Implant Therapy in the Esthetic Zone
Single-Tooth Replacements
- 268 pages
- English
- ePUB (mobile friendly)
- Available on iOS & Android
Implant Therapy in the Esthetic Zone
Single-Tooth Replacements
About This Book
This first volume focuses on implant therapy for single-tooth replacement in the esthetic zone. It guides readers through the entire treatment process, beginning with assessment of the patient's individual esthetic risk profile and proceeding through ideal three-dimensional implant placement and proven prosthetic management options. Various procedures are illustrated through patient case studies. Detailed illustrations serve to clarify any potential ambiguities, and potential complications are explored to avert the most common problems.The ITI Treatment Guide series, a compendium of evidence-based implant therapy techniques employed in daily practice, offers a comprehensive overview of various therapeutic options. Written by expert clinicians of worldwide renown and using an illustrated step-by-step approach, the ITI Treatment Guide shows practitioners how to manage different clinical situations, emphasizing sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes throughout.
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Information
1Â Â Â Introduction
D. Buser, U.C. Belser, D. Wismeijer
2 Proceedings of the Third ITI Consensus Conference: Esthetics in Implant Dentistry
Jean-Paul Martinet Douteau
Javier G. Fabrega
Timothy W. Head
Joachim S. Hermann
Frank L. Higginbottom
John D. Jones
Hideaki Katsuyama
Scott E. Keith
William C. Martin
Stephen Rimer
Johannes Röckl
Bruno Schmid
Alwin Schönenberger
David Shafer
Christian ten Bruggenkate
Dieter Weingart
- Outcome analysis of implant restorations located in the anterior maxilla
- Anatomical and surgical considerations of implant therapy in the anterior maxilla
- Practical prosthodontic procedures related to anterior maxillary fixed implant restorations
2.1 Consensus Statements and Recommended Clinical Procedures Regarding Esthetics in Implant Dentistry
2.1.1 Statements A: Long-Term Results
Statement A.1Evidence from the LiteratureThe use of dental implants in the esthetic zone is well documented in the literature. Numerous controlled clinical trials show that the respective overall implant survival and success rates are similar to those reported for other segments of the jaws. However, most of these studies do not include well-defined esthetic parameters.
Statement A.2Single-Tooth ReplacementFor anterior single-tooth replacement in sites without tissue deficiencies, predictable treatment outcomes, including esthetics, can be achieved because tissue support is provided by adjacent teeth.
Statement A.3Multiple-Tooth ReplacementThe replacement of multiple adjacent missing teeth in the anterior maxilla with fixed implant restorations is poorly documented. In this context, esthetic restoration is not predictable, particularly regarding the contours of the interimplant soft tissue.
Statement A.4Newer Surgical ApproachesCurrently, the literature regarding esthetic outcomes is inconclusive for the routine implementation of certain surgical approaches, such as flapless surgery and immediate or delayed implant placement with or without immediate loading in the anterior maxilla.
2.1.2 Statements B: Surgical Considerations
Statement B.1Planning and ExecutionImplant therapy in the anterior maxilla is considered an advanced or complex procedure and requires comprehensive preoperative planning and precise surgical execution based on a restoration-driven approach.
Statement B.2Patient SelectionAppropriate patient selection is essential in achieving esthetic treatment outcomes. Treatment of high-risk patients identified through site analysis and a general risk assessment (medical status, periodontal susceptibility, smoking, and other risks) should be undertaken with caution, since esthetic results are less consistent.
Statement B.3Implant SelectionImplant type and size should be based on site anatomy and the planned restoration. Inappropriate choice of implant body and shoulder dimensions may result in hard and/or soft tissue complications.
Statement B.4Implant PositioningCorrect three-dimensional implant placement is essential for an esthetic treatment outcome. Respect of the comfort zones in these dimensions results in an implant shoulder located in an ideal position, allowing for an esthetic implant restoration with stable, long-term peri-implant tissue support.
Statement B.5Soft-Tissue StabilityFor long-term esthetic soft-tissue stability, sufficient horizontal and vertical bone volume is essential. When deficiencies exist, appropriate hard and/or soft-tissue augmentation procedures are required. Currently, vertical bone deficiencies are a challenge to correct and often lead to esthetic shortcomings. To optimize soft-tissue volume, complete or partial coverage of the healing cap/implant is recommended in the anterior maxilla. In certain situations, a non-submerged approach can be considered.
2.1.3 Statements C: Prosthodontic and Restorative Procedures
Statement C.1Standards for an Esthetic Fixed Implant RestorationAn esthetic implant prosthesis was defined as one that is in harmony with the peri-oral facial structures of the patient. The esthetic peri-implant tissues, including health, height, volume, color, and contours, must be in harmony with the healthy surrounding dentition. The restoration should imitate the natural appearance of the missing dental unit(s) in color, form, texture, size, and optical properties.
Statement C.2Definition of the Esthetic ZoneObjectively, the esthetic zone was defined as any dento...
Table of contents
- Deckblatt
- Titelblatt
- Copyright-Seite
- Inhaltsverzeichnis
- Preface
- Acknowledgment
- Editors and Authors
- 1 Introduction
- 2 Proceedings of the Third ITI Consensus Conference: Esthetics in Implant Dentistry
- 3 Pre-operative Analysis and Prosthetic Treatment Planning in Esthetic Implant Dentistry
- 4 Achieving Optimal Esthetic Results
- 5 Esthetic Complications and Their Causes
- 6 Synopsis
- Literature/References
- Decision tree 1 (chapter 4.3 and 4.3.1)
- Decision tree 2 (chapter 4.3 and 4.3.2)