The degree of patient damage and the severity of local and loco-regional complications influence the way reconstruction is planned and the stages of implant-prosthetic therapy. Pre-operative analysis of the dimensional parameters of the implant sites (height, width, density) can be performed by means of applications using CBCT images or based on software programs specialized in pre-implant analysis and virtual planning of dental implant positioning. Effective management of complications of partial denture requires interdisciplinary collaboration (implantology, prosthodontics, oral surgery, anesthesia-sedation) both in terms of rehabilitation of loco-regional and local complications, reconstruction of implant sites, implant stage and design of future prosthetic work. The implant-prosthetic treatment plan should focus both on reconstruction of the mucosa-bone support and on ensuring the homeostasis of the stomatognathic system in the context of restoring biomechanical and functional conditions through fixed or removable prosthetic restorations with implant support.
In the context of the increased prevalence of dental caries and periodontal disease reported in our country, the extensive partial edentation is a common pathology, which requires complex treatment solutions. Implant-prosthetic therapy is the optimal treatment solution from a biological, functional and biomechanical point of view. Interdisciplinary management of implant-prosthetic therapy frequently involves the reconstruction of alveolar ridges in the pro-implant stage. The specialists in implantology and dento-alveolar surgery face the issue of the selection of grafting materials and techniques in relation to systemic, loco-regional, local factors and the planned prosthetic solution. In this context, a practical guide for the use of grafting materials and techniques may be useful to practitioners in order to optimize the aesthetic and functional results in the implant-prosthetic therapy of edentulous patients.
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