Dental implant site preservation and development:
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
Philadelphia, Pa. [u.a.]
Saunders
2004
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Schriftenreihe: | Oral and maxillofacial surgery clinics of North America
16,1 |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | X, 142 S. zahlr. Ill. |
Internformat
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245 | 1 | 0 | |a Dental implant site preservation and development |c Peter K. Moy, guest ed. |
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490 | 1 | |a Oral and maxillofacial surgery clinics of North America |v 16,1 | |
650 | 4 | |a Alveolar Ridge Augmentation |x methods | |
650 | 4 | |a Dental Implantation |x methods | |
650 | 4 | |a Dental implants | |
650 | 4 | |a Guided Tissue Regeneration |x methods | |
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Datensatz im Suchindex
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adam_text | CONTENTS
Preface ix
Peter K. Moy
Alveolar Ridge Reconstruction with Preprosthetic Surgery: A Precursor to Site
Preservation Following Extraction of Natural Dentition 1
Peter K. Moy
Before dental implant therapy became a common treatment modality, oral and maxillo
facial surgeons managed malcontent denture patients by performing preprosthetic sur¬
gical procedures to enhance the denture bearing areas of the intraoral cavity. Surgical
techniques used today to augment and enhance deficient ridges to receive implants fol¬
low the same biologic principles and are employed to achieve the same goal: an
improved alveolar ridge form of both hard and soft tissues. The key to successful
implant treatment is providing a solid bony base to stabilize the implant. Therefore, the
main goal for the surgeon is to preserve the alveolar ridge and basal bone, if present.
Alveolar Bone Preservation Following Tooth Extraction: A Perspective of Clinical
Trials Utilizing Osseous Grafting and Guided Bone Regeneration 9
Paulo M. Camargo, Vojislav Lekovic, Joao Carnio, and E. Barrie Kenney
Based on data from the authors three clinical trials that focused on the role exerted by
various regenerative materials and techniques in preserving alveolar ridge dimensions
following tooth extraction, there is evidence to support the use of nonresorbable and
resorbable membranes in combination with a closed socket approach. There also is
evidence to support a higher predictability of the results with resorbable membranes
compared with nonresorbable membranes because the latter can become exposed to the
oral environment during healing. A combination of bioactive glass and calcium sulfate
using an open socket approach is of marginal benefit in preserving alveolar ridge dimen¬
sions following tooth extraction. More research is necessary on combining osseous
graft/guided bone regeneration using a closed socket approach, on assessing the quality
of bone present in the previous extraction socket following various preservation tech¬
niques, and on how effectively preserved/regenerated bone supports dental implants.
Augmentation of the Posterior Maxilla by Way of Sinus Grafting Procedures:
Recent Research and Clinical Observations 19
Philip J. Boyne
This article presents some of the clinical problems with bony augmentation of the poste¬
rior maxilla using sinus lift procedures to effect alveolar bone reconstruction. The antral
VOLUME 16 • NUMBER 1 • FEBRUARY 2004 v
membrane and the bone of the antral floor have regenerative potential commensurate
with other bone of the maxilla and mandible. The stem cells involved in the periosteum
of the sinus floor and the mucoperiosteum of the oral cavity covering the osteotomy
opening combine to form a very receptive site for grafting and surgical procedures.
Distraction osteogenesis, with and without bone inductor cytokines, will play a promi¬
nent part in sinus floor augmentation and in posterior maxillary alveolar bone grafting
in the future.
Alveolar Ridge Augmentation Using Membranes 33
Mark Handelsman and Renato Celletti
Successful augmentation of compromised ridges using membranes requires correct
diagnosis and careful case selection. The goals of the reconstruction should be identified
before surgery. The timing and application of membranes and selecting the type of bone
graft specific for each site are important. The technique requires clinical experience in
flap design and mobilization, trimming, shaping and stabilizing the membrane, and
suturing. Careful postoperative management of forces on the alveolar ridge from remov¬
able appliances is required.
Treatment of the Single Tooth Extraction Site 41
Michael S. Block
This article reviews the normal sequence of events following tooth extraction, with an
emphasis on the normal loss of labial/facial bone that results in lack of ideal bone width
and height for an ideal single tooth implant retained restoration. Interceptive strategies
involving immediate grafting the extraction site are described. The different treatments
planned for single rooted and multirooted tooth sites are reviewed and immediate
implant placement and restoration treatments are presented. The material presented is
evidence based on objective evaluation of several single tooth studies currently in follow
up stages.
Implant Site Development Using Ridge Splitting Techniques 65
Craig M. Misch
Ridge splitting is a useful surgical technique for preparation of the edentulous ridge
for implant placement or interpositional bone grafting. This approach is limited to
enhancing ridge width and is more applicable to the maxilla. The cortical plates of the
residual ridge are carefully split and expanded to accommodate implant insertion or
bone graft materials. A significant advantage of this technique is that it allows simulta¬
neous implant placement rather than staging the reconstruction. This article discusses
indications, limitations, patient evaluation, surgical approaches, and complications asso¬
ciated with ridge splitting techniques.
