Implant Dentistry at a Glance

Preface viii

Acknowledgments ix

About the companion website x

1 Quality of life associated with implant-supported prostheses:: An introduction to implant dentistry 2

2 The basics:: Osseointegration 4

3 The basics:: The peri-implant mucosa 6

4 The basics:: Surgical anatomy of the mandible 8

5 The basics:: Surgical anatomy of the maxilla 10

6 The basics:: Bone shape and quality 12

7 Implant macrostructure:: Shapes and dimensions 14

8 Implant macrostructure:: Short implants 18

9 Implant macrostructure:: Special implants 22

10 Implant macrostructure:: Implant/abutment connection 26

11 Implant microstructure:: Implant surfaces 30

12 Choice of implant system:: General considerations 32

13 Choice of implant system:: Clinical considerations 34

14 Success, failure, complications and survival 38

15 The implant team 42

16 Patient evaluation:: Medical evaluation form and laboratory tests 44

17 Patient evaluation:: Surgery and the patient at risk 46

18 Patient evaluation:: The patient at risk for dental implant failure 50

19 Patient evaluation:: Local risk factors 54

20 Patient evaluation:: Dental history 58

21 Patient evaluation:: Dental implants in periodontally compromised patients 60

22 Patient evaluation:: Aesthetic parameters 62

23 Patient evaluation:: Surgical parameters 66

24 Patient evaluation:: Surgical template 68

25 Patient evaluation:: Imaging techniques 70

26 Patient records 74

27 The pretreatment phase 78

28 Treatment planning:: Peri-implant environment analysis 80

29 Treatment planning:: The provisional phase 82

30 Treatment planning:: Immediate, early and delayed loading 86

31 Treatment planning:: Single-tooth replacement 90

32 Treatment planning:: Implant-supported fixed partial denture 94

33 Treatment planning:: Fully edentulous patients 98

34 Treatment planning:: Edentulous mandible 100

35 Treatment planning:: Edentulous maxilla 102

36 Treatment planning:: Aesthetic zone 104

37 Dental implants in orthodontic patients 106

38 Surgical environment and instrumentation 110

39 Surgical techniques:: Socket preservation 112

40 Surgical techniques:: The standard protocol 116

41 Surgical techniques:: Implants placed in postextraction sites 118

42 Surgical techniques:: Computer-guided surgery 122

43 CAD/CAM and implant prosthodontics:: Background 126

44 CAD/CAM and implant prosthodontics:: Technical procedure 128

45 Bone augmentation:: One-stage/simultaneous approach versus two-stage/staged approach 132

46 Bone augmentation:: Guided bone regeneration – product and devices 136

47 Bone augmentation:: Guided bone regeneration – technical procedures 140

48 Bone augmentation:: Graft materials 144

49 Bone augmentation:: Block bone grafts 146

50 Bone augmentation:: Split osteotomy (split ridge technique) 150

51 Bone augmentation:: Sinus floor elevation – lateral approach 154

52 Bone augmentation:: Sinus floor elevation – transalveolar approach 158

53 Bone augmentation:: Alveolar distraction osteogenesis 162

54 Soft tissue integration 164

55 Soft tissue augmentation 168

56 Prescriptions in standard procedure 172

57 Postoperative management 174

58 Surgical complications:: Local complications 176

59 Surgical complications:: Rare and regional complications 180

60 Life-threatening surgical complications 182

61 Peri-implant diseases:: Diagnosis 184

62 Peri-implant diseases:: Treatment 188

63 Dental implant maintenance 192

Appendix A:: Glossary 194

Appendix B:: Basic surgical table and instrumentation 195

Appendix C:: Preparation of the members of the sterile team 196

Appendix D:: Medical history form 197

Appendix E:: Consent form for dental implant surgery 202

Appendix F:: Postoperative patient records:: stage 1 205

Appendix G:: Postoperative patient records:: stage 2 206

Appendix H:: Postoperative instructions 207

Appendix I:: Treatment planning:: fully edentulous patient 209

Appendix J:: Overdenture supported by two implants:: surgical procedure 211

Appendix K:: Overdenture supported by two implants:: prosthetic procedure 212

Appendix L:: Fixed prosthesis (mandible) supported by four implants 213

Appendix M:: Fixed prosthesis (maxilla) supported by four implants 214

Appendix N:: Overview of the digital implant dentistry 215

Appendix O:: The double scanning method 216

Appendix P:: The virtual modelling method 217

Appendix Q:: Guided bone regeneration 219

References and further reading 220

Index 232