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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
Risk Assessment Overview
Key points
- A risk assessment is mandatory for each patient treatment.
- Consider risks in general health, local/oral conditions, patient demands, functional and esthetic outcome, patient behavior and compliance.
- In uncertain situations consider additional, professional advice e.g. from internist/family doctor advice.
- Ensure comprehensive patient information and sound documentation.
Treatment risk assessment
A thorough risk assessment forms the cornerstone of successful patient treatment.
Four key sources of information permit the clinician to identify pertinent risks and to determine the seriousness of each risk:
- The patient’s general medical health such as certain systemic conditions: Age, diabetes, cardiovascular diseases etc., including related medication
- The patient’s oral health and local conditions such as periodontitis or parafunctions
- The patient interview
- The patient's behavioral conditions such as smoking, psychological/psychiatric profile or drug abuse
The patient interview and assessment will expose the functional and esthetic outcome and patient expectations, bone condition and dimensions, anatomical limitations (refer also to chapter anatomical location).
Treatment risk vs. Contra-indication
Some conditions may have different degrees of severity and therefore will not always present with clear symptoms or a clear clinical picture. In light of these levels, the resulting treatment risks may be lower or higher or even result in a contra-indication. Depending on the situation, consider consulting other medical professionals, e.g. internist/family doctor. Thorough and comprehensive patient information on the existing risks and consequences of the treatment and appropriate documentation is critical. Many key areas of risk are presented and discussed in other documents within the Patient Assessment section of these treatment guidelines.
