Implant Restorations: A Step-By-Step Guide

ISBN-13: 9781119538110 / Angielski / Twarda / 2020 / 536 str.

Carl Drago

Spis treści

List of Contributors xiiiForeword xvPreface xviiAcknowledgments xix1 Introduction to Implant Dentistry 1Introduction 1Purpose of Textbook 1Conventional Dentistry Versus Implant Dentistry 2Predictability of Fixed Prosthodontics 2Predictability of Implant Prosthodontics 3Economics of Implant Dentistry 4Prognostic Indicators for Teeth 5Periodontal Disease 5The Heavily Restored Tooth 6The Furcation-Involved Tooth 8The Periodontal Prosthesis Patient 9Difficult Aesthetic Cases 10Classification of Ridge Defects 12Treatment Prognosis for the Dentition 15Summary 18Bibliography 182 Implants and Implant Restorative Components 21Introduction 21Implants 21Implant/Abutment Connections 25External Implant/Abutment Connections 25Internal Implant/Abutment Connections 27Healing Abutments 30Conventional, Stock Healing Abutments 30CAD/CAM Healing Abutments 32Custom Healing Abutments 34Impression Copings 35Implant Impression Copings 35Pickup Impression Copings (Open Tray) 36Transfer Impression Copings (Closed Tray) 37Low-Profile Conical Abutment Impression Copings 38Scan Bodies 38Abutments 39Low-Profile Conical Abutments (LPCA) 40LOCATOR Overdenture Abutments 41Stock Abutments 42UCLA Abutments 44CAD/CAM Abutments 47Milled Titanium 47Milled Zirconia 50Multiunit Abutments 54Screws (Clinical) 54Abutment/Retaining Screws 55Preload Screw Mechanics 56Cylinders 57Definitive Cylinders 57Interim Cylinders 57Drivers and Placement Instruments 58Drivers/Driver Tips 58Laboratory Components 60Implant Analogs/Replicas 61Abutment Analogs/Replicas 62Try-In Screws 63Abutment Holders 63Polishing Protectors 64Bibliography 653 Diagnosis and Treatment Planning in Implant Restorative Dentistry 69Patient Selection 69Medical History 69Diagnostic Procedures 70Radiographs 70CBCT (Cone Beam Computed Tomography) Scans 72Scanning Appliances/Surgical Guides 74Diagnostic Casts 75Laboratory-Generated Surgical Guides 75Physical Examination 78Extraoral Examination 78Intraoral Examination 78Diagnostic Articulator Mounting 79Diagnostic Wax Patterns 79Implant Bone Volume 80Implant Restorative Volume 83Treatment Planning 85Edentulous Patients 86Overdentures 87Restorative Volume 87Fixed Implant-Retained, Full-Arch Prostheses-Edentulous Jaws 89Milled Titanium Frameworks 92Milled Zirconia Frameworks 94High-Performance Polymers (HPP) 95Crown-and-Bridge Type Prostheses 95Partially Edentulous Patients 96Screw-Retained Restorations 96Treatment Goals 96Benefits 96Limitations 97Cement-Retained Restorations 98Benefits 98Limitations 99Angled Screw Channel Abutments 99Peri-Implant Disease 99Implant Loading Protocols 101Unloaded Healing, Two-Stage Surgical Protocol 101Unloaded Healing, Single-Stage Surgical Protocol 102Early Loading 102Immediate Occlusal Loading 103Immediate Non-Occlusal Loading 103Patient Consultation 104Principles of Treatment Planning 104Informed Consent 104Summary 105Bibliography 1054 Treatment of Edentulous Mandibular Patients: (1) Implant-Retained Framework Overdenture and Resilient Attachments; (2) Resilient Attachments and Two Interforaminal Implants 111Literature Review 111Clinical Case Presentation Mandibular Implant-Supported Overdenture with CAD/CAM Framework and Resilient Attachments 117Clinical Case Presentation Implant-Supported Overdenture with Resilient Attachments and Two Interforaminal Implants 142Bibliography 1565 Replacement of Single Teeth with CAD/CAM Implant Restorations: Implant-Level Impressions, Intraoral Scanning, Cement and Screw-Retained Crowns 159Literature Review 159Replacement of Individual Teeth 159Single-Unit Implant Restorations 161Computer-Assisted Design/Computer-Assisted Machining (CAD/CAM) Healing Abutments/Scan Bodies 162Intraoral Scanning 167Models from Digital Impressions 169Clinical Case Presentation Posterior, Cement-Retained Single-Implant Restoration 170Clinical Case Presentation Anterior, Screw-Retained Single-Implant Restoration (Angled Screw Channel) 185Bibliography 1976 Fixed Dental Prostheses: Retreatment of a Patient with a Fractured Implant-Retained Fixed