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Edentulous

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Treatment guidelines

Skeletal consequences of edentulism

Teeth loss in the maxilla initiates residual ridge/alveolar resorption, especially in the anterior region, which is flared labially. The consequences of this resorption is a gradual medial or palatal shift of the crest of the maxilla. This...

Edentulous

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Treatment guidelines

Comprehensive treatment concepts, Zygomatic implants

Conventional dentures are a common treatment option, but, when bone is missing, they may not meet functional, psychological and social needs of the individual. Classical surgical approaches include different...

Edentulous

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Treatment guidelines

Anatomical location

Oral implants are usually placed in the mandibular and maxillary bone and sometimes in additional bone structures such as the zygomatic, pterygoid or vomer bone. In order to identify relevant anatomical structures, diagnostic evaluation of the anatomy...

Edentulous

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Treatment guidelines

Digital treatment planning protocols, NobelClinician

The NobelClinician™ software solution is a digital tool for diagnostics, treatment planning and patient communication. Patient scans are integrated in the software for identification, mapping and diagnosis of anatomical structures. In a terminal dentition...

Edentulous

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Treatment guidelines

Framework materials

A commonly used option for fixed restorations is a metal or zirconia framework with ceramic or acrylic veneering. The amount of alveolar bone resorption determines whether teeth or teeth and soft tissue must be replaced...

Edentulous

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Treatment guidelines

Comprehensive treatment concepts, Pterygoid implants

In the edentulous upper jaw the placement of implants can be challenging due to limited bone quantity and the presence of the maxillary sinus. Pterygoid implants have high success rates, similar bone loss levels to those of ...

Edentulous

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Treatment guidelines

Overarching considerations

The primary goal is a proper oral function. This implies not only chewing but also speaking, smiling. Patients’ adaptability varies enormously. Some are satisfied with removable dentures, others object to the esthetics of...

Edentulous

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Treatment guidelines

Cement-retained restorations, overview

Cement-retained restorations are a traditional design to attach a restoration (crown, bridge) to an implant-retained abutment, similar to cementing a crown or bridge restoration on a natural tooth. With the traditional, relatively...

Edentulous

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Treatment guidelines

Screw-retained restorations, overview

Screw-retained restorations are designed to be screwed either directly onto the implant or onto a screw-retained abutment positioned on the implant (Multi-unit Abutment). Screw-retained restorations represent a secure and easy way to...

Edentulous

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Treatment guidelines

Veneering with Acrylic

Frameworks are veneered with veneering materials, to design the esthetics and shape of the definitive restoration. Framework material options for acrylic veneering include titanium, (CrCo) Cobalt - Chrome and precious alloys...

Edentulous

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Treatment guidelines

Veneering with Ceramic

Frameworks can be made from titanium, zirconia, precious alloys and Co-Cr base alloys and can be cement-retained or screw-retained. With minimal bone resorption, a ceramo-metal restoration is preferable to accommodate interarch...

Edentulous

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Treatment guidelines

Abutment materials

Implant-based prostheses can be cement-retained, screw-retained or a combination of both (Fig 1). By definition, an abutment is a component that is intermediate between the implant and the restoration and it is usually screw...

Edentulous

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Treatment guidelines

Primary splinting

Implant supported overdentures are an evidence-based treatment option for edentulous patients leading to a significantly increased quality of life.
There are various retention elements available which connect the implants directly...

Edentulous

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Treatment guidelines

Secondary splinting

Implant overdentures are an excellent treatment option for edentulous patients and lead to significant improvement of quality of life. There are various options for their retention mechanism...

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Edentulous

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Treatment guidelines

All-on-4® treatment concept

Patients wearing complete dentures often suffer from esthetic and functional discomfort and compromised denture retention and chewing function. Denture adhesives are often applied. Many patients perceive this...