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Treatment guidelines

Single tooth

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General health check

Patient health can change considerably over time - therefore at every recall visit, check and get updated information on general health of patient, and if needed adapt maintenance policy adequately. Information (for example a poster)...

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Treatment guidelines

Single tooth

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Professional oral hygiene

The regular recall control appointment, at least every 6 months, should comprise a hygiene check by the dental/oral hygienist or other auxiliary, and include professional cleaning of the restoration, prosthetic components, sulcus and any...

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Treatment guidelines

Single tooth

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Systematic recall/review

To achieve good long term results, regular recall control appointments should be scheduled. Ideally, recall appointments take place at least every 6 months for a systematic review of general health, medication...

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Treatment guidelines

Single tooth

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Esthetic and functional check

Because many patients are anticipating an ideal esthetic and functional outcome, proper preparation of the patient’s expectations during the treatment planning phase is imperative. Afterwards, during treatment and follow-up, occasionally...

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Treatment guidelines

Single tooth

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Post-surgical recommendations

Inform patient about adequate actions after surgery. Leave around the clock emergency contact numbers in case of urgent complications. Plan or delegate to the referring dentist postoperative recall visits, at day 1 or 2, day 8 - 14 and 4 – 6 weeks...

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Treatment guidelines

Single tooth

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Medication

Depending on type and size of surgical intervention the patient might need or appreciate adequate medication against pain and swelling, for example Paracetamol, Acetylsalicylic acid (ASA), or of the non-steroidal anti-inflammatory drug...

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Treatment guidelines

Single tooth

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Recreational Drug and Alcohol Abuse

It is important to evaluate signs indicating if the patient abuses alcohol or takes recreational drugs and may have developed addictions. In general these drugs have a psychedelic...

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Treatment guidelines

Single tooth

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Risk factors

Relevant risk factors for implant treatment:

  • Children and adolescents (during ongoing bone/skeletal development), unless in selected anodontia patients. However, implant placement for orthodontic treatment purposes is indicated.
  • Uncontrolled metabolic diseases such as Diabetes...
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Treatment guidelines

Single tooth

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Radiotherapy

Rehabilitation of patients with oral cancers is usually done in a combined way with surgical, chemo- and radio-therapy. Radiotherapy predisposes to fibrotization, ischemia and xerostomia. There is clinical evidence...

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Treatment guidelines

Single tooth

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Steroids

A steroid is an organic compound and a type of lipid substance. Steroids play a critical role in metabolism, for example, as the dietary fat Cholesterol, as bile acids or as steroid hormones (e.g. Cortisone/Glucocorticoids, Estrogens, Testosterone). The more complex...

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Treatment guidelines

Single tooth

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MRONJ

A critical side effect in the oro-maxillo-facial region observed in patients undergoing administration over a long period of time and especially intravenously, bisphosphonate therapy may predispose to ‘bisphosphonate-related osteonecrosis of the jaw’...

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Treatment guidelines

Single tooth

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Bisphosphonates

Bisphosphonates (BP) inhibit osteoclast activity and remain in the bone for a prolonged period. Bisphosphonates are the most commonly prescribed drugs to treat osteoporosis, bone fragility disorders, like Paget’s disease, osteogenesis imperfecta...

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Treatment guidelines

Single tooth

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Osteoporosis

Osteoporosis is a frequent disease affecting predominantly postmenopausal women. The prevalence is 7% in women aged 55 and raises to 19% in women aged 80. Osteoporosis is diagnosed by a decreased radiologic bone density (DXA-score). Primary osteoporosis is more...

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Treatment guidelines

Single tooth

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Anticoagulants

Patients may have compromised blood coagulation due to inherited hemophilia or acquired disorders of coagulation resulting from preventive anticoagulant therapy in case of cardiovascular diseases. There are also states of heightened coagulation, called...

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Treatment guidelines

Single tooth

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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...