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 |
_________________________________________________________________________________________________________________________
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 |
|
b) Anatomical
aspects |
|
|
|
|
|
c) Indications
and contraindications |
b) Healing
of post-extraction sockets |
|
c) Indications
and contraindications |
|
|
d) Clinical
results: a Literature review |
|
2)
Clinical
procedures |
d) Clinical
results: a Literature review |
a) Preoperative
evaluations |
2)
Clinical procedures |
|
a) Preoperative
evaluations |
|
|
|
|
b) Surgical
instruments |
|
c) Surgical
technique |
b) Surgical instruments |
|
c) Flap
design and tooth extraction |
|
d) Socket
preparation and ideal implant insertion |
|
e) Bone
regeneration of periimplant residual defects |
d) Implant
uncovering and prosthetic restoration |
|
|
|
|
|
e) Management
of complications |
f) Soft
tissue management and suturing |
|
|
|
|
|
|
Appendix |
|
Sinus floor elevation by orthodontic tooth movement |
g) Temporary
prosthesis during the healing period |
|
|
|
|
|
h) Implant
uncovering and prosthetic restoration |
|
i) Management
of complications |
|
|
|
|
|
|
|
Appendix | |
Immediate/early loading of immediate post-extraction implants |