Implant restorations: a step-by-step guide
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| Main Author: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Ames, Iowa [u.a.]
Blackwell, Munksgaard
2007
|
| Edition: | 2. ed. |
| Subjects: | |
| Online Access: | Table of contents only Inhaltsverzeichnis |
| Physical Description: | XVI, 244 S. zahlr. Ill. |
| ISBN: | 081382883X 9780813828831 |
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MARC
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| 100 | 1 | |a Drago, Carl J. |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Implant restorations |b a step-by-step guide |c Carl Drago |
| 250 | |a 2. ed. | ||
| 264 | 1 | |a Ames, Iowa [u.a.] |b Blackwell, Munksgaard |c 2007 | |
| 300 | |a XVI, 244 S. |b zahlr. Ill. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 650 | 4 | |a Dental implants | |
| 650 | 4 | |a Dental Implantation, Endosseous |x methods | |
| 650 | 4 | |a Dental Abutments | |
| 650 | 4 | |a Jaw, Edentulous |x surgery | |
| 650 | 0 | 7 | |a Implantologie |0 (DE-588)4201977-1 |2 gnd |9 rswk-swf |
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Record in the Search Index
| _version_ | 1804136614716243968 |
|---|---|
| adam_text | Table of Contents
Contributors xiv
Foreword xv
Acknowledgments xvi
Chapter 1. Introduction to Implant Dentistry 3
Introduction 3
Purpose of Textbook 3
Economics of Implant Dentistry 3
Predictability of Fixed Prosthodontics 4
Development of Prognosis for Teeth: Extract or Maintain 6
The Heavily Restored Tooth 6
The Furcation Involved Tooth 7
The Periodontal Prosthesis Patient 8
Difficult Aesthetic Cases 10
Development of Prognosis for the Dentition 13
Summary 15
Bibliography 15
Chapter 2. Implants and Implant Restorative Components 17
Introduction 17
Implants 17
Implant/Abutment Connections 18
External Implant/Abutment Connections 19
Internal Implant/Abutment Connections 20
Healing Abutments 22
EP®Healing Abutments 22
Encode® Healing Abutments 26
Impression Copings 28
Implant Impression Copings 28
Abutment Impression Copings 31
Abutments 31
Standard Abutments 31
LOCATOR® Overdenture Abutments 31
Immediate Occlusal Loading (IOL®) Abutments 32
GingiHue® Posts 33
ZiReal® Posts 34
Provide® Abutments 36
UCLA Abutments 38
CAD/CAM Abutments (Encode® Abutments) 41
Screws (Clinical) 44
Cylinders 46
Standard Gold Cylinders 46
IOL® Abutment Gold Cylinders 47
Drivers and Placement Instruments 48
Large Hex Drivers 48
Large Hex Driver Tips 48
Square Drivers 48
Square Driver Tips 48
vi Table of Contents
Abutment Drivers 49
Abutment Driver Tips 49
Laboratory Components 49
Implant Analogs 50
Abutment Analogs 51
7ry /n Screws 51
Abutment Holders 52
Bibliography 53
Chapter 3. Diagnosis and Treatment Planning in Implant Restorative Dentistry 55
Patient Selection 55
Medical History 56
Outcome Assessment Indices 56
Diagnostic Procedures 56
Radiographs 57
CT Scans 58
Diagnostic Casts 60
Physical Examination 60
Extra Oral Examination 61
Intra Oral Examination 62
Diagnostic Articulator Mounting 62
Diagnostic Wax Patterns 62
Surgical Guides 63
Implant Bone Volume 64
Implant Restorative Volume 67
Treatment Planning 70
Edentulous Patients 70
Overdentures 71
F/xec/ Hybrid Implant Retained Prostheses Edentulous Mandible 72
F/xed Hybrid Implant Retained Prostheses Edentulous Maxillae 73
Partially Edentulous Patients 75
Treatment Goals 76
Screw Retained Restorations 76
Cement Retained Restorations 77
Implant Loading Protocols 79
Two Stage Surgical Protocol 79
Single Stage Surgical Protocol 80
Early Loading Protocol 80
Immediate Occlusal Loading Protocol 81
Immediate Non Occlusal Loading Protocol 81
Patient Consultation 81
Principles 81
Informed Consent 82
Implant Coordinators 82
Summary 83
Bibliography 83
Chapter 4. Treatment of an Edentulous Mandible with an Implant Retained
Overdenture and Resilient Attachments 87
Literature Review 87
Clinical Case Presentation 91
Appointment 1. Initial Examination (3A Hour) 91
