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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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Placement of implants - Height

The overall aim after implant placement concerning the periimplant bone height is to minimize marginal bone loss. However, several bone remodelling processes that occur after implant placement lead to periimplant bone loss and the establishment of...

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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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Peri-operative care

As described in Patient Assessment, a thorough evaluation of patient factors influencing whether to proceed with surgical therapy is relevant.
Depending on the tpe of surgery prescribe pre-operative medication (for example antibiotic coverage), if...

Patient assessment
Preoperative procedures
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Videos

Patrick Rutten: Creating substructures from the lab perspective

Patrick Rutten reviews the laboratory part within the digital workflow and the opportunities with CAD/CAM procedures being an excellent alternative to casting technique. CAD/CAM technology provides excellent and predictable precision, passive fit, significant labor and time savings...

Digital workflow
CAD/CAM
Prosthetic materials
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Treatment guidelines

Edentulous

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Submerged or non-submerged

Oral endosseous implants are successful even longterm in the edentulous jaws. After insertion implants osseointegrate. This process is characterized by the development of an intimate bone contact with the implant surface. The direct anchoring of bone to the implant predicts the...

Success & failure
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Treatment guidelines

Edentulous

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Fixed implant prostheses, introduction

A fixed prosthesis offers benefits from both a functional and esthetic point of view and may be regarded as quite similar to a patient's own natural dentition when compared to alternative treatment options such as complete dentures....

CAD/CAM
Prosthetic materials
Implant prosthetics
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Treatment guidelines

Edentulous

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Implant overdentures, introduction

Some patients present with soft and hard tissue defects that cannot be addressed by a fixed implant prosthesis when esthetics, phonetics and oral hygiene access are considered. In these patients who have struggled...

Implant prosthetics
Removable prosthetics
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Treatment guidelines

Edentulous

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Prosthodontic Options - overview

Fixed implant prostheses are associated with the best oral health and quality of life, as chewing performance and patient comfort are usually better than with a removable prosthesis. The use of all-ceramic, metal-ceramic or metal-resin prostheses offers...

Removable prosthetics
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Treatment guidelines

Edentulous

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Mucosally supported removable - complete denture

Research and clinical experience show that conventional complete dentures are acceptable for a large segment of the edentulous population. Satisfied complete denture wearers are well adapted to their prosthodontic experience and have...

Biomechanics and occlusion
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Treatment guidelines

Edentulous

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Mucosally supported - Overview and important considerations

The human face represents a small proportion of the body’s surface; but it embodies our social identities and is a major vehicle for interpersonal communication. Facial appearance reflects inherited characteristics on which may be...

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Videos

Armando Lopes: Guided surgery and the All-on-4® treatment concept: what's state of the art

The All-on-4® treatment concept can be combined with a guided surgical protocol. Looking back on experiences with these techniques since 2005, Dr Lopes reviews the advantages of these protocols for patient and surgeon, such as comfort, reduced surgery time and increased...
Digital workflow
Guided Surgery
CAD/CAM
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Treatment guidelines

Edentulous

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Prosthodontic guides - overview

Diagnosis is a Greek word that means discern or distinguish; thus, diagnosis is a cognitive experience. The diagnostic process was originally based on interrogation, inspection, auscultation, olfaction and palpation. With advancement in medical...

Diagnosis and treatment planning