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Edentulous

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Treatment guidelines

Probing

Radiographical check-ups to evaluate bone levels cannot be repeated too often to avoid unnecessary radiation. Monitoring the overlying soft tissues may help to identify eventual problems of the underlying bone, although the correlation...

Edentulous

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Treatment guidelines

Occlusion

A universally accepted definition of ideal occlusion has been elusive. This is because an ideal occlusion can only be defined in broad terms of a physiological range of form and function. Functional aspects of occlusion, rather than specific anatomical...

Edentulous

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Treatment guidelines

Existing prosthesis

Examination of existing dentures provides invaluable information on patients’ perceptions of teeth and soft tissue esthetics, including facial vertical dimension support. It also informs clinicians regarding their patients’ overall...

Edentulous

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Treatment guidelines

Overdenture Clinical Protocol

Successful oral rehabilitation of edentulous patients with removable prostheses demands careful adherence to a clinical protocol.
Clinical objectives are met by using a routine clinical protocol that includes most or all of the following steps...

Edentulous

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Treatment guidelines

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...

Edentulous

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Treatment guidelines

Radiotherapy

Radiotherapy

Rehabilitation of patients with oral cancers is usually done in a combined way with surgical, chemo- and radio-therapy. Radiotherapy predisposes to fibrotization, ischemia and xerostomia. The latter side-effect renders mucosally supported dentures even more difficult to...

Edentulous

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Treatment guidelines

BRONJ / ARONJ

A critical side effect in the oro-maxillo-facial region observed in patients undergoing administration over a long period of time and especially intravenously, bisphosphonate therapy may predispose to ‘bisphosphonate-related osteonecrosis of the...

Edentulous

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Treatment guidelines

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...

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Armando Lopes

Videos

Armando Lopes: Minimally invasive surgical protocols

Oral implant surgical procedures may comprise grafting and flap procedures and subsequently cause prolonged treatment and healing periods as well as chance of pain and morbidity for the patient. In this presentation Dr Lopes highlights that with the know-how, expertise, and the...
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Iñaki Gamborena
Luc Rutten

Videos

Iñaki Gamborena and Luc Rutten: Key technical considerations for soft tissue integrity and associated optimal esthetic outcomes

The lecture reviews the treatment of a failed bridge restoration supported by implants and natural teeth. Dr Gamborena and L Rutten explain the treatment sequence and the cooperation between the clinic and the dental lab. The lecture discusses patient motivation, treatment options...

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Videos

Eric van Dooren: Key surgical considerations for soft-tissue integrity and associated optimal esthetic outcomes

The presentation explains the treatment approach and treatment steps in a complex unilateral case with two fractured upper central and lateral teeth. Dr van Dooren reviews the diagnostic tools and highlights the additional insights patient videos can provide e.g. regarding the...

Enrico Agliardi
Matteo Clericó

Patient cases

Bimaxillary full arch rehabilitation on four implants

A 64-year-old male patient complained about the poor masticatory performance of his partial removable dentures. An All-on-4® treatment concept was chosen as a restorative solution in the upper and lower jaw.

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Videos

Bernard Touati, Jean-Marc Etienne: Implant esthetics in the digital age

Over the recent years dentistry has undergone a considerable evolution, providing new technologies and materials, and become more digital. The challenge and opportunity is to combine digital technologies, esthetics and function. Dr Touati and Jean-Marc Etienne discuss long distance...

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David A Gelb

Videos

David Gelb: Long term results and unique benefits with immediate implants

Based on a 24 year long term experience with over 12.000 implants placed, 6.000 of them with immediate placement protocol, and almost 2.000 implant restored with immediate loading protocol over 12 years, Dr Gelb presents a review of success rates and the unique benefits when using...
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Jose M. Navarro

Videos

José Navarro: The art of immediate molar implant placement

Understanding of well established biological principles is critical for low invasive and esthetic implant treatment procedures. Immediate implant placement in the esthetic zone is a treatment option performed on a regular basis. Dr Navarro explores immediate implant placement...