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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
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Treatment guidelines

Edentulous

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Implant overdenture impressions

Impression making in implant overdenture therapy simultaneously records healthy available denture-bearing tissue surfaces and implants’ positions in edentulous arches. The objective is a shared retention and...

Digital workflow
Implant prosthetics
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Treatment guidelines

Edentulous

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Complete denture impressions

Impression taking for a complete denture records available denture-bearing tissue surfaces. An ideal force distribution pattern based upon the load bearing capacity of supporting tissues is desirable while avoiding dislodging by the oro-facial...

Digital workflow
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Treatment guidelines

Edentulous

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Placement of implants - Angulation

The primary goal of angulated implant placement concepts is the implant-based prosthodontic rehabilitation of the edentulous maxilla and mandible and avoiding grafting procedures and thereby offering a more simple and less invasive treatment...

Edentulous treatments
Implants in compromised sites
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Treatment guidelines

Edentulous

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Fixed implant prostheses, introduction

A fixed prosthesis offers benefits from both a functional and esthetic point of view and may be regarded as quite similar to a patient's own natural dentition when compared to alternative treatment options such as complete dentures....

CAD/CAM
Prosthetic materials
Implant prosthetics
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Treatment guidelines

Edentulous

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Wax-up, arrangement, mock-up

Treatment planning for the edentulous patient requires a diagnostic tooth arrangement which provides valuable information for pre-surgical planning (surgical guide fabrication), facilitates discussion regarding...

Digital workflow
CAD/CAM
Diagnosis and treatment planning
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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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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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Risk factors

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

Edentulous

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Parafunction

Parafunctional activities can apply high forces to both implant and prosthetic components. These forces can lead to fracture or loosening of screws and abutments, chipping of the veneering material or fracture of the prosthetic reconstruction...

Temporomandibular Joint
Implant designs
Biomechanics and occlusion
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Treatment guidelines

Edentulous

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Age

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

Edentulous

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Risk assessment & special high risk categories, overview

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

Edentulous

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Local history

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

Edentulous

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Patient Demand

In order to provide adequate treatment and meet patient satisfaction, it is crucial to evaluate patient expectations. These expectations normally fall into one or more of four categories: function, comfort, esthetics and...

Local factors
Patient assessment