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Implant Restorations: A Step-by-Step Guide

Implant Restorations: A Step-by-Step Guide

9781119538110
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Description

The fourth edition of Implant Restorations:: A Step-by-Step Guide provides a wealth of updated and expanded coverage on detailed procedures for restoring dental implants. Focusing on the most common treatment scenarios, it offers concise literature reviews for each chapter and easy-to-follow descriptions of the techniques, along with high-quality clinical photographs demonstrating each step. 

Comprehensive throughout, this practical guide begins with introductory information on incorporating implant restorative dentistry in clinical practice. It covers diagnosis and treatment planning and digital dentistry, and addresses advances in cone beam computerized tomography (CBCT), treatment planning software, computer generated surgical guides, rapid prototype printing and impression-less implant restorative treatments, intra-oral scanning, laser sintering, and printing/milling polymer materials. Record-keeping, patient compliance, hygiene regimes, and follow-up are also covered. 

  • Provides an accessible step-by-step guide to commonly encountered treatment scenarios, describing procedures and techniques in an easy-to-follow, highly illustrated format
  • Offers new chapters on diagnosis and treatment planning and digital dentistry
  • Covers advances in cone beam computerized tomography (CBCT), computer generated surgical guides, intra-oral scanning, laser sintering, and more 

An excellent and accessible guide on a burgeoning subject in modern dental practice by one of its most experienced clinicians, Implant Restorations:: A Step-by-Step Guide, Fourth Edition will appeal to prosthodontists, general dentists, implant surgeons, dental students, dental assistants, hygienists, and dental laboratory technicians.

Product Details
John Wiley and Sons
82024
9781119538110
9781119538110

Data sheet

Publication date
2020
Issue number
4
Cover
hard cover
Pages count
536
Dimensions (mm)
217.00 x 283.00
Weight (g)
1726

