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Treatment guidelines

Edentulous

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Biologic complications

This is the reversible inflammatory process in the soft tissues around functioning implants. Peri-implant mucositis occurs in almost 60% of subjects (± 30% of sites), restored with implants. Diagnosis is stated by clinical examination: redness, ...

Peri-implantitis
Peri-implant therapy
Local factors
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Treatment guidelines

Edentulous

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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...

Aftercare / follow up
Success & failure
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Treatment guidelines

Edentulous

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Bleeding

Damage of sublingual arteries can lead to intense hemorrhage. Subsequent elevation of floor of the mouth can lead to (fatal) airway obstruction ! An early symptom of sublingual swelling may be a muffled speech. In such situation ensure free airways (intubation, tracheotomy),...

Aftercare / follow up
Success & failure
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Treatment guidelines

Edentulous

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Overdenture retention devices, overview

Attachment selection

The relative merits of different prosthodontic treatment objectives - resilient versus rigid attachments - are controversial and empirical. A resilient retention mechanism is recommended on the assumption that this will protect implants from overload; while in...

Prosthetic materials
Implant prosthetics
Biomechanics and occlusion
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Videos

Ann Wennerberg: On macro-, micro- and nanoscopic aspects of osseointegration

Implant design and implant surface structures have evolved over time and today various versions are available. Dr Wennerberg reviews the evolution of implant surface structures from the orignal Branemark machined Titanium designs to recent nanostructured surfaces, and discusses...
Implant designs
Implant surfaces
Success & failure
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Treatment guidelines

Edentulous

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Intra-operative complications

In the atrophic mandible soft tissues become prominent and the inferior alveolar nerve is located more superficially.
Fractures of the atrophic edentulous mandible can occur during implant insertion. Especially in hard bone...

Implants in compromised sites
Success & failure
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Treatment guidelines

Edentulous

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Submerged or non-submerged

Oral endosseous implants are successful even longterm in the edentulous jaws. After insertion implants osseointegrate. This process is characterized by the development of an intimate bone contact with the implant surface. The direct anchoring of bone to the implant predicts the...

Success & failure
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Treatment guidelines

Edentulous

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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...

Peri-implantitis
Systemic factors
Patient assessment
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Videos

Ken Parrish: Minimizing complications with full-arch immediate provisionalization

What can go wrong when restoring a full-arch with immediate provisionalization ? Dr Parrish gives insight in the most common complications and pitfalls and how they can be avoided. Often failures are due to human errror. Implant component failures are rare, provided premium quality...

Implant prosthetics
Biomechanics and occlusion
Local factors
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Videos

Peter Moy: Managing the patient with multiple missing teeth in the posterior mandible

Focusing on the posterior mandible, Dr Moy reviews aspects of flap design and development, selection of implant design and dimensions, selection of the appropriate loading protocol and discusses the use of guided approach. Soft tissue management should maintain and enhance quality...

Radiology
Guided Surgery
Implant designs
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Videos

Torsten Jemt: Long-term experience of single-tooth implant restorations

The lecture gives insight in experiences with dental implant treatment in the Branemark clinic over a period of > 30 years, with over 8000 patients treated and almost 40.000 implants placed. The first developments focused on esthetics and screw joints, development of standardized...

Implant surfaces
Aftercare / follow up
Success & failure
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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...

Implant surfaces
Systemic factors
Patient assessment
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Videos

Stephen Parel: An overview of treatment solutions for the edentulous patient with a focus on All-on-4

Supported by several clinical case presentations, the lecture presents up-to-date treatment options for edentulous situations and highlights the huge advances dentistry has made over the last decade to treat edentulous patients. Dr Parel explains the advantage of placing tilted imp

Radiology
Edentulous treatments
Implants in compromised sites
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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

Radiology
Implant designs
Implant surfaces