Radiographs 92
Table of Contents vii
Physical Examination 92
Diagnostic Casts 93
Diagnoses 93
Appointment 2. Consultation Restorative Dentist/Patient (1A Hour) 93
Treatment Options 93
Appointment 3. Consultation Restorative Dentist/Surgeon (V2 Hour) 93
Type/Number/Size of Implants 93
Abutment Prosthesis Design 93
Implant/Abutment Connection 93
Surgical Guide 95
Surgical Protocol 95
Healing Abutment Selection 96
Implant Restorative Wish List 96
Appointment 4. Implant Placement 96
Two Stage Surgical Protocol 96
Postoperative Instructions 96
Appointment 5. Follow Up Appointments (V2 Hour) 97
Suture Removal 97
Tissue Conditioning 97
Appointment 6. Stage II Surgery 98
Healing Abutments (V2 Hour) 98
Tissue Conditioning 98
Appointment 7. Abutment Connection and Reline Impression (3A Hour) 99
LOCATOR® Abutment Connection 100
Torque 100
Impression Copings 100
Reline Impression 101
Laboratory Work Order/Procedures 101
Appointment 8. Insertion Relined Denture (V2 Hour) 104
Appointment 9. Follow Up Appointments (V2 Hour) 104
Two Weeks 104
One Year Recall Clinical and Radiographic Evaluations 104
Costs/Fees/Profitability 105
Bibliography 105
Chapter 5. Treatment of a Partially Edentulous Mandible with a Pre Machined
Titanium Abutment and Single Unit Porcelain Fused to Metal Crown 107
Literature Review 107
Clinical Case Presentation 108
Appointment 1. Initial Examination (% Hour) 108
Diagnostic Casts 109
Diagnoses 109
Appointment 2. Consultation Restorative Dentist/Patient (V2 Hour) 111
Treatment Options 111
Appointment 3. Consultation Restorative Dentist/Surgeon (V2 Hour) 112
Type/Number/Size of Implants 112
Abutment/Prosthesis Design 113
Implant/Abutment Connection 113
Surgical Protocol 114
Healing Abutment Selection 114
Implant Restorative Wish List 114
Appointment 4. Implant Placement (1 Hour) 114
Appointment 5. Restorative Follow Up Appointments (1A to V2 Hour) 114
Appointment 6. Reevaluation and Determination of Implant Impression Date (V2 Hour) 115
Laboratory Procedures 116
viii Table of Contents
Custom Open Face Impression Tray 116
Tentative Abutment Selection 116
k Appointment 7. Implant Level Impression (1A Hour) 116
Clinical Procedures 116
Laboratory Procedures 118
Master Cast 118
Laboratory Work Order for Abutment Preparation and Crown Fabrication 118
Appointment 8. Abutment and Crown Insertion Appointment (% Hour) 120
Abutment Placement 120
Radiographic Verification and Crown Try In 120
Torque 121
Cementation 123
Appointment 9. Follow Up Appointments 123
Two Weeks/Six Months 123
One Year Recall Clinical and Radiographic Evaluation 123
Costs/Fees/Profitability 123
Bibliography 123
Chapter 6. Re Treatment of a Fractured Implant Fixed Partial Denture in the
Posterior Maxilla with CAD/CAM Abutments and a New Fixed Partial Denture 125
Literature Review 125
Clinical Case Presentation 128
Appointment 1. Initial Examination (% Hour) 128
Diagnostic Casts 128
Diagnosis 128
Appointment 2. Consultation Restorative Dentist/Patient (1/2 Hour) 130
Treatment Options 130
Laboratory Procedures 130
Custom Impression Tray 130
Appointment 3. Removal of Existing Prosthesis/Abutments; Implant Impression (1 Hour) 131
Implant Level Impression 131
Laboratory Procedures/Work Orders 132
Fabrication of Master Cast (Implant Analogs) 132
CAD/CAM Protocol 134
Articulator Mounting 135
CAD Design of Abutments 135
CAM Milling of Abutments 137
Fabrication of 3 Unit Fixed Partial Denture 137
Appointment 4. Bisque Bake Try In (% Hour) 139
Removal of Preexisting Prosthesis and Abutments 139
Try In CAD/CAM Abutments 139
Verification Radiograph (Abutments) 140
Try In Bisque Bake FPD 140
Verification Radiograph (FPD) 140
Appointment 5. Insertion Appointment (% Hour) 140
Removal of Preexisting Abutments and Fixed Partial Denture 140
CAD/CAM Abutment Placement 141
Torque 141
Fixed Partial Denture Cementation 141
Appointment 6. Follow Up Appointments (1A Hour) 142
Two Weeks/Six Months 142