  • List of Contributors xiii

    Foreword xv

    Preface xvii

    Acknowledgments xix

    1 Introduction to Implant Dentistry 1

    Introduction 1

    Purpose of Textbook 1

    Conventional Dentistry Versus Implant Dentistry 2

    Predictability of Fixed Prosthodontics 2

    Predictability of Implant Prosthodontics 3

    Economics of Implant Dentistry 4

    Prognostic Indicators for Teeth 5

    Periodontal Disease 5

    The Heavily Restored Tooth 6

    The Furcation-Involved Tooth 8

    The Periodontal Prosthesis Patient 9

    Difficult Aesthetic Cases 10

    Classification of Ridge Defects 12

    Treatment Prognosis for the Dentition 15

    Summary 18

    Bibliography 18

    2 Implants and Implant Restorative Components 21

    Introduction 21

    Implants 21

    Implant/Abutment Connections 25

    External Implant/Abutment Connections 25

    Internal Implant/Abutment Connections 27

    Healing Abutments 30

    Conventional, Stock Healing Abutments 30

    CAD/CAM Healing Abutments 32

    Custom Healing Abutments 34

    Impression Copings 35

    Implant Impression Copings 35

    Pickup Impression Copings (Open Tray) 36

    Transfer Impression Copings (Closed Tray) 37

    Low-Profile Conical Abutment Impression Copings 38

    Scan Bodies 38

    Abutments 39

    Low-Profile Conical Abutments (LPCA) 40

    LOCATOR Overdenture Abutments 41

    Stock Abutments 42

    UCLA Abutments 44

    CAD/CAM Abutments 47

    Milled Titanium 47

    Milled Zirconia 50

    Multiunit Abutments 54

    Screws (Clinical) 54

    Abutment/Retaining Screws 55

    Preload Screw Mechanics 56

    Cylinders 57

    Definitive Cylinders 57

    Interim Cylinders 57

    Drivers and Placement Instruments 58

    Drivers/Driver Tips 58

    Laboratory Components 60

    Implant Analogs/Replicas 61

    Abutment Analogs/Replicas 62

    Try-In Screws 63

    Abutment Holders 63

    Polishing Protectors 64

    Bibliography 65

    3 Diagnosis and Treatment Planning in Implant Restorative Dentistry 69

    Patient Selection 69

    Medical History 69

    Diagnostic Procedures 70

    Radiographs 70

    CBCT (Cone Beam Computed Tomography) Scans 72

    Scanning Appliances/Surgical Guides 74

    Diagnostic Casts 75

    Laboratory-Generated Surgical Guides 75

    Physical Examination 78

    Extraoral Examination 78

    Intraoral Examination 78

    Diagnostic Articulator Mounting 79

    Diagnostic Wax Patterns 79

    Implant Bone Volume 80

    Implant Restorative Volume 83

    Treatment Planning 85

    Edentulous Patients 86

    Overdentures 87

    Restorative Volume 87

    Fixed Implant-Retained, Full-Arch Prostheses-Edentulous Jaws 89

    Milled Titanium Frameworks 92

    Milled Zirconia Frameworks 94

    High-Performance Polymers (HPP) 95

    Crown-and-Bridge Type Prostheses 95

    Partially Edentulous Patients 96

    Screw-Retained Restorations 96

    Treatment Goals 96

    Benefits 96

    Limitations 97

    Cement-Retained Restorations 98

    Benefits 98

    Limitations 99

    Angled Screw Channel Abutments 99

    Peri-Implant Disease 99

    Implant Loading Protocols 101

    Unloaded Healing, Two-Stage Surgical Protocol 101

    Unloaded Healing, Single-Stage Surgical Protocol 102

    Early Loading 102

    Immediate Occlusal Loading 103

    Immediate Non-Occlusal Loading 103

    Patient Consultation 104

    Principles of Treatment Planning 104

    Informed Consent 104

    Summary 105

    Bibliography 105

    4 Treatment of Edentulous Mandibular Patients: (1) Implant-Retained Framework Overdenture and Resilient Attachments; (2) Resilient Attachments and Two Interforaminal Implants 111

    Literature Review 111

    Clinical Case Presentation Mandibular Implant-Supported Overdenture with CAD/CAM Framework and Resilient Attachments 117

    Clinical Case Presentation Implant-Supported Overdenture with Resilient Attachments and Two Interforaminal Implants 142

    Bibliography 156

    5 Replacement of Single Teeth with CAD/CAM Implant Restorations: Implant-Level Impressions, Intraoral Scanning, Cement and Screw-Retained Crowns 159

    Literature Review 159

    Replacement of Individual Teeth 159

    Single-Unit Implant Restorations 161

    Computer-Assisted Design/Computer-Assisted Machining (CAD/CAM) Healing Abutments/Scan Bodies 162

    Intraoral Scanning 167

    Models from Digital Impressions 169

    Clinical Case Presentation Posterior, Cement-Retained Single-Implant Restoration 170

    Clinical Case Presentation Anterior, Screw-Retained Single-Implant Restoration (Angled Screw Channel) 185

    Bibliography 197

    6 Fixed Dental Prostheses: Retreatment of a Patient with a Fractured Implant-Retained Fixed Dental Prosthesis; CAD/CAM Abutments and a Cement-Retained Fixed Dental Prosthesis; Intraoral Scanning and Screw-Retained Fixed Dental Prosthesis (Atlantis™ Bridge Patient-Specific Suprastructures) 199

    Literature Review 199

    Clinical Case Presentation Implant-Level Impression/Screw-Retained Fixed Dental Prosthesis 204

    Clinical Case Presentation Intraoral Scanning/Screw-Retained Fixed Dental Prosthesis (Atlantis™ Bridge Patient-Specific Suprastructure) 219

    Bibliography 235

    7 Accelerated Treatment Protocol of a Patient with Edentulous Jaws and CAD/CAM Titanium Framework/Fixed Hybrid Prostheses 237

    Literature Review 237

    Original Treatment Protocol 239

    Accelerated Treatment Protocol 242

    Clinical Case Presentation Four Months Post Implant Placement and Immediate Occlusal Loading 243

