Details

Advances in Esthetic Implant Dentistry


Advances in Esthetic Implant Dentistry


1. Aufl.

von: Abdelsalam Elaskary

143,99 €

Verlag: Wiley-Blackwell
Format: EPUB
Veröffentl.: 31.12.2018
ISBN/EAN: 9781119286714
Sprache: englisch
Anzahl Seiten: 392

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Beschreibungen

<p><b>A comprehensive and highly illustrated reference on current topics in esthetic dental implant therapy</b></p> <p><i>Advances in Esthetic Implant Dentistry </i>provides a current, comprehensive overview of esthetic implant therapy. Offering innovative step-by-step protocols for surgical techniques and case studies, the book presents practical, clinically oriented guidance firmly anchored in solid scientific research. A companion website provides videos of clinical procedures and follow-up case studies.</p> <p>The book emphasizes the physiology of labial plate of bone and its influence to the overall fate of implant placement in fresh extraction sites, including several cutting-edge techniques to restore and treat deficient labial plate of bone. A novel chapter offers a solid protocol to diagnose, categorize, and treat implant-related gingival recession predictably.</p> <ul> <li>Highlights novel esthetic protocols in dental implantology, applying the latest advances in clinical techniques to real-world dentistry</li> <li>Follows up on treatment outcomes, presenting results up to seven years later</li> <li>Provides reliable, evidence-based bone regenerative methods</li> <li>Illustrates procedures step by step, with more than 2500 clinical photographs</li> <li>Features a companion website with videos of clinical procedures and follow-up case studies</li> </ul> <p><i>Advances in Esthetic Implant Dentistry </i>is an indispensable clinical companion for practitioners and students of periodontics, prosthodontics, oral and maxillofacial surgery, and general dentistry, bringing the reader new horizons in esthetic dentistry.</p>
<p>Foreword xv</p> <p>List of Contributors xvii</p> <p>Preface xix</p> <p>Acknowledgments xxi</p> <p>About the Companion Website xxiii</p> <p><b>1 Modern Trends in Esthetic Implant Therapy 1</b></p> <p>1.1 Predictability of Esthetic Implant Therapy 1</p> <p>1.2 Where We Were 2</p> <p>1.3 Where We are Now 4</p> <p>1.4 The Era of Peri‐implant Soft Tissue Optimization 10</p> <p>1.5 Soft Tissue Bio‐characterization and Influence 11</p> <p>1.6 Role of Interim Restorations 13</p> <p>1.6.1 Using or Modifying an Existing Prosthesis 14</p> <p>1.6.2 Removable Partial Dentures 14</p> <p>1.6.3 Adhesive Bridges 15</p> <p>1.7 The Value of Patient Records 15</p> <p>1.8 The Value of Team 16</p> <p>1.9 Fulfilling Patient Expectations in Esthetic Implant Therapy 18</p> <p>1.9.1 Ideal Patient–Clinician Relation 18</p> <p>1.9.2 Hazardous Effects of Poor Dental Practice 19</p> <p>1.9.3 Financial Resolution 20</p> <p>References 21</p> <p><b>2 Extraoral Clinical Reflections 27</b></p> <p>2.1 Value of a Smile to Human Beings 27</p> <p>2.1.1 Human Face 28</p> <p>2.2 Smile Art 29</p> <p>2.3 Smile Pattern 30</p> <p>2.4 Smile Design 32</p> <p>2.5 Smile Landmarks 34</p> <p>2.5.1 Intercommissure Line 34</p> <p>2.5.2 Smile Arc 35</p> <p>2.5.3 Vestibular Reveal 36</p> <p>2.6 The Lip Influence 37</p> <p>2.7 Teeth Morphology 40</p> <p>2.7.1 Age 41</p> <p>2.7.2 Gender 43</p> <p>2.7.3 Personality 43</p> <p>2.8 Symmetry 44</p> <p>References 46</p> <p><b>3 Esthetic Outcome of Immediately Implanted