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David Garcia Baeza

Patient cases

Soft tissue management: single tooth rehabilitation

A 28-year-old female patient was referred by an endodontist. The root showed signs of resorption and a long-term survival was questionable. The tooth had to be removed and an immediate implant with an adjacent muco-gingival surgery was placed. 

Edentulous

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Treatment guidelines

Radiological Control

At the beginning of the recall control it is necessary to define the intention of a radiograhical control and if it is needed. Radiological controls are only justified in the presence of certain symptoms, anamnesis and/or clinical examination...

Edentulous

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Treatment guidelines

Closed versus open tray technique

The open tray technique for making a definitive impression is one of two choices (the other being a closed tray impression) in the fabrication of a fixed complete denture. The open tray technique is specifically indicated, when the implants are not...

Edentulous

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Treatment guidelines

Framework trial placement

At this appointment, the prosthesis framework is evaluated for accuracy of fit, appropriate contour to faciltate oral hygiene access and the necessary balance of structural morphology for rigidity/strength and sufficient space to...

Edentulous

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Treatment guidelines

Post operative soft tissue management

After treatment of edentulous patients, there is no need to schedule specific recalls for soft tissue control. Traditional post-operative controls at day 1 - 3, day 7 - 14 and week 4 - 6 after surgery involve soft tissue control and...

Edentulous

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Treatment guidelines

Post-placement

At this appointment, a careful evaluation of the patient's oral hygiene and soft tissue response is performed and adjustments made as needed. A daily home-care program must be customized to the individual's ability to clean the...

Edentulous

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Treatment guidelines

Placement

Placement of a provisional prosthesis takes place by attaching the conversion denture (either patient's exisiting prosthesis or a new conversion denture) to the implants or to implant abutments. The provisional prosthesis can be...

Edentulous

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Treatment guidelines

Trial placement

The trial placement appointment is a significant one for successful edentulous patient care. It will be the first time that dentist and patient can see what has been created in the laboratory; and a decision will then be one...

Edentulous

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Treatment guidelines

Maxillo-mandibular relations

One goal in the treatment of the fully edentulous patient is to re-establish the maxillo-mandibular relation in the transversal and sagittal dimensions comprising adequate facial height. The occlusal contact situation be...

Edentulous

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Treatment guidelines

Impression - parallel vs non-parallel implants

It is important to evaluate whether the implants are parallel to each other. If the implants are fairly parallel to each other (Fig 1) a closed tray impression technique can be employed. Since the implants are parallel to each other, the polymerized...

Edentulous

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Treatment guidelines

Splinted vs unsplinted impression copings

In vitro research studies have compared splinted versus unsplinted impression techniques and have, in general, shown that the splinted impression technique yields more accurate master casts when compared to a reference...

Edentulous

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Treatment guidelines

Impressions - overview

The goals of an impression are to accurately capture tissue contours necessary and relevant for fabrication of a prosthesis that adapts well to mucosa or a prosthesis that fits well and passively on implants...

 

Edentulous

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Treatment guidelines

Fixed Implant Prosthesis Clinical Protocol

A fixed implant prosthesis is completely anchored and supported by dental implants. There are different terms used to describe a fixed implant prosthesis, such as fixed complete denture, fixed detachable prosthesis, the hybrid prosthesis, or the...

Edentulous

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Treatment guidelines

Implant overdenture maintenance

The objective of systematic periodic recalls for patients wearing overdentures are three-fold...

Edentulous

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Treatment guidelines

General health check

Patient health can change considerably over time - therefore at every recall visit, check and get updated information on general health of patient, and if needed adapt maintenance policy adequately. Information (for example a poster)...