Implant Therapy

2019·54.79 MB·english

by  Myron Nevins

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CONTRIBUTORS
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Myron Nevins,
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A. Ackermann F. Alfonsi L. Aranguren G. Avila-Ortiz L. Canullo D. Cardaropoli H. Chan C. Chen Y. Cho

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J. Chow L. Cooper T. Cracknell M. de Araújo Nobre A. Decker M. Deflorian B. DeGroot M. Del Fabbro D. Ferreira c
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S. Froum J. Fu F. Galli J. Ganeles W. Giannobile C. Hämmerle P. Hawker P. Hengjeerajaras R. Herman r
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M. Iwata R. Jung D. Kim G. Liddelow C. Lin K. Liu M. Ludlow S. Maeda P. Maketone
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P. Maló G. Mandelaris J. Martins da Rosa R. Marx T. Matsui C. Misch A. Monje S. Mühlemann K. Nakamura d
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SECOND EDITION
M.L. Nevins M. Nevins F. Norkin Y. Ono S. Ono Rubin S. Parel A. Parenti W. Park S. Parma Benfenati f
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L. Pereira M. Roncati M. Ronda K. Saburi T. Sasaki R. Scaini D. Schneider C. Shapoff Y. Shi
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M. Simion M. Stefanini T. Testori C. Tinti I. Urbán L. Velasco S. Wallace C. Wang H. Wang d
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ISBN 978-0-86715-798-7
H. Zadeh S. Zfaz G. Zucchelli 90000
9 780867157987
Nevins/Wang cover spread.indd 1 3/19/19 9:24 AM
Implant Therapy: Clinical Approaches and Evidence of Success, Second Edition
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Nevins/Wang_FM.indd 2 3/4/19 3:43 PM
IMPLANT THERAPY
Clinical Approaches and Evidence of Success
SECOND EDITION
Edited by
Myron Nevins,
dds
Associate Professor
Department of Oral Medicine, Infection, and Immunity
Harvard School of Dental Medicine
Boston, Massachusetts
Hom-Lay Wang, , ,
dds msd phd
Collegiate Professor of Periodontics
Professor and Director of Graduate Periodontics
Department of Periodontics and Oral Medicine
University of Michigan School of Dentistry
Ann Arbor, Michigan
Berlin, Barcelona, Chicago, Istanbul, London, Mexico City, Milan,
Moscow, Paris, Prague, São Paulo, Seoul, Tokyo, Warsaw
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Library of Congress Cataloging-in-Publication Data
Names: Nevins, Myron, editor. | Wang, Hom-lay, 1958- editor.
Title: Implant therapy : clinical approaches and evidence of success /
[edited by] Myron Nevins, Hom-Lay Wang.
Description: Second edition. | Batavia, IL : Quintessence Publishing Co Inc,
2019. | Includes bibliographical references and index.
Identifiers: LCCN 2019004076 | ISBN 9780867157987 (hardcover)
Subjects: | MESH: Dental Implants | Dental Implantation--methods |
Periodontal Diseases--therapy
Classification: LCC RK667.I45 | NLM WU 640 | DDC 617.6/93--dc23
LC record available at https://lccn.loc.gov/2019004076
© 2019 Quintessence Publishing Co, Inc
Quintessence Publishing Co, Inc
411 N Raddant Road
Batavia, IL 60510
www.quintpub.com
5 4 3 2 1
All rights reserved. This book or any part thereof may not be reproduced, stored in a retrieval system,
or transmitted in any form or by any means, electronic, mechanical, photocopying, or otherwise, without
prior written permission of the publisher.