and Loaded Implants in the Esthetic Region: A Discussion of Preclinical and Clinical Evidence 49</b></p> <p>3.1 Preclinical Evidence 49</p> <p>3.1.1 Flapless Extraction Surgeries: Basis for Its Use 49</p> <p>3.1.2 Implant Buccolingual Positioning 51</p> <p>3.1.3 Jumping Gap and Implant Surface 53</p> <p>3.1.4 Gap Filling and Implant Coronoapical Positioning 55</p> <p>3.1.5 Presence and Thickness of the Buccal Bone Plate (Tissue Biotype) 60</p> <p>3.2 Clinical Evidence 60</p> <p>References 66</p> <p><b>4 Novel Concepts in Restoring Defective Labial Plate of Bone in Immediate Implant Therapy 69</b></p> <p>4.1 Introduction 69</p> <p>4.1.1 Treatment Benefits of Immediate Implant Placement in the Esthetic Zone 69</p> <p>4.1.1.1 Reduced Treatment Time 70</p> <p>4.1.1.2 Improved Patient Acceptance 70</p> <p>4.1.1.3 Better Esthetics 70</p> <p>4.1.2 Treatment Complications with Immediate Implant Placement 71</p> <p>4.1.2.1 Facial Recession 71</p> <p>4.1.2.2 Dropped Facial Contours 71</p> <p>4.1.2.3 Poor Esthetics and Tissue Discoloration 72</p> <p>4.2 Reasons for Inconsistent Outcome with Immediate Implant Placement 72</p> <p>4.2.1 Lack of Diagnostic Tools 72</p> <p>4.2.2 Reduced Levels of Technical Skills 76</p> <p>4.2.3 Accuracy of Positioning of the Implant 78</p> <p>4.2.4 Nature of the Labial Plate of Bone 78</p> <p>4.2.5 Influence of Implant Fixture Diameter 79</p> <p>4.2.6 Risk Factors 82</p> <p>4.2.6.1 Socket Trauma 82</p> <p>4.3 Arbitrary Flapless Implant Fixture Installation 84</p> <p>4.3.1 The Effect of Loading Protocol 88</p> <p>4.3.2 The Influence of Socket Related Pathology 89</p> <p>4.3.3 Discussion 93</p> <p>4.4 Socket Preservation Therapy 95</p> <p>4.5 Novel Concepts to Treat Defective Labial Plate of Bone 98</p> <p>4.5.1 Block Autografts 98</p> <p>4.5.2 Fitted Autogenous Bone Veneers 100</p> <p>4.5.3 Using Monocortical Allografts 106</p> <p>4.5.4 Using Guided Tissue Regeneration 110</p> <p>4.5.5 Socket Repair Kit 114</p> <p>4.5.6 Composite Grafts 117</p> <p>4.6 Conclusion 126</p> <p>References 128</p> <p><b>5 Peri‐implant Tissue Stability: Prevalence, Etiology, Prevention, and Treatment 137</b></p> <p>5.1 Introduction 137</p> <p>5.2 Prevalence of Implant Related Tissue Migration 138</p> <p>5.3 Factors that Lead to Implant‐related Gingival Recession 139</p> <p>5.3.1 Background 139</p> <p>5.3.2 Physiologic Factors 140</p> <p>5.3.2.1 Influence of Thickness of the Labial Plate of Bone 140</p> <p>5.3.2.2 Influence of Tissue Phenotype 141</p> <p>5.3.2.3 Influence of the Underlying Periosteum 144</p> <p>5.3.2.4 The Influence of the Immediate Implant Placement on Alveolar Bone Remodeling 146</p> <p>5.3.2.5 Other Related Factors 147</p> <p>5.3.3 Technical Factors 148</p> <p>5.3.3.1 Implant Positioning Errors 148</p> <p>5.3.3.2 The Influence of the Implant Collar Design 149</p> <p>5.3.3.3 The Influence of the Provisional and Prosthetic Designs 150</p> <p>5.3.3.4 Miscellaneous Factors 152</p> <p>5.4 Classification of Implant‐related Gingival Recession 153</p> <p>5.5 Recession Scoring Template 154</p> <p>5.6 Treatment of Implant‐related Gingival Recession 155</p> <p>5.6.1 Preventive Treatment Options 155</p> <p>5.6.1.1 Innovative Implant-related Designs 155</p> <p>5.6.1.2 Thickness Doubling of the Labial Tissue Volume 157</p> <p>5.6.1.3 Subcrestal Implant Placement 165</p> <p>5.6.2 Treatment for Class I Recession 165</p> <p>5.6.3 Treatment for Class II Recession 169</p> <p>5.6.4 Treatment for Class III