One Year Recall Clinical and Radiographic Evaluations 142
Costs/Fees/Profitability 143
Bibliography 143
Table of Contents ix
Chapter 7. Treatment of an Edentulous Mandible with a CAD/CAM Titanium
Framework/Fixed Hybrid Prosthesis 145
Clinical Case Presentation 146
Appointment 1. Initial examination {% Hour) 146
History of the Present Illness 146
Radiographic Examination 147
Physical Examination 147
Diagnosis 147
Appointment 2. Consultation Restorative Dentist/Patient (V2 Hour) 147
Treatment Options 147
Appointment 3. Consultation Restorative Dentist/Surgeon (1 Hour) 149
Prosthesis Design 149
Type/Number/Size of Implants 149
Abutment/Prosthesis Design 149
Implant/Abutment Connection 152
Surgical Protocol 152
Surgical Guides 152
Anticipated Healing Time 152
Appointment 4. Implant Placement (2V2 Hours) 153
Appointments 5 7. Prosthetic Follow Up Appointments (3A Hour) 153
Ten Days 153
Tissue Conditioning 153
Four Weeks (V2 Hour) 154
Eight Weeks—Tissue Conditioning (3A Hour) 155
Appointment 8. Reevaluation ( Vz Hour) 155
Diagnostic Impressions and Diagnostic Casts 155
Tentative Abutment Selection 155
Custom Impression Tray 155
Appointment 9. Implant Level Impression (One Hour) 156
Clinical Procedures 156
Laboratory Procedures/Laboratory Work Orders 157
Implant Analogs 157
Master Cast Work Order 158
Verification Index 158
Work Order 159
Appointment 10. Verification Index/Definitive Impression (% Hour) 159
Clinical Procedures 159
Laboratory Procedures/Laboratory Work Orders 159
Master Cast (Definitive) 159
Maxillary Occlusion Rim/Mandibular Record Base 160
Appointment 11. Jaw Relation Records, Tooth Selection (V2 Hour) 160
Clinical Procedures 160
Laboratory Procedures 160
Articulator Mounting 160
Initial Denture Set Up 161
Appointment 12. Wax Try In (V2 Hour) 161
Verification of Jaw Relation Records 161
CAD/CAM Protocol 161
CAM StructSURE® Precision Milled Bar 161
Virtual Design of Framework 163
Mill Framework 163
Laboratory Evaluation of Framework/Master Cast Fit (Square Try In Screws) 163
Appointment 13. Clinical Framework Try In (3A Hour) 164
Clinical One Screw Test 164
Radiographic One Screw Test 164
x Table of Contents
Laboratory Procedures 164
Silicoat Framework 164
Denture Set Up 164
Appointment 14. Wax Try In with Framework (% Hour) 164
Verification of Jaw Relation Records, Approval of Aesthetics, Vertical Dimension, Centric Relation,
Lip Support, Incisal Display, and Tooth Arrangement 164
Laboratory Procedures and Laboratory Work Orders 166
Appointment 15. Prosthesis Insertion (% Hour) 166
Removal of Healing Abutments 166
Insertion of Mandibular Prosthesis 167
Abutment Screws 167
Torque 167
Final Prostheses 168
Oral Hygiene Instructions 168
Appointments 16 and 17. Prosthetic Follow up Appointments: Two Weeks, Six Months (V2 Hour) 168
Appointment 18. One Year Recall 169
Radiographs 169
Clinical Examination 170
Future Recall Appointments 170
Costs/Fees/Profitability 170
Bibliography 171
Chapter 8. Treatment of the Edentulous Mandible with an Immediate Occlusal
Loading® Protocol 173
Literature Review 173
The Pre Osseointegration Era 173
The Osseointegration Era 173
Immediate Occlusal Loading® in the Edentulous Mandible 174
DIEM® Protocol 175
Clinical Case Presentation 175
Appointment 1. Initial Examination (Surgical Office; One Hour) 175
Radiographs 175
Chief Complaint 176
Physical Examination 176
Diagnosis 176
Prognosis 176
Appointment 2. Examination/Consultation Restorative Dentist/Patient (One Hour) 177
Examination 177
Diagnosis 177
Treatment Options 177
Appointment 3. Consultation Restorative Dentist/Surgeon (V2 Hour) 180
Number/Size of Implants 180
Prosthesis Design 183
Implant/Abutment Connection 183
Surgical Work Up and Protocol 183
Appointment 4. Surgical Reevaluation (V2 Hour) 184
Appointment 5. Definitive Impressions and Jaw Relation Record (V2 Hour) 184
Diagnostic Casts 184
Articulator Mounting 184
Appointment 6. Wax Try In (V2 Hour) 185
Laboratory Procedures/Work Orders for Processing Dentures 186
