Evidence-based Implant Treatment Planning and Clinical Protocols (eBook)

Steven J. Sadowsky (Herausgeber)

eBook Download: PDF

2016
John Wiley & Sons (Verlag)
978-1-119-08004-6 (ISBN)

Infos

Evidence-based Implant Treatment Planning and Clinical Protocols provides a systematic approach to making treatment decisions and performing restorative procedures.  

• Offers a clinically relevant resource grounded in the latest research
• Applies an evidence-based approach to all aspects of implant dentistry, including maxillofacial prosthodontics, from planning to surgery and restoration
• Describes procedures in detail with accompanying images
• Covers all stages of treatment, from planning to execution
• Includes access to a companion website with video clips demonstrating procedures and the figures from the book in PowerPoint

Steven J. Sadowsky is Professor and Director of Implant Education, University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, California, USA.

Inhalt

Title Page 5
Copyright Page 6
Contents 7
Contributors 8
Foreword 10
Prologue 11
Acknowledgments 13
About the Companion Website 14
Chapter 1 The State of the Evidence in Implant Prosthodontics 15
Introduction 15
Hierarchy of evidence 15
Bias 16
The reader 16
The author 17
The journal 18
Statistics 18
Evaluation 22
Conclusion 23
References 24
Chapter 2 Systemic Factors Influencing Dental Implant Therapy 25
Immunocompromised patients 25
Uncontrolled diabetes 26
Intravenous bisphosphonates 26
Bleeding disorders 27
Recent myocardial infarction/stroke 28
Active treatment of malignancy 28
Alcohol/drug abuse 29
Neuropsychiatric/neuromuscular illness 29
Osteoporosis 29
Smoking 30
Chronic periodontitis 30
Autoimmune disease 30
Lack of surgical experience 31
Temporary contraindications 31
Incomplete growth 31
Pregnancy 31
Summary 32
References 32
Chapter 3 Maintenance Considerations in Treatment Planning Implant Restorations 36
General considerations 36
Purpose, outline, and definition of terms 38
Clinician decisions influencing maintenance programs 38
Identifying risk factors during diagnosis and treatment planning to develop an appropriate patient-specific maintenance program 38
Decreasing modifiable risk factors to improve maintenance of implant restorations 40
Medicaments to improve health of tissues around dental implants 41
Recommended recall patterns and at-home maintenance for patients with implants 43
In-office procedures for maintenance for the patient with implant restorations 43
Development of a patient-specific maintenance program based on the risk factor checklist 45
Developing a patient-specific maintenance program using the risk factor checklist 46
Conclusions 46
References 47
Chapter 4 Three-Dimensional Radiographic Imaging for Implant Positioning 50
Introduction 50
Three-dimensional radiographic imaging 50
The issue of radiation 51
Levels of adjunct use of CBCT in implant dentistry 51
Diagnostic use of CBCT (passive or CBCT aided) 51
Implant planning (semi-active or CBCT guided) 52
Comparative accuracy of guided surgery with different approaches 54
Complications 56
Operator sensitivity/learning curve influence 57
Post-surgical evaluation of implant positions 57
Conclusion 57
References 58
Chapter 5 Decision Making in Bone Augmentation to Optimize Dental Implant Therapy 60
GBR techniques for horizontal and vertical augmentation 60
Horizontal augmentations 60
Vertical augmentations 64
Maxillary sinus grafts 66
Summary 69
References 69
Chapter 6 Immediate Implant Placement and Provisionalization of Maxillary Anterior Single Implants 71
Introduction 71
Diagnosis and treatment planning 71
Clinical procedure 73
Diagnostic waxing 73
Surgical procedure 73
Immediate provisionalization 74
Postoperative instruction 75
Definitive restoration 75
The challenge and potential solution of maintaining the inter-implant papilla when replacing a tooth adjacent to an implant 76
Conclusions 78
References 79
Chapter 7 Surgical Complications in Implant Placement 81
Complications during execution 81
Neurologic disturbances 81
Floor of mouth injuries 84
Dentoalveolar complex 84
Adjacent structures 85
Perioperative complications 86
Bleeding and hemorrhage 87
Errant implant position 88
Loss of integration/implant loosening 89
Errors in positioning 89
Patient compliance 89
Conclusion 90
References 90
Chapter 8 Failure in Osseointegration 91
Introduction 91
Patient factors 91
Implant factors 94
Implant surface/coating 94
Implant dimensions 94
Implant design and thread patterns 95
Implant platform 95
Clinician factors 95
Experience/inexperience of clinician 95
Competence/incompetence of clinician 96
Knowledge/ignorance of clinician 96
Summary 97
References 97
Chapter 9 Implant Restoration of the Partially Edentulous Patient 99
