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

Chapter 1

PATHOPHYSIOLOGY AND ANATOMY OF THE EDENTULOUS AREAS

Pathophysiology of edentulous jaws

Factors influencing edentulous bone loss

Shape modifications

 Chapter 2

PATIENT INCLUSION CRITERIA AND TREATMENT PLANNING

Introduction

Patient evaluation

Extraoral examination

Intraoral examination

Chapter 3

IMAGING OF THE ORAL AND MAXILLOFACIAL STRUCTURES

General concepts in diagnostic radiology

Digital panoramic imaging

Conventional tomography

Computed tomography

Volumetric computed tomography

Intraoral radiograms

Chapter 4

RIDGE RECONSTRUCTION WITH INTRAORAL AUTOGENOUS GRAFTS AND BONE SUBSTITUTES

Bone reconstruction with intraoral autogenous grafts

Bone reconstruction with biomaterials

Chapter 5

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)

Chapter 6

ADVANCED OSSEOINTEGRATION IN THE AESTHETIC AREAS

Introduction

Treatment planninig

Tissue management

Implant placement

Prosthetic treatment

Conclusion

Chapter 7

COMPLICATIONS IN ADVANCED OSSEOINTEGRATION

Introduction

Complications related to implant insertion

Complications related to bony recostructon

Complications in donor sites

Conclusions

Chapter 8

SOFT TISSUE MANAGEMENT AT SECOND SURGERY

Introduction

Importance of keratinized mucosa

Peri-implant plastic surgery (PPS)

Chapter 9

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

Chapter 10

MAJOR RECONSTRUCTIVE PROCEDURES IN THE TREATMENT OF THE SEVERE ATROPHIES

General principles

Patients’ inclusion criteria

Surgical procedures

Chapter 11

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


 PICTURES FROM THE BOOK

  

HOW TO ORDER