Recession 178</p> <p>5.7 Conclusion 187</p> <p>References 187</p> <p><b>6 Revisiting Guided Bone Regeneration in the Esthetic Zone 197<br /></b><i>Rawad Samarani</i></p> <p>6.1 Introduction 197</p> <p>6.2 Biological Rationale and Historic Overview 197</p> <p>6.3 Surgical Protocol and Special Considerations for the Esthetic Zone 198</p> <p>6.3.1 Flap Design 198</p> <p>6.3.1.1 Incisions at the Edentulous Site 198</p> <p>6.3.1.2 Incisions at the Adjacent Teeth and Vertical Releasing Incisions 199</p> <p>6.3.1.3 Flap Advancement 199</p> <p>6.3.2 Recipient Site Preparation 201</p> <p>6.3.3 Bone Graft and Membrane Placement 208</p> <p>6.3.4 Sutures 229</p> <p>6.4 Revisiting the Barrier Membranes and the Bone Grafts 230</p> <p>6.4.1 Barrier Membranes 230</p> <p>6.4.1.1 Non‐resorbable Membranes 230</p> <p>6.4.1.2 Resorbable Membranes 230</p> <p>6.4.2 Bone Grafts 233</p> <p>6.4.2.1 Autogenous Bone Grafts 233</p> <p>6.4.2.2 Allografts 234</p> <p>6.4.2.3 Xenografts 235</p> <p>6.4.2.4 Alloplasts 237</p> <p>6.4.2.5 Combining Different Bone Substitutes 237</p> <p>6.4.2.6 Potential Use of Growth Factors 237</p> <p>6.5 Soft Tissue Corrections after GBR Procedures in the Esthetic Zone 237</p> <p>6.6 Complications 238</p> <p>6.6.1 Wound Dehiscence and Material Exposure 238</p> <p>6.6.1.1 PTFE membranes 238</p> <p>6.6.1.2 Resorbable membranes 239</p> <p>6.6.2 Neurological Complications 239</p> <p>6.7 Conclusion 239</p> <p>References 239</p> <p><b>7 Perfecting Implant Related Esthetic via Using Optimum Surgical Guides 247<br /></b><i>Giampiero Ciabattoni, Alessandro Acocella, and Roberto Sacco</i></p> <p>7.1 Introduction 247</p> <p>7.2 Conventional Guided Implant Placement: Clinical and Surgical Planning 248</p> <p>7.2.1 Pre‐surgical and Virtual Planning 248</p> <p>7.2.2 Surgical Procedure 253</p> <p>7.3 Post‐extractive Guided Implant Placement: Clinical and Surgical Procedure 255</p> <p>7.3.1 Pre‐surgical and Virtual Planning 256</p> <p>7.3.2 Surgical Procedure 258</p> <p>References 259</p> <p><b>8 Restorative Space & Implant Position Optimization 263</b></p> <p>8.1 Restorative Space Management 263</p> <p>8.2 Loss of Restorative Space 263</p> <p>8.3 Magnitude of Restorative Space 264</p> <p>8.3.1 Horizontal Space Component 264</p> <p>8.3.2 Vertical Space Component 265</p> <p>8.4 Methods to Optimize Deficient Horizontal Space 265</p> <p>8.4.1 Enameloplasty/Coronoplasty 265</p> <p>8.4.2 The Use of Narrow Diameter Implants 266</p> <p>8.4.3 Orthodontic Movement 266</p> <p>8.5 Methods to Optimize Vertical Space Insufficiency 269</p> <p>8.5.1 Orthodontic Management 269</p> <p>8.5.1.1 Excessive Space 269</p> <p>8.5.1.2 Management of Deficient Vertical Restorative Space 271</p> <p>8.5.1.3 Screw‐retained Abutments 273</p> <p>8.5.2 Crown Lengthening 273</p> <p>8.5.3 Osseous Crest Management 275</p> <p>8.5.4 Distraction Osteogenesis (for Optimization Excessive Vertical Space) 275</p> <p>8.6 Factors Influencing Implant Positioning 276</p> <p>8.6.1 The Grip 276</p> <p>8.6.2 Accuracy of the Surgical Guide 276</p> <p>8.6.3 Sharpness of the Cutting Flutes of the Drills 277</p> <p>8.6.4 The Use of Positioning Devices 277</p> <p>8.6.5 The Use of Computerized Navigation Surgery 277</p> <p>8.6.6 Implant Morphology and Design 278</p> <p>8.6.7 Implant Positioning Rationale 280</p> <p>8.6.7.1 Mesiodistal Position 281</p> <p>8.6.7.2 Implant Angulation Rationale 282</p> <p>8.6.7.3 Axial Positioning Rationale 286</p> <p>8.7 Treatment of Malposed