Dental Prosthesis; CAD/CAM Abutments and a Cement-Retained Fixed Dental Prosthesis; Intraoral Scanning and Screw-Retained Fixed Dental Prosthesis (Atlantis(TM) Bridge Patient-Specific Suprastructures) 199Literature Review 199Clinical Case Presentation Implant-Level Impression/Screw-Retained Fixed Dental Prosthesis 204Clinical Case Presentation Intraoral Scanning/Screw-Retained Fixed Dental Prosthesis (Atlantis(TM) Bridge Patient-Specific Suprastructure) 219Bibliography 2357 Accelerated Treatment Protocol of a Patient with Edentulous Jaws and CAD/CAM Titanium Framework/Fixed Hybrid Prostheses 237Literature Review 237Original Treatment Protocol 239Accelerated Treatment Protocol 242Clinical Case Presentation Four Months Post Implant Placement and Immediate Occlusal Loading 243Bibliography 2758 Treatment of Edentulous Patients with Immediate Occlusal Loading: Conventional Surgical and Computer-Generated Surgical Guides 279Literature Review 279Introduction 279The Preosseointegration Era 280The Osseointegration Era 281Immediate Occlusal Loading in the Edentulous Mandible 282Immediate Occlusal Loading in Edentulous Maxillae 285Clinical Case Presentation Mandibular Immediate Occlusal Loading with Clinical Conversion of Mandibular Immediate Denture 286Clinical Case Presentation Maxillary Immediate Occlusal Loading Using Computer-Generated Surgical Guide with Clinical Conversion of Maxillary Immediate Denture 312Bibliography 3249 Treatment of Edentulous Patients with Immediate Occlusal Loading: Conventional Surgical/Prosthetic Protocols 327Literature Review 327Immediate Occlusal Loading 327Computer-Guided Surgery 328Clinical Case Presentation Conventional Surgical and Restorative Protocols 332Bibliography 36710 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) 371Literature Review 371Clinical Case Presentation INOL Protocol and Intraoral Scanning 375Clinical Case Presentation INOL Protocol with Co-Axis Implant 396Bibliography 40811 Computed Tomography (CT) Guided Surgery/Immediate Occlusal Loading with Full-Arch Prostheses in Edentulous Patients 411Literature Review 411Immediate Occlusal Loading 411Tilted Implants 412Diagnostic Imaging 413Computed Tomography (CT) 415Interactive Computed Tomography (ICT) 417Interactive Computer Software 418Computer-Guided Surgery 418Overview of CT Guided Surgical and Prosthetic Protocols 419Surgical Guides 419Master Tubes 419Prosthetic Laboratory Kit-Implant Analog Mounts 420Surgical Kit Components 420Fabrication of Master Cast for Immediate, Fixed Provisional Prosthesis 421Abutment Selection for Fixed, Screw-Retained Provisional Prostheses 422Fabrication of a Screw-Retained Provisional Prosthesis 424Clinical Patient Presentation Ill-Fitting Maxillary Denture; Mandibular Implant-Supported Overdenture 425Clinical Patient Presentation Maxillary and Mandibular Terminal Dentitions; Computer-Guided Surgery with Metal Surgical Guides 448Bibliography 46312 Guidelines and Maintenance Procedures for Fixed, Full-Arch, Implant-Retained Prostheses 465Introduction 465Full-Arch Hybrid Prostheses 465Historical Perspectives 466Original Protocol 466Immediate Occlusal Loading for Full-Arch Prostheses 466Clinical Complications 467Mechanical 467Biologic: Peri-Implant Mucositis/Peri-Implantitis 470Treatment (Peri-Implant Mucositis) 472Treatment (Peri-Implantitis) 473Innovations in Full-Arch Designs 475Prosthesis Design/Materials 476Hygiene/Maintenance Protocol for Immediately Loaded Full-Arch Prostheses 477Hygiene/Maintenance Protocol for Definitive Full-Arch Prostheses 478At-Home Hygiene 478Plaque Control-Dentifrice 478Plaque Control-Mechanical 478Recall Appointments 479Recall Interval/Schedule 479Examination 480Radiographs 481Professional Maintenance 485Prosthesis Removal 487Cleaning the Removed Prosthesis 488Conclusions 488Bibliography 488Index 493

O autorze

The AuthorCarl Drago, DDS, MS, Diplomate of the American Board of Prosthodontics (ABP), is in private practice near Milwaukee, Wisconsin, USA; is a section editor for the Journal of Prosthodontics; and is an adjunct associate professor at the Marquette University School of Dentistry in Milwaukee, Wisconsin, USA.