ADVANCED OSSEOINTEGRATION
Prof. Franco Santoro Prof. Carlo Maiorana
with the contribute
Dario Andreoni - Mario Beretta - Angelo Calderini - Filippo Fontana - Marco Redemagni - Giano Ricci - Davide Sigurtà
Sergio Salina - Massimo Simion - Stefano Speroni and Tommaso Abbondanza
PREFACE
The aging of population and life expectations in edentulous patients are leading oral surgeons and prosthodontists to look for sophisticated rehabilitations.
Nowadays osseointegration represents the golden standard for teeth replacement, but very often, the anatomy of the edentulous ridges is not compatible with a prosthetically driven implant placement.
The clinical goal is to restore a sufficient bony support to implants by means of different surgical techniques. The ensamble of the surgical procedures currently available is named “advanced osseointegration” and most prestigious Schools have been working on this fascinating field of dentistry.
The ideal treatment planning provides for a cooperation between surgeon, prosthodontist, periodontologist and a psychological support in order to give the patient back function, esthetic and selfconfidence.
The aim of this book, that takes advantage from the contribution of skilled oral surgeons and prosthodontists, is to present the most used advanced osseointegration procedures.
The Authors hope that their effort could fulfill the needs of the youngest practicians who wish to approach osseointegration in the light of the most recent clinical advances.
CONTENTS
PATHOPHYSIOLOGY AND ANATOMY OF THE EDENTULOUS AREAS
Pathophysiology of edentulous jaws
Factors influencing edentulous bone loss
Shape modifications
PATIENT INCLUSION CRITERIA AND TREATMENT PLANNING
Introduction
Patient evaluation
Extraoral examination
Intraoral examination
IMAGING OF THE ORAL AND MAXILLOFACIAL STRUCTURES
General concepts in diagnostic radiology
Digital panoramic imaging
Conventional tomography
Computed tomography
Volumetric computed tomography
Intraoral radiograms
RIDGE RECONSTRUCTION WITH INTRAORAL AUTOGENOUS GRAFTS AND BONE SUBSTITUTES
Bone reconstruction with intraoral autogenous grafts
Bone reconstruction with biomaterials
ADVANCES IN OSSEOINTEGRATION IN THE DENTAL OFFICE
Introduction
Post-extraction sites
Maxillary sinus floor augmentation
Edentulous ridge expansion (E.R.E.)
Monocortical onlay grafts
Guided bone regeneration (GBR)
ADVANCED OSSEOINTEGRATION IN THE AESTHETIC AREAS
Introduction
Treatment planninig
Tissue management
Implant placement
Prosthetic treatment
Conclusion
COMPLICATIONS IN ADVANCED OSSEOINTEGRATION
Introduction
Complications related to implant insertion
Complications related to bony recostructon
Complications in donor sites
Conclusions
SOFT TISSUE MANAGEMENT AT SECOND SURGERY
Introduction
Importance of keratinized mucosa
Peri-implant plastic surgery (PPS)
IMMEDIATE AND EARLY LOADING
General principles, surgical and prosthetic aspects
Classification of loading
Implant macrostructure
Implant microstructure
Bone quantity and quality
Implant site preparation technique
Immediate and early loading overdentures
Fixed denture in edentulous jaws with early loading
Partial fixed prosthesis with immediate loading
MAJOR RECONSTRUCTIVE PROCEDURES IN THE TREATMENT OF THE SEVERE ATROPHIES
General principles
Patients’ inclusion criteria
Surgical procedures
PROSTHETIC REHABILITATION IN ADVANCED OSSEOINTEGRATION.
CLINICAL ASPECTS AND PASSIVATION
Introduction
Fixed screw-retained implant reconstructions
Implant frameworks and passivation
Screwed removable implant-supported prostheses and implant-retained prostheses
Fixed cemented implant reconstructions
Conclusion
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