Appointment 7. Implant/Prosthesis Placement 186
Surgical Protocol (2V2 Hours) 186
Prosthetic Protocol (2V2 Hours) 190
Postoperative Instructions 192
Table of Contents xi
Appointment 8. Prosthetic Follow Up Appointments (1A Hour) 192
24 Hour Follow Up Appointment (V2 Hour) 192
One Week Follow Up Appointment (V2 Hour) 194
Four Week Follow Up Appointment (V2 Hour) 194
Eight Week Follow Up Appointment (V2 Hour) 195
Appointment 9. One Year Recall (% Hour) 195
Radiographs 195
Clinical 195
Definitive Prosthesis (CAD/CAM Framework) 196
Costs/Fees/Profitability 196
Bibliography 197
Chapter 9. Immediate Non Occlusal Loading Provisional Restoration; Definitive
Restoration Maxillary Central Incisor 199
Literature Review 199
Clinical Case Presentation 201
Appointment 1. Initial Clinical Visit (% Hour) 201
History of the Present Illness 201
Radiographs 202
Physical Examination 202
Diagnostic Casts 202
Surgical Guide 202
Diagnoses 203
Prognosis 203
Appointment 2. Consultation Restorative Dentist/Patient (V2 Hour) 203
Treatment Options 203
Appointment 3. Consultation Restorative Dentist/Surgeon (V2 Hour) 203
Number/Size of Implant 203
Implant/Abutment Connection 205
Surgical Protocol 205
Interim Abutment 205
Implant Restorative Wish List 205
Appointment 4. Implant and Interim Abutment Placement (Surgical Office—One Hour) 207
Implant Placement and Insertional Torque 207
Interim Abutment Placement 208
Appointment 5. Restorative Appointment INOL Provisional
Restoration—Same Day (?A Hour) 208
Abutment Preparation 208
Immediate Non Occlusal Loading Provisional Crown (INOL No Centric/Eccentric Contacts) 209
Dietary and Oral Hygiene Instructions 209
Appointment 6. Reevaluation Appointment—24 hours (V2 Hour) 209
History 209
Clinical Examination 210
Appointment 7. Reevaluation Appointment—10 Days (V2 Hour) 210
History 210
Clinical Examination 210
Appointment 8. Reevaluation Appointment— 10 Weeks (V2 Hour) 210
History 210
Clinical Examination 210
Appointment 9. Reevaluation—12 weeks (V2 Hour) 210
History 210
Clinical Examination 210
Diagnostic Impressions/Casts (Optional) 211
Custom Impression Tray (Pick Up Technique) 211
Appointment 10. Implant Impression (% Hour) 211
xii Table of Contents
INOL Provisional Restoration and Interim Abutment 211
Implant Level Impression 212
Interim Abutment Re Preparation 213
Provisional Crown with Occlusal Contacts 213
Laboratory Procedures for the Master Cast 214
Implant Analogs 214
Master Cast 214
Abutment Selection 215
Protocol for Fabrication of Final Encode® Abutment 216
Laboratory Fabrication of Encode Master Cast 216
Laboratory Work Orders 220
Appointment 11. Abutment and Crown Insertion (% Hour) 220
Interim Abutment and Provisional Crown Removal 220
Definitive Abutment Placement 221
Radiographic Verification 222
Torque 222
Crown Try In 222
Cementation 223
Postoperative Instructions 223
Appointment 12. Two Week Follow Up Appointment (1A Hour) 223
Appointment 13. Six Month Follow Up Appointment (1A Hour) 223
History 223
Clinical Examination 224
Appointment 14. One Year Recall (V2 Hour) 224
History 224
Radiograph 224
Clinical Examination 224
Costs/Fees/Profitability 225
Bibliography 225
Chapter 10. Surgical Considerations in Implant Dentistry: Integration of Hard and
Soft Tissues 227
Introduction 227
; Implant Design 227
Hard Tissue Integration 227
Soft Tissue Integration 229
Traditional/Early Loading Protocols for Dental Implants 230
Quantitative Measurements of Implant Success 230
Implant Failure 231
Maintenance 23^
Conclusions 232
Bibliography 232
Index 235
Table of Contents xiii
|
| adam_txt |
Table of Contents
Contributors xiv
Foreword xv
Acknowledgments xvi
Chapter 1. Introduction to Implant Dentistry 3
Introduction 3
Purpose of Textbook 3
Economics of Implant Dentistry 3
Predictability of Fixed Prosthodontics 4
Development of Prognosis for Teeth: Extract or Maintain 6
The Heavily Restored Tooth 6
The Furcation Involved Tooth 7
The Periodontal Prosthesis Patient 8
