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Treatment guidelines

Edentulous

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Placement of implants - Angulation

The primary goal of angulated implant placement concepts is the implant-based prosthodontic rehabilitation of the edentulous maxilla and mandible and avoiding grafting procedures and thereby offering a more simple and less invasive treatment...

Edentulous treatments
Implants in compromised sites
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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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Wound closure

Wound closure ensures and accelerates wound healing by protecting the site and influencing migration of keratinocytes over the granulation tissue. Some wound eversion maximizes epidermal approximation. Square knots, with two ties in one direction and a reverse...

Soft tissue management
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Treatment guidelines

Edentulous

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Flap or flapless

Flapless implant surgery is a minimally invasive procedure that can be performed either using guided surgery or custom fabricated surgical guides made of casts taken at the first patient visit. Several clinical papers reported excellent short- and long...

Radiology
Guided Surgery
Edentulous treatments
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Treatment guidelines

Edentulous

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Probing

Radiographical check-ups to evaluate bone levels cannot be repeated too often to avoid unnecessary radiation. Monitoring the overlying soft tissues may help to identify eventual problems of the underlying bone, although the correlation...

Aftercare / follow up
Peri-implant therapy
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Treatment guidelines

Edentulous

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Muco-gingival junction

The gingiva is tightly connected to the underlying periosteum. It is globally keratinized and has a stippled surface. Its color varies from pink to brown or even black, depending on race and/or melanin deposits. It can be distinguished from alveolar mucosa, which...

Soft tissue management
Patient assessment
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Treatment guidelines

Edentulous

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Mouth opening

Most patients’ mouth opening readily permits access for routine prosthodontic and surgical treatment interventions. Limited mouth opening or microstomia is encountered in patients exposed to sclerodermia, diffuse systemic...

Temporomandibular Joint
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Diabetes

Diabetes refers to metabolic diseases where blood sugar levels are too high, a condition termed hyperglycemia, and where symptoms as increased hunger, weight loss, more frequent urination, weakness and fatigue and excessive thirst are observed. High...

Systemic factors
Patient assessment
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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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Treatment guidelines

Edentulous

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Age

Edentulism as a consequence of (sub)total agenesis of deciduous and/or permanent teeth in children and adolescents is extremely rare. It is commonly a component of a generalized underlying condition such as ectodermal dysplasia. There are...

Fixed prosthetics
Removable prosthetics
Local factors
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Patient cases

Replacement of a fixed partial denture with three implants

A 52-year-old female patient is a referral and has been wearing an immediate provisional partial denture. Implant placement has been planned with a simultaneous GBR procedure.

Radiology
CAD/CAM
Posterior implants
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Videos

Iñaki Gamborena and Luc Rutten: Key technical considerations for soft tissue integrity and associated optimal esthetic outcomes

The lecture reviews the treatment of a failed bridge restoration supported by implants and natural teeth. Dr Gamborena and L Rutten explain the treatment sequence and the cooperation between the clinic and the dental lab. The lecture discusses patient motivation, treatment options...

Radiology
CAD/CAM
Anterior implants
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Videos

Eric van Dooren: Key surgical considerations for soft-tissue integrity and associated optimal esthetic outcomes

The presentation explains the treatment approach and treatment steps in a complex unilateral case with two fractured upper central and lateral teeth. Dr van Dooren reviews the diagnostic tools and highlights the additional insights patient videos can provide e.g. regarding the...

Radiology
CAD/CAM
Immediate implant placement
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Videos

David Gelb: Long term results and unique benefits with immediate implants

Based on a 24 year long term experience with over 12.000 implants placed, 6.000 of them with immediate placement protocol, and almost 2.000 implant restored with immediate loading protocol over 12 years, Dr Gelb presents a review of success rates and the unique benefits when using...
Immediate implant placement
Bone grafting and regeneration
Soft tissue management
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Videos

José Navarro: The art of immediate molar implant placement

Understanding of well established biological principles is critical for low invasive and esthetic implant treatment procedures. Immediate implant placement in the esthetic zone is a treatment option performed on a regular basis. Dr Navarro explores immediate implant placement...

Immediate implant placement
Posterior implants
Bone grafting and regeneration