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Treatment guidelines

Single tooth

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Posterior Solution

With the development of the NB posterior solution the ability to restore posterior dentition in a predictable, esthetic, functional and cement free option is available. The component parts of the system are: The NobelActive WP (Wide Platform) implant, PEEK anatomic-shaped...

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Treatment guidelines

Single tooth

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Single tooth efficiency model (STEM)

Special attention should be paid on oral hygiene, health condition of adjacent teeth (active caries lesions, former restorative treatment, periodontal status) and other oral tissues (remaining alveolar bone volume, pathology within alveolar bone, mucosa...

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Treatment guidelines

Single tooth

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Abutment and material selection, final restoration, posterior zone

Following the placement of an end osseous implant the clinician will need to decide on the choice of retention for the final restoration. When there is a choice one will need to choose from the cement or screw retained options. The advantages and disadvantages have be...

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Treatment guidelines

Single tooth

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Abutment and material selection for provisionalization, posterior zone

The first choice the clinician will be faced with once the implant is placed is to whether to immediate load the implant. This decisions is related to the implant stability, implant relationship to hard and soft tissue, esthetics, functional demands, occlusion, patient...

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Treatment guidelines

Single tooth

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Implant position (posterior zone)

Prior to implant placement in the posterior site, a thorough radiographic examination by means of panoramic x-ray and/or dental CT or CBCT scan is recommended. This allows visualization of possible anatomic pitfalls, bone quantity and neuro-vascular...

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Treatment guidelines

Single tooth

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Implant design and implant selection, posterior zone

In the posterior jaw areas, tooth loss is usually associated with alveolar bone resorption and sinus pneumatization or alveolar nerve superficialization. Today, the most commonly used implant design is a tapered body, with a moderately rough implant surface, and conical...

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Treatment guidelines

Single tooth

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Abutment and material selection, final restoration, esthetic zone

After some period of healing and soft tissue manipulation, the temporary abutment is replaced with a final abutment in preparation for the final restoration. Often, a final abutment can be placed at the time of provisionalization, and therefore the abutment and any attached soft...

icon-treatment_guides_article

Treatment guidelines

Single tooth

TG2_3230_thumb_Abutment-and-material-selection-copy.png

Abutment and material selection for provisionalization, esthetic zone

The first choice the clinician will be faced with once the implant is placed is to whether to immediate load the implant. This decisions is related to implant stability, implant relationship to hard and soft tissue, esthetics, functional demands, occlusion...

icon-treatment_guides_article

Treatment guidelines

Single tooth

TG2_3220_thumb-tapered-implant-placement.png

Implant position esthetic zone

Prior to implant placement a thorough radiographic (e.g. conventional/panoramic x-ray, CT scan, cone beam CT) and clinical evaluation (Angle's class, adjacent teeth, gingival biotype, recessions, mesiodistal width) is indicated. Anatomic landmarks of...

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Treatment guidelines

Single tooth

TG2_3210_thumb-Choice-of-implant.png

Implant design and implant selection

Today, the most commonly used implant design is a tapered screw, with a moderately rough implant surface, thus facilitating one-stage surgical procedures and allowing for immediate or early loading protocols. A root-form implant design with a variable-threaded geometry, and a...

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Videos

Chandur Wadhwani: The impact of cement, its techniques and protocols for long term outcomes

Residual cement is considered a main causal risk factor for peri-implant disease. Cement remnants causing microbial activity, immune reaction, allergic response, activation of titanium surface may be the route by which bone is lost around implants. Dr Wadhwani discusses the...
Peri-implantitis
Implant prosthetics
Fixed prosthetics
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Treatment guidelines

Single tooth

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Angulated Screw Channel system (ASC)

The ability to correct implant deviation from the long axis of ideal tooth position with angled abutments and custom abutments is well documented. With the custom abutment it many times results in a cement retained final restoration. Current evidence suggests there may be an...

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Treatment guidelines

Single tooth

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Screw-retained vs. cement-retained

The choice of whether to screw or cement retain an implant restoration remains one considerable debate amongst dental professionals. The literature is consistent that the success of both options are very high. Complication rates of both are essentially...

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Treatment guidelines

Single tooth

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Healed or fresh extraction socket

Single-tooth implants are often immediately placed after extraction of incisors, canines and bicuspids. Careful tooth removal with preserved bone socket walls and infection control provide for such an approach, often with immediate or early loading. Extracted molars...

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Treatment guidelines

Single tooth

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Submerged vs non-submerged

Oral endosseous implants are successful even long-term in the single-tooth situation. At insertion the primary implant stability is obtained by mechanical fixation. The secondary implant stability will result from osseointegration, a process characterized by the development of...