Implants 288</p> <p>References 296</p> <p><b>9 Treatment Complications and Failures with Dental Implants 301</b></p> <p>9.1 Introduction 301</p> <p>9.1.1 Implant Failure Terms 302</p> <p>9.2 Prevalence of Implant-related Treatment Complications 305</p> <p>9.3 Anatomical Related Treatment Complications 306</p> <p>9.4 Predictability of Regenerative Materials and Techniques 308</p> <p>9.4.1 Etiology of Bone Grafting Complications 309</p> <p>9.4.1.1 Soft Tissue Influence on the Regenerative Therapy Outcome 309</p> <p>9.4.1.2 Influential Factors to Wound Healing 314</p> <p>9.4.1.3 Management of Mucoperiosteal Flap Dehiscence 317</p> <p>9.4.2 Treatment Complications with the Use of Autografts 318</p> <p>9.4.2.1 Donor Site Complications 320</p> <p>9.4.2.2 Recipient Site Complications 320</p> <p>9.4.3 Complications with Allographs 327</p> <p>9.4.3.1 Inconsistent Regenerative Outcome and Questionable Osteoinduction 329</p> <p>9.4.4 Complications with Alloplasts 334</p> <p>9.4.5 Complications with Titanium Mesh 336</p> <p>9.4.6 Predictable Guidelines for Regenerative Procedure 338</p> <p>9.4.6.1 Identify the Nature of the Defect 338</p> <p>9.4.6.2 Predict the Host Response 340</p> <p>9.4.6.3 Optimal Soft Tissue Management and Closure 346</p> <p>9.4.6.4 Stability and Space Making for Graft Material 347</p> <p>9.4.6.5 Selection of Suitable Regenerative Approach & Material 348</p> <p>References 350</p> <p>Index 359</p>
<p><b>The author</b> <p><b>Dr. Abdelsalam Elaskary</b> is the owner of the Elaksary & Associates Institute and Clinic for Dental Implants and Oral Reconstruction in Alexandria; the current President of the Arab Society of Oral Implantology in Cairo, Egypt and a visiting lecturer at the University of New York (NYU) in New York City, New York, USA.
<p><b>A comprehensive and highly illustrated reference on current topics in esthetic implant dentistry</b> <p><i>Advances in Esthetic Implant Dentistry</i> provides a current, comprehensive overview of esthetic implant therapy. Offering innovative step-by-step protocols for surgical techniques and case studies, the book presents practical, clinically oriented guidance firmly anchored in solid scientific research. A companion website provides videos of clinical procedures and follow-up case studies. <p>The book emphasizes the physiology of labial plate of bone and its influence to the overall fate of implant placement in fresh extraction sites, including several cutting-edge techniques to restore and treat deficient labial plate of bone. A novel chapter offers a solid protocol to diagnose, categorize, and treat implant-related gingival recession predictably. <ul> <li>Highlights novel esthetic protocols in dental implantology, applying the latest advances in clinical techniques to real-world dentistry</li> <li>Follows up on treatment outcomes, presenting results up to seven years later</li> <li>Provides reliable, evidence-based bone regenerative methods</li> <li>Illustrates procedures step by step, with more than 2500 clinical photographs</li> <li>Features a companion website with videos of clinical procedures and follow-up case studies</li> </ul> <p><i>Advances in Esthetic Implant Dentistry</i> is an indispensable clinical companion for practitioners and students of periodontics, prosthodontics, oral and maxillofacial surgery, and general dentistry, bringing the reader new horizons in esthetic dentistry.

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