Local factors influencing implant therapy 99
Indications for endodontic versus implant therapy 104
Indications for tooth-supported fixed dental prostheses versus single implant crowns 106
Indications for implant-fixed dental prostheses and cantilevered fixed dental prostheses 108
Indications for splinting multiple implants 111
Indications for the selection of short implants 112
Narrow-diameter implants 113
Combined tooth- and implant-supported fixed dental prostheses 113
Screw- versus cement-retained implant restorations 113
Immediate loading and immediate implant placement protocols 116
Summary 118
References 118
Chapter 10 Prosthodontic Considerations in the Implant Restoration of the Esthetic Zone 123
Examination and site analysis 123
Diagnostic wax-up, radiographic guide fabrication, and three-dimensional imaging/virtual planning 123
Planning the implant position 124
Single-tooth implant restorations 124
Multiple missing teeth 124
Anatomic factors 125
Timing of implant placement 129
Measures to evaluate esthetics around dental implants in the esthetic zone 130
Interim restorations 131
Definitive restoration 131
Screw retention vs. cement retention 131
Abutments 131
Maintenance and long-term complications 131
Summary 134
References 134
Chapter 11 Ceramic Materials in Implant Dentistry 137
Introduction 137
Materials 137
Lithium disilicate 137
Zirconia 138
Abutments 140
Zirconia abutments 140
Gold hue abutments 142
Lithium disilicate abutments 142
Single-unit crowns and fixed dental prostheses 142
Anterior restorations 142
Posterior single-unit restorations 144
Fixed dental prostheses 145
Summary 146
References 146
Chapter 12 Cement-Retained Implant Restorations: Problems and Solutions 148
Cemented restorations and issues related specifically to dental implants 148
Tooth versus implants: biology 148
Implant depth and cement margin depth 149
Cement interactions: specific issues with implants 151
Microbial growth 151
Host response: foreign body reaction 151
Host response: allergic response 153
Corrosion 153
Luting material selection 154
Implant restorative cementation: developing clinical protocols 155
Conclusion 170
References 170
Chapter 13 Implant Restoration of the Growing Patient 173
Steps to consider in the rehabilitation of the young adult patient 177
Mechanical considerations 179
Conclusions 180
References 181
Chapter 14 Occlusion: The Role in Implant Prosthodontics 183
Introduction 183
Occlusal considerations for implant-borne restorations 183
Crown–implant ratio 183
Progressive loading 183
Occlusal overload 184
Nonaxial loading 185
Nature of implant–abutment connection 186
Passive fit 186
Splinting 187
Cantilevers 188
Bruxism 188
Absence of proprioception 189
Occlusal materials 190
Screw retention versus cement retention of restorations 192
Occlusal schemes 194
Summary 195
References 195
Chapter 15 Evolving Technologies in Implant Prosthodontics 198
The flow of patient data in digital implant prosthodontics (the language of digital prosthodontics) 198
Technologies for implant diagnosis and treatment planning 199
Technologies for implant placement 199
Technologies for implant interim prostheses 202
Technologies for definitive impressions 204
Intraoral scanning for single-tooth indications 204
Intraoral scanning for complete-arch indications 204
Intraoral scanning for implant indications 204
Intraoral scanning for edentulous indications 207
Technologies for jaw-relation records 208
Technologies used in the fabrication of prostheses 208
Technologies for implant prosthesis delivery 210
Time efficiencies 211
Patient preferences 212
Technologies for implant prosthodontic patient maintenance 212
Evolving technologies in implant maxillofacial prosthodontics 213
Future trends in implant prosthodontics 215
Summary 215
References 215
Chapter 16 Implant Dentistry: Challenges in the Treatment of the Edentulous Patient 221
Education 222
Troubleshooting denture complications 222
Diagnostic criteria for complete edentulism 223
Vertical dimension of occlusion 223
Occlusal harmony 225
Esthetic arrangement of teeth 227
Economic burden 227
New technologies 229
Marketing 229
Assumptions 229
Periodontal compromise 230
Future trends 230
Summary 231
References 231
Chapter 17 Implant Restoration of the Maxillary Edentulous Patient 235
Morphology of the edentulous maxilla 235
Diagnostic phase 235
Radiologic diagnosis and treatment planning 242
Restoration design options and implant numbers 242
Implant fixed complete denture 242
Porcelain-fused-to-metal implant fixed dental prostheses 244
Implant overdenture prosthesis 249
Maintenance for fixed and removable restorations 250
Patient factors and patient-reported outcome measurements 251
