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Treatment guidelines

Edentulous

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Risk assessment & special high risk categories, overview

A thorough risk assessment forms the cornerstone of successful patient treatment. Four key sources of information permit the clinician to identify pertinent risks and to determine the seriousness of each risk...

Local factors
Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Local history

The key questions in a complete anamnesis are related to: mouth opening, salivary output, presence of mucosal diseases, gingival health, signs of previous periodontal surgeries, tooth hypermobility, TMJ problems, orthodontic...

Temporomandibular Joint
Local factors
Systemic factors
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Treatment guidelines

Edentulous

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General patient history

It is helpful if a clinician is situated so that his/her eyes are at the level of the patient's eyes. For example, if the patient is seated, the clinician should also be seated. It is beneficial if the interview between clinician and...

Systemic factors
Patient assessment
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Treatment guidelines

Edentulous

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Patient Demand

In order to provide adequate treatment and meet patient satisfaction, it is crucial to evaluate patient expectations. These expectations normally fall into one or more of four categories: function, comfort, esthetics and...

Local factors
Patient assessment
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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

Andrea Mombelli: Peri-implant anti-infective therapy

Peri-implantitis is an infection around implants associated with the presence of submucosal bacterial biofilm, with the biofilm microorganisms adhering and hiding on irregular surface structures such as the rough implant surface, crown margin areas and unfavorably designed...
Peri-implantitis
Aftercare / follow up
Peri-implant therapy
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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

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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Patient cases

Single all-ceramic crown to replace discoloured right central incisor crown

A 56-year-old female patient was bothered by the darker shade of her right central incisor crown in comparison to the adjacent teeth. To fulfill the patient's need, a single-hand veneered zirconia crown was chosen as a treatment.

Single and multi-unit restorations
Esthetic zone prosthetics
Prosthetics on natural teeth
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Patient cases

Maxillary central incisor all-ceramic crown

A 23-year-old female patient presented herself with a traumatically injured maxillary central incisor. The tooth had been bonded multiple times unsuccessfully with resin. An all-ceramic E-max crown was selected as the treatment option.

CAD/CAM
Prosthetic materials
Prosthetics on natural teeth
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Patient cases

Single implant crown adjacent to metal-ceramic crowns

A 47-year-old female patient referred by her periodontist who was not satisfied with her gingival health. Metal-ceramic crowns with ceramic margins on the natural teeth along with placement of a custom abutment and cementation of a metal-ceramic crown on the implant were chosen.

Prosthetic strategies
Implant prosthetics
Single and multi-unit restorations
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Patient cases

Replacement of maxillary lateral incisor metal-ceramic crown with an all-ceramic crown

A 49-year-old female patient was unsatisfied with the high opacity of her right lateral incisor. The existing metal-ceramic crown was replaced by an IPS Empress all-ceramic crown. The crown was bonded with a resin cement.

Prosthetic strategies
Prosthetic materials
Single and multi-unit restorations
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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
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Patient cases

Six maxillary anterior all-ceramic crowns

A 39-year-old female patient presented with the extensive incisal wear of the maxillary incisors due to an occlusal habit that exposed large areas of dentin created some sensitivity and produced short teeth that the patient did not like.

CAD/CAM
Prosthetic materials
Biomechanics and occlusion