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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
临时修复体
Key points
- 临时固定修复体和临时树脂活动修复体应尽可能接近期望的最终效果
- 临时固定修复体和临时树脂活动修复体的设计应便于采取口腔卫生措施
- 应告知患者临时修复体的局限性
固定临时修复
尽管会采用耐久性较差的不同材料,但临时修复体的制作在外形上应尽可能与期望的最终修复体相似。临时修复体的耐久性和功能性较差意味着患者应避免硬/脆的食物。应始终采取口腔卫生措施。为了减少修复体松脱的可能性,应针对粘接固位修复体调整牙线使用技巧,以便在使用后从唇侧/颊侧拉出牙线,而不是通过近中接触点迅速弹回来。
固定临时修复体(螺丝固位或粘接固位)可能会松动。修复体出现松动到重新拧紧或重新粘接之间的延迟可能会削弱种植体及周围软组织和硬组织的长期稳定性。必须向患者强调,如果他们怀疑固定临时修复体开始松动,必须尽快去牙医处就诊,而不是等到下次预约。
临时树脂活动修复体
夜间应摘除这些修复体,并将其存放在湿润的环境(水或义齿清洁剂)中。未朝向粘膜的修复体表面可使用义齿刷清洁,而朝向粘膜的修复体表面应通过冲洗或用牙线在底部清洁来确保无牙菌斑。一般情况下,应避免使用牙膏和碳酸氢钠等研磨剂,在刷洗活动树脂修复体时仅使用水或肥皂水。