Dental Implant Restoration Principles And Procedures Pdf Download
This book aims to provide the restorative clinician with a guide to treatment of patients requiring dental implants. It is clearly aimed at students or dentists with little or no knowledge of implants, and is a good starting point for those looking to expand their clinical practice in this area.
The text is divided into two parts, the first providing the theory and knowledge of implants, and the second a guide to the clinical procedures involved in restoring implants. I found this approach to work extremely well, allowing the authors to firstly describe in adequate depth and detail the principles involved in diagnosis, management and treatment planning without assaulting the reader with the practical protocols involved in the restorative phase of the treatment, the latter being described in a step-by-step manner in the second part of the book.
The introduction and opening chapters introduce the basics of implantology in a very controlled but holistic manner, starting with identification of the basic structure of an implant assembly and leading to patient education and treatment planning. A chapter has been dedicated to the theory of each stage of restorative treatment, with the authors doing very well to ensure all relevant topics are covered along the way. A brief discussion of the surgical aspect of implant treatment is also provided, with good notes on the requirements and procedures involved in the preparation of the surgical site with reference to both hard and soft tissue considerations.
The second part of the book provides an excellent step-by-step guide to the practical protocols involved in providing a definitive implant-retained prosthesis. Each type of prosthesis, categorised by abutment type, single versus multi-unit restoration, and cement versus screw retention, has been afforded its own chapter, facilitating a very clear and easy to follow set of instructions. The written description of each step is supplemented by an illustration, which are of excellent quality throughout the book. I can say without doubt that a better and clearer protocol would be extremely difficult to produce. My only criticism of this book is that at times it does not identify where nomenclature used may vary from those used by the clinician, and in a book aimed at those with little knowledge in the area, this can on occasion cause some confusion.
I can have no hesitation in recommending this book to any clinician aspiring to restore implants, or those who are looking for a refresher in the principles of implant-retained prostheses. It may be, however, that its length will popularise it more with students seeking a deeper understanding of theory before embarking on treatment. There is no doubting there is much else to read, but as a starting point this book is quintessential in implant education.
The use of dental burs for efficient removal and shaping of tooth structure is an essential aspect of restorative dentistry. Because the scope of restorative procedures is broad and there is a wide range of rotary cutting instruments currently available, burs must be carefully chosen to maximize their benefits and cutting effectiveness. This article explores the recent evidence supporting judicious bur selection, and outlines several strategies to optimize bur performance and cutting efficiency and to promote patient safety.
This CDEWorld thematic eBook features a continuing education (CE) article that discusses a minimalistic approach to regaining lost palatal anatomy in teeth that have been damaged by GERD, and explains how more aggressive, full-coverage restorations may jeopardize such teeth. A second CE article article reviews two popular classifications for dental ceramics, as well as the criteria for selecting these materials. This eBook also includes a case report article discussing the use of a single-shade dental composite in three restorative cases. Download to earn 4 FREE CEU now!
This eBook features a report that describes a standardized and predictable protocol for digital impressions and laboratory steps, with a focus on proper tissue management of anterior implant-supported restorations.
This article discusses how the use of direct composites in restorations for some clinical procedures can be simpler and quicker than use of ceramics and other technologies that in recent years have often resulted in the practitioner doing too much restoring.
This article focuses on the benefits of incorporating intraoral scanning in the treatment of complex full-arch restorations for both natural tooth and implant dentistry to increase efficiencies, reduce clinical appointments, and decrease treatment costs to enhance patient care.
The delivery of the complete dentures is the starting point in the long journey of continued care for the individual. Patients will often receive continued care for many years after the reconstructive process of complete dentures. Due to the lack of surface area in the mandibular arch, advancements in denture prosthodontics have led to the addition of anchorage devices such as dental implants and attachments for the retention of mandibular complete dentures.
The aim of this article is to update the general practitioner on a variety of topics that affect the biologic response and longevity of posterior composite restorations. It is important for the dental practitioner to understand the science behind these restorations and learn techniques to effectively and efficiently complete them, providing patients with a better outcome and improving the overall practice.
This article reviews implant-supported restoration techniques. It explains the advantages and disadvantages of screw-retained versus cemented implant-supported restorations and the variations in techniques in the fabrication process. It also describes a technique in restoring the loss of gingival tissue with implant restorations in the anterior region.
This article explores a methodology and approach to creating esthetic, successful restorations with CAD/CAM technology in the dental practice, providing specific recommendations for high-quality results.
This article provides an overview of how flapless extraction, bone/soft-tissue grafting, implant placement techniques, ridge volume preservation and augmentation procedures, and growth factor/biologic materials can be incorporated to provide an overall minimally invasive approach to esthetic implant treatments.
Subperiosteal dental implants appeared in Sweden and the United States in the middle of the last century [1, 2]. Subperiosteal implants were custom-made fixtures, inserted below the periosteum, and stabilised by contact with the underlying bone, by means of fixation screws and the fibro-mucous tissue that covered them [2,3,4]. They were usually made of cobalt-chrome or titanium alloys and were prosthetised by means of transmucosal abutments that emerged inside the oral cavity [3, 5].
The technical fabrication of subperiosteal implants was complex, as it was necessary to capture a physical impression of the residual bone that was skeletonised, in a preliminary surgical session that caused significant patient discomfort [6, 7]. Then, during the surgical session to position them, these implants were far from precise, with the risk of unpredictable clinical results ; in fact, the need to adapt these implants during surgery could lead to long procedures, with increased risk of infections and complications [7, 8].
Subperiosteal implants were used for several years, but because of the difficulty in positioning them  and the high complication rates [7, 8], they were replaced by endosseous, root-form dental implants, introduced by Professor Brånemark from the University of Gothenburg .
Endosseous implants solved various issues associated with subperiosteal implants, and rapidly replaced them. More than 30 years of follow-up have shown that endosseous dental implants are a reliable and successful solution for the prosthetic restoration of partially  and totally edentulous patients , in the short  and long term .
A requirement for endosseous implant insertion is adequate bone quantity and quality. In the absence of adequate bone, three possible solutions presently exist. The first is to use reconstructive materials with techniques identified as onlay/inlay bone grafting , guided bone regeneration with non-resorbable  or resorbable membranes , alveolar ridge split , distraction osteogenesis  or sinus augmentation . The issue with these techniques is the length of treatment, with the possibility of intra- and postoperative complications, due to the complexity of the procedures. In addition, they add economic costs for the patient . The second option for inserting endosseous implants in unfavourable anatomical sites, without the aid of bone regeneration, is the use of short , narrow  or tilted implants . Zygomatic  and pterygomaxillary implants  are also on the market, although less used in daily practice.
This allows the opportunity to revisit some old concepts, such as the placement of subperiosteal implants, and reinterpret them in a new technological context based on consolidated anatomical and physiological principles [34,35,36]. The reduction of treatment to a single surgical session, lower costs for the patient and, above all, the precision that makes the method more predictable and safer in the short term have brought the attention of clinicians back to the use of subperiosteal implants, particularly for the management of complex atrophies such as in the posterior mandible of elderly patients [36, 37].
In severe posterior mandible bone resorption, when the patient does not want to undergo bone regeneration, modern digital technologies may represent a viable solution, with the possibility to fabricate custom-made subperiosteal implants perfectly adapted to their local morphology and anatomy [36, 37]. This is of particularly interest for elderly patients with special needs, who do not want or cannot undergo complex regenerative surgeries, but need a fixed prosthetic restoration .