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Daniel R. Cullum, Aldo Leopardi (Chapter 4), Bach T. Le (Chapter 14), and Earl Ness (Chapter 21) retain the copyright of all the figures in their chapters that are not otherwise the copyright of another third party.

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Library of Congress Cataloging-in-Publication Data:
Minimally invasive dental implant surgery / edited by Daniel R. Cullum, Douglas Deporter.
      p. ; cm.
   Includes bibliographical references and index.
   ISBN 978-0-8138-1452-0 (cloth)
   I. Cullum, Daniel R. (Daniel Ray), editor. II. Deporter, Douglas, editor.
   [DNLM: 1. Dental Implantation—methods. 2. Minimally Invasive Surgical Procedures—methods. 3. Patient Care Planning. WU 640]
   RK667.I45
   617.6'93—dc23

2015025339

Cover images courtesy of Daniel R. Cullum.

Contents

Contributors

Memorial

Foreword

Preface

Acknowledgments

Section I: Technology, Diagnosis, and Treatment Planning

Chapter 1 Diagnosis and Treatment Planning for Minimally Invasive Dental Implant Treatment
1. Introduction
2. The diagnostic process
3. Informed consent
4. Comprehensive evaluation and risk assessment
5. The esthetic zone: pink and white esthetic concepts
6. Planning for ideal implant position
7. Treatment planning
8. Conclusions
9. Acknowledgments
10. References
Chapter 2 Diagnostic Imaging for Patient Evaluation and Minimally Invasive Treatment Planning
1. Introduction
2. Cone beam computed tomography data set and software
3. 3-D anatomic evaluation
4. Clinical applications for diagnostic and restorative driven treatment planning
5. Screw-retained versus cement-retained positioning concepts
6. Clinical applications: surgical phase
7. Conclusions
8. References
Chapter 3 Risk Assessment and Avoiding Complications
1. Introduction
2. Risks associated with patient health and habits
3. Anatomic risk factors
4. Prosthetic risk factors
5. Surgical risks
6. Conclusions
7. References
Chapter 4 The Provisional Restoration: A Diagnostic, Functional, and Esthetic Template
1. Introduction
2. Bone and soft tissue considerations
3. Biologic width
4. Adjacent implants
5. “Platform switching or shifting”
6. Provisional restoration
7. Provisional abutments
8. Provisional fabrication and impression techniques
9. Tissue manipulation and sculpting
10. Conclusions
11. References

Section II: Technology and Surgery

Chapter 5 Extraction Site Management for Ridge Preservation and Implant Site Development
1. Introduction
2. Rationale for alveolar ridge preservation
3. The biology of extraction socket healing
4. Guided bone regeneration applied to extraction sites
5. Minimally invasive surgical protocol
6. The “modified” Bio-Col technique for ridge preservation
7. Open-barrier techniques
8. The Cytoplast® (hd-PTFE) ridge preservation technique
9. Conclusions
10. References
Chapter 6 Engineering Biologic Width and Tissue Levels with Implant and Abutment Surface Preparation
1. Introduction
2. The laser-ablated surface
3. Human histologic evidence of a connective tissue attachment to a dental implant
4. Conclusions
5. References
Chapter 7 Recombinant Human Bone Morphogenetic Protein-2 or Recombinant Human Platelet-Derived Growth Factor BB in Extraction Site Preservation and Bone Augmentation
1. Introduction
2. Recombinant human bone morphogenetic protein-2 for extraction socket defects
3. Recombinant human bone morphogenetic protein-2–absorbable collagen sponge socket repair technique
4. Recombinant human platelet-derived growth factor BB for extraction socket defects
5. Discussion
6. Conclusions
7. References
Chapter 8 Periodontal and Peri-Implant Soft Tissue Surgery
1. Introduction
2. Anatomic considerations
3. Surgical considerations
4. Flap design principles
5. Surgical techniques
6. Tunnel flaps
7. Vascular pedicle “plastic” techniques
8. Conclusions
9. References
Chapter 9 Minimally Invasive Implant Surgery Using Computer-Guided Technology
1. Introduction
2. History
3. Computer-guided technology overview
4. Computerized-tomography-guided surgery indications
5. Applications in complicated situations
6. Implant-specific instrumentation
7. Benefits to patients and clinicians
8. Conclusions
9. References

