Implant Restorations

A Step-by-Step Guide

Carl Drago

• Publisher: Wiley-Blackwell
• Year: 2019
• Print ISBN: 9781119538110
• eBook ISBN: 9781119538158
• Edition: 4
• Topic: Medicine
• Subtopic: Dentistry

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.

1
Introduction to Implant Dentistry

Introduction

The successful long‐term clinical use of dental endosseous implants requires some type of biologic attachment of implants to bone. In 1969 Brånemark et al. defined this process as osseointegration (Brånemark et al. 1977). This process has been subsequently studied by numerous researchers around the world and has come to identify the functional stability of the endosseous implant/bone connection (Davies 1998). The histology and biomechanics of osseointegration are beyond the scope of this text; the reader is referred to other sources for further information and increased understanding relative to osseointegration.

Treatment of edentulous or partially edentulous patients with endosseous implants requires a multidisciplinary team approach. This team generally consists of an implant surgeon, restorative dentist, and dental laboratory technician. In some cases, the surgical and restorative portions of the treatments are accomplished by the same clinician. Implant dentistry is a restorative driven service and the ultimate success of implant treatment will be measured, at least in part, by the aesthetic and functional results as perceived by patients. Prosthesis design, whether a single implant‐retained crown or full‐arch prosthesis, will have a major impact on the number, size, and position of the implant(s) that will be used in a specific treatment plan. Treatment planning for implant dentistry must therefore begin with the restorative phase prior to considering the surgical phases of treatment.

Brånemark and co‐workers introduced a two‐stage surgical protocol to North America in 1982 (Zarb 1993). Numerous long‐term clinical studies have proven the efficacy of titanium endosseous implants (Adell et al. 1981; Friberg et al. 1991; Sullivan et al. 2002; Testori et al. 2002; Ostman et al. 2012; Nicoli et al. 2017). Most clinicians consider osseointegration of dental implants to be predictable and highly effective in solving clinical problems associated with missing teeth (Davarpanah et al. 2002) Alzarea (2016) considered peri‐implant soft tissue health as a requisite for successful implant treatment. He evaluated the impact on quality of life of patients treated with dental implants. Alzarea reported that similar inflammatory conditions were present around natural teeth and implant prostheses as suggested by results of mean plaque index, mean bleeding on probing, mean pocket depth, and mean probing attachment level. He reported that this reinforced the importance of periodontal health maintenance prior to and after placement of dental implants. Alzarea concluded that implant prostheses had a significant influence on patient's oral health related quality of life (as depicted by Oral Health Impacts Profile [OHIP]‐14); he also concluded that patients' perceptions and expectations may guide clinicians in providing optimal implant services for their patients.

Purpose of Textbook

The purpose of this textbook is to provide clinicians and dental laboratory technicians with a step‐by‐step approach to the treatment of certain types of edentulous and partially edentulous patients with dental implants. Six types of patient treatments, with multiple implant loading protocols, have been featured. The treatments will be illustrated with emphasis on diagnosis and treatment planning, restorative dentist/implant surgeon communication, laboratory work orders, and restorative treatments, on an ...

Table of contents

• Cover
• Table of Contents
• List of Contributors
• Foreword
• Preface
• Acknowledgments
• 1 Introduction to Implant Dentistry
• 2 Implants and Implant Restorative Components
• 3 Diagnosis and Treatment Planning in Implant Restorative Dentistry
• 4 Treatment of Edentulous Mandibular Patients
• 5 Replacement of Single Teeth with CAD/CAM Implant Restorations
• 6 Fixed Dental Prostheses
• 7 Accelerated Treatment Protocol of a Patient with Edentulous Jaws and CAD/CAM Titanium Framework/Fixed Hybrid Prostheses
• 8 Treatment of Edentulous Patients with Immediate Occlusal Loading
• 9 Treatment of Edentulous Patients with Immediate Occlusal Loading
• 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)
• 11 Computed Tomography (CT) Guided Surgery/Immediate Occlusal Loading with Full‐Arch Prostheses in Edentulous Patients
• 12 Guidelines and Maintenance Procedures for Fixed, Full‐Arch, Implant‐Retained Prostheses
• Index
• End User License Agreement