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E-raamat: Implant Restorations: A Step-by-Step Guide

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  • Formaat: EPUB+DRM
  • Ilmumisaeg: 06-Feb-2014
  • Kirjastus: John Wiley & Sons Australia Ltd
  • Keel: eng
  • ISBN-13: 9781118828847
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Implant Restorations: A Step-by-Step GuideSuurem pilt
  • Formaat: EPUB+DRM
  • Ilmumisaeg: 06-Feb-2014
  • Kirjastus: John Wiley & Sons Australia Ltd
  • Keel: eng
  • ISBN-13: 9781118828847
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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.
Contributors xiii
Foreword xv
Acknowledgments xvii
1 Introduction to Implant Dentistry
1(16)
Introduction
1(1)
Purpose of Textbook
1(3)
Economics of Implant Dentistry
2(1)
Predictability of Fixed Prosthodontics
2(2)
Development of Prognosis for Teeth: Extract or Maintain
4(7)
The Heavily Restored Tooth
4(1)
The Furcation-Involved Tooth
5(1)
The Periodontal-Prosthesis Patient
6(2)
Difficult Aesthetic Cases
8(3)
Development of Prognosis for the Dentition
11(2)
Summary
13(4)
2 Implants and Implant Restorative Components
17(40)
Introduction
17(1)
Implants
17(3)
Implant/Abutment Connections
20(5)
External Implant/Abutment Connections
20(2)
Internal Implant/Abutment Connections
22(3)
Healing Abutments
25(5)
EP® Healing Abutments
25(2)
CADCAM Healing Abutments
27(3)
Impression Copings
30(3)
Implant Impression Copings
30(1)
Pickup Impression Copings
31(1)
Transfer Impression Copings
32(1)
Abutment Impression Copings
32(1)
Abutments
33(13)
Standard Abutments
33(1)
LOCATOR® Overdenture Abutments
34(1)
DIEM® Immediate Occlusal Loading (IOL®) Abutments
34(1)
GingiHue® Posts
34(2)
ZiReal® Posts
36(2)
UCLA Abutments
38(2)
CADCAM Abutments (BellaTek™ Laboratory Designed Abutments)
40(4)
Multiunit Abutments
44(2)
Screws (Clinical)
46(1)
Cylinders
47(1)
Definitive Cylinders
47(1)
DIEM® Immediate Occlusal Loading Abutment Cylinders
47(1)
Interim Cylinders
48(1)
DIEM® Immediate Occlusal Loading Abutment Temporary Cylinders (Biomet 3i)
48(1)
Temporary Coping Multiunit Titanium Cylinders (Nobel Biocare)
49(1)
Drivers and Placement Instruments
49(2)
Large Hex Drivers
49(1)
Large Hex Driver Tips
50(1)
Square Drivers
50(1)
Square Driver Tips
51(1)
Abutment Drivers
51(1)
Abutment Driver Tips
51(1)
Laboratory Components
51(6)
Implant Analogs
52(1)
Abutment Analogs
52(1)
Try-In Screws
53(1)
Abutment Holders
54(3)
3 Diagnosis and Treatment Planning in Implant Restorative Dentistry
57(34)
Patient Selection
57(1)
Medical History
58(1)
Diagnostic Procedures
58(5)
Radiographs
58(1)
CT Scans
59(3)
Diagnostic Casts
62(1)
Physical Examination
63(2)
Extraoral Examination
63(1)
Intraoral Examination
64(1)
Diagnostic Articulator Mounting
65(2)
Diagnostic Wax Patterns
65(1)
Surgical Guides
66(1)
Implant Bone Volume
67(2)
Implant Restorative Volume
69(3)
Treatment Planning
72(9)
Edentulous Patients
73(1)
Overdentures
73(2)
Fixed Hybrid Implant-Retained Prostheses-Edentulous Mandible
75(1)
Fixed Hybrid Implant-Retained Prostheses-Edentulous Maxillae
76(1)
Partially Edentulous Patients
77(1)
Treatment Goals
78(1)
Screw-Retained Restorations
79(2)
Cement-Retained Restorations
81(1)
Implant Loading Protocols
81(4)
Two-Stage Surgical Protocol
81(2)
Single-Stage Surgical Protocol
83(1)
Early Loading
83(1)
Immediate Occlusal Loading
84(1)
Immediate Nonocclusal Loading
84(1)
Patient Consultation
85(1)
Principles
85(1)
Informed Consent
85(1)
Implant Coordinators
85(1)
Summary
86(5)
4 Treatment of a Patient with an Edentulous Mandible Implant-Retained Bar Overdenture and Resilient Attachments
91(34)
Literature Review
91(6)
