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This book covers the most suitable techniques for the rehabilitation of patients experiencing tooth loss, trauma or other situations resulting in bone atrophy. The book discusses current technologies, from diagnosis to treatment and surgery, applied to atrophic jaws using innovative tools and new PSI (patient specific implant) approaches. Oral Rehabilitation of the Atrophic Maxilla and the selection of the best treatment options for patients is one of the most difficult tasks facing the profession today. Readers will be able to solve complex problems and evaluate all available applications for patient management. Zygomatic implants, reconstructive surgery with bone grafts, post-oncologicasl and post traumatic reconstructions as well as dynamic navigation and robot assisted dental surgery are covered. The book is written by recognized experts and leaders in the field, and includes simpler techniques within the reach of many implantologists and more complex techniques that require specific surgical skills. It is relevant for, implanologist, periodontists, oral and maxillofacial surgeon, prosthodontists and every clinician treating maxillary atrophy.
"Methods for placing different types of tilted implants in different configurations (eg, All-on-4, V-II-V, transsinus, zygomatic) including step-by-step protocols from patient evaluation to surgery to provisional and definitive prosthesis fabrication, featuring dozens of detailed clinical cases"--
Provides descriptions of maxillofacial surgical methods/techniques for more demanding clinical situations, including relevant fundamental aspects. The book includes information on recent and experimental techniques. The material is intended for surgeons with implant experience.
Covering the functional and esthetic needs of edentulous patients, Prosthodontic Treatment for Edentulous Patients: Complete Dentures and Implant-Supported Prostheses, 13th Edition helps you provide complete dentures, with and without dental implant support. It addresses both the behavioral and clinical aspects of diagnosis and treatment and covers treatment modalities including osseointegration, overdentures, implant-supported fixed prosthesis, and the current and future directions of implant prosthodontics. New to this edition are full-color photographs and coverage of immediately loaded complete dental prostheses. From lead editor and respected educator George Zarb, Prosthodontic Treatment for Edentulous Patients provides an atlas of clinical procedures and emphasizes the importance of evidence-based treatment. - Short, easy-to-read chapters cover the essentials of care for both short- and long-term patients, stressing the importance of evidence-based treatment. - Expanded coverage of implant prosthodontics addresses the clinical protocols for implant-retained and implant-supported prosthodontic management. - Specific chapters address the three surfaces of the complete denture: (1) an impression or intaglio surface, (2) a polished surface, and (3) an occlusal surface, the integration of which is crucial to creating a stable, functional, and esthetic result. - Chapter on health and nutrition examines a number of systemic conditions (vesciculoerosive conditions, systemic lupus erythematosus, burning mouth syndrome, salivary dysfunction, Sjögren's syndrome, hyper/hyposalivation, diabetes) that affect the oral cavity and specifically influence the prognosis for wearing complete dentures or for accepting osseointegrated prostheses. - Chapter on the time-dependent changes which occur in the oral cavity focuses on both time-related direct (ulcer/cheek biting, irritation hyperplasia, denture stomatitis, flabby ridge and pendulous maxillary tuberosities, hyperkeratosis and oral cancer, residual ridge reduction) and indirect (atrophy of masticatory muscles, nutritional status and masticatory function, control of sequelae) changes in the oral environment, and provides strategies to minimize the risk of such changes. - Chapter on the techniques used to prolong the life of complete dentures focuses on the two techniques used to extend the life of dentures: relining and rebasing, also touching on denture duplication. - Well-respected editors and contributors are the leaders in their field, lending credibility and experience to each topic.
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.
Zygomatic implants have been in use for more than two decades, and clinical follow-up studies have shown good outcomes. However, this treatment approach is only now seeing a strong resurgence of interest because it can provide patients with a fixed dentition in a short amount of time without any grafts, general anesthesia, or morbidity from a donor site, even in challenging clinical situations. Thus, a technique of relative complexity becomes minimally invasive in its application. This book reviews the state of the art of zygomatic implants and outlines several new surgical techniques and adjunctive procedures. The authors cover the fundamentals of using zygomatic implants, including the rationale behind the approach, anatomical and biomechanical considerations, imaging of the zygoma, possible sinus reactions, contraindications, prosthodontic considerations, and management of complications. This book will arm clinicians with clear guidelines for using zygomatic implants in the rehabilitation of edentulous patients.
This seminal book articulates a new paradigm in prosthodontic practice documenting a radical shift in clinical focus toward a more biologic and patient-centered approach. Drawing on 25 years of collective knowledge and experience, the authors guide readers through each step of this comprehensive, multidisciplinary approach to patient care. This book centers on diagnosis and clinical decision making for prosthetic rehabilitation, which demands equal consideration of patients' systemic, psychologic, and functional needs as well as basic knowledge of the other disciplines of dentistry. With impressive supporting documentation from the literature, the authors outline a systematic approach to evidence-based prosthodontics. Restorative dentists at all levels will be eager to embrace this innovative approach to patient care.
This book shows computational finite element simulations to analyse the strength of implant anchorage for intrasinus and extramaxillary approaches under various occlusal loading locations and directions. Three-dimensional model of the craniofacial area surrounding the region of interest, soft tissue and framework are developed using computed tomography image datasets. The zygomatic and standard dental implants are modeled using a conventional computer-aided design software and placed at the appropriate location. Material properties are assigned appropriately for the cortical, cancellous bones and implants with Masseter forces applied at the zygomatic arch and occlusal loadings applied on the framework surface.
This manual will help oral implantologists to understand the principles that underlie the use of basal implants as a means to provide simple solutions to complex and highly demanding clinical situations without the need for prior bone grafting. It will also serve as a richly illustrated practical guide to application of the technique. The book is in three parts, the first of which discusses basic principles and related themes, including osteogenesis, osseointegration, cortical anchorage stability, biomechanics, surgical techniques, and basal implant prosthodontics. Step-by-step guidance is then offered on the application of these principles, focusing on operating techniques, 3D treatment planning, transitional and final screw-secured prostheses, and postoperative follow-up. The third part of the book addresses a wide range of clinical situations that can be treated by basal implantology, with particular attention to the treatment of high, thin alveolar ridges and the atrophic maxilla and mandible and to the correction of previous implant failures, as well as complications and postimplantation neuropathies.