Alveolar Ridge Development with Forced Eruption and Distraction of Retained
Natural Dentition 75
Kenneth F. Hinds
Orthodontic forced eruption of teeth to correct vertical periodontal defects and aid in
the development of alveolar ridge height is a well documented concept in dentistry.
These procedures enhance both hard (osseous) and soft (gingival) tissue growth before
endosseous implant placement. Key factors that influence the effectiveness of this type
of orthodontic movement are discussed. The effectiveness of forced eruption of a dis¬
tracted segment of bone in the anterior maxilla is also evaluated and a new distraction
vi CONTENTS
device when implants are already present is introduced. These procedures require a
proper initial diagnosis, a treatment plan, and a team, interdisciplinary approach to
achieve optimal esthetic results and patient satisfaction.
Alveolar Distraction Osteogenesis for Implant Site Development 91
Hussam S. Batal and David A. Cottrell
Alveolar distraction osteogenesis can be a valuable tool for implant site development.
Simultaneous regeneration of hard and soft tissue and an overall decrease in treatment
time compared with other methods of site preparation can be an advantage. The authors
advocate the concept of prosthetically driven alveolar distraction. Surgical planning
should begin with visualization of the final restoration to determine the volume and
position of the soft and hard tissue deficiency. Surgical guides will help the surgeon
determine the vector of distraction. Adherence to surgical principles to avoid damage to
adjacent vital structures and maintain vascular supply to the transport segment is nec¬
essary for success. Bone grafting may be necessary before or after distraction to increase
the surgical success of the procedure. Close follow up is needed to verify the appropri¬
ate distraction vector and volume. Patient management and acceptance should be con¬
sidered in distractor design and placement.
Growth Factors in Implant Site Development 111
Tara L. Aghaloo and Anh D. Le
Applications of growth factors to implant dentistry, specifically for site development,
are currently being investigated. They hold promise for use in patients with vascular
compromise, such as smokers, postradiation patients, and persons with diabetes.
Delivery of these factors has been the major difficulty, but techniques such as tissue engi¬
neering using gene based therapies, poly (L lactide) scaffolds, alloplastic bone materials,
and a biomimetic approach to bone engineering are currently under investigation. The
merge of basic science research and clinical application has begun, and clinical use of
growth factors in implant site development is one example.
Aesthetic Treatment of the Anterior Maxilla: Soft and Hard Tissue Considerations 127
Patrick Palacci
Success in implant dentistry involves preimplant augmentative surgery, precision in
implant placement, peri implant soft tissue management, and quality of the prosthetic
restoration, and depends on the clinician s understanding of the complexity of the over¬
all treatment. The clinician must chose proper treatment options to reach the expected
final result. Some treatments normally require only proper implant placement and mini¬
mal soft tissue handling at stage 2 surgery. Severe situations may require additional hard
and soft tissue surgical procedures before, at the time of, or after implant placement.
Index 139
CONTENTS vii
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series | Oral and maxillofacial surgery clinics of North America |
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spelling | Dental implant site preservation and development Peter K. Moy, guest ed. Philadelphia, Pa. [u.a.] Saunders 2004 X, 142 S. zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Oral and maxillofacial surgery clinics of North America 16,1 Alveolar Ridge Augmentation methods Dental Implantation methods Dental implants Guided Tissue Regeneration methods Zahnimplantat (DE-588)4243751-9 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Zahnimplantat (DE-588)4243751-9 s DE-604 Moy, Peter K. Sonstige oth Oral and maxillofacial surgery clinics of North America 16,1 (DE-604)BV002758944 16,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=012037913&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Dental implant site preservation and development Oral and maxillofacial surgery clinics of North America Alveolar Ridge Augmentation methods Dental Implantation methods Dental implants Guided Tissue Regeneration methods Zahnimplantat (DE-588)4243751-9 gnd |
subject_GND | (DE-588)4243751-9 (DE-588)4143413-4 |
title | Dental implant site preservation and development |
title_auth | Dental implant site preservation and development |
title_exact_search | Dental implant site preservation and development |
title_full | Dental implant site preservation and development Peter K. Moy, guest ed. |
title_fullStr | Dental implant site preservation and development Peter K. Moy, guest ed. |
title_full_unstemmed | Dental implant site preservation and development Peter K. Moy, guest ed. |
title_short | Dental implant site preservation and development |
title_sort | dental implant site preservation and development |
topic | Alveolar Ridge Augmentation methods Dental Implantation methods Dental implants Guided Tissue Regeneration methods Zahnimplantat (DE-588)4243751-9 gnd |
topic_facet | Alveolar Ridge Augmentation methods Dental Implantation methods Dental implants Guided Tissue Regeneration methods Zahnimplantat Aufsatzsammlung |
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