Implant Dentistry at a Glance

Jacques Malet is a clinical instructor for post–graduate periodontology and implant surgery students at the University Denis Diderot of Paris, and at the Rothschild Hospital, AP–HP in Paris. Francis Mora is Associate Professor of Periodontology, Director of the Undergraduate Periodontology Program, and Co–Director of the Post Graduate Periodontology Program at the University Denis Diderot of Paris, and at the Rothschild Hospital, AP–HP in Paris. Philippe Bouchard is Professor and Chair of the Department of Periodontology at the University Denis Diderot of Paris, and Head of the Clinical Unit in Oral Pathology – Oral Surgery and Periodontal Surgery at the Rothschild Hospital, AP–HP in Paris.

Preface 5
List of abbreviations 7


1. The basics: osseointegration 8


2. The basics: the peri–implant mucosa 10


3. The basics: surgical anatomy of the mandible 12


4. The basics: surgical anatomy of the maxilla 14


5. The basics: bone shape and quality 16


6. Implant macrostructure: shapes and dimensions 18


7. Implant macrostructure: implant/abutment connection 20


8. Implant microstructure: implant surfaces 22


9. Success, failure, complications, and survival 24


10. The implant team 26


11. Patient evaluation: medical evaluation form and laboratory tests 28


12. Patient evaluation: the patient at risk for surgery 30


13. Patient evaluation: the patient at risk for dental implant failure 32


14. Patient evaluation: local risk factors 34


15. Patient evaluation: dental history 36


16. Patient evaluation: dental implants in periodontally compromised patients 38


17. Patient evaluation: esthetic considerations 40


18. Patient evaluation: surgical considerations 42


19. Patient evaluation: surgical template 44


20. Patient evaluation: imaging techniques 46


21. Patient records 48


22. The pretreatment phase 50


23. Treatment planning: implant selection 52


24. Treatment planning: the provisional phase 54


25. Treatment planning: immediate, early, and delayed loading 56


26. Treatment planning: single–tooth replacement 58


27. Treatment planning: implant–supported fixed partial denture 60


28. Treatment planning: fully edentulous patients 62


29. Treatment planning: edentulous mandible 64


30. Treatment planning: edentulous maxilla 66


31. Surgical environment and instrumentation 68


32. Surgical techniques: socket preservation 70


33. Surgical techniques: the standard protocol 72


34. Surgical techniques: implants placed in postextraction sites 74


35. Surgical techniques: computer–guided surgery 76


36. Bone augmentation: one–stage/simultaneous approach versus two–stage/staged approach 78


37. Bone augmentation: guided bone regeneration 80


38. Bone augmentation: grafts materials 82


39. Bone augmentation: block bone grafts 84


40. Bone augmentation: split osteotomy (split ridge technique) 86


41. Bone augmentation: sinus floor elevation 88


42. Bone augmentation: alveolar distraction osteogenesis 90


43. Soft tissue augmentation 92


44. Dental implants in orthodontic patients 94


45. Prescriptions in standard procedure 96


46. Postoperative management 98


47. Life–threatening surgical complications 100


48. Surgical complication 102


49. Dental implant maintenance 104


50. Peri–implant diseases 106


Appendices 109


A. Glossary 109


B. Basic surgical table and instrumentation 111


C. Preparation of the members of the sterile team 112


D. Medical history form 113


E. Consent form for dental implant surgery 118


F. Postoperative patient records: stage 1 121


G. Postoperative patient records: stage 2 122


H. Postoperative instructions 123


I. Treatment planning: fully edentulous patient 125


J. Overdenture supported by two implants: surgical procedure 127


K. Overdenture supported by two implants: prosthetic procedure 128


L. Fixed prosthesis (mandible) supported by four implants 129


M. Fixed prosthesis (maxilla) supported by four implants 130


N. Bone regeneration 131


References and further reading 132


Index 139