Table of Contents
Glossary xii
1 History of Dental Implants 1
2 Osseointegration 7
Concept 7
Factors affecting Osseointegration 8
• Implant Related 8
• Environment Related 19
Success vs Survival 22
New Concepts 24
3 Implant Systems 28
Components 28
Fixture 28
Transmucosal 32
Implant Types 33
Prosthetic 36
• Abutments 38
• Screws 39
• Torque Wrench 39
Laboratory 39
Implant systems 40
4 Patient Selection and Indications for Treatment 43
Patient Selection 44
• Generic Planning 45
• Site Specific Planning 48
Indications for implant Treatment 54
Follow up care 58
5 Surgical and Prosthodontic Protocols 60
Surgical Protocols 60
• Timing of Implant Fixture Placement 61
• Computer Guided placement 65
Augmentation Procedures 66
• Timing 67
• Techniques 70
• Materials 73
Prosthodontic Protocols 78
• Type of Prosthesis 79
• Complications 83
Loading Protocols 85
Constructing the Prosthesis 85
Fitting the Prosthesis 87
Post insertion Instructions 87
Outcomes 88
6 Peri-Implant Tissues 90
Anatomy 90
Health 93
Disease 94
• Factors to consider 94
• Periimplant Mucositis 95
• Peri-implantitis 96
Assessment 99
Treatment 99
7 Maintenance Care around Dental Implants 109
Definition 109
Principles 110
Components 112
Intervals 118
Treatment During Maintenance care 122
Criteria for Success and Failure Dental Implant Retained Restorations 127
8 Role of the Hygienists/Therapists 129
Role as a Clinician 131
Role as an Educator 134
Implant Systems 138
Implant Restoration Types 138
Surgical Procedures 138
Index 141