Menu Expand
Implant Treatment Planning for the Edentulous Patient - E-Book

Implant Treatment Planning for the Edentulous Patient - E-Book

Edmond Bedrossian

(2010)

Additional Information

Book Details

Abstract

Stay on the cutting edge of implant dentistry for the edentulous patient! Written by Dr. Edmond Bedrossian, one of only a few specialists doing zygoma implants, Treatment Planning for the Fully Endentulous Patient: A Graftless Approach to Immediate Loading covers the latest advances in implants, products, and techniques. The book discusses the broader issues of working with the edentulous patient, then describes 1-stage and 2-stage protocols, immediate loading, and the graftless approach. Also included are insightful discussions of case studies and coverage of new software that helps to improve outcomes in treatment planning and surgery.

  • Over 1,000 full-color illustrations depict implant techniques and products.
  • Coverage of the Graftless Approach includes two concepts: 1) the anterior tilted implant, and 2) the zygoma implant, each eliminating the need for grafts and producing an implant site less prone to infection and with a quicker healing time.
  • A Computer Guided Surgery chapter covers the latest software developed for treatment planning, creating the surgical template, laboratory procedures, and fabrication of the prosthetics.
  • Case presentations on immediate loading tilted implants and zygoma implants appear at the end of the book, each a beginning-to-end study from Dr. Bedrossian’s own archives.
  • Coverage of broader issues related to the edentulous patient includes a discussion of special needs, demographics, and the systemic pretreatment of these patients including bone composites and overall esthetic and functional goals.

Table of Contents

Section Title Page Action Price
Front cover Cover
Title page i
Copyright page iv
Dedication v
Foreword vii
Preface ix
Acknowledgments xi
Table of contents xiii
Two distinct, but related sections. xv
Chapter 1: Demographics of Edentulous Patients 19
References 22
Chapter 2: Osseointegration: Rationale for Two-Stage versus One-Stage Protocols 5
Key Factors Influencing Osseointegration 6
The Biologic Bases for the Evolution of the Immediate-Load Concept 7
Osseointegration According to Skalak and Brånemark 7
Summary 8
References 8
Chapter 3: Immediate Loading 11
Contact Osteogenesis versus Distant Osteogenesis 12
References 22
Chapter 4: Limitations in Treating the Edentulous Maxilla 25
Phonetics 29
Lip Support 29
Oral Hygiene 30
References 31
Chapter 5: Systematic Pretreatment Evaluation of the Edentulous Maxilla 33
Fixed-Maxillary Prostheses 33
Presence or Absence of a Composite Defect 34
Visibility of the Residual Ridge Crest 36
Radiographic Evaluation to Assess Maxillary Zones 37
Special Considerations 38
References 42
Chapter 6: Treatment of the Edentulous Maxilla: Anterior Tilted Implant Concept 43
Radiographic Evaluation 43
Treatment Planning 44
Preoperative Protocol 44
Surgical Protocol 44
Postoperative Care 56
Phase II Appointment 57
Final Prosthesis 57
Discussion 58
References 58
Chapter 7: Treatment of the Edentulous Maxilla: Zygoma Implant Concept 61
Radiographic Evaluation 61
Preoperative Considerations 61
Surgical Options 63
Surgical Protocol 64
References 68
Chapter 8: Systematic Pretreatment Evaluation of the Edentulous Mandible 69
Historical Perspective 69
Evaluation of the Edentulous Mandible for Immediate Loading 69
Composite Defect 70
Final Prosthetic Design 70
Transition Line 71
Position of the Mental Foramen 71
Radiographic Studies 73
Preoperative Protocol 73
Surgical Protocol and Technique 75
Prosthetic Conversion 79
Postoperative Care 82
Phase II Appointment 83
Discussion 84
References 84
Chapter 9: Conversion Technique for Immediate Loading 87
Postoperative Instructions 89
Management of Provisional Prosthesis Complications 92
“White Denture”: Tooth-Only Defect 96
References 97
Chapter 10: Computer-Guided Surgery 99
Material and Method 99
Computer-Guided Surgical Protocol for Tilted Implants: Maxilla 117
Computer-Guided Surgical Protocol for Tilted Concept: Mandible 124
Computer-Guided Surgical Protocol for Zygoma Implants: An Investigational Procedure 134
Complications Associated with Computer-Guided Surgery 147
Discussion 148
References 148
Chapter 11: Case Presentations: Alternatives for Final Framework Designs 149
Hybrid versus Profile Prostheses 149
Titanium Framework: Procera Implant Bridge 155
Cal Technique: An Alternative Framework Design 162
Chapter 12: Case Presentations: Immediate-Loading Tilted Implants 173
Tilted Treatment Concept: Maxilla 173
Tilted Concept: Mandible 182
All-On-4 Porcelain Fused to Metal Bridge 192
Chapter 13: Case Presentations: Immediate-Loading Zygoma Implant 197
Immediate-Load Zygoma Protocol 197
Zygoma Concept: Immediate Loading of Failing Existing Teeth and Implants 202
Guided Zygoma 206
Chapter 14: Case Presentations: Advanced Procedures 225
Complete Anodontia 225
Ectodermal Dysplasia: The Zygoma and Tilted Treatment Concepts 235
Management of a Patient with a Cleft Palate 241
Failing Implants 253
Failing implant-supported maxillary overdenture 259
Chapter 15: Case Presentations: Management of Complications 265
Management of Failed Immediately-Loaded Zygomatic Implants 265
Sinus Infections after Placement of Zygomatic Implants 271
Failed Tilted Implant: Immediate Treatment 275
References 282
Chapter 16: Case Presentations: Quad Zygoma 283
Preliminary Presentation 283
Failed Maxillary Overdenture 288
“Accessory” Nasal Floor Implant 291
Through-And-Through Palatal Defect 297
Index 303