Difficult Aesthetic Cases 10
Development of Prognosis for the Dentition 13
Summary 15
Bibliography 15
Chapter 2. Implants and Implant Restorative Components 17
Introduction 17
Implants 17
Implant/Abutment Connections 18
External Implant/Abutment Connections 19
Internal Implant/Abutment Connections 20
Healing Abutments 22
EP®Healing Abutments 22
Encode® Healing Abutments 26
Impression Copings 28
Implant Impression Copings 28
Abutment Impression Copings 31
Abutments 31
Standard Abutments 31
LOCATOR® Overdenture Abutments 31
Immediate Occlusal Loading (IOL®) Abutments 32
GingiHue® Posts 33
ZiReal® Posts 34
Provide® Abutments 36
UCLA Abutments 38
CAD/CAM Abutments (Encode® Abutments) 41
Screws (Clinical) 44
Cylinders 46
Standard Gold Cylinders 46
IOL® Abutment Gold Cylinders 47
Drivers and Placement Instruments 48
Large Hex Drivers 48
Large Hex Driver Tips 48
Square Drivers 48
Square Driver Tips 48
vi Table of Contents
Abutment Drivers 49
Abutment Driver Tips 49
Laboratory Components 49
Implant Analogs 50
Abutment Analogs 51
7ry /n Screws 51
Abutment Holders 52
Bibliography 53
Chapter 3. Diagnosis and Treatment Planning in Implant Restorative Dentistry 55
Patient Selection 55
Medical History 56
Outcome Assessment Indices 56
Diagnostic Procedures 56
Radiographs 57
CT Scans 58
Diagnostic Casts 60
Physical Examination 60
Extra Oral Examination 61
Intra Oral Examination 62
Diagnostic Articulator Mounting 62
Diagnostic Wax Patterns 62
Surgical Guides 63
Implant Bone Volume 64
Implant Restorative Volume 67
Treatment Planning 70
Edentulous Patients 70
Overdentures 71
F/xec/ Hybrid Implant Retained Prostheses Edentulous Mandible 72
F/xed Hybrid Implant Retained Prostheses Edentulous Maxillae 73
Partially Edentulous Patients 75
Treatment Goals 76
Screw Retained Restorations 76
Cement Retained Restorations 77
Implant Loading Protocols 79
Two Stage Surgical Protocol 79
Single Stage Surgical Protocol 80
Early Loading Protocol 80
Immediate Occlusal Loading Protocol 81
Immediate Non Occlusal Loading Protocol 81
Patient Consultation 81
Principles 81
Informed Consent 82
Implant Coordinators 82
Summary 83
Bibliography 83
Chapter 4. Treatment of an Edentulous Mandible with an Implant Retained
Overdenture and Resilient Attachments 87
Literature Review 87
Clinical Case Presentation 91
Appointment 1. Initial Examination (3A Hour) 91
Radiographs 92
Table of Contents vii
Physical Examination 92
Diagnostic Casts 93
Diagnoses 93
Appointment 2. Consultation Restorative Dentist/Patient (1A Hour) 93
Treatment Options 93
Appointment 3. Consultation Restorative Dentist/Surgeon (V2 Hour) 93
Type/Number/Size of Implants 93
Abutment Prosthesis Design 93
Implant/Abutment Connection 93
Surgical Guide 95
Surgical Protocol 95
Healing Abutment Selection 96
Implant Restorative Wish List 96
Appointment 4. Implant Placement 96
Two Stage Surgical Protocol 96
Postoperative Instructions 96
Appointment 5. Follow Up Appointments (V2 Hour) 97
Suture Removal 97
Tissue Conditioning 97
Appointment 6. Stage II Surgery 98
Healing Abutments (V2 Hour) 98
Tissue Conditioning 98
Appointment 7. Abutment Connection and Reline Impression (3A Hour) 99
LOCATOR® Abutment Connection 100
Torque 100
Impression Copings 100
Reline Impression 101
Laboratory Work Order/Procedures 101
Appointment 8. Insertion Relined Denture (V2 Hour) 104
Appointment 9. Follow Up Appointments (V2 Hour) 104
Two Weeks 104
One Year Recall Clinical and Radiographic Evaluations 104
Costs/Fees/Profitability 105
Bibliography 105
Chapter 5. Treatment of a Partially Edentulous Mandible with a Pre Machined
Titanium Abutment and Single Unit Porcelain Fused to Metal Crown 107
Literature Review 107
Clinical Case Presentation 108
Appointment 1. Initial Examination (% Hour) 108
Diagnostic Casts 109
Diagnoses 109
Appointment 2. Consultation Restorative Dentist/Patient (V2 Hour) 111
Treatment Options 111
Appointment 3. Consultation Restorative Dentist/Surgeon (V2 Hour) 112
