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Treatment guidelines

Edentulous

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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...

CAD/CAM
Prosthetic strategies
Prosthetic materials
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Treatment guidelines

Edentulous

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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...

Edentulous treatments
Implants in compromised sites
Immediate loading / provisionalization
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Videos

Ole Jensen: Tissue engineering for the edentulous maxilla

Based on the tissue engineering principle, that bone cannot only regenerate, but can take a shape and size greater than the epigenetic milieu, the lecture reviews various surgical options to increase the ridge volume with a focus on alveolar split techniques and BMP-2/ACS...

Posterior implants
Implants in compromised sites
Sinus augmentation
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Treatment guidelines

Edentulous

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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 present an alternative option to use residual bone for implant anchorage and to overcome the need for...

Posterior implants
Implants in compromised sites
Success & failure
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Treatment guidelines

Edentulous

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Zygomatic implants

Indications

Zygomatic implants have been documented as a an alternative for the rehabilitation of the atrophic posterior maxilla with both the classical two stage and immediate loading protocols. Zygomatic implants avoid grafting and sinus lift procedures and therefore contribut

Posterior implants
Implants in compromised sites
Success & failure
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Treatment guidelines

Edentulous

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Sinus lifting

Less than 4-6 mm of vertical residual bone height in the posterior segment of the maxilla is an indication for a sinus augmentation procedure [Esposito]. The external access to the maxillary sinus is carried out at a lateral buccal alveolar...

Posterior implants
Sinus augmentation
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Patient cases

Esthetic and functional aspects in a full mouth rehabilitation

A 62-year-old male patient with a long history of periodontitis which resulted in extensive gingival recessions compromising the aesthetics. The treatment plan involved a combination of implant-and tooth-supported restorations.

Radiology
Posterior implants
Bone grafting and regeneration
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Videos

Georg Watzek: The sinus lift procedure for the edentulous patient - risky overtreatment or reliable necessity

Dr Watzek compares implant treatment with and without sinus lift augmentation procedures from the aspects: relative and absolute contra-indications, intra-operative risks, treatment time frame, success rate and cost. As a general rule, the smaller the surgical intervention, the...
Guided Surgery
Edentulous treatments
Implants in compromised sites
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Videos

Philippe Hujoel: Improving dental implant care through quality control procedures

Demand for quality performance measures is increasing in many professions, including medical and dental procedures. Patients, insurance providers and governments request reliable data for adequate evaluation of treatment procedures, medical device performance, treatment result...
Implant designs
Aftercare / follow up
Success & failure
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Videos

Tristan Staas, Michiel Wouters: Custom esthetics powered by NobelProcera

Dr Staas and Michiel Wouters discuss the team approach between lab and clinician from an esthetic, biological, predictability and reliability perspective. They review material selection and restoration design aspects, such as CAD/CAM and Zirpress techniques, emergence profile...
Radiology
CAD/CAM
Implant designs
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Videos

Paulo Malo: Full-arch rehabilitation of edentulous patients with the All-on-4® treatment concept

Dr Malo presents an overview over the principles of the All-on-4® treatment concept with a focus on the prosthetic options and design characteristics. The All-on-4® treatment main principles comprise: 4 implants for full arch rehabiliation, avoid implants in the (maxillary)...
Radiology
Edentulous treatments
Prosthetic materials
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Videos

Stephen Parel: Prosthetic complications

Hybrid restorations are an excellent restorative procedure in combination with the All-on-4® treatment concept. Dr Parel reviews some of the main complications which can occure when implementing this concept and how to solve them, e.g. management of the transition line in patients...
Radiology
Implant prosthetics
Immediate loading / provisionalization
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Videos

Sreenivas Koka: Assessment of bone quality relevant for marginal bone integrity ?

The lecture discusses in how far the assessment of marginal bone can be a suitable measure for bone integrity and implant oesseointegration. Dr Koka reviews aspects of definition of bone quality and the concept of osseo-sufficiency, and shows that we still are influenced by biases...
Implant surfaces
Peri-implantitis
Systemic factors
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Videos

David Nisand: Short implants for limited bone volume

The rehabilitation of the resorbed jaw remains a surgical and prosthetic challenge. This may involve the modification of the bone to allow for placement of dental implants, or alternatively the use of short implants. EAO consensus defines short implants as implants with an intrabon

Anterior implants
Posterior implants
Implants in compromised sites
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Videos

Patrick Palacci: Why use narrow implants ?

Replacement of missing lateral incisors is a routine indication for narrow implants. Dr Palacci suggests and discusses much broader use of narrow implants, e.g. in cases with narrow ridges, limited amount of bone or concavities. Use of narrow implants is a low invasive treatment...
Implant designs
Anterior implants
Posterior implants