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.
Table of Contents
Contributors xiii
Foreword xv
Acknowledgments xvii
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
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