Type/Number/Size of Implants 112
Abutment/Prosthesis Design 113
Implant/Abutment Connection 113
Surgical Protocol 114
Healing Abutment Selection 114
Implant Restorative Wish List 114
Appointment 4. Implant Placement (1 Hour) 114
Appointment 5. Restorative Follow Up Appointments (1A to V2 Hour) 114
Appointment 6. Reevaluation and Determination of Implant Impression Date (V2 Hour) 115
Laboratory Procedures 116
viii Table of Contents
Custom Open Face Impression Tray 116
Tentative Abutment Selection 116
k Appointment 7. Implant Level Impression (1A Hour) 116
Clinical Procedures 116
Laboratory Procedures 118
Master Cast 118
Laboratory Work Order for Abutment Preparation and Crown Fabrication 118
Appointment 8. Abutment and Crown Insertion Appointment (% Hour) 120
Abutment Placement 120
Radiographic Verification and Crown Try In 120
Torque 121
Cementation 123
Appointment 9. Follow Up Appointments 123
Two Weeks/Six Months 123
One Year Recall Clinical and Radiographic Evaluation 123
Costs/Fees/Profitability 123
Bibliography 123
Chapter 6. Re Treatment of a Fractured Implant Fixed Partial Denture in the
Posterior Maxilla with CAD/CAM Abutments and a New Fixed Partial Denture 125
Literature Review 125
Clinical Case Presentation 128
Appointment 1. Initial Examination (% Hour) 128
Diagnostic Casts 128
Diagnosis 128
Appointment 2. Consultation Restorative Dentist/Patient (1/2 Hour) 130
Treatment Options 130
Laboratory Procedures 130
Custom Impression Tray 130
Appointment 3. Removal of Existing Prosthesis/Abutments; Implant Impression (1 Hour) 131
Implant Level Impression 131
Laboratory Procedures/Work Orders 132
Fabrication of Master Cast (Implant Analogs) 132
CAD/CAM Protocol 134
Articulator Mounting 135
CAD Design of Abutments 135
CAM Milling of Abutments 137
Fabrication of 3 Unit Fixed Partial Denture 137
Appointment 4. Bisque Bake Try In (% Hour) 139
Removal of Preexisting Prosthesis and Abutments 139
Try In CAD/CAM Abutments 139
Verification Radiograph (Abutments) 140
Try In Bisque Bake FPD 140
Verification Radiograph (FPD) 140
Appointment 5. Insertion Appointment (% Hour) 140
Removal of Preexisting Abutments and Fixed Partial Denture 140
CAD/CAM Abutment Placement 141
Torque 141
Fixed Partial Denture Cementation 141
Appointment 6. Follow Up Appointments (1A Hour) 142
Two Weeks/Six Months 142
One Year Recall Clinical and Radiographic Evaluations 142
Costs/Fees/Profitability 143
Bibliography 143
Table of Contents ix
Chapter 7. Treatment of an Edentulous Mandible with a CAD/CAM Titanium
Framework/Fixed Hybrid Prosthesis 145
Clinical Case Presentation 146
Appointment 1. Initial examination {% Hour) 146
History of the Present Illness 146
Radiographic Examination 147
Physical Examination 147
Diagnosis 147
Appointment 2. Consultation Restorative Dentist/Patient (V2 Hour) 147
Treatment Options 147
Appointment 3. Consultation Restorative Dentist/Surgeon (1 Hour) 149
Prosthesis Design 149
Type/Number/Size of Implants 149
Abutment/Prosthesis Design 149
Implant/Abutment Connection 152
Surgical Protocol 152
Surgical Guides 152
Anticipated Healing Time 152
Appointment 4. Implant Placement (2V2 Hours) 153
Appointments 5 7. Prosthetic Follow Up Appointments (3A Hour) 153
Ten Days 153
Tissue Conditioning 153
Four Weeks (V2 Hour) 154
Eight Weeks—Tissue Conditioning (3A Hour) 155
Appointment 8. Reevaluation ( Vz Hour) 155
Diagnostic Impressions and Diagnostic Casts 155
Tentative Abutment Selection 155
Custom Impression Tray 155
Appointment 9. Implant Level Impression (One Hour) 156
Clinical Procedures 156
Laboratory Procedures/Laboratory Work Orders 157
Implant Analogs 157
Master Cast Work Order 158
Verification Index 158
Work Order 159
Appointment 10. Verification Index/Definitive Impression (% Hour) 159
Clinical Procedures 159
Laboratory Procedures/Laboratory Work Orders 159
Master Cast (Definitive) 159
Maxillary Occlusion Rim/Mandibular Record Base 160
Appointment 11. Jaw Relation Records, Tooth Selection (V2 Hour) 160
