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Treatment guidelines

Edentulous

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Hard tissue management - mandible

The scientific literature shows that short implants with a length of ≥ 6 mm are able to support prosthetics in the edentulous mandible. After tooth removal the mandible displays different degrees of atrophy (Fig 1&2). Regarding hard tissue management...

Radiology
Bone grafting and regeneration
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Treatment guidelines

Edentulous

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Need for grafting

There are three main indications for grafting from an anatomical perspective...

Radiology
Bone grafting and regeneration
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Treatment guidelines

Edentulous

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Hard tissue management - maxilla

3-D imaging seems the best option unless clinical examination reveals an ample bone volume. The bone quality can be derived from density measurements if CT scan images are available or approximately from the trabecular pattern of 2-D images. Pano....

Radiology
Bone grafting and regeneration
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Checklists

Close OR

Primary responsibility: Nurse/Dental Assistant
Timing: End of the day
Location: OR/Surgical Suite/Operatory
Comments: Refers to one room (not patient); only performed 1x per day

Radiology
Digital workflow
Guided Surgery
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Treatment guidelines

Edentulous

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Alveolar atrophy and insufficiency

Teeth extractions are followed by a reduction of the bucco-lingual as well as the vertical dimension of the residual alveolar ridge. The ensuing resorption is progressive and even the basal jaw may become involved. In the lower jaw, the....

Radiology
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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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...

Radiology
Aftercare / follow up
Peri-implant therapy
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Treatment guidelines

Edentulous

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CT

Tomography represents 2-D images of a slice through an object. Computerized tomography (CT) can produce virtual slices and conventional CTs take slice by slice and the machine stops and moves in between slices. Spiral/helical CTs are continuous scans in a...

Radiology
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Treatment guidelines

Edentulous

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CBCT

Radiation source collimated at its source and then di­verges into a fan shape to reach detectors. This results in a cone beam.
Pixel (picture + element) is the smallest single component of a 2-D image, whereas a voxel is the small­est element...

Radiology
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Treatment guidelines

Edentulous

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Panoramic radiographs

When obtaining a panoramic film, one must be aware of the importance of following proper technique and carefully positioning the patient's skull between the X-ray generator and the film. Rotation of the film and radiation source often occurs along a...

Radiology
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Treatment guidelines

Edentulous

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Intra-oral radiographs

Intra-oral radiography can provide sufficiently diagnostic information regarding a dentition and also, in many instances, also yield the necessary pre-surgical planning information for implant surgery. If panoramic radiography is not available...

Radiology
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Treatment guidelines

Edentulous

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Imaging tools overview

Because any form or radiation can impose a risk, patient history and clinical examination should be performed first to ensure that the right kind of imaging is sought and unhelpful imaging is avoided.
The four main types of imaging tools utilized, and...

Radiology
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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...

Radiology
Digital workflow
CAD/CAM
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Videos

Tristan Staas: Immediate placement - unbelievable or unpredictable ?

In comparison to the natural tooth the implant does not have a periodontal ligament which supports vascularization of the bone and the gingival attachment. Therefore especially the buccal plate at an implant site is subject to resorption. Dr Staas emphasizes the importance of an...

Radiology
Immediate implant placement
Anterior implants
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Videos

Björn Klinge: Is there a connection between previous periodontitis and later peri-implantitis

A consensus statement is an agreement on currently available knowledge and may shift over time based on new evidence. Today there are solid data that there is an association between history of periodontitis and later peri-implant inflammation and infection. However this finding...

Radiology
Peri-implantitis
Aftercare / follow up
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Videos

Gerard Chiche: Esthetic parameters to achieve esthetic excellence

The presentation gives a close look at a systematic approach, how to plan implant restorations step by step, from an esthetic perspective. It is an esthetic-occlusal system and applied in a way that the interdisciplinary team has a common ground. Supported by several clinical...

Radiology
CAD/CAM
Immediate implant placement