Summary 252
References 253
Chapter 18 Implant Restoration of the Mandibular Edentulous Patient 255
Incidence of edentulism and demographic trends on implant treatment acceptance 255
Systemic factors 255
Local factors 256
Patient-mediated factors 257
The implant overdenture versus a conventional denture 259
Number of implants, anchorage system, and maintenance of the implant overdenture 264
Number of implants 264
Anchorage system 265
Maintenance 265
Immediate-load protocols 266
Patient selection 267
Implant fixed complete dentures 268
Immediate-load protocols 271
Fixed dental prostheses 276
Immediate-load protocols 277
Summary 277
References 278
Chapter 19 Material Considerations in the Fabrication of Prostheses for Completely Edentulous Patients 283
Origin of material selection for implant prostheses 283
Initial evaluation and treatment planning 284
Basic material properties 287
Basic screw joint mechanics 288
Force transfer and biomechanics 290
Prosthesis design 291
Overdentures 291
Fixed implant complete denture 292
Metal–ceramic fixed dental prosthesis 294
Component fixed dental prosthesis 298
Monolithic fixed dental prosthesis 299
Proposed design algorithm 301
Material choices for prosthetics 301
Repair techniques 302
Summary 303
References 304
Chapter 20 Digital Alternatives in the Implant Restoration of the Edentulous Patient 307
Introduction 307
Applications of digital complete dentures with implants 309
Digital impressions for edentulous arches 312
Digital options for substuctures and monolithic framework prostheses 313
Conclusion 314
References 314
Chapter 21 Restoration of Acquired Oral Defects with Osseointegrated Implants 316
Introduction 316
Implant-retained prostheses for acquired hard and soft palate defects 316
Restoration of hard palate defects 316
Implant-retained obturator prostheses for soft palate defects 322
Congenital defects of the maxilla 322
Combined surgical and prosthetic rehabilitation with CAD/CAM techniques 323
Restoration of tongue–mandible defects with osseointegrated implants 325
Anterior defects with mandibular continuity retained or restored 325
Lateral defects with mandibular continuity restored 327
Lessons learned from the use of implants in free vascularized flaps 327
Lateral discontinuity defects – implant-retained resection overdentures 328
Edentulous patients with reconstructed partial glossectomy defects and the continuity of the mandible retained or restored 329
Implants in patients treated with radiation and chemoradiation 330
Predictability of implants in irradiated bone 331
Recommendations – patient selection and treatment 334
Chapter 22 Implant-Retained Restoration of the Craniofacial Patient 339
Surgical phase 342
Presurgical planning 342
Surgery 343
Nasal prostheses 346
Implant-retained auricular prostheses 350
Implant-retained orbital prostheses 353
Midfacial prostheses 356
Related advances in technology for cranionfacial implant?retained restorations 360
Summary 360
Postscript 360
References 360
Chapter 23 Peri-Implant Diseases 363
Introduction 363
Peri-implant diseases 363
Distinction between natural tooth and implant attachment complex 363
History 364
A paradigm shift from bone only to prioritize soft tissue concerns 365
Biofilm 365
Peri-implant mucositis (PIM) and peri-implantitis (PI) 365
Diagnosis 366
Etiology 369
Epidemiology 372
Future directions in peri-implant disease research 372
Treatment 372
Nonsurgical treatment for PIM or PI 372
Surgical therapy 376
Future directions 382
Conclusion 383
References 383
Epilogue 391
Index 393
EULA 403

Rezensionen

"This book is well written and organized. The approach is evidence based, with the majority of the focus on treatment planning for implants in patients who are partially or completely edentulous. The pairing of the book with the website is very helpful to visual learners and those who have limited experience with implant placement." (Doody Enterprises 28/04/2017)

Produkt-Details

• Erscheint lt. Verlag: 21.11.2016
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Gesundheitsfachberufe
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete
• Themenwelt: Medizin / Pharmazie ► Zahnmedizin
• Schlagworte: dentistry • Implant Dentistry • Implantologie • Implantologie i. d. Zahnheilkunde • <p>Evidence-based, systematic reviews, clinical trials, research, decision making, implant, restorative, prosthodontics, osseointegration, bone augmentation, treatment, maintenance, care, partially edentulous, completely edentulous, materials, peri-implant diseases, maxillofacial, dental, dentistry</p> • Parodontologie • Periodontology • Prosthodontics • Zahnmedizin • Zahnprothesen
• ISBN-10: 1-119-08004-5 / 1119080045
• ISBN-13: 978-1-119-08004-6 / 9781119080046