Editor: Bryn Grisham
Design: Sue Zubek
Production: Kaye Clemens
Printed in China
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Contents
Dedications viii
Foreword ix
Preface x
Contributors xi
A Clinical Decision: Save the Tooth or Place an Implant? 1
1
MYRON NEVINS • RICHARD I. HERMAN • YOSHIHIRO ONO
From Osseointegration to Predictable Long-Term Implant Stability:
2
Clinicians’ Perspectives 19
2.1 THE DEVELOPMENT AND PREDICTABILITY OF OSSEOINTEGRATED IMPLANTS
MYRON NEVINS
2.2 LONG-TERM RESULTS OF IMPLANTS IN NATIVE AND REGENERATED BONE
MASSIMO SIMION
2.3 CONNECTIVE TISSUE ATTACHMENT TO A LASER-MICROTEXTURED SURFACE
CARY A. SHAPOFF
2.4 LONG-TERM IMPLANT SUCCESS: PART I
JEFFREY GANELES • FREDERIC J. NORKIN • LILIANA ARANGUREN • SAMUEL ZFAZ
2.5 LONG-TERM IMPLANT SUCCESS: PART II
DAVID M. KIM • WONBAE PARK
2.6 LONG-TERM IMPLANT SUCCESS: PART III
TAMSIN J. CRACKNELL • DEON FERREIRA • PETER HAWKER • ANDREW ACKERMANN
Introduction to Implant Surgery: Optimal Positioning of the Dental
3
Implant 51
HOM-LAY WANG • JIA-HUI FU
Implant Placement for the Mandibular Posterior Quadrant 63
4
HSUN-LIANG CHAN • HOM-LAY WANG • MYRON NEVINS
An Introduction to the Success of Short Dental Implants 73
5
CRAIG M. MISCH
The Evolution of Imaging and Associated Applications for Implant
6
Surgery 91
GEORGE A. MANDELARIS • BRADLEY S. DEGROOT
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Decision Making for Implant Therapy in the Maxillary Esthetic
7
Zone 115
SVEN MÜHLEMANN • DAVID SCHNEIDER • RONALD E. JUNG • CHRISTOPH H. F. HÄMMERLE 
Management of the Extraction Site: Socket Grafting 127
8
GUSTAVO AVILA-ORTIZ • HOMAYOUN H. ZADEH
Placement of Dental Implants into Extraction Sockets 149
9
DAVID M. KIM • JERRY CHING-YI LIN • CHIA-YU (JENNIFER) CHEN
Seeking the Optimal Esthetic Result in the Maxillary Anterior 161
10
DANIELE CARDAROPOLI
Predictable Esthetic Anterior Maxillary Reconstruction with Dental
11
Implants and Maxillary Tuberosity Grafts 175
JOSÉ CARLOS MARTINS DE ROSA • LUÍS ANTÔNIO VIOLIN PEREIRA
Immediate Loading of Implants in Edentulous and Partially Dentate
12
Patients 197
TIZIANO TESTORI • FABIO GALLI • RICCARDO SCAINI • MATTEO DEFLORIAN •
ANDREA PARENTI • HOM-LAY WANG • MASSIMO DEL FABBRO
Sinus Elevation in the Posterior Maxilla via the Lateral Window
13
Approach 223
STEPHEN S. WALLACE • TIZIANO TESTORI
Maxillary Transcrestal Sinus Floor Elevation Procedures 263
14
HOM-LAY WANG • ANN DECKER • TIZIANO TESTORI
The Use of Zygomatic Implants for Maxillary Edentulous
15
Patients 279
JAMES K. F. CHOW • GLEN LIDDELOW
Treatment of the Edentulous Patient Using All-on-Four and the
16
Zygoma Implant 295
STEPHEN M. PAREL • PAULO MALÓ • MIGUEL DE ARAÚJO NOBRE
Horizontal Bone Augmentation Procedures: A GBR Approach 311
17
MARCO RONDA • MASSIMO SIMION • FORTUNATO ALFONSI
Vertical Bone Augmentation with Advanced Flap Design 327
18
ISTVAN URBAN
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Growth Factors: Clinical Development for Periodontal and Implant
19
Applications 337
MARC L. NEVINS • WILLIAM V. GIANNOBILE • YOUNG-DAN CHO • (JEFF) CHIN-WEI WANG 
The Introduction of Tissue Engineering for Bone Regeneration 355
20
ROBERT E. MARX
Soft Tissue Management to Augment Implant Success 367
21
GIOVANNI ZUCCHELLI • MARTINA STEFANINI
Implant-Abutment Junction: A Crestal Bone and Soft Tissue
22
Determinant 395
LUIGI CANULLO
Effective Application of Orthodontics with Implant Therapy for
23
Periodontally Compromised Patients 407
YOSHIHIRO ONO • TAKESHI SASAKI • MITSUHIRO IWATA • SACHIKO MAEDA •
TOKOU MATSUI • KIMIO NAKAMURA • KIYONOBU SABURI • SATOKO ONO RUBIN
The Interaction Between Implantology and Orthognathic
24
Surgery 419
LEANDRO G. VELASCO
Etiology and Management of Post-Loading Complications: Implant
25
Loss or Failure and Peri-implantitis 435
STUART J. FROUM • PARNWARD HENGJEERAJARAS • KUAN-YOU LIU • PANPICHA MAKETONE •
YE SHI
Regenerative Protocol to Treat Peri-implantitis 455
26
STEFANO PARMA-BENFENATI • CARLO TINTI • MARISA RONCATI
The Importance of Dedicated Maintenance Therapy for Long-Term
27
Success 475
MARISA RONCATI
Peri-implant Maintenance Therapy for Long-Term Success 491
28
ALBERTO MONJE • HOM-LAY WANG
Implant Complications: A Reality Requiring Prevention 501
29
MARK E. LUDLOW • LYNDON F. COOPER
Index 514
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Dedications
I dedicate this effort to my wife, Marcy. She has remained the wind
beneath my wings, even when I was preoccupied with the editing
process. She is my best friend and soulmate and encourages my
commitment to education.
