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0
Patient Assessment
- 0.1 Patient Demand
- 0.2 Anatomical location
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0.3
Patient History
- 2.1 General patient history
- 2.2 Local history
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0.4
Risk Assessment
- 3.1 Risk Assessment Overview
- 3.2 Age
- 3.3 Patient Compliance
- 3.4 Smoking
- 3.5 Drug Abuse
- 3.6 Recreational Drug and Alcohol Abuse
- 3.7 Condition of Natural Teeth
- 3.8 Parafunctions
- 3.9 Diabetes
- 3.10 Anticoagulants
- 3.11 Osteoporosis
- 3.12 Bisphosphonates
- 3.13 MRONJ
- 3.14 Steroids
- 3.15 Radiotherapy
- 3.16 Risk factors
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1
Diagnostics
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2
Treatment Options
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2.1
Treatment planning
- 0.1 Non-implant based treatment options
- 0.2 Treatment planning conventional, model based, non-guided, semi-guided
- 0.3 Digital treatment planning
- 0.4 NobelClinician and digital workflow
- 0.5 Implant position considerations overview
- 0.6 Soft tissue condition and morphology
- 0.7 Site development, soft tissue management
- 0.8 Hard tissue and bone quality
- 0.9 Site development, hard tissue management
- 0.10 Time to function
- 0.11 Submerged vs non-submerged
- 0.12 Healed or fresh extraction socket
- 0.13 Screw-retained vs. cement-retained
- 0.14 Angulated Screw Channel system (ASC)
- 2.2 Treatment options esthetic zone
- 2.3 Treatment options posterior zone
- 2.4 Comprehensive treatment concepts
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2.1
Treatment planning
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3
Treatment Procedures
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3.1
Treatment procedures general considerations
- 0.1 Anesthesia
- 0.2 peri-operative care
- 0.3 Flap- or flapless
- 0.4 Non-guided protocol
- 0.5 Semi-guided protocol
- 0.6 Guided protocol overview
- 0.7 Guided protocol NobelGuide
- 0.8 Parallel implant placement considerations
- 0.9 Tapered implant placement considerations
- 0.10 3D implant position
- 0.11 Implant insertion torque
- 0.12 Intra-operative complications
- 0.13 Impression procedures, digital impressions, intraoral scanning
- 3.2 Treatment procedures esthetic zone surgical
- 3.3 Treatment procedures esthetic zone prosthetic
- 3.4 Treatment procedures posterior zone surgical
- 3.5 Treatment procedures posterior zone prosthetic
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3.1
Treatment procedures general considerations
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4
Aftercare
Patient compliance in recall
Key points
- Patient compliance is as important to long-term treatment success as any other contributing factor.
- Understanding the patient’s lifestyle and home culture is important to reach effective compliance.
- A standardized education protocol to promote patient compliance should be part of the treatment plan and aftercare.
Patient compliance considerations
Patient compliance is a critical factor in promoting the long-term success of oral rehabilitation. The issue of patient compliance should be enthusiastically engaged by the clinician/dental practitioner. The practitioner may see a non-compliant patient as a culprit. Actually, four key issues need to be considered.
Patient environment
First it is important to appreciate the patient’s culture and lifestyle. Efforts to change behavior that are not aligned with the patient’s social environment are unlikely to be successful. Considering different behavioural techniques to modify a patient’s attitude and improve his/her compliance can be effective. It is helpful to set small target steps and look for incremental progress rather than seek complete and immediate changes.
Maintenance and compliance as part of the treatment plan
Second, each member of the treatment team should view oral hygiene and restoration maintenance education as a priority. This sense can be reinforced by including these activities as formal elements to the treatment plan and the maintenance phase and committing sufficient time and effort at regular recall appointments. In this manner, the team can ensure oral health, restoration longevity and patient satisfaction.
Third, there is evidence that patients who were actively engaged during treatment planning, are more likely to be compliant. A paternalistic approach of the doctor will lead to poorer patient compliance.
Fourth the relationship beteen the practitioner and the patient is a clear predictor of the subsequent compliance.
Patient personality
The patient’s personality is an important predictor of patient compliance. Patients with high acceptance and resignation are more open to the need for compliance and willing to engage in the actions asked of them. Although indifferent/ambivalent patients will offer an intermediate level of compliance, sceptical patients are very difficult to engage successfully because they actively do not believe what you are trying to teach them. Therefore, identifying a sceptical patient during the patient interview and treatment planning phase is important.
