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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
蜡型、排列、实物模型
Key points
- 诊断性排牙是规划及管理患者治疗和期望的重要指导
- 适当的蜡型可更好地模拟临时和最终修复体,因此能够显著增加诊断性排牙的价值
- 如有可能,建议最好使用对诊断性排牙和蜡型进行了口腔内评估的实物模型
诊断、治疗方案设计和患者沟通工具
缺齿患者的治疗方案设计需要进行诊断性排牙,诊断性排牙可为术前规划(手术导板制作)提供有价值的信息、有助于讨论患者关注的问题和患者期望,并确保为制作最终修复体提供最佳指导。
排牙应考虑到患者期望、功能注意事项及美齿目标。如果在诊断阶段这三个要素之间存在矛盾,则需要改变治疗方法,以便满足患者期望。
蜡型和实物模型
正确模拟牙龈形态和腭侧轮廓提供了有价值的辅助手段,可指导牙医选择提供给患者的最佳治疗方案。
试戴诊断或临时蜡型排牙结构使患者能够及早了解可能的治疗效果。同时还能为治疗方案的最终确定提供重要见解。当然,为使患者能够接受建议的治疗方案,可能需要对此临时排牙结构进行修改。此方法可以防止患者误解治疗,并提高获得满意效果的可能性。如果无法找到令患者满意的诊断性排牙结构,应该考虑是否应继续治疗。
此外,试戴方案可用于收集所有获得的相关信息,以便为制作手术导板和/或临时或最终修复体提供指导。