This comprehensive overview of implant dentistry includes over 600 clinical photographs that display the approaches and techniques that have resulted in long-term success. Esteemed clinicians and researchers present the latest findings and methods, from treatment planning to advanced treatment modalities, including the sinus augmentation procedure and guided bone regeneration. An essential addition to your implant library.

ISBN: 0-86715-341-5
268pp: 860 illus (860 in color)

Table of Contents:

1. A Changed Paradigm of Treatment: The Natural Tooth or a Dental Implant/Myron Nevins, DDS
2. The Efficacy of Osseointegration for the Partially Edentulous Patient/Ulf Lekholm, DDS, PhD
3. Using Computerized Tomography to Develop Realistic Treatment Objectives for the Implant Team/Alan L. Rosenfeld, DDS; and Richard A. Mecall, DDS, MScD
4. Biomechanical Interaction Between Implants and Teeth/Burton Langer, DMD, MSD; and Bo Rangert, Mech Eng, PhD
5. Guided Bone Regeneration and Dental Implants/James T. Mellonig, DDS, MS; and Myron Nevins, DDS
6. Use of Guided Bone Regeneration to Facilitate Ideal Prosthetic Placement of Implants/Richard H. Shanaman, DDS
7. Protected Space Development for Bone Formation Using Reinforced Barrier Membranes/Sascha A. Jovanovic, DDS, MS
8. Guided Bone Regeneration for Vertical Ridge Augmentation Associated With Osseointegrated Implants/Massimo Simion, MD, DDS; Paolo Trisi, DDS; and Adriano Piattelli, MD, DDS
9. The Placement of Maxillary Anterior Implants/Myron Nevins, DDS; and James M. Stein, DMD
10. The Placement of Mandibular Anterior Implants/Myron Nevins, DDS
11. The Placement of Maxillary Posterior Implants/Myron Nevins, DDS
12. The Placement of Mandibular Posterior Implants/Myron Nevins, DDS; and Joseph P. Fiorellini, DMD, DMSc
13. The Maxillary Sinus Floor Augmentation Procedure to Support Implant Prostheses/Myron Nevins, DDS; and Joseph P. Fiorellini, DMD, DMSc
14. Implant Use in the Tuberosity, Pterygoid, and Palatine Region: Anatomic and Surgical Considerations/Gary M. Reiser, DDS
15. Osseous Regeneration with Bone Harvested from the Anterior Mandible/R. Gilbert Triplett, DDS, PhD; and Sterling R. Schow, DMD
16. The Esthetic Management of Dental Implants/Burton Langer, DMD, MSD
17. The Need for Keratinized Tissue for Implants/Yoshihiro Ono, DDS; Myron Nevins, DDS; and Emil G. Cappetta, DMD
18. Implant Therapy for Patients with Refractory Periodontal Disease/James T. Mellonig, DDS, MS; and Myron Nevins, DDS

Preface

Dentistry has undergone many changes during the past quarter century; however, no changes have been more profound than those in the field of implant dentistry. Successful endosseous alloplastic implants can be found dating back to AD 600, but the surge in implants for tooth replacement did not flourish until the middle of the 1900s. These early efforts were met with exuberance, bravado, and an emphasis of the mechanical over the biological. It is important to note the contributions of pioneers, such as Aaron Gershkoff, and their continuing struggle to resolve the indignities of the edentulous patient. The success stories were more or less limited to the resorbed mandibular edentulous patient who presented for treatment with the proverbial box of failed implants.

It was not until the biological aspect was emphasized over the mechanical factors that implants were routinely considered more than just a passing fad. The research results emerging from P.-I. Brånemark and Associates captured the attention of dentistry. It is worth noting that the research took place over a considerable period of time without marketing a product until the many unknowns were resolved. A root form design, a precise surgical procedure, and an undisturbed healing time suddenly elevated endosseous dental implants to the realm of a highly successful and acceptable predictable procedure. Dentistry was presented with scientific studies that were difficult to refute. Once again, the early emphasis was centered on the edentulous patient but attention turned toward the partially dentate patient after the Toronto conference in the early 1980s. Still, the placement of implants was limited by the demands of an adequate ridge form to house the implants. The periodontist or surgeon was a prisoner of the size and form of the bone. In 1989, the first reports of simultaneous delivery of an implant into an extraction wound were published. The same time frame shared information about growing bone over implant fenestrations or dehiscences and eventually led to the development of guided bone regeneration, which suddenly expanded the population of candidates for treatment by correction of anatomic obstacles.

Reports surfaced about the efficacy of implant treatment in the maxillary and mandibular posterior regions where previous attempts were thought to be questionable. Three-dimensional radiography provided information to help avoid or alter anatomic obstacles. Grafting of the floor of the maxillary sinus, nerve transposition of the inferior alveolar nerve, and eventually, vertical growth of bone all provided corrections that were previously thought impossible. To quote Sir Anthony Eden, “every succeeding scientific discovery makes greater nonsense of old-time conceptions of sovereignty.”

Contemporary dentistry continues to demonstrate the strength of the research results of the pioneers of root form implantology. This form of dentistry offers a remarkable base of evidence to support tradition and evidence the continued need for intellectual innovation.

The major issue today is the clinical question: Can we or should we preserve the remaining natural dentition or do implants offer a more predictable prognosis? This text meets the challenge of confronting this moment of decision on a geographic basis for each area of the dentition. It uses the evidence that is now available for both paths of treatment and directs the well-informed reader toward resolution. We expect to affect the thinking process of the discriminating dentist who is willing to invest time in the decision-making process.