Misch's Contemporary Implant Dentistry

1265 Pages·2020·87.926 MB·English

by  Randolph Resnik DMD MDS

Any screen.
Any time.
Anywhere.
Activate the eBook version
of this title at no additional charge.
Expert Consult eBooks give you the power to browse and find content,
view enhanced images, share notes and highlights—both online and offline.
Unlock your eBook today.
1 Visit expertconsult.inkling.com/redeem Scan this QR code to redeem your
eBook through your mobile device:
2 Scratch off your code
3 Type code into “Enter Code” box
4 Click “Redeem”
5 Log in or Sign up
6 Go to “My Library”
Place Peel Off
It’s that easy!
Sticker Here
For technical assistance:
email [email protected]
call 1-800-401-9962 (inside the US)
call [phone] (outside the US)
Use of the current edition of the electronic version of this book (eBook) is subject to the terms of the nontransferable, limited license granted on
expertconsult.inkling.com. Access to the eBook is limited to the first individual who redeems the PIN, located on the inside cover of this book,
at expertconsult.inkling.com and may not be transferred to another party by resale, lending, or other means.
2015v1.0
MISCH’S
CONTEMPORARY
IMPLANT
DENTISTRY
FOURTH EDITION

MISCH’S
CONTEMPORARY
IMPLANT
DENTISTRY
Randolph R. Resnik, DMD, MDS
Clinical Professor
Department of Graduate Periodontology and Oral Implantology
Kornberg School of Dentistry-Temple University
Philadelphia, Pennsylvania
Adjunct Professor
University of Pittsburgh School of Dental Medicine
Graduate Prosthodontics
Pittsburgh, Pennsylvania
Clinical Professor
Department of Oral & Maxillofacial Surgery
Allegheny General Hospital
Pittsburgh, Pennsylvania
Surgical Director/Chief of Staff
Misch International Implant Institute
Beverly Hills, Michigan
MISCH’S CONTEMPORARY IMPLANT DENTISTRY, FOURTH EDITION ISBN: 978-0-323-39155-9
Copyright © 2021, Elsevier Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher‘s permissions policies and our arrangements with organizations such as the Copyright Clearance
Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notice
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds or experiments described herein. Because of rapid advances
in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be
made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or con-
tributors for any injury and/or damage to persons or property as a matter of products liability, negligence
or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in
the material herein.
Previous editions copyrighted 2008, 1999, and 1993.
Library of Congress Control Number: 2020930388
Executive Content Strategist: Alexandra Mortimer
Content Development Manager: Rebecca Gruliow
Content Development Specialist: Anne Snyder
Publishing Services Manager: Julie Eddy
Senior Project Manager: Abigail Bradberry
Design Direction: Maggie Reid
Printed in Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Contributors
Martha Warren Bidez, PhD* Kevan S. Green, DMD
Professor Clinical Professor
Department of Biomedical Engineering Department of Periodontology and Oral Implantology
University of Alabama at Birmingham Kornberg School of Dentistry-Temple University
Birmingham, Alabama Philadelphia, Pennsylvania
Chapter 6 Clinical Biomechanics in Implant Dentistry Periodontist, Private Practice
Philadelphia, PA
Diana Bronstein, DDS, MS
Associate Director of Predoctoral Periodontology Mayuri Kerr, BDS, MS
Nova Southeastern University Clinical Affairs Manager
Ft. Lauderdale, Florida Glidewell Dental
Chapter 42 Implant Maintenance: Long-term Implant Success Irvine, California
Chapter 2 Terminology in Implant dentistry
Grant Bullis, MBA Chapter 9 Dental Implant Surfaces
Vice President and General Manager, Implants
Prismatik Dentalcraft Jack E. Lemons, PhD*
Glidewell Laboratories Professor
Newport Beach, California Department of Prosthodontics, Surgery, and Biomedical
Chapter 3 Functional Basis for Dental Implant Design Engineering
University of Alabama at Birmingham
C. Stephen Caldwell, DDS Birmingham, Alabama
Private Practice Chapter 5 Biomaterials for Dental Implants
El Paso, Texas
Misch International Implant Institute Carl E. Misch, DDS, MDS, PhD (HC)*
Surgical Faculty Member Clinical Professor and Past Director
Detroit, Michigan Oral Implant Dentistry
Chapter 36 Particulate Membrane Grafting/Guided Bone Temple University
Regeneration Kornberg School of Dentistry
Chapter 38 Intraoral Autogenous Bone Grafting Department of Periodontics and Implant Dentistry
Philadelphia, Pennsylvania
Joseph E. Cillo, Jr., DMD, MPH, PhD, FACS Adjunct Professor
Associate Professor of Surgery University of Alabama at Birmingham
Residency Program Director School of Engineering
Director of Research Birmingham, Alabama
Division of Oral & Maxillofacial Surgery Founder
Allegheny General Hospital Misch International Implant Institute
Pittsburgh, Pennsylvania Beverly Hills, Michigan
Chapter 13 Dental Implant Infections Chapter 1 Rationale for Dental Implants
