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2.4.3 Intraoral examination

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In addition to a pressure point in the area of the masticatory muscles, deviations from the mouth opening pathway as well as clicking and rubbing in the region of the TMJs appear as signs of functional disorders. Especially in partially edentulous jaws, it is important to evaluate the vertical dimension preoperatively. Suspected atrophy, which is compensated for by augmentation in the horizontal and vertical dimensions, can result in a prosthetic complication with a deficient prosthetic restoration or one that is difficult to perform because there is insufficient vertical dimension after augmentation. Accordingly, it is necessary to assess the elongation of the antagonist teeth and the need for correction in the antagonist jaw in case of loss of the vertical dimension before the surgical procedures (Fig 2-9a).

Especially in patients with a generalized aplasia, there is a tendency for a deep bite and the retention of the primary teeth. As a result, the alveolar process does not develop according to age. In the treatment plan of such cases, a bite raising should be considered in addition to the reconstruction of the alveolar ridge by grafting procedures (Fig 2-9b to j).

Bone and Soft Tissue Augmentation in Implantology

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