Implant Restorations : A Step–by–Step Guide, Third Edition offers clinicians a practical, step–by–step approach to treatment planning and restoring dental implants. This highly illustrated, case–based book demonstrates how to treat the most commonly encountered treatment scenarios, describing the procedures, techniques, and sequences required in clear, concise language and in an easy–to–use format. The book takes the theory of implant restoration, using as its basis 3i’s implant systems, and places it directly in the operatory, concentrating in detail on each stage of the actual clinical procedures involved in treating different patients. It integrates implant treatment with the realities of running a successful restorative practice. Building on the work of the 2nd edition, the 3rd edition of this successful text reflects the advances of implant prosthetics over the intervening years, providing all new cases, exploring new techniques and technology, and demonstrating updated system components and armamentarium. Implant Restorations: A Step–by–Step Guide follows a logical structure of three sections. The first section introduces implant restorative dentistry, how to develop an implant restorative practice, the issues involved, the technical components of the 3i systems, diagnosis, and treatment planning. The central section of the book devotes separate chapters to in–depth descriptions of each of several types of patients that the restorative dentist may encounter, ranging from basic to more challenging cases. Every step of each procedure is described and illustrated with clinical photographs. Laboratory work orders are presented for use with commercial dental laboratories. The final section discusses record–keeping, patient compliance, hygiene regimes and follow–up, and provides the reader with an outline of best–practice procedural protocols. An excellent and accessible guide on the most burgeoning subject in modern dental practice by one of its most experienced clinicians, Implant Restorations: A Step–by–Step Guide, Third Edition will appeal to prosthodontists, general dentists, implant surgeons, dental students, dental laboratory technicians and dental assistants. INDICE: Chapter 1. Introduction to Implant Dentistry Introduction Purpose of Textbook Conventional Dentistry versus Implant Dentistry Predictability of Fixed Prosthodontics Predictability of Implant Prosthodontics Economics associated with Implant Dentistry Prognostic Indicators for Teeth Periodontal disease The heavily restored tooth The furcation involved tooth Dental exhaustion Difficult aesthetic cases Classification of ridge defects Treatment Prognosis for the Dentition Summary Bibliography Chapter 2. Implants and Implant Restorative Components Introduction Implants Implant/Abutment Connections Internal Implant/Abutment Connections External Implant/Abutment Connections Healing Abutments Healing Abutments CADCAM Healing Abutments Impression Copings Implant Impression Copings Pick up (open tray) Transfer (closed tray) Abutment Impression Copings Abutments Standard Abutments LOCATOR® Abutments DIEM® Immediate Occlusal Loading (IOL®) Abutments GingiHue® Posts ZiReal® Posts UCLA Abutments CAD/CAM abutments (BellaTek™ Laboratory Designed Abutments) Multi–Unit Abutments (Nobel Biocare) Screws (Clinical) Cylinders Definitive Cylinders Interim DIEM® Immediate Occlusal Loading Abutment Cylinders (Biomet 3i) Temporary Coping Multi–unit Titanium Cylinders (Nobel Biocare) Drivers and Placement Instruments Large Hex Drivers Large Hex Driver Tips Square Drivers Square Driver Tips Abutment Drivers Abutment Driver Tips Laboratory Components Implant Analogs Abutment Analogs Try In Screws Abutment Holders Polishing protectors Bibliography Chapter 3. Diagnosis and Treatment Planning In Implant Restorative Dentistry Patient selection Medical history Diagnostic procedures Radiographs CT scans Scanning appliances Diagnostic casts Physical examination Extra–oral examination Intra–oral examination Diagnostic Articulator Mounting Diagnostic wax patterns Surgical guides Implant bone volume Implant restorative volume Treatment Planning Edentulous Patients Overdentures Resilient attachments Bar–retained overdentures Fixed hybrid