Clinical Case Presentation
97(25)
Appointment 1 Initial Examination (1 Hour)
97(1)
Radiographs
97(1)
Physical Examination
98(1)
Diagnostic Casts
98(1)
Diagnosis
99(1)
Appointment 2 Consultation Restorative Dentist/Patient (3/4 Hour)
99(1)
Treatment Options
100(1)
Appointment 3 Consultation Restorative Dentist/Surgeon (1/2 Hour)
100(1)
Prosthesis Design
100(1)
Type/Number/Size of Implants
100(1)
Implant/Abutment Connection
100(1)
Surgical Guide
100(1)
Surgical Protocol
101(1)
Healing Abutment Selection
101(1)
Implant Restorative Wish List
101(1)
Appointment 4 Implant Placement (1 Hour)
101(1)
One-/Two-Stage Surgical Protocol
101(3)
Appointments 5 and 6 Follow-Up Appointments (1/2 Hour Each)
104(1)
Tissue Conditioning
104(1)
Appointment 7 Implant-Level Impression (1 Hour)
105(1)
Pickup Implant Impression Copings
106(1)
Definitive Border-Molded Impression
106(1)
Laboratory Work Order/Procedures
107(2)
Appointment 8 Jaw Relation Records and Tooth Selection (1/2 Hour)
109(1)
Clinical Procedures
109(1)
Laboratory Procedures
110(1)
Appointment 9 Wax Try-In (1 Hour)
111(1)
Clinical Procedures
111(1)
Evaluation of Jaw Relation Records
112(1)
Patient Approval
112(1)
Fabrication of CADCAM Framework for Mandibular Bar-Retained Overdenture
112(5)
Virtual Design of Framework
117(1)
Milled Framework
117(1)
Laboratory Evaluation of Framework/Master Cast Fit
118(1)
Appointment 10 Framework Try-In (3/4 Hour)
118(1)
Clinical One-Screw Test
119(1)
Appointment 11 Insertion (1 Hour)
120(1)
Insert Bar
120(1)
Torque Abutment Screws
120(1)
Insert Mandibular Overdenture and Maxillary Complete Denture
120(1)
Occlusion
121(1)
Postinsertion Instructions
121(1)
Follow-Up Appointments
122(1)
One-Year Follow-Up Appointment
122(1)
Costs/Fees/Profitability
122(3)
5 Treatment of a Patient with a Partially Edentulous Mandible Using Intraoral Scanning (IOS) of a CADCAM Healing Abutment
125(26)
Literature Review
125(10)
Replacement of Individual Teeth
125(2)
Single-Unit Implant Restorations
127(1)
Computer-Aided Design/Computer-Aided Manufacturing (CADCAM) Healing Abutments
128(6)
Intraoral Scanning
134(1)
Models from Digital Impressions
135(1)
Clinical Case Presentation
135(16)
Appointment 1 Initial Examination (3/4 Hour)
135(1)
Diagnostic Casts
136(1)
Diagnoses
136(1)
Appointment 2 Consultation Restorative Dentist/Patient (112 Hour)
136(1)
Treatment Options
137(2)
Appointment 3 Consultation Restorative Dentist/Surgeon (1/2 Hour)
139(1)
Type/Size of Implant
139(1)
Abutment/Prosthesis Design
139(1)
Implant/Abutment Connection
140(1)
Surgical Protocol
141(1)
Healing Abutment Selection
141(1)
Implant Restorative Wish List
141(1)
Appointment 4 Extraction and Implant Placement (1 Hour)
141(1)
Extraction and Immediate Implant Placement Protocol
141(1)
CADCAM Healing Abutment Placement
141(1)
Appointment 5 Restorative Follow-Up Appointments (1/4-1/2 Hour) [ 10 days; 4 weeks; 8 weeks]
142(1)
Appointment 6 Reevaluation and Determination of Impression Date (1/2 Hour)
142(1)
Appointment 7 CADCAM Healing Abutment Scan (Restorative Office) (1/2 Hour)
142(1)
Clinical Procedures
142(1)
Laboratory Procedures
143(1)
Appointment 8 CADCAM Abutment and All-Ceramic Crown Insertion Appointment (3/4 Hour)
143(1)
Abutment Placement
143(1)
Radiographic Verification and Crown Try-In
144(1)
Torque
144(1)
Cementation
145(3)
Appointment 9 Follow-Up Appointments
148(1)
1 Week/6 Months
148(1)
1-Year Recall Clinical and Radiographic Evaluation
149(2)
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(22)
Literature Review
151(5)
Clinical Case Presentation
156(14)
Appointment 1 Initial Examination (3/4 Hour)
156(1)
Diagnostic Casts
156(1)
Diagnosis
156(1)
Appointment 2 Consultation Restorative Dentist/Patient (1/2 Hour)