    Bibliography 275

    8 Treatment of Edentulous Patients with Immediate Occlusal Loading: Conventional Surgical and Computer-Generated Surgical Guides 279

    Literature Review 279

    Introduction 279

    The Preosseointegration Era 280

    The Osseointegration Era 281

    Immediate Occlusal Loading in the Edentulous Mandible 282

    Immediate Occlusal Loading in Edentulous Maxillae 285

    Clinical Case Presentation Mandibular Immediate Occlusal Loading with Clinical Conversion of Mandibular Immediate Denture 286

    Clinical Case Presentation Maxillary Immediate Occlusal Loading Using Computer-Generated Surgical Guide with Clinical Conversion of Maxillary Immediate Denture 312

    Bibliography 324

    9 Treatment of Edentulous Patients with Immediate Occlusal Loading: Conventional Surgical/Prosthetic Protocols 327

    Literature Review 327

    Immediate Occlusal Loading 327

    Computer-Guided Surgery 328

    Clinical Case Presentation Conventional Surgical and Restorative Protocols 332

    Bibliography 367

    10 Treatment of Partially Edentulous Patients with Immediate Non-Occlusal Loading Protocols (Intraoral Scanning, CAD/CAM Abutment, and Definitive Maxillary Central Incisor Restoration; Co-Axis Implant and Restoration) 371

    Literature Review 371

    Clinical Case Presentation INOL Protocol and Intraoral Scanning 375

    Clinical Case Presentation INOL Protocol with Co-Axis Implant 396

    Bibliography 408

    11 Computed Tomography (CT) Guided Surgery/Immediate Occlusal Loading with Full-Arch Prostheses in Edentulous Patients 411

    Literature Review 411

    Immediate Occlusal Loading 411

    Tilted Implants 412

    Diagnostic Imaging 413

    Computed Tomography (CT) 415

    Interactive Computed Tomography (ICT) 417

    Interactive Computer Software 418

    Computer-Guided Surgery 418

    Overview of CT Guided Surgical and Prosthetic Protocols 419

    Surgical Guides 419

    Master Tubes 419

    Prosthetic Laboratory Kit-Implant Analog Mounts 420

    Surgical Kit Components 420

    Fabrication of Master Cast for Immediate, Fixed Provisional Prosthesis 421

    Abutment Selection for Fixed, Screw-Retained Provisional Prostheses 422

    Fabrication of a Screw-Retained Provisional Prosthesis 424

    Clinical Patient Presentation Ill-Fitting Maxillary Denture; Mandibular Implant-Supported Overdenture 425

    Clinical Patient Presentation Maxillary and Mandibular Terminal Dentitions; Computer-Guided Surgery with Metal Surgical Guides 448

    Bibliography 463

    12 Guidelines and Maintenance Procedures for Fixed, Full-Arch, Implant-Retained Prostheses 465

    Introduction 465

    Full-Arch Hybrid Prostheses 465

    Historical Perspectives 466

    Original Protocol 466

    Immediate Occlusal Loading for Full-Arch Prostheses 466

    Clinical Complications 467

    Mechanical 467

    Biologic: Peri-Implant Mucositis/Peri-Implantitis 470

    Treatment (Peri-Implant Mucositis) 472

    Treatment (Peri-Implantitis) 473

    Innovations in Full-Arch Designs 475

    Prosthesis Design/Materials 476

    Hygiene/Maintenance Protocol for Immediately Loaded Full-Arch Prostheses 477

    Hygiene/Maintenance Protocol for Definitive Full-Arch Prostheses 478

    At-Home Hygiene 478

    Plaque Control–Dentifrice 478

    Plaque Control–Mechanical 478

    Recall Appointments 479

    Recall Interval/Schedule 479

    Examination 480

    Radiographs 481

    Professional Maintenance 485

    Prosthesis Removal 487

    Cleaning the Removed Prosthesis 488

    Conclusions 488

    Bibliography 488

    Index 493

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