0 Patient Assessment
- 0.1 Patient Demand
- 0.2 Anatomical location
  - 1.1 Anterior and posterior location considerations
  - 1.2 Dentogingival complex and biologic width
- 0.3 Patient History
  - 2.1 General patient history
  - 2.2 Local history
- 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
1 Diagnostics
- 1.1 Clinical assessment and clinical findings
  - 0.1 Lip line, smile line
  - 0.2 Mouth opening
  - 0.3 Condition of natural teeth
  - 0.4 Occlusion and functional aspects
  - 0.5 Soft tissue condition
  - 0.6 Periodontitis
  - 0.7 Bone volume and interdental space
  - 0.8 Temporo-mandibular disorders (TMD)
- 1.2 Diagnostic imaging
  - 1.1 Diagnostic imaging overview
  - 1.2 Intra-oral radiographs
  - 1.3 Panoramic
  - 1.4 Cone Beam Computer Tomography (CBCT)
  - 1.5 Computed Tomography (CT)
  - 1.6 Intra-oral imaging and scanning
- 1.3 Prosthodontic tools
2 Treatment Options
3 Treatment Procedures
- 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
  - 2.1 Provisionalization procedures esthetic zone
  - 2.2 Impression options and procedures
  - 2.3 Placement of restoration
  - 2.4 Screw-retained restorations
  - 2.5 Cement retained restorations
- 3.4 Treatment procedures posterior zone surgical
- 3.5 Treatment procedures posterior zone prosthetic
  - 4.1 Provisionalization procedures posterior zone
  - 4.2 Impression options and protocols
  - 4.3 Placement of restoration
  - 4.4 Screw-retained restorations
  - 4.5 Cement-retained restorations
4 Aftercare
- 4.1 Surgical Aftercare
  - 0.1 Medication
  - 0.2 Post-operative soft tissue management
  - 0.3 Suture removal
  - 0.4 Post-surgical recommendations
- 4.2 Prosthetic Aftercare
  - 1.1 Esthetic and functional check
  - 1.2 Provisional restoration
  - 1.3 Oral hygiene instructions
  - 1.4 Occlusal guard
- 4.3 Post treatment complications and management
  - 2.1 Bleeding
  - 2.2 Soft tissue, hard tissue, adjacent teeth
  - 2.3 Patient compliance/recall
  - 2.4 Biologic complications
  - 2.5 Esthetic complications
- 4.4 Recall visits and logistics
  - 3.1 Systematic recall/review
  - 3.2 Patient expectations
  - 3.3 General health check
  - 3.4 Professional oral hygiene
  - 3.5 Check of prosthetic restoration
  - 3.6 Probing
  - 3.7 Inflammation, infection
  - 3.8 Microbiology diagnostics
  - 3.9 Radiographic control
  - 3.10 Natural teeth

Treatment guidelines

Check of prosthetic restoration

Key points

Use recall visit to check single-tooth prosthetic restoration.
Technical complications do occur during follow-up.
Porcelain chipping and screw-loosening are complications most encountered.

Check prosthetic restoration

Checking the single-tooth implant-supported restoration is part of the regular recall visit of a patient. Items of checking the restoration are:

occlusion;
attrition of occlusal surfaces;
mobility of the restoration;
fracture

Technical risks play a major role in implant dentistry as they may lead to increased rates of repairs/remakes and therefore affect the patients time, finance, and even quality of life. And, technical complications do occur during follow-up. Described complications are:

loss of retention of the restoration;
fracture and/or chipping of ceramic material;
loss of composite at screw access opening;
loosening of an occlusal screw;
fracture of an occlusal screw;
loosening of an abutment;
fracture of an abutment.

Porcelain chipping and screw-loosening are complications most encountered. Repair should always be preceded by a thorough check of possible causes of a complication, e.g. overloading by incorrect occlusion, to prevent repetition.

Digital Textbooks

eBook: Single Implants and their Restoration

Single implants and their restoration

Chapter 18: Single-Tooth Implant Oral Hygiene Maintenance

Clinicians who provide implant surgical and/or prosthodontic treatment should develop and routinely provide patients with a dental implant oral hygiene maintenance protocol to ensure the longevity of the treatment provided. In addition, clinic staff and implant patients themselves should be advised that research has shown maintaining peri-implant tissue health is a key factor related to the long-term survival of dental implants.

Questions

Log in or register to post questions and answers.

Create your free account

© 2024 FOR - Foundation for Oral Rehabilitation