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0
Patient Assessment
- 0.1 Patient demand
- 0.2 Overarching considerations
- 0.3 Local history
- 0.4 Anatomical location
- 0.5 General patient history
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0.6
Risk assessment & special high risk categories
- 5.1 Risk assessment & special high risk categories
- 5.2 age
- 5.3 Compliance
- 5.4 Smoking
- 5.5 Drug abuse
- 5.6 Recreational drugs and alcohol abuse
- 5.7 Parafunctions
- 5.8 Diabetes
- 5.9 Osteoporosis
- 5.10 Coagulation disorders and anticoagulant therapy
- 5.11 Steroids
- 5.12 Bisphosphonates
- 5.13 BRONJ / ARONJ
- 5.14 Radiotherapy
- 5.15 Risk factors
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1
Diagnostics
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1.1
Clinical Assessment
- 0.1 Lip line
- 0.2 Mouth opening
- 0.3 Vertical dimension
- 0.4 Maxillo-mandibular relationship
- 0.5 TMD
- 0.6 Existing prosthesis
- 0.7 Muco-gingival junction
- 0.8 Hyposalivation and Xerostomia
- 1.2 Clinical findings
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1.3
Clinical diagnostic assessments
- 2.1 Microbiology
- 2.2 Salivary output
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1.4
Diagnostic imaging
- 3.1 Imaging overview
- 3.2 Intraoral radiographs
- 3.3 Panoramic
- 3.4 CBCT
- 3.5 CT
- 1.5 Diagnostic prosthodontic guides
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1.1
Clinical Assessment
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2
Treatment Options
- 2.1 Mucosally-supported
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2.2
Implant-retained/supported, general
- 1.1 Prosthodontic options overview
- 1.2 Number of implants maxilla and mandible
- 1.3 Time to function
- 1.4 Submerged or non-submerged
- 1.5 Soft tissue management
- 1.6 Hard tissue management, mandible
- 1.7 Hard tissue management, maxilla
- 1.8 Need for grafting
- 1.9 Healed vs fresh extraction socket
- 1.10 Digital treatment planning protocols
- 2.3 Implant prosthetics - removable
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2.4
Implant prosthetics - fixed
- 2.5 Comprehensive treatment concepts
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3
Treatment Procedures
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3.1
Surgical
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3.2
Removable prosthetics
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3.3
Fixed prosthetics
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3.1
Surgical
- 4 Aftercare
口腔卫生指导
Key points
- 口腔卫生指导是治疗后护理中最重要、但也是经常被忽视的步骤之一
- 设计合理的固定修复体对于方便患者操作从而确保口腔卫生至关重要
- 牙菌斑滞留易导致粘膜炎症和病变,以及令人不快的口腔异味
治疗方案设计与卫生注意事项
所有的组织表面、修复体表面和种植体表面均应是口腔卫生辅助用具(如牙刷、牙缝刷和牙线或洁牙带)能够触及的。在治疗方案设计过程中,在设计种植体位置和修复体时考虑到最终口腔卫生结果至关重要。为此,所有口腔内修复体表面均应光滑,具有极佳的光洁度,以预防牙菌斑滞留。
口腔卫生指导 - 患者
患者每次就诊时均应接受口腔卫生指导,且可能需要回顾相关指导。这对于固定修复体尤其重要。应继续进行口腔卫生指导,直到患者能够使用适当的口腔卫生辅助用具独立清洁所有相关口腔内部位。尽管大多数患者都可以使用普通牙刷和牙线实现良好的清洁效果,但也有各种专用牙刷可用来清洁种植体支撑的修复体周围区域。电动和手动牙刷的清洁效果似乎并无差异。
活动修复体
患者每晚都应摘除活动修复体,并将其存放在湿润的环境中或浸泡在水中或义齿清洁剂中。固定活动修复体的基台和修复上部结构应认真刷过,以确保无牙菌斑,并确保最佳的粘膜健康状况。粘膜组织发炎可能是由未充分去除牙菌斑引起的。
看护人员/依赖型患者
为使看护人员也熟悉建议的卫生措施,牙医/牙科保健师应考虑就(高龄)依赖型患者的治疗后护理对看护人员进行指导。