Section III: Optimizing Anatomical Limits with Short, Narrow and Angled Implants

Chapter 10 Short Implants
1. Introduction
2. Literature review
3. Conclusions
4. References
Chapter 11 Narrow Implants
1. Introduction
2. Literature review
3. Clinical results
4. Clinical applications of narrow-diameter dental implants
5. Prosthetic considerations
6. Conclusions
7. References
Chapter 12 Minimally Invasive Complete Arch Treatment: The Versatility of Angled Implants
1. Introduction
2. Achieving biomechanical fixation into cortical bone
3. Facilitating splinted complete arch immediate function
4. Improving biomechanical distribution
5. Economy of implant placement
6. Increasing resistance form by angulation
7. Avoiding vital structures
8. Avoiding bone grafting
9. Increasing use of immediate function
10. Increasing patient acceptance to treatment
11. Favorable psycho-social factors
12. Discussion
13. Conclusions
14. References
Chapter 13 Wedge Implants and Piezoelectric Surgery: A Minimally Invasive Implant Concept for the Treatment of Narrow Alveolar Ridges
1. Introduction
2. Ultrasonic bone surgery: an overview
3. Minimally invasive treatment of narrow ridges
4. Wedge implant design
5. Wedge implant site preparation
6. Clinical case studies
7. Conclusions
8. References

Section IV: Implant Site Development

Chapter 14 Single-Stage Implant Placement and Simultaneous Grafting: The “Esthetic Contour Graft”
1. Introduction
2. Single-stage implants with simultaneous guided bone regeneration: “esthetic contour graft”
3. Defect configuration
4. Flap design
5. Surgical technique
6. Bone graft materials
7. Barrier membranes
8. The role of bone and soft tissue augmentation
9. Implant position and labial soft tissue thickness
10. Conclusions
11. References
Chapter 15 Trans-Alveolar Sinus Elevation and Contiguous Sinus Floor Elevation
1. Introduction
2. Anatomic considerations
3. Surgical considerations
4. Advanced trans-alveolar sinus elevation techniques
5. Procedures
6. Avoiding and managing complications
7. Conclusions
8. References
Chapter 16 Ridge Expansion
1. Introduction
2. Literature review
3. Anatomic considerations
4. Surgical considerations
5. Procedures
6. Avoiding complications
7. Summary
8. References
Chapter 17 Ridge Expansion Combined with Trans-Alveolar Sinus Elevation
1. Introduction
2. Literature review
3. Anatomic considerations
4. Surgical considerations
5. Ridge expansion and trans-alveolar sinus elevation procedures for maxillary horizontal and vertical deficiency
6. Avoiding complications
7. Summary
8. References

Section V: Immediate Implant Reconstruction

Chapter 18 Immediate Implant Placement for Single- and Multi-Rooted Teeth
1. Introduction
2. Literature review
3. Prosthetic considerations
4. Anatomic considerations
5. Surgical considerations
6. Procedures with single-rooted teeth
7. Immediate procedures for multi-rooted teeth
8. Conclusions
9. References
Chapter 19 Immediate Esthetic Zone Tooth Replacement
1. Introduction
2. Literature review
3. Provisional abutment design
4. Preoperative evaluation and planning
5. Surgical techniques
6. The provisional restoration
7. Conclusions
8. References

Section VI: Comprehensive Applications of Minimally Invasive Surgery

Chapter 20 Skeletal Anchorage and Orthodontics in Implant Site Development
1. Introduction
2. Temporary anchorage devices
3. The anterior–posterior dimension
4. The vertical dimension
5. The transverse dimension
6. Interdisciplinary treatment with orthodontic and implant site development
7. Conclusions
8. References
Chapter 21 Minimally Invasive Comprehensive Treatment: Case Studies
1. Outline of case studies
2. Introduction
3. Case study 21.1
4. Case study 21.2
5. Case study 21.3
6. Case study 21.4
7. Case study 21.5
8. Case study 21.6

Index

EULA