157(1)
Treatment Options
157(1)
Laboratory Procedures
157(1)
Appointment 3 Removal of Existing Prosthesis/Abutments; Implant Impression (1 Hour)
158(1)
Implant-Level Impression
158(1)
Laboratory Procedures/Work Orders
159(4)
Appointment 4 Bisque Bake Try-In (3/4 Hour)
163(1)
Removal of Preexisting Prosthesis and Abutments
163(1)
Try-In CADCAM Abutments
163(1)
Try-In Bisque Bake FPD
163(2)
Appointment 5 Insertion Appointment (3/4 Hour)
165(1)
Removal of Preexisting Abutments and Fixed Partial Denture
165(1)
CADCAM Abutment Placement
166(1)
Torque
166(1)
Fixed Partial Denture Cementation
167(1)
Appointment 6 Follow-Up Appointments (1/2 Hour)
167(1)
2 Weeks/6 Months
167(1)
1-Year Recall Clinical and Radiographic Evaluations
168(2)
Costs/Fees/Profitability
170(3)
7 Accelerated Treatment Protocol of a Patient with Edentulous Jaws and CADCAM Titanium Framework/Fixed Hybrid Prostheses
173(36)
Literature Review
173(2)
Original Treatment Protocol
175(2)
Accelerated Treatment Protocol
177(1)
Clinical Case Presentation 4 Months Post Extractions, Implant Placement, and Immediate Occlusal Loading
177(28)
Appointment 1 Evaluate Aesthetics, Jaw Relation Records, Abutment-Level Impressions (3 Hours)
177(1)
Radiographic Examination (CBCT)
177(1)
Extraoral Physical Evaluation
177(1)
Intraoral Physical Examination
177(1)
Clinical Assessment
177(2)
Jaw Relation Records
179(1)
Removal of Interim Prostheses/Alginate Impressions for Diagnostic Casts
179(1)
Assess Implant/Abutment Stability and Clinical Osseointegration
179(2)
Abutment-Level Impressions
181(2)
Articulator Mountings
183(8)
NobelProcera® Protocol for CADCAM Titanium Frameworks
191(1)
Biomet 3i Protocol for CADCAM Titanium Frameworks
191(3)
CAD for the Maxillary and Mandibular Frameworks
194(1)
Laboratory Evaluation of CADCAM Frameworks
195(2)
Denture Setup on CADCAM Frameworks
197(1)
Appointment 2 CADCAM Framework, Wax Try-In, Verification of Jaw Relation Records, and Aesthetics (1 Hour)
198(1)
Clinical One-Screw Test
199(1)
Verification of Jaw Relation Records and Aesthetics
199(1)
Laboratory Procedures
200(1)
Appointment 3 Insertion of Definitive, Screw-Retained Hybrid Prostheses (1 Hour)
201(1)
Torque Abutment Screws
202(1)
Occlusion
202(1)
Oral Hygiene Instructions
202(1)
Appointments 4 and 5 Prosthetic Follow-Up Appointments: 1 Week and 6 Months (1/2 Hour Each)
203(1)
Appointment 6 One-Year Recall with Radiographs (1 Hour)
204(1)
Radiographic Evaluation
204(1)
Clinical Examination
205(1)
Future Recall Appointments
205(4)
8 Treatment of a Patient with an Edentulous Mandible with an Immediate Occlusal Loading Protocol (DIEM® 2)
209(34)
Literature Review
209(1)
Introduction
209(7)
The Preosseointegration Era
210(1)
The Osseointegration Era
211(1)
Immediate Occlusal Loading in the Edentulous Mandible
212(1)
Immediate Occlusal Loading in Edentulous Maxillae
213(1)
DIEM® Protocol
214(1)
DIEM®2 Protocol
215(1)
Clinical Case Presentation
216(27)
Appointment 1 Initial Examination
216(1)
Chief Complaint
216(1)
Radiographs
216(1)
Physical Examination
217(1)
Diagnoses
218(1)
Prognosis
219(1)
Appointment 2 Consultation with Patient (1 Hour)
219(1)
Treatment Options
219(1)
Diagnostic Impressions
220(1)
Appointment 3 Definitive Maxillary Impression and Jaw Relation Record (1 Hour)
220(1)
Definitive Maxillary Complete Denture Impression
220(2)
Articulator Mounting
222(1)
Appointment 4 Wax Try-In (1/2 Hour)
222(1)
Number/Size of Implants
222(2)
Prosthesis Design
224(1)
Implant/Abutment Connection
224(1)
Laboratory Procedures/Work Orders for Processing Dentures
225(1)
Surgical Work-Up and Protocol
226(1)
Ball Clasps
226(1)
Appointment 5 Preoperative Surgical Review Office Visit (1/2 Hour)
