Librería Servicio Médico

Author: Carl Drago

Language: English

Finishing: Hardcover, 392 pages

ISBN: 978-1-118-51305-7

Edition Number: April 2014

Author information:

Carl Drago, DDS, MS, is a Diplomate of the American Board of Prosthodontics (ABP) and serves as the Clinical Science Editor of the Journal of Prosthodontics, the journal of the American College of Prosthodontists. His private practice near Milwaukee, WI, is limited to fixed, removable, and implant prosthodontics. Dr. Drago is the clinical director of Eon Clinics in Waukesha, WI and is an adjunct associate professor at the Marquette University School of Dentistry. He has held positions as Assistant Professor at the University of Texas Dental School at San Antonio and Associate Professor in the Department of Restorative and Prosthetic Dentistry at the Ohio State University College of Dentistry in Columbus, OH. He has published more than 75 papers on various subjects including laboratory and clinical procedures in conventional and implant prosthodontics. Dr. Drago has also written three textbooks on dental implants, including Implant Laboratory Procedures: A Step by Step Guide, published by Wiley Blackwell.

Description:

Implant Restorations: A Step-by-Step Guide, Third Edition offers clinicians a practical, step-by-step approach to treatment planning and restoring dental implants. This highly illustrated, case-based book demonstrates how to treat the most commonly encountered treatment scenarios, describing the procedures, techniques, and sequences required in clear, concise language and in an easy-to-use format. The book takes the theory of implant restoration, using as its basis 3i’s implant systems, and places it directly in the operatory, concentrating in detail on each stage of the actual clinical procedures involved in treating different patients. It integrates implant treatment with the realities of running a successful restorative practice. Building on the work of the 2nd edition, the 3rd edition of this successful text reflects the advances of implant prosthetics over the intervening years, providing all new cases, exploring new techniques and technology, and demonstrating updated system components and armamentarium.

Implant Restorations: A Step-by-Step Guide follows a logical structure of three sections. The first section introduces implant restorative dentistry, how to develop an implant restorative practice, the issues involved, the technical components of the 3i systems, diagnosis, and treatment planning. The central section of the book devotes separate chapters to in-depth descriptions of each of several types of patients that the restorative dentist may encounter, ranging from basic to more challenging cases. Every step of each procedure is described and illustrated with clinical photographs. Laboratory work orders are presented for use with commercial dental laboratories. The final section discusses record-keeping, patient compliance, hygiene regimes and follow-up, and provides the reader with an outline of best-practice procedural protocols.

An excellent and accessible guide on the most burgeoning subject in modern dental practice by one of its most experienced clinicians, Implant Restorations: A Step-by-Step Guide, Third Edition will appeal to prosthodontists, general dentists, implant surgeons, dental students, dental laboratory technicians and dental assistants.

Table of Contents:

• Contributors
• Foreword
• Acknowledgments

Introduction to Implant Dentistry

• Introduction
• Purpose of Textbook
• Economics of Implant Dentistry
• Predictability of Fixed Prosthodontics
• Development of Prognosis for Teeth: Extract or Maintain
• The Heavily Restored Tooth
• The Furcation-Involved Tooth
• The Periodontal-Prosthesis Patient
• Difficult Aesthetic Cases
• Development of Prognosis for the Dentition
• Summary

Implants and Implant Restorative

• Components
• Introduction
• Implants
• Implant/Abutment Connections
• External Implant/Abutment Connections
• Internal Implant/Abutment Connections
• Healing Abutments
• EP Healing Abutments
• CADCAM Healing Abutments
• Impression Copings
• Implant Impression Copings
• Pickup Impression Copings
• Transfer Impression Copings
• Abutment Impression Copings
• Abutments
• Standard Abutments
• Locat or Overdenture Abutments
• DIEM Immediate Occlusal Loading (IOL) Abutments
• GingiHue Posts
• ZiReal Posts
• UCLA Abutments
• CADCAM Abutments (BellaTek™ Laboratory Designed Abutments)
• Multiunit Abutments
• Screws (Clinical)
• Cylinders
• Definitive Cylinders
• DIEM Immediate Occlusal Loading Abutment Cylinders
• Interim Cylinders
• DIEM Immediate Occlusal Loading Abutment Temporary Cylinders (Biomet 3i)
• Temporary Coping Multiunit Titanium Cylinders (Nobel Biocare)
• Drivers and Placement Instruments
• Large Hex Drivers
• Large Hex Driver Tips
• Square Drivers
• Square Driver Tips
• Abutment Drivers
• Abutment Driver Tips
• Laboratory Components
• Implant Analogs
• Abutment Analogs
• Try-In Screws
• Abutment Holders