—Myron Nevins
I dedicate this book to my lovely family, my research collaborators,
my friends, my former and current students, my chairs, and the
University of Michigan for their continued support of my career.
Without their sacrifices and support, this journey would be impossible.
—Hom-Lay Wang
viii
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Foreword
Oral implant therapy is recognized as one of the posed by each area. The cases and illustrations wonder-
most significant innovations of dentistry in the fully depict the clinical scenarios and treatment protocols
20th century. The reconstruction of edentulous to emphasize the principles so well portrayed in the book.
or partially edentulous patients with osseointegrated dental There are valuable chapters on managing the maxillary
implants has been revolutionary to improve esthetics, sinus or when insufficient vertical and/or lateral alveolar
phonetics, and function for our patients. In this compre- bone is available. Treatment alternatives using sinus floor
hensive book, Drs Myron Nevins and Hom-Lay Wang— augmentation, vertical bone augmentation, or the use of
leaders in regenerative and reconstructive dentistry—have short dental implants play into these alternatives prepared
assembled a text that will be a tremendous benefit to by leaders in the field. The use of cutting edge therapies
students, clinical scholars, and practicing clinicians alike. for hard and soft tissue reconstruction using tissue engi-
Given the strong adoption of dental implant therapy into neering methodologies (growth factor biologics, novel
clinical practice, it has become increasingly important for scaffolding technologies, or bone graft substitutes) have
clinicians to have the proper guidance in both the identi- improved the repertoire of regenerative options for reha-
fication of suitable patients and the clinical scenarios for bilitation for the partially or fully edentulous patient.
the placement of dental implants for oral rehabilitation. Drs Nevins and Wang also bring together critical aspects
No longer is it sufficient for a dental implant simply to in interdisciplinary clinical care in highly complex clini-
survive: To be successful, implants must be placed opti- cal situations, when tooth preservation is often coupled
mally to provide the proper esthetics and function that with implant therapy as well as with orthodontics and/or
last predictably over time. Thus, the appropriate training orthognathic surgery. Loading protocols for immediate- or
and treatment planning is critical to implant success to delayed-implant placement are presented to consider the
avoid biologic and/or technical complications that have most appropriate applications of these treatment guide-
increasingly plagued implant therapeutic outcomes over lines. How these reconstructions are planned, delivered,
the years. and maintained both provisionally and long-term are
In this text, Drs Nevins and Wang have brought presented in fine detail.
together chapters from leaders in implant dentistry. First, With the long-term maintenance of dental implants,
they work to improve the understanding about clinical a key biologic complication following therapy is the
decision making over the dilemma of tooth preservation initiation and progression of peri-implantitis. This
versus extraction. However, if extraction of a hopeless difficult-to-manage clinical situation is addressed using
tooth is required, how do we appropriately treatment plan? a variety of approaches, ranging from nonsurgical care
The plan must be designed for the good of the patient to to resection, regenerative therapy, or implant removal
facilitate the coordination of the team of surgeons, restor- and augmentation of the residual bony defect. Finally,
ative dentists, and auxiliaries needed to deliver functional specific protocols are presented for appropriate dental
implant reconstructions for the lifetime of the patient. The implant maintenance therapy in collaboration with restor-
first several chapters of the book focus significantly on ative dentists, surgeons, and dental hygienists to promote
treatment planning, including the use of 3D imaging and the long-term preservation, stability, and clinical success
patient and implant-site risk assessment to determine the of osseointegrated dental implants.
potential for implant installation and clinical success. If In summary, I anticipate that this text will be a valu-
there are insufficient soft and hard tissues present, how able asset to the student and clinician who have the high-
does a surgeon augment deficient alveolar bone ridges est standards of clinical care. Please enjoy the book and
for single or multi-implant placements? The book provides implement the principles presented here for the optimal
expert step-by-step guidance on local bone augmenta- rehabilitation of the dental implant patient.
tion situations by region (anterior, posterior, mandibular,
and maxillary areas) and the unique clinical challenges William V. Giannobile, dds, ms, dmedsc
ix
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