227(1)
Appointment 6 Insertion of Maxillary Complete Denture, Mandibular Extractions, Alveolectomy, and Implant Placement/Immediate Occlusal Loading for Mandibular Full-Arch Prosthesis
228(1)
Surgical Protocol (2 Hours)
228(2)
Surgical Guidelines for Immediate Occlusal Loading
230(4)
Abutment Selection
234(1)
Prosthetic Guidelines for Immediate Occlusal Loading
234(5)
Postoperative Instructions
239(1)
Appointment 7 Prosthetic Follow-Up Appointments (1/2 Hour)
239(1)
24-Hour Follow-Up Appointment (1/2 Hour)
239(1)
1-Week Follow-Up Appointment (1/2 Hour)
239(1)
4-Week Follow-Up Appointment (1/2 Hour)
240(1)
12-Week Follow-Up Appointment (1/2 Hour)
240(3)
9 Treatment of an Edentulous Patient with an Accelerated Treatment Protocol and Immediate Occlusal Loading Protocol (AII-on-4™)
243(40)
Literature Review
243(2)
Clinical Case Presentation
245(35)
Appointments 1 and 2 Initial Examination, Articulator Mounting, and Wax Try-In
245(1)
Chief Complaint
245(1)
History of the Present Illness
245(1)
Radiographs (CT Scan)
245(1)
Physical Examination
246(1)
Diagnostic Casts, Articulator Mounting, and Diagnostic Wax Try-In
247(3)
Diagnosis
250(1)
Assessment
250(1)
Treatment Options
251(1)
Prognosis
251(1)
Appointment 3 Consultation Restorative Dentist/Patient
252(1)
Appointment 4 Consultation
Prosthodontist/Surgeon
252(1)
Number/Size of Implants
252(1)
Prosthesis Design
253(1)
Implant/Abutment Connection
254(2)
Surgical Work-Up and Protocol
256(1)
Laboratory Procedures for Processing the Maxillary and Mandibular Prostheses
256(3)
Appointment 5 Implant/Prosthesis Placement
259(1)
Maxillary Surgical Protocol
259(3)
Maxillary Prosthetic Protocol
262(9)
Mandibular Surgical Protocol
271(2)
Mandibular Prosthetic Protocol
273(6)
Postoperative Instructions
279(1)
Prosthetic Follow-Up Appointments
280(3)
1 Week Appointment
280(3)
10 Immediate Nonocclusal Loading Provisional Restoration: Intraoral Scanning, CADCAM Abutment, and Definitive Restoration Maxillary Central Incisor
283(26)
Literature Review
283(3)
Clinical Case Presentation
286(23)
Appointment 1 Initial Clinical Visit (3/4 Hour)
286(1)
History of the Present Illness
286(1)
Radiographs
286(1)
Physical Examination
287(1)
Diagnostic Casts
287(1)
Surgical Guide
287(1)
Diagnoses
288(1)
Prognosis
288(1)
Appointment 2 Consultation Restorative Dentist/Patient (1/2 Hour)
288(1)
Appointment 3 Consultation Restorative Dentist/Surgeon (1/2 Hour)
288(1)
Size and Type of Implant
288(3)
Implant/Abutment Connection
291(1)
Surgical Protocol
292(1)
Interim Abutment
292(1)
Implant Restorative Wish List
292(1)
Appointment 4 Extraction, Implant, and Interim Abutment Placement (Surgical Office: 1 Hour)
292(1)
Extraction and Implant Placement
292(1)
Insertion Torque
293(1)
Appointment 5 Restorative Appointment INOL Provisional Restoration (Same Day: 3/4 Hour)
293(1)
Interim Abutment Placement
294(1)
Abutment Preparation
294(1)
Immediate Nonocclusal Loading Provisional crown (INOL-No Centric/Eccentric Contacts)
294(2)
Dietary and Oral Hygiene Instructions
296(1)
Appointment 6 Reevaluation Appointment - 24 Hours (1/2 Hour)
297(1)
History
297(1)
Clinical Examination
297(1)
Appointment 7 Reevaluation Appointment - 2 Weeks (1/2 Hour)
297(1)
History
297(1)
Clinical Examination
297(1)
Appointment 8 Reevaluation Appointment - 10 Weeks (1/2 Hour)
297(1)
History
297(1)
Clinical Examination
297(1)
Appointment 9 CADCAM Healing Abutment Impression (16 Weeks: 1 Hour)
298(1)
History
298(1)
Clinical Examination
298(1)
Abutment Selection
298(1)
Remove INOL Provisional Restoration/Interim Abutment and Place CADCAM Healing Abutment
299(1)
BellaTek Encode Healing Abutment Intra Oral Scan
300(3)
