Possible causes:Wound dehiscence/adaptation, insufficient suturing, patient unrest or non-compliance, damaged vessel, anticoagulant medication Management: Compression of the wound for > 10 minutes, re- and additional suturing, modulate...
Single tooth
Treatment guidelines
Oral hygiene instructions
All tissue, restoration and accessible 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, implant...
Single tooth
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...
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...
Single tooth
Treatment guidelines
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...
Single tooth
Treatment guidelines
Systematic recall/review
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...
Single tooth
Treatment guidelines
Esthetic and functional check
Because many patients are anticipating an ideal esthetic and functional outcome, proper preparation of the patient’s expectations during the treatment planning phase is imperative. Afterwards, during treatment and follow-up, occasionally...
Single tooth
Treatment guidelines
Post-surgical recommendations
Inform patient about adequate actions after surgery. Leave around the clock emergency contact numbers in case of urgent complications. Plan or delegate to the referring dentist postoperative recall visits, at day 1 or 2, day 8 - 14 and 4 – 6 weeks...
Single tooth
Treatment guidelines
Medication
Depending on type and size of surgical intervention the patient might need or appreciate adequate medication against pain and swelling, for example Paracetamol, Acetylsalicylic acid (ASA), or of the non-steroidal anti-inflammatory drug...
Single tooth
Treatment guidelines
Recreational Drug 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...
Single tooth
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...
Single tooth
Treatment guidelines
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. There is clinical evidence...
Single tooth
Treatment guidelines
Steroids
A steroid is an organic compound and a type of lipid substance. Steroids play a critical role in metabolism, for example, as the dietary fat Cholesterol, as bile acids or as steroid hormones (e.g. Cortisone/Glucocorticoids, Estrogens, Testosterone). The more complex...
Single tooth
Treatment guidelines
MRONJ
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 jaw’...
Single tooth
Treatment guidelines
Bisphosphonates
Bisphosphonates (BP) inhibit osteoclast activity and remain in the bone for a prolonged period. Bisphosphonates are the most commonly prescribed drugs to treat osteoporosis, bone fragility disorders, like Paget’s disease, osteogenesis imperfecta...