Implant Restorations: A Step-by-Step Guide, 3ed. [Drago - Wiley - Blackwell]
- ISBN/EAN
- 9781118513057
- Editore
- Wiley - Blackwell
- Formato
- Cartonato
- Anno
- 2014
- Pagine
- 392
Disponibile
113,40 €
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.
Maggiori Informazioni
| Autore | Drago Carl |
|---|---|
| Editore | Wiley - Blackwell |
| Anno | 2014 |
| Tipologia | Libro |
| Lingua | Inglese |
| Indice | 1 Introduction to Implant Dentistry 1 Introduction 1 Purpose of Textbook 1 Economics of Implant Dentistry 2 Predictability of Fixed Prosthodontics 2 Development of Prognosis for Teeth: Extract or Maintain 4 The Heavily Restored Tooth 4 The Furcation-Involved Tooth 5 The Periodontal-Prosthesis Patient 6 Difficult Aesthetic Cases 8 Development of Prognosis for the Dentition 11 Summary 13 2 Implants and Implant Restorative Components 17 Introduction 17 Implants 17 Implant/Abutment Connections 20 External Implant/Abutment Connections 20 Internal Implant/Abutment Connections 22 Healing Abutments 25 EP® Healing Abutments 25 CADCAM Healing Abutments 27 Impression Copings 30 Implant Impression Copings 30 Pickup Impression Copings 31 Transfer Impression Copings 32 Abutment Impression Copings 32 Abutments 33 Standard Abutments 33 Locat or® Overdenture Abutments 34 DIEM® Immediate Occlusal Loading (IOL®) Abutments 34 GingiHue® Posts 34 ZiReal® Posts 36 UCLA Abutments 38 CADCAM Abutments (BellaTek™ Laboratory Designed Abutments) 40 Multiunit Abutments 44 Screws (Clinical) 46 Cylinders 47 Definitive Cylinders 47 DIEM® Immediate Occlusal Loading Abutment Cylinders 47 Interim Cylinders 48 DIEM® Immediate Occlusal Loading Abutment Temporary Cylinders (Biomet 3i) 48 Temporary Coping Multiunit Titanium Cylinders (Nobel Biocare) 49 Drivers and Placement Instruments 49 Large Hex Drivers 49 Large Hex Driver Tips 50 Square Drivers 50 Square Driver Tips 51 Abutment Drivers 51 Abutment Driver Tips 51 Laboratory Components 51 Implant Analogs 52 Abutment Analogs 52 Try-In Screws 53 Abutment Holders 54 3 Diagnosis and Treatment Planning in Implant Restorative Dentistry 57 Patient Selection 57 Medical History 58 Diagnostic Procedures 58 Radiographs 58 CT Scans 59 Diagnostic Casts 62 Physical Examination 63 Extraoral Examination 63 Intraoral Examination 64 Diagnostic Articulator Mounting 65 Diagnostic Wax Patterns 65 Surgical Guides 66 Implant Bone Volume 67 Implant Restorative Volume 69 Treatment Planning 72 Edentulous Patients 73 Overdentures 73 Fixed Hybrid Implant-Retained Prostheses-Edentulous Mandible 75 Fixed Hybrid Implant-Retained Prostheses-Edentulous Maxillae 76 Partially Edentulous Patients 77 Treatment Goals 78 Screw-Retained Restorations 79 Cement-Retained Restorations 81 Implant Loading Protocols 81 Two-Stage Surgical Protocol 81 Single-Stage Surgical Protocol 83 Early Loading 83 Immediate Occlusal Loading 84 Immediate Nonocclusal Loading 84 Patient Consultation 85 Principles 85 Informed Consent 85 Implant Coordinators 85 Summary 86 4 Treatment of a Patient with an Edentulous Mandible Implant-Retained Bar Overdenture and Resilient Attachments 91 Literature Review 91 Clinical Case Presentation 97 Appointment 1: Initial Examination (1 Hour) 97 Radiographs 97 Physical Examination 98 Diagnostic Casts 98 Diagnosis 99 Appointment 2: Consultation Restorative Dentist/Patient (3/4 Hour) 99 Treatment Options 100 Appointment 3: Consultation Restorative Dentist/Surgeon (1/2 Hour) 100 Prosthesis Design 100 Type/Number/Size of Implants 100 Implant/Abutment Connection 100 Surgical Guide 100 Surgical Protocol 101 Healing Abutment Selection 101 Implant Restorative Wish List 101 Appointment 4: Implant Placement (1 Hour) 101 One-/Two-Stage Surgical Protocol 101 Appointments 5 and 6: Follow-Up Appointments (1/2 Hour Each) 104 Tissue Conditioning 104 Appointment 7: Implant-Level Impression (1 Hour) 105 Pickup Implant Impression Copings 106 Definitive Border-Molded Impression 106 Laboratory Work Order/Procedures 107 Appointment 8: Jaw Relation Records and Tooth Selection (1/2 Hour) 