Diagnosis and Treatment Planning in Implant Restorative Dentistry

• Patient Selection
• Medical History
• Diagnostic Procedures
• Radiographs
• CT Scans
• Diagnostic Casts
• Physical Examination
• Extraoral Examination
• Intraoral Examination
• Diagnostic Articulator Mounting
• Diagnostic Wax Patterns
• Surgical Guides
• Implant Bone Volume
• Implant Restorative Volume
• Treatment Planning
• Edentulous Patients
• Overdentures
• Fixed Hybrid Implant-Retained Prostheses-Edentulous Mandible
• Fixed Hybrid Implant-Retained Prostheses-Edentulous Maxillae
• Partially Edentulous Patients
• Treatment Goals
• Screw-Retained Restorations
• Cement-Retained Restorations
• Implant Loading Protocols
• Two-Stage Surgical Protocol
• Single-Stage Surgical Protocol
• Early Loading
• Immediate Occlusal Loading
• Immediate Nonocclusal Loading
• Patient Consultation
• Principles
• Informed Consent
• Implant Coordinators
• Summary

Treatment of a Patient with an Edentulous

• Mandible Implant-Retained Bar Overdenture and Resilient Attachments
• Literature Review
• Clinical Case Presentation
• Appointment 1: Initial Examination (1 Hour)
• Radiographs
• Physical Examination
• Diagnostic Casts
• Diagnosis
• Appointment 2: Consultation Restorative Dentist/Patient (3/4 Hour)
• Treatment Options
• Appointment 3: Consultation Restorative Dentist/Surgeon (1/2 Hour)
• Prosthesis Design
• Type/Number/Size of Implants
• Implant/Abutment Connection
• Surgical Guide
• Surgical Protocol
• Healing Abutment Selection
• Implant Restorative Wish List
• Appointment 4: Implant Placement (1 Hour)
• One-/Two-Stage Surgical Protocol
• Appointments 5 and 6: Follow-Up Appointments (1/2 Hour Each)
• Tissue Conditioning
• Appointment 7: Implant-Level Impression (1 Hour)
• Pickup Implant Impression Copings
• Definitive Border-Molded Impression
• Laboratory Work Order/Procedures
• Appointment 8: Jaw Relation Records and Tooth Selection (1/2 Hour)
• Clinical Procedures
• Laboratory Procedures
• Appointment 9: Wax Try-In (1 Hour)
• Clinical Procedures
• Evaluation of Jaw Relation Records
• Patient Approval
• Fabrication of CADCAM Framework for Mandibular Bar-Retained Overdenture
• Virtual Design of Framework
• Milled Framework
• Laboratory Evaluation of Framework/Master Cast Fit
• Appointment 10: Framework Try-In (3/4 Hour)
• Clinical One-Screw Test
• Appointment 11: Insertion (1 Hour)
• Insert Bar
• Torque Abutment Screws
• Insert Mandibular Overdenture and Maxillary Complete Denture
• Occlusion
• Postinsertion Instructions
• Follow-Up Appointments
• One-Year Follow-Up Appointment
• Costs/Fees/Profitability

Treatment of a Patient with a Partially Edentulous Mandible Using Intraoral Scanning (IOS) of a CADCAM Healing Abutment

