oral hygiene instructions
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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