Chapter 6 Clinical Biomechanics in Implant Dentistry
John M. Conness, DDS, FAGD, DICOI Chapter 7 Stress Treatment Theorem for Implant Dentistry
Ottawa, Illinois Chapter 8 Treatment Planning: Force Factors Related to Patient
Conditions
David J. Dattilo, DDS Chapter 16 Available Bone and Dental Implant Treatment Plans
Director Chapter 17 Prosthetic Options in Implant Dentistry
Oral and Maxillofacial Surgery Chapter 18 Bone Density: A Key Determinant for Treatment
Allegheny General Hospital Planning
Pittsburgh, Pennsylvania Chapter 19 Treatment Plans Related to Key Implant Positions
Chapter 39 Extraoral Bone Grafting for Implant Reconstruction and Implant Number
Chapter 20 Treatment Plans for Partially and Completely
* deceased Edentulous Arches in Implant Dentistry
v
vi Contributors
Chapter 21 Preimplant Prosthodontic Factors Related to Surgical Pittsburgh, Pennsylvania
Treatment Planning Surgical Director/Chief of Staff
Chapter 23 Treatment Planning for the Edentulous Posterior Misch International Implant Institute
Maxilla Beverly Hills, Michigan
Chapter 24 The Edentulous Mandible: Fixed Versus Removable Chapter 1 Rationale for Dental Implants
Prosthesis Treatment Planning Chapter 5 Biomaterials for Dental Implants
Chapter 25 The Edentulous Maxilla: Fixed versus Removable Chapter 7 Stress Treatment Theorem for Implant Dentistry
Treatment Planning Chapter 8 Treatment Planning: Force Factors Related to Patient
Chapter 28 Ideal Implant Positioning Conditions
Chapter 29 Maxillary Anterior Implant Placement Chapter 10 Medical Evaluation of the Dental Implant Patient
Chapter 33 Immediate Load/Restoration in Implant Dentistry Chapter 11 Radiographic Evaluation in Oral Implantology
Chapter 37 Maxillary Sinus Anatomy, Pathology, and Graft Surgery Chapter 14 Pharmacology in Implant Dentistry
Chapter 38 Intraoral Autogenous Bone Grafting Chapter 15 Interactive Computed Tomography and Dental
Implant Treatment Planning
Francine Misch-Dietsh, DMD, MDS Chapter 16 Available Bone and Dental Implant Treatment Plans
Clinical Adjunct Professor Chapter 17 Prosthetic Options in Implant Dentistry
Department of Periodontology and Oral Implantology Chapter 18 Bone Density: A Key Determinant for Treatment
Kornberg School of Dentistry-Temple University Planning
Philadelphia, Pennsylvania Chapter 19 Treatment Plans Related to Key Implant Positions
Chapter 5 Biomaterials for Dental Implants and Implant Number
Chapter 21 Preimplant Prosthodontic Factors Related to Surgical Chapter 20 Treatment Plans for Partially and Completely
Treatment Planning Edentulous Arches in Implant Dentistry
Chapter 21 Preimplant Prosthodontic Factors Related to Surgical
Neil I. Park, DMD Treatment Planning
Vice President of Clinical Affairs Chapter 22 Single and Multiple Tooth Replacement: Treatment
Glidewell Dental Options
Newport Beach, California Chapter 23 Treatment Planning for the Edentulous Posterior
Chapter 2 Terminology in Implant Dentistry Maxilla
Chapter 9 Dental Implant Surfaces Chapter 24 The Edentulous Mandible: Fixed Versus Removable
Chapter 22 Single and Multiple Tooth Replacement: Treatment Prosthesis Treatment Planning
Options Chapter 25 The Edentulous Maxilla: Fixed versus Removable
Treatment Planning
Ralph Powers, DDS Chapter 26 Basic Surgical Techniques and Armamentarium
Adjunct Clinical Professor Chapter 27 Implant Placement Surgical Protocol
Medical Diagnostics and Translational Science Chapter 28 Ideal Implant Positioning
Old Dominion University Chapter 29 Maxillary Anterior Implant Placement
Norfolk, Virginia, Consultant Chapter 30 Mandibular Anatomic Implications for Dental
Dental Education Implant Surgery
Ralph Powers LLC Chapter 31 Dental Implant Complications
Chesapeake, Virginia Chapter 32 Immediate Implant Placement Surgical Protocol
Chapter 35 Bone Substitutes and Membranes Chapter 33 Immediate Load/Restoration in Implant Dentistry
Chapter 34 Atraumatic Tooth Extraction and Socket Grafting
Christopher R. Resnik, DMD, MDS Chapter 37 Maxillary Sinus Anatomy, Pathology, and Graft
Prosthodontist Surgery
University of Pittsburgh Chapter 40 The Use of Botox and Dermal Fillers in Oral
Pittsburgh, Pennsylvania Implantology
Chapter 26 Basic Surgical Techniques and Armamentarium
Robert J. Resnik, MD, MBA
Randolph R. Resnik, DMD, MDS Internal Medicine
Clinical Professor Cary Adult Medicine
Department of Periodontology and Oral Implantology Cary, North Carolina
Kornberg School of Dentistry-Temple University Chapter 10 Medical Evaluation of the Dental Implant Patient
Philadelphia, Pennsylvania
Adjunct Professor W. Eugene Roberts, DDS, PhD, DHC (Med)
Department of Graduate Prosthodontics Professor Emeritus of Orthodontics
University of Pittsburgh School of Dental Medicine Indiana University School of Dentistry
Pittsburgh, Pennsylvania Indianapolis, Indiana
Clinical Professor Chapter 4 Bone Physiology, Metabolism, and Biomechanics
Department of Oral & Maxillofacial Surgery
Allegheny General Hospital
