- 0.1 Patient Demand
- 0.2 Anatomical location
- 2.1 General patient history
- 2.2 Local history
- 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
- 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
- 2.1 Treatment planning
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
- 3.1 Treatment procedures general considerations
- Plan a regular recall control appointment, preferably at least every 6 months.
- In situations of compromised patient health and/or oral hygiene, increase recall frequency and hygiene measures.
- Evaluate whether patient expectations have been met and quality of life improved.
- Examine the condition of soft and hard tissue and prosthetic components and render necessary maintenance.
Regular recall controls - important for long-term treatment success
To achieve good long term results, regular recall control appointments should be scheduled. Ideally, recall appointments take place at least every 6 months for a systematic review of general health, medication and oral condition of the patient. Depending on motivation and oral hygiene level, the clinician may consider an increased frequency of recall visits.
Check list for important recall visit activities
- Are patient expectations and quality of life aspects met?
- Evaluate general health of the patient, patient compliance and oral hygiene
- Professional prophylaxis by dentist, hygienist, or assistant.
- Check for loose restorations (de-cementation, broken or loose screws)
- Check for wear, chipping and fracture of restoration elements
- Check occlusion and function
- Examine for signs of inflammation, infection, swelling, exudate, pus, pain, bleeding, plaque, peri-implantitis and/or mucositis
- Obtain radiographs at appropriate time frames based upon recall or presence of concerning signs/symptoms
- Review medication and update changes to medication history accordingly
- Schedule next recall visit
Single implants and their restoration
In a contemporary dental practice implant dentistry should be recognized as an accepted treatment modality based on decades of success. Consequently, clinicians who provide implant surgical and/or prosthodontic treatment should develop and routinely provide patients with a dental implant oral hygiene maintenance protocol to ensure the longevity of the treatment provided. In addition, clinic staff and implant patients themselves should be advised that research has shown maintaining peri-implant tissue health is a key factor related to the long-term survival of dental implants. Furthermore, the maintenance procedures for a dental implant patient will differ in some respects from the program provided for fully dentate patients.
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