109 Clinical Procedures 109 Laboratory Procedures 110 Appointment 9: Wax Try-In (1 Hour) 111 Clinical Procedures 111 Evaluation of Jaw Relation Records 112 Patient Approval 112 Fabrication of CADCAM Framework for Mandibular Bar-Retained Overdenture 112 Virtual Design of Framework 117 Milled Framework 117 Laboratory Evaluation of Framework/Master Cast Fit 118 Appointment 10: Framework Try-In (3/4 Hour) 118 Clinical One-Screw Test 119 Appointment 11: Insertion (1 Hour) 120 Insert Bar 120 Torque Abutment Screws 120 Insert Mandibular Overdenture and Maxillary Complete Denture 120 Occlusion 121 Postinsertion Instructions 121 Follow-Up Appointments 122 One-Year Follow-Up Appointment 122 Costs/Fees/Profitability 122 5 Treatment of a Patient with a Partially Edentulous Mandible Using Intraoral Scanning (IOS) of a CADCAM Healing Abutment 125 Literature Review 125 Replacement of Individual Teeth 125 Single-Unit Implant Restorations 127 Computer-Aided Design/Computer-Aided Manufacturing (CADCAM) Healing Abutments 128 Intraoral Scanning 134 Models from Digital Impressions 135 Clinical Case Presentation 135 Appointment 1: Initial Examination (3/4 Hour) 135 Diagnostic Casts 136 Diagnoses 136 Appointment 2: Consultation Restorative Dentist/Patient (1/2 Hour) 136 Treatment Options 137 Appointment 3: Consultation Restorative Dentist/Surgeon (1/2 Hour) 139 Type/Size of Implant 139 Abutment/Prosthesis Design 139 Implant/Abutment Connection 140 Surgical Protocol 141 Healing Abutment Selection 141 Implant Restorative Wish List 141 Appointment 4: Extraction and Implant Placement (1 Hour) 141 Extraction and immediate implant placement protocol 141 CADCAM Healing Abutment Placement 141 Appointment 5: Restorative Follow-Up Appointments (1/4–1/2 Hour) [10 days; 4 weeks; 8 weeks] 142 Appointment 6: Reevaluation and Determination of Impression Date (1/2 Hour) 142 Appointment 7: CADCAM Healing Abutment Scan (Restorative Office) (1/2 Hour) 142 Clinical Procedures 142 Laboratory Procedures 143 Appointment 8: CADCAM Abutment and All-Ceramic Crown Insertion Appointment (3/4 Hour) 143 Abutment Placement 143 Radiographic Verification and Crown Try-In 144 Torque 144 Cementation 145 Appointment 9: Follow-Up Appointments 148 1 Week/6 Months 148 1-Year Recall Clinical and Radiographic Evaluation 149 6 Retreatment of a Patient with a Fractured Implant-Retained Fixed Partial Denture in the Posterior Maxilla-CADCAM Abutments and a New Fixed Partial Denture (Cement Retained) 151 Literature Review 151 Clinical Case Presentation 156 Appointment 1: Initial Examination (3/4 Hour) 156 Diagnostic Casts 156 Diagnosis 156 Appointment 2: Consultation Restorative Dentist/Patient (1/2 Hour) 157 Treatment Options 157 Laboratory Procedures 157 Appointment 3: Removal of Existing Prosthesis/Abutments; Implant Impression (1 Hour) 158 Implant-Level Impression 158 Laboratory Procedures/Work Orders 159 Appointment 4: Bisque Bake Try-In (3/4 Hour) 163 Removal of Preexisting Prosthesis and Abutments 163 Try-In CADCAM Abutments 163 Try-In Bisque Bake FPD 163 Appointment 5: Insertion Appointment (3/4 Hour) 165 Removal of Preexisting Abutments and Fixed Partial Denture 165 CADCAM Abutment Placement 166 Torque 166 Fixed Partial Denture Cementation 167 Appointment 6: Follow-Up Appointments (1/2 Hour) 167 2 Weeks/6 Months 167 1-Year Recall Clinical and Radiographic Evaluations 168 Costs/Fees/Profitability 170 7 Accelerated Treatment Protocol of a Patient with Edentulous Jaws and CADCAM Titanium Framework/Fixed Hybrid Prostheses 173 Literature Review 173 Original Treatment Protocol 175 Accelerated Treatment Protocol 177 Clinical Case Presentation 4 Months Post Extractions, Implant Placement, and Immediate Occlusal Loading 177 Appointment 1: Evaluate Aesthetics, Jaw Relation Records, Abutment-Level Impressions (3 Hours) 177 Radiographic Examination (CBCT) 177 Extraoral Physical Evaluation 177 Intraoral Physical Examination 177 Clinical Assessment 177 Jaw Relation Records 179 Removal of Interim Prostheses/Alginate Impressions