Fundamentals of Implant Dentistry.

Cover -- Title page -- Copyright page -- Contents -- Acknowledgments -- About the Companion Website -- 1: Introduction to Dental Implants -- 1.1 Introduction -- 1.2 Tooth loss -- Consequences of tooth loss on alveolar bone -- Demographics of tooth loss -- Reasons why implant treatment is increasing -- 1.3 Early dental implants -- Implant classification -- Contemporary endosseous root-form implants -- Implant treatment -- 1.4 Pioneering implant research -- Brånemark group -- Schroeder/ITI, Schulte, and Kirsch groups -- 1.5 Commercial implant history -- Nobel Biocare (Nobel Bofors/Nobelpharma) -- Straumann (ITI/Bonefit®) -- Tübingen (Frialit/Friadent-Dentsply) -- IMZ (Interpore/Dentsply) -- Core-Vent (Paragon/Dentsply/Sulzer/Centerpulse/Zimmer/Implant-Direct-Sybron) -- Calcitek (Integral/Omniloc/Sulzer) -- Steri-Oss (Nobel Biocare) -- Implant Innovations International (3i/Biomet-3i) -- Astra Tech (Astra-Zeneca/Dentsply Implants) -- Bicon -- Endopore (Sybron) -- 1.6 Notable implant "milestones" -- NIH Harvard Conference, 1978 -- Toronto Conference on Osseointegration, 1982 -- NIH Conference, 1988 -- 1.7 Criteria for implant success -- Implant success and survival -- Implant and prosthetic success -- 1.8 Clinical studies, implant validation -- 1.9 Implant regulation -- 1.10 Research and development -- 1.11 Summary -- References -- 2: Implant-Tissue Interface Biology -- 2.1 Concept of osseointegration -- 2.2 Implant surface chemistry -- 2.3 Biology of osseointegration -- 2.4 Bone healing biology -- Implant immobilization -- Osteogenesis and the implant surface -- Description of the three phases of bone healing -- Bone loss after abutment connection -- Platform-switching and bone preservation -- Implant failure or loss of osseointegration -- 2.5 Soft tissue-implant interface -- Peri-implant soft tissue cuff -- Junctional epithelium (JE).

Connective tissue -- The implant-abutment junction (IAJ) -- The implant collar -- 2.6 Peri-implant infection -- Factors that facilitate peri-implant bone loss -- Clinical signs and symptoms of peri-implant disease -- Ligature induced peri-implantitis model -- Progression of peri-implant infections (mucositis and peri-implantitis) -- 2.7 Implant surface modifications -- References -- 3: Implant Biomechanics -- 3.1 Introduction -- Biomechanics -- Implant proprioception and nocioception -- Functional bone remodeling -- Peri-implant bone loss related to overload -- Peri-implant infection and bone loss -- Mechanical failure -- 3.2 Natural tooth: functional response -- 3.3 Implant: functional response -- Osseointegration -- Implant-bone interface -- Bone response to load: remodeling or loss -- Loading sequelae -- The implant-abutment connection -- 3.4 Functional and nonfunctional forces -- Functional occlusal force -- Nonfunctional (secondary) force -- 3.5 Dissipation functional forces -- Bone-implant contact -- Implant body surface configuration -- Implant collar configuration -- Implant length (crown-to-implant length ratio) -- 3.6 Bite force mechanics and implant prostheses -- Stress and strain -- Moment forces -- Clinical cantilevers or moment forces -- Impact forces -- Fatigue failure -- Lack of implant proprioception -- 3.7 Quality of osseointegration -- Strain testing (Periotest and Osstell) -- Photoelastic and finite element analysis (FEA) -- 3.8 Clinical force management -- Force on an implant restoration is mitigated by: -- Theoretical means of mitigating force include: -- Prevention of screw loosening by preloading the abutment connection -- 3.9 Biomechanical treatment planning -- Recommendations for implant diameter, number, and length -- Some general guiding principles -- Clinical scenarios -- 3.10 Adjusting occlusion -- References.

