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0
Patient Assessment
- 0.1 Patient Demand
- 0.2 Anatomical location
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0.3
Patient History
- 2.1 General patient history
- 2.2 Local history
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0.4
Risk Assessment
- 3.1 Risk Assessment Overview
- 3.2 Age
- 3.3 Patient Compliance
- 3.4 Smoking
- 3.5 Drug Abuse
- 3.6 Recreational Drug and Alcohol Abuse
- 3.7 Condition of Natural Teeth
- 3.8 Parafunctions
- 3.9 Diabetes
- 3.10 Anticoagulants
- 3.11 Osteoporosis
- 3.12 Bisphosphonates
- 3.13 MRONJ
- 3.14 Steroids
- 3.15 Radiotherapy
- 3.16 Risk factors
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1
Diagnostics
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2
Treatment Options
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2.1
Treatment planning
- 0.1 Non-implant based treatment options
- 0.2 Treatment planning conventional, model based, non-guided, semi-guided
- 0.3 Digital treatment planning
- 0.4 NobelClinician and digital workflow
- 0.5 Implant position considerations overview
- 0.6 Soft tissue condition and morphology
- 0.7 Site development, soft tissue management
- 0.8 Hard tissue and bone quality
- 0.9 Site development, hard tissue management
- 0.10 Time to function
- 0.11 Submerged vs non-submerged
- 0.12 Healed or fresh extraction socket
- 0.13 Screw-retained vs. cement-retained
- 0.14 Angulated Screw Channel system (ASC)
- 2.2 Treatment options esthetic zone
- 2.3 Treatment options posterior zone
- 2.4 Comprehensive treatment concepts
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2.1
Treatment planning
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3
Treatment Procedures
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3.1
Treatment procedures general considerations
- 0.1 Anesthesia
- 0.2 peri-operative care
- 0.3 Flap- or flapless
- 0.4 Non-guided protocol
- 0.5 Semi-guided protocol
- 0.6 Guided protocol overview
- 0.7 Guided protocol NobelGuide
- 0.8 Parallel implant placement considerations
- 0.9 Tapered implant placement considerations
- 0.10 3D implant position
- 0.11 Implant insertion torque
- 0.12 Intra-operative complications
- 0.13 Impression procedures, digital impressions, intraoral scanning
- 3.2 Treatment procedures esthetic zone surgical
- 3.3 Treatment procedures esthetic zone prosthetic
- 3.4 Treatment procedures posterior zone surgical
- 3.5 Treatment procedures posterior zone prosthetic
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3.1
Treatment procedures general considerations
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4
Aftercare
Oral hygiene instructions
Key points
- Oral hygiene instructions are one of the most important, yet often overlooked, steps in aftercare.
- Adequate restoration design is essential to facilitate adequate access for oral hygiene by the patient.
- Plaque retention will predispose to mucosal inflammation and pathology as well as unpleasant oral odors.
Treatment planning and hygiene considerations
All tissue, restoration and accessible implant surfaces should be accessible by oral hygiene aids like toothbrushes, interdental brushes and dental floss or dental tape. It is paramount that, during treatment planning, implant location and restoration design take place with the final oral hygiene outcome in mind. To this end, all intra-oral restoration surfaces should be smooth and highly polished to counteract plaque retention.
Oral hygiene instructions - patient
Every visit should have oral hygiene instruction incorporated, and the instruction should potentially need review. Oral hygiene instruction should be pursued until the patient can demonstrate independent competence accessing all pertinent intra-oral areas using the appropriate oral hygiene aid. Although most patients can clean well with a regular toothbrush and dental floss, special brush forms are available to clean around implant-supported restorations. There seems no difference in outcome between powered and manual toothbrushes.
Caretakers/dependent patients
To also make the caretakers familiar with the recommended hygiene measures, the dentist/dental hygienist should consider to associate caretakers to the instructions for aftercare for (elderly) dependent patients.