for Diagnostic Casts 179 Assess Implant/Abutment Stability and Clinical Osseointegration 179 Abutment-Level Impressions 181 Articulator Mountings 183 NobelProcera® Protocol for CADCAM Titanium Frameworks 191 Biomet 3i Protocol for CADCAM Titanium Frameworks 191 CAD for the Maxillary and Mandibular Frameworks 194 Laboratory Evaluation of CADCAM Frameworks 195 Denture Setup on CADCAM Frameworks 197 Appointment 2: CADCAM Framework, Wax Try-In, Verification of Jaw Relation Records, and Aesthetics (1 Hour) 198 Clinical One-Screw Test 199 Verification of Jaw Relation Records and Aesthetics 199 Laboratory Procedures 200 Appointment 3: Insertion of Definitive, Screw-Retained Hybrid Prostheses (1 Hour) 201 Torque Abutment Screws 202 Occlusion 202 Oral Hygiene Instructions 202 Appointments 4 and 5: Prosthetic Follow-Up Appointments: 1 Week and 6 Months (1/2 Hour Each) 203 Appointment 6: One-Year Recall with Radiographs (1 Hour) 204 Radiographic Evaluation 204 Clinical Examination 205 Future Recall Appointments 205 8 Treatment of a Patient with an Edentulous Mandible with an Immediate Occlusal Loading Protocol (DIEM® 2) 209 Literature Review 209 Introduction 209 The Preosseointegration Era 210 The Osseointegration Era 211 Immediate Occlusal Loading in the Edentulous Mandible 212 Immediate Occlusal Loading in Edentulous Maxillae 213 DIEM® Protocol 214 DIEM®2 Protocol 215 Clinical Case Presentation 216 Appointment 1: Initial Examination 216 Chief Complaint 216 Radiographs 216 Physical Examination 217 Diagnoses 218 Prognosis 219 Appointment 2: Consultation with Patient (1 Hour) 219 Treatment Options 219 Diagnostic Impressions 220 Appointment 3: Definitive Maxillary Impression and Jaw Relation Record (1 Hour) 220 Definitive Maxillary Complete Denture Impression 220 Articulator Mounting 222 Appointment 4: Wax Try-In (1/2 Hour) 222 Number/Size of Implants 222 Prosthesis Design 224 Implant/Abutment Connection 224 Laboratory Procedures/Work Orders for Processing Dentures 225 Surgical Work-Up and Protocol 226 Ball Clasps 226 Appointment 5: Preoperative Surgical Review Office Visit (1/2 Hour) 227 Appointment 6: Insertion of Maxillary Complete Denture, Mandibular Extractions, Alveolectomy, and Implant Placement/Immediate Occlusal Loading for Mandibular Full-Arch Prosthesis 228 Surgical Protocol (2 Hours) 228 Surgical Guidelines for Immediate Occlusal Loading 230 Abutment Selection 234 Prosthetic Guidelines for Immediate Occlusal Loading 234 Postoperative Instructions 239 Appointment 7: Prosthetic Follow-Up Appointments (1/2 Hour) 239 24-Hour Follow-Up Appointment (1/2 Hour) 239 1-Week Follow-Up Appointment (1/2 Hour) 239 4-Week Follow-Up Appointment (1/2 Hour) 240 12-Week Follow-Up Appointment (1/2 Hour) 240 9 Treatment of an Edentulous Patient with an Accelerated Treatment Protocol and Immediate Occlusal Loading Protocol (All-on-4™) 243 Literature Review 243 Clinical Case Presentation 245 Appointments 1 and 2: Initial Examination, Articulator Mounting, and Wax Try-In 245 Chief Complaint 245 History of the Present Illness 245 Radiographs (CT Scan) 245 Physical Examination 246 Diagnostic Casts, Articulator Mounting, and Diagnostic Wax Try-In 247 Diagnosis 250 Assessment 250 Treatment Options 251 Prognosis 251 Appointment 3: Consultation Restorative Dentist/Patient 252 Appointment 4: Consultation Prosthodontist/Surgeon 252 Number/Size of Implants 252 Prosthesis Design 253 Implant/Abutment Connection 254 Surgical Work-Up and Protocol 256 Laboratory Procedures for Processing the Maxillary and Mandibular Prostheses 256 Appointment 5: Implant/Prosthesis Placement 259 Maxillary Surgical Protocol 259 Maxillary Prosthetic Protocol 262 Mandibular Surgical Protocol 271 Mandibular Prosthetic Protocol 273 Postoperative Instructions 279 Prosthetic Follow-Up Appointments 280 1-Week Appointment 280 10 Immediate Nonocclusal Loading Provisional Restoration: Intraoral Scanning, CADCAM Abutment, and Definitive Restoration Maxillary Central Incisor 283 Literature Review 283 Clinical Case Presentation 