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This comprehensive guide to short implants will take the reader through their research and development, explain the clinical indications, evaluate the outcomes achieved with various implants, and explore restorative and laboratory considerations. Short implants have steadily gained greater market share in the last decade as practitioners sought alternatives to traditional length implants in order to avoid grafting procedures. Current manufacturers offer a variety of implant lengths and widths, allowing surgeons and restorative dentists the ability to select the best implant for each clinical circumstance. Cutting edge information is provided on the research and clinical results achieved utilizing a range of implants, specifically those developed by Nobel Biocare, Straumann, Jack Hahn, and Bicon. Readers will also find an extensive description of the role of ultra-short implants involving reconstruction in both cleft patients and cancer patients who have lost portions of their mandible and/or maxilla. This book is a must-have for those interested in learning how the use of short and ultra-short implants offers both surgeons and restorative dentists an opportunity to stand out from those that use only the traditional length implants.
Treatment planning for implant therapy has changed dramatically in recent years as new protocols have evolved for techniques such as immediate loading and the use of short implants. This new edition has been updated to reflect the most important advances in implant dentistry, while still focusing on the patient risk assessment that is essential to successful long-term implant treatment. This book offers a clear, practical methodology for defining and evaluating the impact of various risk factors on individual patients considering therapy. In addition, specific guidelines and checklists are included to give specialists and general practitioners alike increased confidence in discussing implant therapy with their patients. The risk factors and limitations associated with various presentations of edentulism are described in detail, and the safest treatment options are given for each, including surgical protocols and solutions to bone-related problems.
Research has shown that short implants are not only a viable option but oftentimes a superior one that carries fewer risks for the patient and dentist, especially in resorbed jaw sites. As clinical trials continue to underscore the safety and efficacy of short implants, more dentists are considering their use with real interest, and this book provides the information clinicians need to incorporate short implants into their own practice. The book reviews the clinical effectiveness of short implants and then describes treatment protocols for the various types of short implants and their placement in different areas of the mouth. Case presentations demonstrate the recommended techniques and showcase the results.
Vietnam is a rapidly developing, socially dynamic country, where interest in biomedical engineering activities has grown considerably in recent years. The leadership of the Vietnamese government, and of research and educational institutions, are well aware of the importance of this field for the development of the country and have instituted policies to promote its development. The political, economic and social environment within the country offers unique opportunities for the international community and this conference was intended to provide a vehicle for the sharing of experiences; development of support and collaboration networks for research; and exchange of ideas on how to improve the educational and entrepreneurial environment to better address the urgent needs of Vietnam. In January 2004, under the sponsorship of the U.S. National Science Foundation, a U.S. delegation that consisted of Biomedical Engineering professors from different universities in the United States, visited several universities and research institutions in Vietnam to assess the state of development of this field. This delegation proposed a five year plan that was enthusiastically embraced by the international scientific communities to actively develop collaborations with Vietnam. Within this framework, in July 2005, the First International Conference on the Development of Biomedical Engineering in Vietnam was held in Ho Chi Minh City. From that conference a Consortium of Vietnam-International Universities was created to advise and assist the development of Biomedical Engineering in Vietnamese universities.
This book covers all aspects of implant dentistry, presenting up-to-date information that reflects the highest level of scientific evidence as presented in the specialized literature. Among the topics addressed by expert authors are the prognosis of natural tooth versus implant restorations, bone response to implant treatment, placement and loading time, implant design and length, platform design, implant abutments, prosthodontic treatment, reconstructive surgery, and periimplantitis. The amount of data available for the clinician working in the field of implantology is huge and constantly increasing. The task of remaining abreast of the latest evidence and applying it effectively in clinical practice is further hindered by the fact that many scientific papers make contradictory claims and contain methodological flaws and biases that generate confusion and lack of reliability. Against this background, Evidence-Based Implant Dentistry will serve the reader as a dependable and scientifically supported guide to current implant treatment and key issues in the field.
An increasing number of dental practitioners are considering dental implants in the treatment of their patients. The range of applications, protocol variations, the complexity of implant systems and related management have all increased dramatically over the last decade, and this may be bewildering to the newcomer to implant dentistry. This pioneer
Minimally Invasive Dental Implant Surgery presents a new clinical text and atlas focused on cutting edge and rapidly developing, minimally invasive treatment modalities and their applications to implant dentistry. Centered on progress in imaging, instrumentation, biomaterials and techniques, this book discusses both the “how to” as well as the “why” behind the concept of minimally invasive applications in implant surgery. Drawing together key specialists for each topic, the book provides readers with guidance for a broad spectrum of procedures, and coalesces information on the available technologies into one useful resource. Minimally Invasive Dental Implant Surgery will be a useful new guide to implant specialists and restorative dentists seeking to refine their clinical expertise and minimize risk for their patients.
Evidence-based Implant Treatment Planning and Clinical Protocols provides a systematic approach to making treatment decisions and performing restorative procedures. Offers a clinically relevant resource grounded in the latest research Applies an evidence-based approach to all aspects of implant dentistry, including maxillofacial prosthodontics, from planning to surgery and restoration Describes procedures in detail with accompanying images Covers all stages of treatment, from planning to execution Includes access to a companion website with video clips demonstrating procedures and the figures from the book in PowerPoint
Clinical trials are used to elucidate the most appropriate preventive, diagnostic, or treatment options for individuals with a given medical condition. Perhaps the most essential feature of a clinical trial is that it aims to use results based on a limited sample of research participants to see if the intervention is safe and effective or if it is comparable to a comparison treatment. Sample size is a crucial component of any clinical trial. A trial with a small number of research participants is more prone to variability and carries a considerable risk of failing to demonstrate the effectiveness of a given intervention when one really is present. This may occur in phase I (safety and pharmacologic profiles), II (pilot efficacy evaluation), and III (extensive assessment of safety and efficacy) trials. Although phase I and II studies may have smaller sample sizes, they usually have adequate statistical power, which is the committee's definition of a "large" trial. Sometimes a trial with eight participants may have adequate statistical power, statistical power being the probability of rejecting the null hypothesis when the hypothesis is false. Small Clinical Trials assesses the current methodologies and the appropriate situations for the conduct of clinical trials with small sample sizes. This report assesses the published literature on various strategies such as (1) meta-analysis to combine disparate information from several studies including Bayesian techniques as in the confidence profile method and (2) other alternatives such as assessing therapeutic results in a single treated population (e.g., astronauts) by sequentially measuring whether the intervention is falling above or below a preestablished probability outcome range and meeting predesigned specifications as opposed to incremental improvement.
In this book, leading experts from around the world present the latest knowledge on the risk factors for peri-implant diseases and also examine the prevalence, etiology, and treatment strategy. Reports have suggested that a variety of risk factors, including poor oral hygiene, a history of periodontitis, diabetes, smoking, lack of keratinized mucosa, and implant surface topography, are associated with these diseases. Periodontally compromised patients who do not adhere completely to the supportive periodontal therapy have been found to present a higher implant failure rate, and several studies have shown that periodontal pathogens can translocate from periodontally involved teeth to the peri-implant sulci in partially dentate patients, highlighting the importance of periodontal treatment of the residual dentition prior to placement of dental implants. Recently a new concept was proposed as intraindividual variation exists in core microbiota in peri-implantitis and periodontitis. In elucidating the strength of association of peri-implant diseases with all of the risk factors identified to date, the book will be of interest to practitioners and other professionals in the field.