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Slide Casi clinici

Doctor Henriette Lerner | COVID-19 Guidelines

How dentistry and implantology has changed in your office in phase 2?
There is no phase 1 or phase 2, there is a behavior and approach which we’ll respect in the office in the couple of years coming. Let’s start with the scheduling of the appointment of the patient: the receptionist is asking the patient about sicknesses, illnesses, cough, fever, smell alterations. The same questions she will ask 24 hours before the scheduled appointment when she calls all the patient for the next day.

The patient is informed that he needs to wear the mouth nose mask in the moment he comes or she comes into the clinic, he or she has to disinfect the hands immediately at the entrance in the clinic. He or she would be kindly asked to respect the 1.5 m social distance between the patients also in the waiting room and to wear the mask for the mouth and nose.
We will take care that the waiting room has no more than 2 patients and that the distance is respected. The patient will have to rinse with the oxygen at water 1%, 1 minute long before the treatment, because the activity starts only after 30 seconds.
Those are all protections for the patient. Now the doctors and the assistances has to protect themselves too, that means we are wearing the mask, the eyeglasses, the shields and the hat cover for all the time of the treatment and also during the discussion with the patient.
We wear every day a new attire, the assistant and dental hygienist is wearing in their chapter a one-time attire which is changed after every patient.
In implantology, though, the measurements are even more strict, that means that we do a full mouth disinfection before every surgery, we take care about the preoperative medication before the surgery which has to increase the healing potential of the patient.
We choose surgical procedures which are more minimally invasive and offering better healing for the patient. We take care of the post-operative medication and we prescribe not only the postoperative medication but also medication which increases the healing potential of the patient, like vitamin D, homeopathic medicine and so on.
So that would be in a nutshell what we do more now and maybe we will do even more in the future, and remember there is no time before or at the time of coronavirus, there are certain procedures which we’ll respect for a couple of years coming.
Thank you so much.

Klinik vakalar

Advantages of guided surgery, predictability in small spaces

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC. In this case, the patient has a genesis of the two upper lateral incisors. Having created the space with the help of the orthodontic specialist, we first proceed with a Digital Smile Design and then with the digital planning of the two implants in comparison with the new aesthetics.Devamını Oku

Guided surgery in the jaw and mandible

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC. In this case, it is necessary to use all the digital tools available – detection of joint movements, digital smile design and guided surgery, with the aim of having predictability and accuracy. For the future aesthetic part and function, the evaluation took place before the surgery.Devamını Oku

Guided surgery with bone graft

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC. In this case it is shown how it is still possible to work in guided surgery and consequently perform bone grafts where necessary. The advantage in a difficult case like this is to design the dental implants with a surgical guide, in order to maintain their correct positioning. Finally, the aesthetic project was evaluated prior to surgery.Devamını Oku

Full arch case: immediate implant placement with guided surgery and immediate loading

Catarina G. Rodrigues, DDS, MSc - Manuel D. Marques, DDS A 57-year-old woman presented to a private practice with the chief complaint being “I'm self-conscious about the appearance of my teeth. Also, I’ve lost most of my teeth and I cannot eat well because of that”. The clinical and radiographic examination revealed the absence of all teeth except the central incisors and right lateral incisor in the upper. In the lower, partial edentulism, severe bone loss, and multiple periapical infDevamını Oku

3-unit Bridge over Implants using Guided Surgery and One Time Concept

Catarina G. Rodrigues, DDS, MSc - Manuel D. Marques, DDS A 30-year-old man presented to a private practice with the chief complaint being “I want to replace the teeth that are missing on my upper jaw”. The clinical and radiographic examination revealed the absence of teeth #24, #25, and #26 (Fig. 2,3). Following a proper diagnosis, the treatment plan proposed was the placement of two implants, followed by the placement of immediate final abutments at the same time of the surgery (One TimDevamını Oku

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