286 Appointment 1: Initial Clinical Visit (3/4 Hour) 286 History of the Present Illness 286 Radiographs 286 Physical Examination 287 Diagnostic Casts 287 Surgical Guide 287 Diagnoses 288 Prognosis 288 Appointment 2: Consultation Restorative Dentist/Patient (1/2 Hour) 288 Appointment 3: Consultation Restorative Dentist/Surgeon (1/2 Hour) 288 Size and Type of Implant 288 Implant/Abutment Connection 291 Surgical Protocol 292 Interim Abutment 292 Implant Restorative Wish List 292 Appointment 4: Extraction, Implant, and Interim Abutment Placement (Surgical Office: 1 Hour) 292 Extraction and Implant Placement 292 Insertion Torque 293 Appointment 5: Restorative Appointment INOL Provisional Restoration (Same Day: 3/4 Hour) 293 Interim Abutment Placement 294 Abutment Preparation 294 Immediate Nonocclusal Loading Provisional crown (INOL-No Centric/Eccentric Contacts) 294 Dietary and Oral Hygiene Instructions 296 Appointment 6: Reevaluation Appointment – 24 Hours (1/2 Hour) 297 History 297 Clinical Examination 297 Appointment 7: Reevaluation Appointment – 2 Weeks (1/2 Hour) 297 History 297 Clinical Examination 297 Appointment 8: Reevaluation Appointment – 10 Weeks (1/2 Hour) 297 History 297 Clinical Examination 297 Appointment 9: CADCAM Healing Abutment Impression (16 Weeks: 1 Hour) 298 History 298 Clinical Examination 298 Abutment Selection 298 Remove INOL Provisional Restoration/ Interim Abutment and Place CADCAM Healing Abutment 299 BellaTek Encode Healing Abutment Intra Oral Scan 300 Appointment 10: CADCAM Abutment and Crown Insertion (3/4 Hour) 303 Interim Abutment and Provisional Crown Removal 303 Definitive Abutment Placement 303 Radiographic Verification 304 Torque 304 Crown Try-In 304 Cementation 305 Postoperative Instructions 306 Appointment 11: 2-Week Follow-Up Appointment (1/4 Hour) 306 11 Computed Tomography (CT)-Guided Surgery/Immediate Occlusal Loading with a Full-Arch Prosthesis in the Edentulous Mandible 309 Literature Review 309 Immediate Occlusal Loading 309 Tilted Implants 310 Diagnostic Imaging 310 Computed Tomography (CT) 313 Interactive Computed Tomography (ICT) 314 Interactive Computer Software 314 Computer-Guided Surgery 315 Overview of Ct-Guided Surgical and Prosthetic Protocols 316 Surgical Guides 316 Master Tubes 317 Prosthetic Laboratory Kit: Implant Analog Mounts 317 Surgical Kit Components 317 Fabrication of Master Cast for Immediate, Fixed Provisional Prosthesis 319 Abutment Selection for Fixed, Screw-Retained Provisional Prostheses 320 Fabrication of a Screw-Retained Provisional Prosthesis 321 Appointment 1: Clinical Patient Presentation 323 Preoperative Radiographs 324 Diagnosis 325 Assessment 325 Treatment Plan 326 Construction of Wax Dentures 326 Appointment 2: Clinical Try-In of the Wax Dentures 329 Fabrication of CT Scanning Appliance 330 Appointment 3: Intraoral Ct Scan and Treatment Plan 332 Fabrication of Master Cast with Implant Analogs 332 Laboratory Abutment Selection and Placement 335 Fabrication of Metal Framework for the Provisional Prosthesis 336 Fabrication of the Provisional Prosthesis 339 Appointment 4: Surgical and Prosthetic Treatment 342 Surgical Implant Placement 342 Clinical Abutment Placement 343 Insertion of Provisional Prosthesis 344 Appointment 5: Postoperative Visit 346 12 Review of Concepts for Designing and Fabricating Metal Implant Frameworks for Hybrid Implant Prostheses 349 Introduction 349 Historical Perspective 349 Original Framework Designs for Fixed Hybrid Prostheses 350 Passively Fitting Implant Frameworks 352 Prosthetic Complications Associated with Fixed Implant Frameworks 352 Physical Properties of Metals Used in Fixed Implant Frameworks 353 Cast Noble Alloys 353 Cast Base Metal Alloys 353 Milled Titanium Frameworks 353 Milled Zirconium Frameworks 353 Design Considerations 356 The Rationale For Cantilever Length 357 A/P Spread and the All-on-4™ Protocol 358 Guidelines for Implant-Retained Hybrid Frameworks 358 Conclusions 359 Index 363 |
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