Appointment 10 CADCAM Abutment and Crown Insertion (3/4 Hour)
303(1)
Interim Abutment and Provisional Crown Removal
303(1)
Definitive Abutment Placement
303(1)
Radiographic Verification
304(1)
Torque
304(1)
Crown Try-In
304(1)
Cementation
305(1)
Postoperative Instructions
306(1)
Appointment 11 2-Week Follow-Up Appointment (1/4 Hour)
306(3)
11 Computed Tomography (CT)-Guided Surgery/Immediate Occlusal Loading with a Full-Arch Prosthesis in the Edentulous Mandible
309(40)
Literature Review
309(7)
Immediate Occlusal Loading
309(1)
Tilted Implants
310(1)
Diagnostic Imaging
310(3)
Computed Tomography (CT)
313(1)
Interactive Computed Tomography (ICT)
314(1)
Interactive Computer Software
314(1)
Computer-Guided Surgery
315(1)
Overview of CT-Guided Surgical and Prosthetic Protocols
316(33)
Surgical Guides
316(1)
Master Tubes
317(1)
Prosthetic Laboratory Kit: Implant Analog Mounts
317(1)
Surgical Kit Components
317(2)
Fabrication of Master Cast for Immediate, Fixed Provisional Prosthesis
319(1)
Abutment Selection for Fixed, Screw-Retained Provisional Prostheses
320(1)
Fabrication of a Screw-Retained Provisional Prosthesis
321(2)
Appointment 1 Clinical Patient Presentation
323(1)
Preoperative Radiographs
324(1)
Diagnosis
325(1)
Assessment
325(1)
Treatment Plan
326(1)
Construction of Wax Dentures
326(3)
Appointment 2 Clinical Try-In of the Wax Dentures
329(1)
Fabrication of CT Scanning Appliance
330(2)
Appointment 3 Intraoral CT Scan and Treatment Plan
332(1)
Fabrication of Master Cast with Implant Analogs
332(3)
Laboratory Abutment Selection and Placement
335(1)
Fabrication of Metal Framework for the Provisional Prosthesis
336(3)
Fabrication of the Provisional Prosthesis
339(3)
Appointment 4 Surgical and Prosthetic Treatment
342(1)
Surgical Implant Placement
342(1)
Clinical Abutment Placement
343(1)
Insertion of Provisional Prosthesis
344(2)
Appointment 5 Postoperative Visit
346(3)
12 Review of Concepts for Designing and Fabricating Metal Implant Frameworks for Hybrid Implant Prostheses
349(14)
Introduction
349(1)
Historical Perspective
349(1)
Original Framework Designs for Fixed Hybrid Prostheses
350(2)
Passively Fitting Implant Frameworks
352(1)
Prosthetic Complications Associated with Fixed Implant Frameworks
352(1)
Physical Properties of Metals Used in Fixed Implant Frameworks
353(3)
Cast Noble Alloys
353(1)
Cast Base Metal Alloys
353(1)
Milled Titanium Frameworks
353(1)
Milled Zirconium Frameworks
353(3)
Design Considerations
356(1)
The Rationale For Cantilever Length
357(1)
A/P Spread and the AII-on-4™ Protocol
358(1)
Guidelines for Implant-Retained Hybrid Frameworks
358(1)
Conclusions
359(4)
Index 363
Carl Drago, DDS, MS, is a Diplomate of the American Board of Prosthodontics (ABP) and serves as the Clinical Science Editor of the Journal of Prosthodontics, the journal of the American College of Prosthodontists. His private practice near Milwaukee, WI, is limited to fixed, removable, and implant prosthodontics. Dr. Drago is the clinical director of Eon Clinics in Waukesha, WI and is an adjunct associate professor at the Marquette University School of Dentistry. He has held positions as Assistant Professor at the University of Texas Dental School at San Antonio and Associate Professor in the Department of Restorative and Prosthetic Dentistry at the Ohio State University College of Dentistry in Columbus, OH. He has published more than 75 papers on various subjects including laboratory and clinical procedures in conventional and implant prosthodontics. Dr. Drago has also written three textbooks on dental implants, including Implant Laboratory Procedures: A Step by Step Guide, published by Wiley Blackwell.
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