Dental Implants and Prosthetic Rehabilitations for Treating Oral Health Needs

1. Treating a Patient’s Oral Health Needs Location, date Presentername

2. Treating a Patient’s Oral Health Needs Using Dental Implants and/or Prosthetic Rehabilitations The Extraoral Examination: The following items should be evaluated during the extraoral examination: • musculature and facial symmetry, • the vertical dimension of occlusion, as it relates to the facial profile while the teeth are in occlusion, • the appearance of the lips and the teeth that are visible in a broad smile, • the TMJ complex for mobility, clicking, pain, etc., and • the ability of the patient to open the mouth wide, especially as it relates to anticipated treatment procedures.

3. Treating a Patient’s Oral Health Needs Using Dental Implants and/or Prosthetic Rehabilitations The Visual and Digital Intraoral Examination. The visual and digital intraoral examination must follow an orderly sequence. The vertical dimension of the face with the teeth in contact, and the teeth that are visible during a broad smile are keys to the esthetic appearance of the patient. The size and dimensions of any edentulous spaces that are present is very important in the context of implant placement or the pontic dimensions and proportionality should a fixed partial denture be the treatment plan of choice.

4. Treating a Patient’s Oral Health Needs Using Dental Implants and/or Prosthetic Rehabilitations The Visual and Digital Intraoral Examination. The contour and/or character of any edentulous areas should be examined. The ridge areas when a single missing tooth is found can be extremely troublesome when trying to restore the edentulous space.

5. Treating a Patient’s Oral Health Needs Using Dental Implants and/or Prosthetic Rehabilitations • The Radiographic Examination. • During the radiographic examination, all of the remaining teeth should also be specially examined with an explorer and mouth mirror in areas where radiographic exam indicates decay may be present. When restorations are present, they should be examined for marginal break down, and recurrent decay.

6. Treating a Patient’s Oral Health Needs Using Dental Implants and/or Prosthetic Rehabilitations • The Radiographic Examination. • The missing tooth space should demonstrate that the roots on the adjacent teeth do not converge into the edentulous space but provide adequate space for the implant.

7. Treating a Patient’s Oral Health Needs Using Dental Implants and/or Prosthetic Rehabilitations • The Radiographic Examination. • The quantity and quality of bone in situ selected for implant placement can be assessed from the CT scan. The amount of bone should be measured to determine the length of the implant to be surgically placed. The space between the roots on either side of he space should also be measured to determine the diameter of implant to be placed. Reduced space will affect implant prosthetic designs and tooth placement.

8. Treating a Patient’s Oral Health Needs Using Dental Implants and/or Prosthetic Rehabilitations • The Diagnostic Casts and Mountings. • The use of diagnostic casts is a very important part of the evaluation of the patient for restorative or implant therapy. It is almost impossible to properly plan treatment for a patient without diagnostic casts of the patient. A detailed summary of the diagnostic casts with information related to the potentials for restorative or implant therapy should be prepared.

9. Treating a Patient’s Oral Health Needs Using Dental Implants and/or Prosthetic Rehabilitations • Factors in Treatment Planning. • The significant factors in treatment planning include: • the patient’s history, • the patient's attitude, and • the findings of the oral and radiographic examinations. • The Treatment Plan. • By definition, a treatment plan is a statement of the specific treatment provided to the patient. The sequence of procedures planned for the treatment of a patient is the “Treatment Plan”. Your treatment plan should follow a logical sequence for that patient. In arriving at the treatment plan, the following points need to be addressed: • (Slide to be provided by lecturer)