4: Implant Systems -- 4.1 Introduction -- 4.2 Implant materials -- 4.3 Evolution of implant systems -- Evolution of systems -- Modern implant systems -- Research -- Implant shape, surface, and connection -- Implant-level impression coping and implant-level restoration (UCLA abutment) -- Prefabricated customizable abutments -- Computer-aided design (CAD) and computer-aided manufacturing (CAM) of Ti and ceramic abutments -- Interactive software, and instrumentation for computer-guided surgery and prosthetics -- 4.4 Surgical instrumentation -- 4.5 Features of endosseous implants -- Thread design -- Implant length -- Implant body and platform diameter -- Implant collar -- Prosthetic connection and anti-rotation feature -- One-piece implant -- Implant platform -- Platform-switching design -- Surface finish/texture -- Cover screw, healing abutment -- 4.6 Prosthetic components -- Healing abutment/transmucosal abutment, tissue-shaping abutment -- Impression coping or abutment, implant analog or replica -- Provisional restoration abutments -- Stock/prefabricated abutments -- Custom restorative abutments -- Multi-unit abutments -- Standard abutments -- Overdenture abutments -- 4.7 Screws, screwdrivers, and torque drivers -- Screwdrivers -- Abutment screws and prosthetic screws -- 4.8 Implant marketplace and system selection -- References -- 5: Assessment, Diagnosis, and Treatment Planning -- 5.1 Introduction -- A multidisciplinary approach -- 5.2 Patient interview -- 5.3 Medical history -- General factors -- Medications of significance -- Major medical conditions -- Physician consultation -- Relative contraindications for implants -- Absolute contraindications for implants -- Patient age guideline -- 5.4 Dental history and clinical examination -- Dental history -- Dental examination -- 5.5 Special diagnostic tests -- Photographs.

Study impressions and models/casts -- Radiographs -- Consultations and referrals -- 5.6 Examination of edentulous space or potential implant site -- Aesthetic zone -- Residual ridge (aided by using study models and radiographs) -- Mesio-distal crown and root spacing -- Vertical space for implant prosthesis -- Opposing arch and force factors -- Identification of contiguous anatomic structures -- 5.7 Surgical consultation -- 5.8 Synthesis of data and treatment planning -- Reevaluation -- Treatment selection -- Patient responsibilities -- 5.9 Evidence-based implant dentistry -- 5.10 Case selection and risk assessment -- 5.11 Treatment modifiers, complicating or risk factors -- 5.12 Patient education, expectations, and consent -- Informed consent -- Legal issues -- 5.13 Summary of assessment and treatment planning -- References -- 6: Essentials for Implant Treatment -- 6.1 Brånemark osseointegration protocol -- First-stage surgery -- Atrophic maxillae -- Second-stage surgery -- Prosthetic rehabilitation -- 6.2 Other surgical protocols -- One-stage surgery with transmucosal healing -- Other surgical protocols and shortened loading protocols -- 6.3 Different treatment presentations and arch configurations -- The single-implant crown -- Multiple missing teeth -- One edentulous arch opposing a natural arch or partial arch with or without significant restoration -- Complete edentulism -- 6.4 Prosthetic options: Screw fixation, cementation, and retentive anchors -- 6.5 Implant treatment outcomes -- Implant success -- Implant survival or cumulative survival rate (CSR) -- Prosthesis survival -- 6.6 Criteria for patient outcomes -- Positive outcomes from a patient perspective -- 6.7 Implant maintenance -- Recall schedule -- Prosthetic stability -- 6.8 Peri-implant health assessment and treatment -- Implant surfaces and biofilms -- Peri-implant probing.

Keratinized (attached), nonkeratinized peri-implant cuff/mucosa -- Treatment of soft tissue problems and peri-implant infection -- References -- 7: Surgical Planning and Procedures -- 7.1 Introduction -- 7.2 Patient education and expectations -- 7.3 Medical assessment and management -- Medical management -- 7.4 Implications of medical conditions and medications -- Diabetes mellitus -- Immunodeficiency -- Antiresorptive therapy for bone dysplasias, cancer, and osteoporosis -- Irradiation of jawbones -- Smoking -- Contraindications to implant surgery -- 7.5 Surgical site assessment (see Chapter 5) -- Overview of dental status -- Applied anatomy -- Radiographs -- Bone volume (height, width, and shape) -- Bone density or quality -- Spatial factors -- Implant position: Aesthetic and safety guidelines -- Gingival biotype and the band of attached gingiva -- 7.6 Implant surgery -- Patient preparation and informed consent -- Surgical operating field -- The surgical guide -- Flap management -- Implant osteotomy site, placing the implant -- Screw tapping, osteotomes, final drill size, and insertion -- Final position and suturing -- 7.7 Implant surgical protocols -- One-stage surgery -- Two-stage surgery -- Implant placement variations -- Immediate placement -- Aesthetic soft tissue management -- Ridge preservation (socket augmentation) following extraction -- Implant placement with simultaneous ridge augmentation or sinus lift -- 7.8 Solutions for insufficient bone volume at the implant site -- Solutions for inadequate bone volume -- Types of ridge grafting/augmentation -- Types of graft materials and membranes -- 7.9 Implant selection -- Implant platform, diameter -- Implant length -- Implant number -- Implant configuration -- 7.10 Provisional restorative options -- Immediate/early loading -- 7.11 Postoperative management and surgical review.

7.12 Second-stage surgery.

Description based on publisher supplied metadata and other sources.

Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.