• Literature Review
• Replacement of Individual Teeth
• Single-Unit Implant Restorations
• Computer-Aided Design/Computer-Aided Manufacturing (CADCAM) Healing Abutments
• Intraoral Scanning
• Models from Digital Impressions
• Clinical Case Presentation
• Appointment 1: Initial Examination (3/4 Hour)
• Diagnostic Casts
• Diagnoses
• Appointment 2: Consultation Restorative Dentist/Patient (1/2 Hour)
• Treatment Options
• Appointment 3: Consultation Restorative Dentist/Surgeon (1/2 Hour)
• Type/Size of Implant
• Abutment/Prosthesis Design
• Implant/Abutment Connection
• Surgical Protocol
• Healing Abutment Selection
• Implant Restorative Wish List
• Appointment 4: Extraction and Implant Placement (1 Hour)
• Extraction and immediate implant placement protocol
• CADCAM Healing Abutment Placement
• Appointment 5: Restorative Follow-Up Appointments (1/4–1/2 Hour) [10 days; 4 weeks; 8 weeks]
• Appointment 6: Reevaluation and Determination of Impression Date (1/2 Hour)
• Appointment 7: CADCAM Healing Abutment Scan (Restorative Office) (1/2 Hour)
• Clinical Procedures
• Laboratory Procedures
• Appointment 8: CADCAM Abutment and All-Ceramic Crown Insertion Appointment (3/4 Hour)
• Abutment Placement
• Radiographic Verification and Crown Try-In
• Torque
• Cementation
• Appointment 9: Follow-Up Appointments
• 1 Week/6 Months
• 1-Year Recall Clinical and Radiographic Evaluation

Retreatment of a Patient with a Fractured Implant-Retained Fixed Partial Denture in the Posterior Maxilla-CADCAM Abutments and a New Fixed Partial Denture (Cement Retained)

• Literature Review
• Clinical Case Presentation
• Appointment 1: Initial Examination (3/4 Hour)
• Diagnostic Casts
• Diagnosis
• Appointment 2: Consultation Restorative Dentist/Patient (1/2 Hour)
• Treatment Options
• Laboratory Procedures
• Appointment 3: Removal of Existing Prosthesis/Abutments; Implant Impression (1 Hour)
• Implant-Level Impression
• Laboratory Procedures/Work Orders
• Appointment 4: Bisque Bake Try-In (3/4 Hour)
• Removal of Preexisting Prosthesis and Abutments
• Try-In CADCAM Abutments
• Try-In Bisque Bake FPD
• Appointment 5: Insertion Appointment (3/4 Hour)
• Removal of Preexisting Abutments and Fixed Partial Denture
• CADCAM Abutment Placement
• Torque
• Fixed Partial Denture Cementation
• Appointment 6: Follow-Up Appointments (1/2 Hour)
• 2 Weeks/6 Months
• 1-Year Recall Clinical and Radiographic Evaluations
• Costs/Fees/Profitability

Accelerated Treatment Protocol of a Patient with Edentulous Jaws and CADCAM Titanium Framework/Fixed Hybrid Prostheses

• Literature Review
• Original Treatment Protocol
• Accelerated Treatment Protocol
• Clinical Case Presentation 4 Months Post Extractions, Implant Placement, and Immediate Occlusal Loading
• Appointment 1: Evaluate Aesthetics, Jaw Relation Records, Abutment-Level Impressions (3 Hours)
• Radiographic Examination (CBCT)
• Extraoral Physical Evaluation
• Intraoral Physical Examination
• Clinical Assessment
• Jaw Relation Records
• Removal of Interim Prostheses/Alginate Impressions for Diagnostic Casts
• Assess Implant/Abutment Stability and Clinical Osseointegration
• Abutment-Level Impressions
• Articulator Mountings
• NobelProcera Protocol for CADCAM Titanium Frameworks
• Biomet 3i Protocol for CADCAM Titanium Frameworks
• CAD for the Maxillary and Mandibular Frameworks
• Laboratory Evaluation of CADCAM Frameworks
• Denture Setup on CADCAM Frameworks
• Appointment 2: CADCAM Framework, Wax Try-In, Verification of Jaw Relation Records, and Aesthetics (1 Hour)
• Clinical One-Screw Test
• Verification of Jaw Relation Records and Aesthetics
• Laboratory Procedures
• Appointment 3: Insertion of Definitive, Screw-Retained Hybrid Prostheses (1 Hour)
• Torque Abutment Screws
• Occlusion
• Oral Hygiene Instructions
• Appointments 4 and 5: Prosthetic Follow-Up Appointments: 1 Week and 6 Months (1/2 Hour Each)
• Appointment 6: One-Year Recall with Radiographs (1 Hour)
• Radiographic Evaluation
• Clinical Examination
• Future Recall Appointments

