Patient Journey 1 – Missing Anterior and Posterior Single Teeth
All successful dental implant treatment depends on a thorough multi-dimdensional clinical analysis that inlcludes selection of methods that best image and evaluate the specifi c nature of the proposed host site(s), determination of the number of teeth to be replaced and the surgical protocol to be employed, plus relevant esthetic and functional determinants for each identifi ed treatment strategy. The merits of these essential starting points are enhanced even further by recruiting adjunctive methods such as digital planning tools, bone regenerative materials, different timing sequences for functional prosthesis loading, CAD/CAM technology and a profound awareness of the possible role played by local and systemic health considerations.
Consequently, subtle and frequently overlapping considerations apply to the different stages of the proposed treatment journey scenario; and the latter’s presentation breakdown into four stages should be regarded as a convenient yet necessary strategy to highlight individual treatment streams while underscoring the unifying principles of the entire osseointegration challenge. Moreover, additional sessions on underlying common biological determinants – maintenance of marginal bone integrity, minimally invasive surgical approaches, immediate functional loading, the unique challenge of managing terminal dentitions, and soft tissue esthetics – are also offered. They too are now an integral part of the treatment paradigm and deserve separate focus.
Some general learning objectives are identifi ed for each of the identifi ed patient journeys and the selected areas that require extra emphasis.
- Realization of the demanding aesthetic challenge when dealing with anterior single teeth replacement in particular. This is particularly relevant in a younger age-determined context as related to available soft and hard tissue morphology and the status of adjacent teeth.
- Identification of the merits or shortcomings of selected implant placement sites e.g. risk of restricted host bone dimensions in posterior sites; and selection of best treatment strategies and implant designs to ensure an optimal treatment outcome.
- Consideration of adjunctive employment of digital planning tools, laboratory simulation of clinical results.
- Cognizance of proactive efforts to avoid any surgical morbidity or treatment complications at any stage.
- Recognition of reliable ways of achieving long-term aesthetic and stable soft tissue responses and required prosthesis maintenance requirements.
Peter Wöhrle, Charles Goodacre
Shane White, Torsten Jemt, Eric van Dooren, Patrick Rutten, Iñaki Gamborena, Eirik Salvesen, Egon Euwe (3D movie), Laureen Langer