Clinical Procedures 160
Laboratory Procedures 160
Articulator Mounting 160
Initial Denture Set Up 161
Appointment 12. Wax Try In (V2 Hour) 161
Verification of Jaw Relation Records 161
CAD/CAM Protocol 161
CAM StructSURE® Precision Milled Bar 161
Virtual Design of Framework 163
Mill Framework 163
Laboratory Evaluation of Framework/Master Cast Fit (Square Try In Screws) 163
Appointment 13. Clinical Framework Try In (3A Hour) 164
Clinical One Screw Test 164
Radiographic One Screw Test 164
x Table of Contents
Laboratory Procedures 164
Silicoat Framework 164
Denture Set Up 164
Appointment 14. Wax Try In with Framework (% Hour) 164
Verification of Jaw Relation Records, Approval of Aesthetics, Vertical Dimension, Centric Relation,
Lip Support, Incisal Display, and Tooth Arrangement 164
Laboratory Procedures and Laboratory Work Orders 166
Appointment 15. Prosthesis Insertion (% Hour) 166
Removal of Healing Abutments 166
Insertion of Mandibular Prosthesis 167
Abutment Screws 167
Torque 167
Final Prostheses 168
Oral Hygiene Instructions 168
Appointments 16 and 17. Prosthetic Follow up Appointments: Two Weeks, Six Months (V2 Hour) 168
Appointment 18. One Year Recall 169
Radiographs 169
Clinical Examination 170
Future Recall Appointments 170
Costs/Fees/Profitability 170
Bibliography 171
Chapter 8. Treatment of the Edentulous Mandible with an Immediate Occlusal
Loading® Protocol 173
Literature Review 173
The Pre Osseointegration Era 173
The Osseointegration Era 173
Immediate Occlusal Loading® in the Edentulous Mandible 174
DIEM® Protocol 175
Clinical Case Presentation 175
Appointment 1. Initial Examination (Surgical Office; One Hour) 175
Radiographs 175
Chief Complaint 176
Physical Examination 176
Diagnosis 176
Prognosis 176
Appointment 2. Examination/Consultation Restorative Dentist/Patient (One Hour) 177
Examination 177
Diagnosis 177
Treatment Options 177
Appointment 3. Consultation Restorative Dentist/Surgeon (V2 Hour) 180
Number/Size of Implants 180
Prosthesis Design 183
Implant/Abutment Connection 183
Surgical Work Up and Protocol 183
Appointment 4. Surgical Reevaluation (V2 Hour) 184
Appointment 5. Definitive Impressions and Jaw Relation Record (V2 Hour) 184
Diagnostic Casts 184
Articulator Mounting 184
Appointment 6. Wax Try In (V2 Hour) 185
Laboratory Procedures/Work Orders for Processing Dentures 186
Appointment 7. Implant/Prosthesis Placement 186
Surgical Protocol (2V2 Hours) 186
Prosthetic Protocol (2V2 Hours) 190
Postoperative Instructions 192
Table of Contents xi
Appointment 8. Prosthetic Follow Up Appointments (1A Hour) 192
24 Hour Follow Up Appointment (V2 Hour) 192
One Week Follow Up Appointment (V2 Hour) 194
Four Week Follow Up Appointment (V2 Hour) 194
Eight Week Follow Up Appointment (V2 Hour) 195
Appointment 9. One Year Recall (% Hour) 195
Radiographs 195
Clinical 195
Definitive Prosthesis (CAD/CAM Framework) 196
Costs/Fees/Profitability 196
Bibliography 197
Chapter 9. Immediate Non Occlusal Loading Provisional Restoration; Definitive
Restoration Maxillary Central Incisor 199
Literature Review 199
Clinical Case Presentation 201
Appointment 1. Initial Clinical Visit (% Hour) 201
History of the Present Illness 201
Radiographs 202
Physical Examination 202
Diagnostic Casts 202
Surgical Guide 202
Diagnoses 203
Prognosis 203
Appointment 2. Consultation Restorative Dentist/Patient (V2 Hour) 203
Treatment Options 203
Appointment 3. Consultation Restorative Dentist/Surgeon (V2 Hour) 203
Number/Size of Implant 203
Implant/Abutment Connection 205
Surgical Protocol 205
Interim Abutment 205
Implant Restorative Wish List 205
Appointment 4. Implant and Interim Abutment Placement (Surgical Office—One Hour) 207
Implant Placement and Insertional Torque 207
Interim Abutment Placement 208
Appointment 5. Restorative Appointment INOL Provisional
Restoration—Same Day (?A Hour) 208
Abutment Preparation 208
Immediate Non Occlusal Loading Provisional Crown (INOL No Centric/Eccentric Contacts) 209