Treatment of a Patient with an Edentulous Mandible with an Immediate Occlusal Loading Protocol (DIEM 2)

• Literature Review
• Introduction
• The Preosseointegration Era
• The Osseointegration Era
• Immediate Occlusal Loading in the Edentulous Mandible
• Immediate Occlusal Loading in Edentulous Maxillae
• DIEM Protocol
• DIEM2 Protocol
• Clinical Case Presentation
• Appointment 1: Initial Examination
• Chief Complaint
• Radiographs
• Physical Examination
• Diagnoses
• Prognosis
• Appointment 2: Consultation with Patient (1 Hour)
• Treatment Options
• Diagnostic Impressions
• Appointment 3: Definitive Maxillary Impression and Jaw Relation Record (1 Hour)
• Definitive Maxillary Complete Denture Impression
• Articulator Mounting
• Appointment 4: Wax Try-In (1/2 Hour)
• Number/Size of Implants
• Prosthesis Design
• Implant/Abutment Connection
• Laboratory Procedures/Work Orders for Processing Dentures
• Surgical Work-Up and Protocol
• Ball Clasps
• Appointment 5: Preoperative Surgical Review Office Visit (1/2 Hour)
• Appointment 6: Insertion of Maxillary Complete Denture, Mandibular Extractions, Alveolectomy, and Implant Placement/Immediate Occlusal Loading for Mandibular Full-Arch Prosthesis
• Surgical Protocol (2 Hours)
• Surgical Guidelines for Immediate Occlusal Loading
• Abutment Selection
• Prosthetic Guidelines for Immediate Occlusal Loading
• Postoperative Instructions
• Appointment 7: Prosthetic Follow-Up Appointments (1/2 Hour)
• 24-Hour Follow-Up Appointment (1/2 Hour)
• 1-Week Follow-Up Appointment (1/2 Hour)
• 4-Week Follow-Up Appointment (1/2 Hour)
• 12-Week Follow-Up Appointment (1/2 Hour)

Treatment of an Edentulous Patient with an Accelerated Treatment Protocol and Immediate Occlusal Loading Protocol (All-on-4™)

• Literature Review
• Clinical Case Presentation
• Appointments 1 and 2: Initial Examination, Articulator Mounting, and Wax Try-In
• Chief Complaint
• History of the Present Illness
• Radiographs (CT Scan)
• Physical Examination
• Diagnostic Casts, Articulator Mounting, and Diagnostic Wax Try-In
• Diagnosis
• Assessment
• Treatment Options
• Prognosis
• Appointment 3: Consultation Restorative Dentist/Patient
• Appointment 4: Consultation Prosthodontist/Surgeon
• Number/Size of Implants
• Prosthesis Design
• Implant/Abutment Connection
• Surgical Work-Up and Protocol
• Laboratory Procedures for Processing the Maxillary and Mandibular Prostheses
• Appointment 5: Implant/Prosthesis Placement
• Maxillary Surgical Protocol
• Maxillary Prosthetic Protocol
• Mandibular Surgical Protocol
• Mandibular Prosthetic Protocol
• Postoperative Instructions
• Prosthetic Follow-Up Appointments
• 1-Week Appointment

Immediate Nonocclusal Loading Provisional Restoration: Intraoral Scanning, CADCAM Abutment, and Definitive Restoration Maxillary Central Incisor

