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Decision Making in Dental Implantology
Atlas of Surgical and Restorative Approaches
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eBook - ePub
Decision Making in Dental Implantology
Atlas of Surgical and Restorative Approaches
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About This Book
Decision Making in Dental Implantology: Atlas of Surgical and Restorative Approaches offers an image-based resource to both the surgical and restorative aspects of implant therapy, presenting more than 2, 000 color images with an innovative case-by-case approach.
- Takes a highly pictorial approach to all aspects of implant dentistry
- Discusses both the surgical and restorative aspects of implant therapy in a single resource
- Describes a wide range of clinical scenarios likely to be encountered in daily practice
- Covers anterior, posterior, and full-mouth restorations
- Presents more than 2, 000 color images showing the basic concepts and clinical cases
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Yes, you can access Decision Making in Dental Implantology by Mauro Tosta, Gastão Soares de Moura Filho, Leandro Chambrone in PDF and/or ePUB format, as well as other popular books in Medicine & Dentistry. We have over one million books available in our catalogue for you to explore.
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Chapter 1
Current Status of Clinical Practice with Dental Implants: An Evidence-Based Decision Making Overview
Osseointegration and its Application to the Treatment of Completely or Partially Edentulous Patients in Clinical Practice
Since the first experimental study from the end of 1960s [1], the titanium implant has been used as a biocompatible feasible alternative in the treatment of completely or partially edentulous patients. Basically, the systematic use of dental implants in dentistry as a scientifically proven therapeutic approach occurred in the 1980s, while in the 1990s it strongly grew in terms of potential clinical applications (Figure 1.1 and 1.2).
Currently, titanium implant-based procedures are seen as the gold standard for the replacement of teeth lost as a consequence of periodontitis, caries, endodontic pathology, and trauma. As a result, it can be argued with a high degree of certainty that implant-based therapies alone or in association with hard- and soft-tissue reconstructive procedures (most of them developed during the same period) are essential for the achievement of excellent clinical treatment in dentistry. These principles are grounded in the accomplishment of so-called osseointegration between the implant surface and living alveolar bone, (i.e. a direct bone deposition on implant surfaces at the light microscopic level) [2]. Additionally, others factors have influenced implant therapy among professionals over the last 20 years: the high success rates and the clinical/functional predictability of prosthetic restorations examined by long-term periodontal and implant dentistry research (Figure 1.3 and 1.4) [3–8].
Anatomical Implications to Implant Therapy and the Current Impact of Guided Bone Regeneration
The success rate of this treatment modality has been influenced by many elements, such as the successful osseointegration of the dental implants, smoking, the relationship between the final restoration(s) and the adjacent teeth, occlusal loading, and the health of the surrounding soft and hard tissue [9–18]. However, and apart from them, the initial anatomical conditions of the site intended to receive an implant merit close attention as they will drive the initial treatment path.
The bone defects in the alveolar ridge have always been considered a major obstacle to clinical therapy with osseointegrated dental implants, especially in partially edentulous patients. Tooth loss leads to changes of the alveolar ridge anatomy (i.e. bone resorption in both height and thickness) and to the development of bone defects: (a) limited bone thickness, (b) reduced bone height, (c) vertical bone defects, (d) bone defects' combined height and thickness, (e) periodontal attachment loss of the teeth adjacent to the edentulous area, and (f) large bone loss resulting from infections/dentoalveolar trauma or previous surgical procedures (Figure 1.5 and 1.6) [19–24]. These features may not only significantly hinder the placement of implants but also affect the p...
Table of contents
- Cover
- Title Page
- Copyright
- Foreword
- Decision Making in Dental Implantology
- Preface
- About the Authors
- Chapter 1: Current Status of Clinical Practice with Dental Implants: An Evidence-Based Decision Making Overview
- Chapter 2: Treatment Planning for Bone Defects in the Alveolar Ridge
- Chapter 3: Treatment of Esthetic Areas
- Chapter 4: Treatment of Posterior Areas
- Chapter 5: Implant-Supported Rehabilitation of Completely and Partially Edentulous Patients
- Chapter 6: Multidisciplinary Decision Making: The Complexity of Some Potential “Real World” Clinical Scenarios
- Index
- End User License Agreement