IMMEDIATE POST-EXTRACTION IMPLANTS

SINUS FLOOR ELEVATION BY CRESTAL APPROACH

Dr. Giuseppe Corrente and Dr. Roberto Abundo

PRESENTATION

Surgical periodontal therapy has changed dramatically over the last ten years. From its origins in resective therapy, the field has evolved towards one focused on a regenerative and restorative approach. Until recently, the successful regeneration of the oral supporting structures and the restoration of a dentition mutilated by disease and trauma has been limited by the lack of biologically compatible and predictable methods for bone and soft tissue regeneration.  Recent advances in understanding the basic concepts of soft and hard tissue wound healing have lead to the concepts of guided tissue regeneration and biological modulation therapy. The placement of implants with modified surfaces has lead to more predictable healing and has allowed quicker integration and restoration in challenging anatomic areas. These research advances have made possible the goal of predictable regeneration of hard and soft tissues to functional and esthetic health through the use of implants and biological modulation therapies.

This text, presented in an effective and accessible manner enhanced by superb clinical illustrations, provides a fresh approach to incorporating new information and clinical experience to existing knowledge on two major areas of clinical advancement: immediate implant placement and biologically enhanced sinus lift surgical implant placement. Dental professionals who wish to apply the latest scientific discoveries to improve their diagnostic and therapeutic skills in assisting their patients will find this text to be indispensable. Using the most recent research findings and surgical protocols, the principles of surgical intervention and outcomes are presented in manner that even a beginner can understand and apply. The text also serves as a guide for practitioners of the restorative arts illustrating rational and predictable practice alternatives based on contemporary science and the authors’extensive clinical experience. This text is one of the best and most comprehensive documents describing the integrative therapies of implantology, regeneration and restorative dentistry. It combines theoretical principles with practical considerations in a logical sequence of learning and performance for the patients benefit. Excellent literature references also have been provided.

There is not currently a comparable publication which combines the high quality and diversity of case selection and surgical information in such an accessible format. This text will become one of the most widely used publications in this field and will be useful to students at all levels of training, teachers, practicing dentists and periodontists.

T. Howard Howell, DDS

Dean for Dental Education 

Professor of Periodontology

Harvard School of Dental Medicine

Boston, Massachusetts, USA

 Joseph P. Fiorellini, DMD, DMSc

Associate Professor of Periodontology

Harvard School of Dental Medicine

Boston, Massachusetts, USA

 

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CONTENTS

IMMEDIATE POSTEXTRACTION IMPLANTS

SINUS FLOOR ELEVATION BY CRESTAL APPROACH 
1) Ratio for immediate post-extraction implants 1) Ratio for sinus floor elevation via crestal approach  
     a) Timing of implant insertion        a) Fundamentals  
  • Immediate site

     b) Anatomical aspects

  • Recent site  
  • Anatomy
  • Delayed site  
  • Sinus pathology  
  • Mature site  
      c) Indications and contraindications
     b) Healing of post-extraction sockets  
  • Indications  
     c) Indications and contraindications  
  • Contraindications  
  • Indications
     d) Clinical results: a Literature review  
  • Contraindications  
2) Clinical procedures  
     d)  Clinical results: a Literature review        a) Preoperative evaluations  
2) Clinical procedures  
  • Medical history  
     a) Preoperative evaluations
  • Radiographic examination
  • Medical history  
  • Clinical examination  
  • Radiographic examination  
     b) Surgical instruments  
  • Clinical examination  
     c) Surgical technique  
     b) Surgical instruments
  • Sinus elevation with biomaterials and implant insertion
     c) Flap design and tooth extraction
  • Sinus elevation without biomaterials and with implant insertion  
     d) Socket preparation and ideal implant insertion
  • Sinus elevation with biomaterials and without implant insertion (“Futur Site” technique)
     e) Bone regeneration of periimplant residual defects      d) Implant uncovering and prosthetic restoration  
  • Circumferential or three-walls intrabony defects
  • Implantt uncovering by apically positioned flap
  • Dehiscences and fenestrations
  • Implant uncovering by Palacci’s technique
  • Composite defects
     e) Management of  complications  
     f) Soft tissue management and suturing
  • Schneider’s membrane laceration
  • Coronally positioned flaps
  • Vertigos
  • Gingival grafts  
  • Lack of osseointegration
  • Socket coverage by collagen sheets  
Appendix
  • Spontaneous in situ gingival augmentation  
Sinus floor elevation by orthodontic tooth movement  
     g) Temporary prosthesis during the healing period  
  • Single tooth edentulism  
  • Multiple teeth edentulism  
     h) Implant uncovering and prosthetic restoration  
     i) Management of complications  
  • Lack of osseointegration  
  • Periimplant infection  
  • Undesired soft tissue dehiscences  
Appendix
Immediate/early loading of immediate post-extraction implants  

PICTURES FROM THE BOOK

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