implant–retained prostheses–edentulous mandible Fixed hybrid implant–retained prostheses–edentulous maxillae Partially Edentulous Patients Screw–retained restorations Benefits Limitations Cement–retained restorations Benefits Limitations Implant Loading Protocols Unloaded, healing, two–stage surgical Protocol Unloaded healing, single–stage surgical Protocol Early loading Immediate occlusal loading Immediate non occlusal loading Patient Consultation Principles of Treatment Planning Development of Fees Informed consent Implant treatment coordinators Summary Bibliography Chapter 4. Treatment of a Patient with an Edentulous Mandible–Implant Retained Bar Overdenture and Resilient Attachments Literature Review Clinical Case Presentation Appt 1. Initial examination Radiographs Physical examination Diagnostic casts Diagnosis Appt 2. Consultation Restorative Dentist/Patient Treatment options Appt 3. Consultation Restorative Dentist/Surgeon Prosthesis design Type/Number/size of implants Implant/abutment connection Surgical guide Surgical protocol Healing abutment selection Implant restorative wish list Appt 4. Implant Placement One/Two stage surgical protocol Post operative instructions Appts 5 and 6. Follow Up Appointments Tissue conditioning Appt 7. Implant Level Impression Pick up Impression Copings Definitive border molded impression Laboratory work order/procedures Appt 8. Jaw Relation Records Clinical procedures Laboratory procedures i. Articulator mounting Appt 9. Wax Try In Evaluation of centric jaw relation records Patient approval Fabrication of CADCAM framework for mandibular bar–retained overdenture i. Work order form Virtual design of framework Milled framework Laboratory evaluation of framework/master cast fit Appt 10. Framework Try In Clinical one screw test Appt 11. Insertion Insert bar Torque abutment screws Insert mandibular overdenture and maxillary complete denture Occlusion Post insertion instructions Appt 12. Follow Up Appointments 1–Year Recall Clinical and Radiographic Evaluations Costs/Fees/Profitability Bibliography Chapter 5. Treatment of a Patient with a Partially Edentulous Mandible Using Intra–Oral Scanning (IOS) of a CADCAM Healing Abutment Literature Review Replacement of individual teeth Single unit implant restorations Computer assisted design/computer assisted manufacturing (CADCAM) healing abutments Intra–oral scanning Models from digital impressions Clinical Case Presentation Appt 1. Initial examination a. Diagnostic casts b. Diagnoses Appt 2. Consultation Restorative Dentist/Patient a. Treatment options Appt 3. Consultation Restorative Dentist/Surgeon Type/Size of implant Abutment/Prosthesis design Implant/Abutment connection Surgical Protocol Healing Abutment Selection Implant Restorative Wish List Appt 4. Extraction and Implant Placement a. Extraction and immediate implant placement protocol b. CADCAM healing abutment placement Appt 5. Surgical Follow–up Appointments 10 days 4 weeks 8 weeks Appt 6. Re–evaluation and Determination of Impression Date Appt 7. CADCAM Healing Abutment Scan Clinical Procedures Laboratory Procedures i. Abutment design/milling ii. Stereolithographic model iii. Crown fabrication Appt 8. CADCAM Abutment and All–Ceramic Crown Insertion Abutment placement Radiographic Verification And Crown Try–In Torque Cementation Appt 9. Follow Up Appointments 1 Week/6 Months 1–Year Recall Clinical and Radiographic Evaluations Bibliography Chapter 6. Re–Treatment of A Patient With A Fractured Implant–Retained Fixed Partial Denture in the Posterior Maxilla–CAD/CAM Abutments and a New Fixed Partial Denture (Cement retained) Literature Review Clinical Case Presentation Appt 1. Initial examination a. Diagnostic casts b. Diagnosis Appt 2. Consultation Restorative Dentist/Patient Treatment options Laboratory procedures i. Custom impression tray Appt 3. Removal of existing prosthesis/abutments; implant impression Implant level impression Laboratory Procedures/Work Orders Fabrication of master cast (implant analogs) CAD/CAM protocol Articulator mounting CAD design of abutments CAM milling of abutments Fabrication of 3 unit fixed partial denture Appt 4. Bisque bake try–in Removal of pre–existing prosthesis and abutments Try–in CAD/CAM abutments 