Dietary and Oral Hygiene Instructions 209
Appointment 6. Reevaluation Appointment—24 hours (V2 Hour) 209
History 209
Clinical Examination 210
Appointment 7. Reevaluation Appointment—10 Days (V2 Hour) 210
History 210
Clinical Examination 210
Appointment 8. Reevaluation Appointment— 10 Weeks (V2 Hour) 210
History 210
Clinical Examination 210
Appointment 9. Reevaluation—12 weeks (V2 Hour) 210
History 210
Clinical Examination 210
Diagnostic Impressions/Casts (Optional) 211
Custom Impression Tray (Pick Up Technique) 211
Appointment 10. Implant Impression (% Hour) 211
xii Table of Contents
INOL Provisional Restoration and Interim Abutment 211
Implant Level Impression 212
Interim Abutment Re Preparation 213
Provisional Crown with Occlusal Contacts 213
Laboratory Procedures for the Master Cast 214
Implant Analogs 214
Master Cast 214
Abutment Selection 215
Protocol for Fabrication of Final Encode® Abutment 216
Laboratory Fabrication of Encode Master Cast 216
Laboratory Work Orders 220
Appointment 11. Abutment and Crown Insertion (% Hour) 220
Interim Abutment and Provisional Crown Removal 220
Definitive Abutment Placement 221
Radiographic Verification 222
Torque 222
Crown Try In 222
Cementation 223
' Postoperative Instructions 223
Appointment 12. Two Week Follow Up Appointment (1A Hour) 223
Appointment 13. Six Month Follow Up Appointment (1A Hour) 223
History 223
Clinical Examination 224
Appointment 14. One Year Recall (V2 Hour) 224
History 224
Radiograph 224
Clinical Examination 224
Costs/Fees/Profitability 225
Bibliography 225
Chapter 10. Surgical Considerations in Implant Dentistry: Integration of Hard and
Soft Tissues 227
Introduction 227
; Implant Design 227
Hard Tissue Integration 227
Soft Tissue Integration 229
Traditional/Early Loading Protocols for Dental Implants 230
Quantitative Measurements of Implant Success 230
Implant Failure 231
Maintenance 23^
Conclusions 232
Bibliography 232
Index 235
Table of Contents xiii |
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| index_date | 2024-07-02T17:59:35Z |
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| language | English |
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| spelling | Drago, Carl J. Verfasser aut Implant restorations a step-by-step guide Carl Drago 2. ed. Ames, Iowa [u.a.] Blackwell, Munksgaard 2007 XVI, 244 S. zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Dental implants Dental Implantation, Endosseous methods Dental Abutments Jaw, Edentulous surgery Implantologie (DE-588)4201977-1 gnd rswk-swf Implantologie (DE-588)4201977-1 s DE-604 http://www.loc.gov/catdir/toc/ecip0610/2006009527.html Table of contents only HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015718524&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Drago, Carl J. Implant restorations a step-by-step guide Dental implants Dental Implantation, Endosseous methods Dental Abutments Jaw, Edentulous surgery Implantologie (DE-588)4201977-1 gnd |
| subject_GND | (DE-588)4201977-1 |
| title | Implant restorations a step-by-step guide |
| title_auth | Implant restorations a step-by-step guide |
| title_exact_search | Implant restorations a step-by-step guide |
| title_exact_search_txtP | Implant restorations a step-by-step guide |
| title_full | Implant restorations a step-by-step guide Carl Drago |
| title_fullStr | Implant restorations a step-by-step guide Carl Drago |
| title_full_unstemmed | Implant restorations a step-by-step guide Carl Drago |
| title_short | Implant restorations |
| title_sort | implant restorations a step by step guide |
| title_sub | a step-by-step guide |
| topic | Dental implants Dental Implantation, Endosseous methods Dental Abutments Jaw, Edentulous surgery Implantologie (DE-588)4201977-1 gnd |
| topic_facet | Dental implants Dental Implantation, Endosseous methods Dental Abutments Jaw, Edentulous surgery Implantologie |
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