1.1 Patient's expectations, history and examination

Successful implant treatment in the edentulous mandible depends on an accurate diagnosis and appropriate treatment plan, which is derived from gathering comprehensive and complete patient information. This is done by obtaining a detailed history and conducting a thorough examination. With this systematic approach, you will be guided in formulating a treatment plan that addresses your patient's needs for a good clinical outcome.

Learning objectives

  • Be able to conduct a structured patient assessment to gather details of the patient’s medical and dental history.

  • Recognize the absolute and relative general and medical contraindications for implant treatment.

  • Conduct a thorough extraoral and intraoral clinical examination, and look for site-specific factors which are relevant for implant treatment planning.

  • Know how to assess the patient’s existing lower denture and be able to decide whether the denture can be converted into an implant-overdenture or has to be replaced.

  • Be aware of the success and survival rates of different treatment options to be able to discuss the benefits and risks of treatment with the patient.

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