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Edentulous

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Treatment guidelines

Osteoporosis

Osteoporosis is a frequent disease affecting predominantly postmenopausal women. The prevalence is 7% in women aged 55 and raises to 19% in women aged 80. Osteoporosis is diagnosed by a decreased radiologic bone density (DXA-score). Primary osteoporosis is more...

Edentulous

Diabetes.png

Treatment guidelines

Diabetes

Diabetes refers to metabolic diseases where blood sugar levels are too high, a condition termed hyperglycemia, and where symptoms as increased hunger, weight loss, more frequent urination, weakness and fatigue and excessive thirst are observed. High...

Edentulous

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Treatment guidelines

Recreational drugs and alcohol abuse

It is important to evaluate signs indicating if the patient abuses alcohol or takes recreational drugs and may have developed addictions. In general these drugs have a psychedelic,...

Edentulous

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Treatment guidelines

Drug abuse

The medical history should reveal if the patient takes any prescribed medication and especially whether in the correct dosage. Fear of oral surgery may induce a temporary overconsumption of drugs such as beta-blockers or...

Edentulous

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Treatment guidelines

Smoking

Smoking and nicotine consumption have a constrictive effect on blood vessels thereby reducing blood supply. It increases the susceptibility to periodontal inflammatory diseases, dry extraction sockets and wound healing...

Edentulous

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Treatment guidelines

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...

Edentulous

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Treatment guidelines

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...

Edentulous

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Treatment guidelines

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...

Edentulous

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Treatment guidelines

General patient history

It is helpful if a clinician is situated so that his/her eyes are at the level of the patient's eyes. For example, if the patient is seated, the clinician should also be seated. It is beneficial if the interview between clinician and...

Vorschaubild

Videos

Björn Klinge: Is there a connection between previous periodontitis and later peri-implantitis

A consensus statement is an agreement on currently available knowledge and may shift over time based on new evidence. Today there are solid data that there is an association between history of periodontitis and later peri-implant inflammation and infection. However this finding...

Vorschaubild
Regina Mericske-Stern

Videos

Regina Mericske-Stern: Failing teeth and implants - great variety of treatment options

The lecture discusses the different reasons, why patients loose teeth and the various options for treatment with implant supported restorations. The aspects which need to be considered comprise the reason of tooth loss such as caries, perio disease or apical lesions, and prosthetic...

Vorschaubild
Sreenivas Koka

Videos

Sreenivas Koka: Systemic considerations in the context of osseointegration

The lecture discusses fundamental systemic health challenges and their impact on osseointegration, and reviews the influence of diabetes, osteoporosis, smoking, bisphosphonates and radiation therapy. Dr Koka presents the concepts of osseointegration and osseosufficiency, as well as...

Vorschaubild
Ole Jensen

Videos

Ole Jensen: Case history All-on-4

The lecture presents an All-on 4 treatment in a complex case, on a patient with Huntingtons chorea with constant parafunction. The anatomic challenges comprise unfavorable biomechanics, alveolar mandibular hypertrophy and super-erupted lower teeth, absence of maxillary alveolar bon

Andrew Dawood

Patient cases

Custom-made implants - avoiding a free flap

A 47-year-old male patient diagnosed with a maxillary osteosarcoma, treated with excision, leaving a large oro-antral / oro-nasal fistula. He had to wear an obturator which leaked and was uncomfortable, affecting speech & function with a severe impact on his quality of life.

Vorschaubild

Videos

Torsten Jemt: Long-term clinical documentation on dental implants

The lecture gives insight in implant related dentistry over a long-term follow-up period of over 25 years with over 9000 patients treated and 32000 placed implants. Video part 1 reviews implant-, protocol-, maintenance and patient-related topics. The change from machined to treated