Contributors vii
Mohamed Sharawy, BDS, PhD Clinical Professor, Department of Periodontics, Nova Southeastern
Professor University
Department of Oral Biology and Diagnostic Sciences Clinical Professor, Department of Graduate Prosthodontics,
Dental College of Georgia at Augusta University University of Washington
Augusta Georgia Chapter 34 Atraumatic Tooth Extraction and Socket Grafting
Chapter 12 Applied Anatomy for Dental Implants Chapter 41 Peri-Mucositis and Peri-Implantitis Diagnosis,
Classification, Etiologies, and Therapies
Amanda M. Sheehan, DDS, DICOI, FAGD Chapter 42 Implant Maintenance: Long-term Implant Success
Waterford, Michigan
Chapter 40 The Use of Botox and Dermal Fillers in Oral Kevin R. Suzuki, DMD, MS
Implantology Associate Professor
Graduate Periodontics
Jon B. Suzuki, DDS, PhD, MBA Temple University School of Dentistry
Professor Emeritus of Microbiology and Immunology (School of Philadelphia, Pennsylvania
Medicine) Affiliate Professor
Professor Emeritus of Periodontology and Oral Implantology Predoctoral Periodontics
(School of Dentistry) University of Washington School of Dentistry
Temple University School of Medicine Seattle, Washington
Philadelphia, Pennsylvania Chapter 41 Peri-Mucositis and Peri-Implantitis Diagnosis,
Clinical Professor, Department of Periodontics, University of Classification, Etiologies, and Therapies
Maryland
Foreword
After 50 years of involvement in dental implant evaluation and Having spent many hours discussing the question with Dr.
research and 47 years of clinical implant practice, I feel greatly Resnik, I can assure you that he feels, as I do, that implants are
honored as well as having a substantial professional responsibility the purview of generalists as well as specialists worldwide. What
to provide the Foreword to Misch’s Contemporary Implant Dentistry determines the elements of treatment that individual practitioners
authored by Dr. Randolph R. Resnik. Why? This book should, do should be determined by how well they train, by how much
simply put, have an incalculable influence on dentistry for years they are committed to lifelong education, and by how well they
to come. are influenced by mentors who are open, honest and caring, such
Since 1972 I have also served continuously on the Executive as Dr. Resnik.
Committee of the International Congress of Oral Implantologists Several aspects of Misch’s Contemporary Implant Dentistry have
(ICOI). Today, the ICOI is one of the largest implant societies to be emphasized so that casual reading is not encouraged. There
in the world. For many years, Dr. Carl E. Misch and I were Co- are eight sections with 42 chapters, all of which have been updated.
Chairman of the ICOI. Since his death, I have acted as CEO. Further, approximately 20 chapters are brand new and present in-
ICOI’s mission has always been to promote worldwide dental depth multiple new topics. Dr. Resnik is very aware of how much
implant education, research and international fraternity. and how fast the field of oral implantology/implant dentistry is
Having known Dr. Randy Resnik for many years, I can assure changing. To this end, Dr. Resnik has asked multiple colleagues,
you that he is a shining example of a multi-talented individual researchers and specialists to contribute their knowledge.
who has pursued these goals and has dedicated his life to oral Misch’s Contemporary Implant Dentistry, authored by Dr.
implantology/implant dentistry and expanding the impact of the Randolph R. Resnik, is a classic guide for the student and the
Contemporary Implant Dentistry texts. young practitioner and a valuable reference for well-experienced
Because of his extensive teaching and mentoring background, clinicians.
he appreciates like few others the “gestalt” of oral implantology/
implant dentistry. With the exponential growth of this field, With great personal and professional respect,
fueled by exceptional professional acceptance and growing con- Kenneth W. M. Judy, DDS, FAGD, FACD, MICD
sumer awareness, Dr. Resnik has been able to thoughtfully iden- CEO & Co-Chairman, ICOI
tify the numerous sources of complications that can occur and Clinical Professor, New York University College of Dentistry,
propose many solutions. Further, he makes a strong case that den- New York, New York
tal implants are for the many, not just the privileged few. In this Clinical Professor Department of Oral Implantology, Dental
view several clinicians around the world are attempting to influ- Medicine Section of Oral, Diagnostic and Rehabilitation
ence manufacturers to lower the price of implants or the required Sciences, Division of Prosthodontics, Columbia University
number of implants used in specific cases to increase their avail- College of Dental Medicine, New York, New York
ability to patients and yet obtain satisfactory results.
viii
To my wife Diane, and children Christopher and
Allison, for their patience and understanding
along with enriching my life.
ix