1. Verification radiograph (abutments) c. Try–in bisque bake FPD 1. Verification radiograph (FPD) Appt 5. Insertion Appointment Removal of pre–existing FPD and abutments CAD/CAM Abutment placement Torque Fixed Partial Denture cementation Appt 6. Follow Up Appointments 2 weeks/6 months 1–Year Recall Clinical and Radiographic Evaluations Costs/Fees/Profitability Bibliography Chapter 7. Accelerated Treatment Protocol of a Patient with Edentulous Jaws and CAD/CAM Titanium Framework/Fixed Hybrid Prostheses Literature Review Original Treatment Protocol Accelerated Treatment Protocol Clinical Case Presentation Four Months Post Implant Placement and Immediate Occlusal Loading Appt 1. Evaluate Aesthetics, Jaw Relation Records, Clinical Verification of Osseointegration, Abutment Level Impressions. (3 hours) a. Radiographic examination (CBCT) b. Extra–oral physical evaluation c. Intra–oral physical evaluation d. Assessment e. Jaw relation records f. Removal of interim prostheses/alginate impressions for diagnostic casts g. Assess implant/abutment stability and clinical osseointegration h. Abutment level impressions i. Articulator mountings j. NobelProcera protocol for CADCAM titanium frameworks k. Biomet 3i protocol for CADCAM titanium frameworks l. CAD designs for the maxillary and mandibular frameworks m. Laboratory evaluation of CADCAM frameworks n. Denture set up on CADCAM frameworks Appt 2. CADCAM Framework, Wax Try–In, Verification of Jaw Relation Records and Aesthetics a. Clinical one screw test b. Verification of jaw relation records and aesthetics c. Laboratory procedures 1. Opaque frameworks 2. Denture processing and finishing Appt 3. Insertion of Definitive Hybrid, Screw–Retained Prostheses a. Torque abutment screws b. Occlusion c. Oral hygiene instructions Appts 4 and 5. Follow up appointments 1 week/6 months i. Subjective patient evaluations ii. Clinical evaluations Occlusion Oral hygiene Appt 6. One year recall with radiographs a. Radiographic evaluation b. Clinical examination Bibliography Chapter 8. Treatment of a Patient with an Edentulous Mandible with an Immediate Occlusal Loading Protocol (DIEM®2) Literature Review a. Introduction b. The Pre–Osseointegration Era c. The Osseointegration Era d. Immediate Occlusal Loading in the Edentulous Mandible e. Immediate Occlusal Loading in Edentulous Maxillae f. DIEM Protocol g. DIEM2 Protocol Clinical Case Presentation Appt 1. Initial examination a. Chief complaint b. Radiographs c. Physical examination d. Diagnoses e. Prognosis Appt 2. Consultation with Patient Treatment options Diagnostic impressions Appt 3. Definitive maxillary impression and jaw relation records a. Definitive maxillary complete denture impression b. Jaw relation records c. Articulator mounting Appt 4. Wax Try In a. Number/size of implants b. Prosthesis design c. Implant/abutment connection d. Laboratory procedures/work orders for processing dentures e. Surgical work up and protocol f. Ball clasps Appt 5. Pre–Operative Surgical Review Office Visit Appt 6. Insert Maxillary Complete Denture, Mandibular Extractions, Alveolectomy, Implant Placement/Immediate Occlusal Loading for Mandibular Full Arch Prosthesis a. Surgical protocol b. Surgical guidelines for immediate occlusal loading c. Abutment selection d. Prosthetic guidelines for immediate occlusal loading 1. Clinical procedures 2. Laboratory procedures d. Post–operative instructions Appt 6. Prosthetic Follow–Up Appointments a. 24 hours b. 1 week c. 4 weeks d. 12 weeks Bibliography Chapter 9. Treatment of an Edentulous Patient with an Accelerated Treatment Protocol and Immediate Occlusal Loading Protocol (All on 4™) Literature Review Clinical Case Presentation Appts 1 and 2. Initial examination, articulator mounting and wax try–in Chief complaint History of the present illness Radiographs (CT Scan) Physical examination Diagnostic casts, articulator mounting and diagnostic wax try–in Diagnosis Assessment Treatment options Prognosis Appt 3. Consultation Restorative Dentist/Patient Appt 4. Consultation Prosthodontist/Surgeon a. Number/size of implants b. Prosthesis design c. Implant/abutment connection d. Surgical work up and protocol e. Laboratory procedures for the maxillary and mandibular prostheses Appt 