• Literature Review
• Clinical Case Presentation
• Appointment 1: Initial Clinical Visit (3/4 Hour)
• History of the Present Illness
• Radiographs
• Physical Examination
• Diagnostic Casts
• Surgical Guide
• Diagnoses
• Prognosis
• Appointment 2: Consultation Restorative Dentist/Patient (1/2 Hour)
• Appointment 3: Consultation Restorative Dentist/Surgeon (1/2 Hour)
• Size and Type of Implant
• Implant/Abutment Connection
• Surgical Protocol
• Interim Abutment
• Implant Restorative Wish List
• Appointment 4: Extraction, Implant, and Interim Abutment Placement (Surgical Office: 1 Hour)
• Extraction and Implant Placement
• Insertion Torque
• Appointment 5: Restorative Appointment INOL Provisional Restoration (Same Day: 3/4 Hour)
• Interim Abutment Placement
• Abutment Preparation
• Immediate Nonocclusal Loading Provisional crown (INOL-No Centric/Eccentric Contacts)
• Dietary and Oral Hygiene Instructions
• Appointment 6: Reevaluation Appointment – 24 Hours (1/2 Hour)
• History
• Clinical Examination
• Appointment 7: Reevaluation Appointment – 2 Weeks (1/2 Hour)
• History
• Clinical Examination
• Appointment 8: Reevaluation Appointment – 10 Weeks (1/2 Hour)
• History
• Clinical Examination
• Appointment 9: CADCAM Healing Abutment Impression (16 Weeks: 1 Hour)
• History
• Clinical Examination
• Abutment Selection
• Remove INOL Provisional Restoration/Interim Abutment and Place CADCAM Healing Abutment
• BellaTek Encode Healing Abutment Intra Oral Scan
• Appointment 10: CADCAM Abutment and Crown Insertion (3/4 Hour)
• Interim Abutment and Provisional Crown Removal
• Definitive Abutment Placement
• Radiographic Verification
• Torque
• Crown Try-In
• Cementation
• Postoperative Instructions
• Appointment 11: 2-Week Follow-Up Appointment (1/4 Hour)

Computed Tomography (CT)-Guided Surgery/Immediate Occlusal Loading with a Full-Arch Prosthesis in the Edentulous Mandible

• Literature Review
• Immediate Occlusal Loading
• Tilted Implants
• Diagnostic Imaging
• Computed Tomography (CT)
• Interactive Computed Tomography (ICT)
• Interactive Computer Software
• Computer-Guided Surgery
• Overview of Ct-Guided Surgical and Prosthetic Protocols
• Surgical Guides
• Master Tubes
• Prosthetic Laboratory Kit: Implant Analog Mounts
• Surgical Kit Components
• Fabrication of Master Cast for Immediate, Fixed Provisional Prosthesis
• Abutment Selection for Fixed, Screw-Retained Provisional Prostheses
• Fabrication of a Screw-Retained Provisional Prosthesis
• Appointment 1: Clinical Patient Presentation
• Preoperative Radiographs
• Diagnosis
• Assessment
• Treatment Plan
• Construction of Wax Dentures
• Appointment 2: Clinical Try-In of the Wax Dentures
• Fabrication of CT Scanning Appliance
• Appointment 3: Intraoral Ct Scan and Treatment Plan
• Fabrication of Master Cast with Implant Analogs
• Laboratory Abutment Selection and Placement
• Fabrication of Metal Framework for the Provisional Prosthesis
• Fabrication of the Provisional Prosthesis
• Appointment 4: Surgical and Prosthetic Treatment
• Surgical Implant Placement
• Clinical Abutment Placement
• Insertion of Provisional Prosthesis
• Appointment 5: Postoperative Visit

Review of Concepts for Designing and Fabricating Metal Implant Frameworks for Hybrid Implant Prostheses

• Introduction
• Historical Perspective
• Original Framework Designs for Fixed Hybrid Prostheses
• Passively Fitting Implant Frameworks
• Prosthetic Complications Associated with Fixed Implant Frameworks
• Physical Properties of Metals Used in Fixed Implant Frameworks
• Cast Noble Alloys
• Cast Base Metal Alloys
• Milled Titanium Frameworks
• Milled Zirconium Frameworks
• Design Considerations
• The Rationale For Cantilever Length
• A/P Spread and the All-on-4™ Protocol
• Guidelines for Implant-Retained Hybrid Frameworks
• Conclusions
• Index

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