Implants in clinical dentistry

285 Pages·2002·10.532 MB·English

by  Richard M Palmer, et al

Implants in Clinical Dentistry

Implants in Clinical
Dentistry
Richard M Palmer PhD, BDS, FDS, RCS (Eng), FDS RCS (Ed)
Professor of Implant Dentistry and Periodontology,
Guy’s, Kings and St Thomas’ Hospitals Medical and Dental Schools,
London, SE1 9RT, UK
Brian J Smith BDS, MSc, FDS RCS (Eng)
Consultant in Restorative Dentistry, Unit of Restorative Dentistry,
Guy’s and St Thomas’ Hospitals Trust, London, SE1 9RT, UK
Leslie C Howe BDS, FDS RCS (Eng)
Consultant in Restorative Dentistry, Guy’s and St Thomas’ Hospitals Trusts
and Specialist in Restorative Dentistry and Prosthodontics,
21 Wimpole Street, London W1M 7AD, UK
Paul J Palmer BDS, MSc, MRD RCS (Eng)
Specialist in Periodontics, 21 Wimpole Street, London W1M 7AD and
Postgraduate Tutor in Implant Surgery, Guy’s, Kings and St Thomas’
Hospitals Medical and Dental Schools,
London, SE1 9RT, UK
MARTIN DUNITZ

C O N T E N T S
Preface vii
Acknowledgements ix
Part I—Overview
1 Overview of implant dentistry 3
Part II—Planning
2 Treatment planning: general considerations 27
3 Single tooth planning in the anterior region 35
4 Single tooth planning for molar replacements 47
5 Fixed bridge planning 53
6 Diagnosis and treatment planning for implant dentures 69
Part III—Surgery
7 Basic factors in implant surgery 85
8 Flap design for implant surgery 97
9 Surgical placement of the single tooth implant in the anterior maxilla 105
10 Implant placement for fixed bridgework 115
11 Immediate and early replacement implants 123
12 Grafting procedures for implant placement 131
Part IV—Prosthodontics
13 Single tooth implant prosthodontics 157
14 Fixed bridge prosthodontics 183
15 Implant denture prosthodontics 215
Part V—Complications and Maintenance
16 Single tooth and fixed bridge 235
17 Implant dentures 251
Index 263
vi CONTENTS
P R E FA C E
This book is based upon our combined experi- we felt that it was essential to gain experience in
ences of working together in the treatment of other leading implant systems to allow compari-
patients with dental implant prostheses at Guy's son and to educate ourselves and our students.
Hospital and in private practice over the last 10 We were thus able to appreciate some of the
years. While the chapters are not attributed to features of other systems such as single stage
specific authors, the surgical chapters are mainly implant surgery and the development of implant
the work of Richard and Paul Palmer; the implant surfaces which gave the potential for more rapid
denture chapters, Brian Smith; and the fixed osseointegration and earlier loading. We were also
prosthodontics, Leslie Howe. Our initial experi- one of the initial teams to evaluate the Astra Tech
ences were with the Brånemark system, which ST implant. We believe that the four implant
established a benchmark in implant treatment, systems (Astra Tech, Brånemark/Nobel Biocare,
with high success rates using meticulous tech- Frialit and ITI Straumann) described in this book
niques. It was immensely valuable to use this cover most of the important features of modern
system at a time when it rapidly developed to implant design and that the information contained
allow sophisticated treatment of the complete within this text could apply to many more systems
clinical spectrum. Working in an academic institute that are available today.
Richard M Palmer
PhD, BDS, FDS RCS(Eng), FDS RCS(Ed)
Brian J Smith
BDS, MSc, FDS RCS(Eng)
Leslie C Howe
BDS, FDS RCS(Eng)
Paul J Palmer
BDS, MSc, MRD RCS(Eng)