5. Implant/Prosthesis Placement Maxillary surgical protocol Maxillary prosthetic protocol 1. Laboratory procedures c. Mandibular surgical protocol d. Mandibular prosthetic protocol 1. Laboratory procedures e. Post–operative instructions Prosthetic Follow–up Appointments a. One week b. One month Bibliography Chapter 10. Immediate Non–Occlusal Loading Provisional Restoration; Intra–Oral Scanning, CAD/CAM Abutment and Definitive Restoration Maxillary Central Incisor Literature Review Clinical Case Presentation Appt 1. Initial clinical visit History of the present illness Radiographs Physical examination Diagnostic casts Surgical guide f. Diagnoses g. Prognosis Appt 2. Consultation Restorative Dentist/Patient Diagnosis Treatment options Appt 3. Consultation Restorative Dentist/Surgeon Size and type of implant Implant/abutment connection Surgical protocol Interim abutment Implant restorative wish list Appt 4. Extraction, Implant and Interim Abutment Placement (Surgical office) Extraction and implant placement Insertion torque Interim abutment placement Appt 5. Restorative Appointment–INOL Provisional Restoration (same day) Abutment preparation Immediate Non Occlusal Loading Provisional crown (INOL–No centric/eccentric contacts) Dietary and oral hygiene instructions Appt 6–8. Re–evaluation Appointments 24 hours i. History ii. Clinical examination 2 weeks i. History ii. Clinical examination 10 weeks i. History ii. Clinical examination Appt 9. CADCAM Healing Abutment Impression a. History b. Clinical examination c. Abutment selection d. Remove INOL provisional restoration/interim abutment, place CADCAM healing abutment e. Bella™Tek Encode® Healing Abutment intra–oral scan Appt 10. CADCAM Abutment and crown insertion Interim abutment and crown removal Definitive abutment placement Radiographic verification Torque Crown try in Cementation Post operative instructions Appts 11. 2 Week Follow Up Appointment Bibliography Chapter 11. Computed Tomography (CT) Guided Surgery/Immediate Occlusal Loading with a Full Arch Prosthesis in the Edentulous Mandible Literature Review a. Immediate occlusal loading b Tilted implants c. Diagnostic imaging d. Computed tomography (CT) e. Interactive computed tomography f. Interactive computer software g. Computer guided surgery Overview of CT Guided Surgical and Prosthetic Protocols a. Surgical guides b. Master tubes c. Prosthetic laboratory kit–implant analog mounts d. Surgical kit components e. Fabrication of master cast for immediate, fixed provisional prosthesis f. Prosthetic laboratory kit–implant analog mounts g. Abutment selection for fixed, screw–retained provisional prostheses h. Fabrication of a screw–retained provisional prosthesis Appointment 1. Clinical Patient Presentation a. Pre–operative Radiographs b. Diagnosis c. Assessment d. Treatment plan e. Construction of wax dentures Appointment 2. Clinical Try in of Wax Dentures a. Fabrication of CT scanning appliance Appointment 3. Intra–Oral CT Scan and Treatment Plan a. Fabrication of master cast with implant analogs b. Laboratory abutment selection and placement c. Fabrication of metal framework for the provisional prosthesis d. Fabrication of the provisional prosthesis Appointment 4. Surgical and Prosthetic Treatment a. Surgical implant placement b. Clinical abutment placement c. Insertion of provisional prosthesis Appointment 5. Post–operative visit Bibliography Chapter 12. Review of Concepts for Designing and Fabricating Metal Implant Frameworks for Hybrid Implant Prostheses Introduction Historical Perspective Original Framework Designs for Fixed Hybrid Prostheses Passively Fitting Frameworks Prosthetic Complications Associated with Fixed Implant Frameworks Physical Properties of Metals Used in Fixed Implant Frameworks a. Cast noble alloys b. Cast base metal alloys c. Milled titanium frameworks d. Milled zirconia frameworks Design Considerations The Rationale for Cantilever Length A/P Spread and the All on Four™ Protocol Guidelines for Implant–Retained Frameworks Conclusions Bibliography
- ISBN: 978-1-118-51305-7
- Editorial: Wiley–Blackwell
- Encuadernacion: Cartoné
- Páginas: 400
- Fecha Publicación: 21/04/2014
- Nº Volúmenes: 1
- Idioma: Inglés
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