ebook img

Reconstructive Aesthetic Implant Surgery PDF

156 Pages·2003·22.47 MB·English
Save to my drive
Quick download
Download
Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.

Preview Reconstructive Aesthetic Implant Surgery

RECONSTRUCTIVE AESTHETIC IMPLANT SURGERY This page intentionally left blank RECONSTRUCTIVE AESTHETIC IMPLANT SURGERY Abd El Salam El Askary Blackwell Munksgaard Published in the U.S. by Iowa State Press A Blackwell Publishing Company © 2003 Blackwell Munksgaard, North America Published By Iowa State Press Authorization to photocopy items for internal or personal use, A Blackwell Publishing Company or the internal or personal use of specific clients, is granted by Iowa State Press, provided that the base fee of $.10 per copy is Iowa State Press paid directly to the Copyright Clearance Center, 222 Rose- 2121 State Avenue, Ames, Iowa 50014-8300, USA wood Drive, Danvers, MA 01923. For those organizations Tel: +1 515 292 0140 that have been granted a photocopy license by CCC, a sepa- Web site: www.iowastatepress.com rate system of payments has been arranged. The fee code for users of the Transactional Reporting Service is 0-8138-2108- Editorial Offices: 8/2003 $.10. 9600 Garsington Road, Oxford OX4 2DQ Tel: +44 01865 776868 Library of Congress Cataloging-in-Publication Data El Askary, Abd El Salam Blackwell Publishing Asia Pty Ltd, Reconstructive aesthetic implant surgery / Abd El Salam 550 Swanston Street, Carlton South, El Askary Victoria 3053, Australia p. ; cm. Tel: +61 (0)3 9347 0300 Includes bibliographical references and index. ISBN 0-8138-2108-8 Blackwell Verlag 1. Dental implants. 2. Dental implants—Aesthetic implants. Kurfurstendamm 57, 10707 Berlin, Germany [DNLM: 1. Dental Implantation—methods. 2. Reconstruc- Tel: +49 (0)30 32 79 060 tive Surgical Procedures—methods. WU 640 E37r 2003] I. Title Europe and Asia RK667.I45E4 2003 All rights reserved. No part of this publication may be repro- 617.6'92—dc21 2002155992 duced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, ISBN: 0-8138-2108-8 recording or otherwise, except as permitted by the UK Copy- right, Designs and Patents Act 1988, without the prior permis- Cover art: From the portrait of Irma Brunner by Edouard sion of the publisher. Manet. © Photo RMN—Jean Schormans; reprinted by per- mission. The right of the Author to be identified as the Author of this Work has been asserted in accordance with the Copyright, Set in Sabon by D&G Limited, LLC Designs and Patents Act 1988. Printed and bound in Korea by Doosan Printing For further information on Blackwell Publishing, visit our website: www.blackwellpublishing.com or www.iowastatepress.com Contents FOREWORD, vii PREFACE, ix ACKNOWLEDGMENTS, xi 1 Introduction, 3 Abd El Salam El Askary 2 Presurgical Considerations, 8 Abd El Salam El Askary 3 Aesthetic Implant Placement, 45 Abd El Salam El Askary 4 Soft Tissue Management, 60 Abd El Salam El Askary 5 Aesthetic Bone Grafting, 115 Luc Huys and Abd El Salam El Askary INDEX, 139 This page intentionally left blank Foreword The Kubler Ross emotional progression of anger, Today, in order to achieve the aesthetic results that our denial, despair, bargaining, and finally acceptance when patients rightfully demand, many foundational cosmetic facing serious illnesses or even death applies also to sig- procedures are now recognized as being necessary. Dr. El nificant loss of teeth and related oral-facial structures. Askary's text traces the history of, describes, and illus- The advances that have been made in implant dentistry trates the hard and soft tissue manipulations for optimal allow us to interrupt this downward spiral for many results with implant-supported prostheses. patients and virtually reconstruct their hard and soft tis- Personally, we both feel that in the arena of "cosmetic sue deficits. dentistry" there is too much emphasis placed on signature Originally, implants were devised to restore function, cases, tooth preparation, cementation and finishing of and aesthetics was secondary. Soldiers suffering from the veneers, metal-free bridges, etc. and not enough emphasis ravages of World War II and later conflicts cried out for placed on our ability to create the necessary bone support effective therapies. Dental implants, devised by multiple and gingival architectures that are the sine qua non for clinicians and investigators from around the world, often aesthetic case outcomes. provided the foundation for functional prostheses. Dr. El Askary has confronted these scientific and prac- As the field matured, many cases required a multidisci- tical clinical training problems head on. He has given the plinary approach with identification of complex etiologic profession a treatise on how we should proceed when factors. This central issue was often ignored or not appre- approaching simple as well as definitively complex cases. ciated. Challenges were met with compromise. End goals His work is to be admired in the original meaning of the were not clear. No one or everyone wanted to be the word, i.e., "wondered at." He is to be congratulated. "captain of the ship." An educational revolution with Our patients need no longer sink to despair. significant cross-training was the result. The upheaval of With our best personal and professional regards, we commitment to excellence is still raging full force. remain Sincerely, Carl E. Misch, DDS, MDS, FACD, FICD Co-Chairman, ICOI Beverly Hills, Michigan, USA Kenneth WM. Judy, DDS, FACD, FICD Co-Chairman, ICOI New York, New York, USA VII t intentionally left blank Preface In the name of God, the Beneficent, the Merciful. with a step-by-step clinical manual to aid practitioners in achieving optimum clinical results. The fashioning of modern dental implantology in the The first chapter of this book highlights the importance hands of pioneers like Branemark, Linkow, Judy, of art in human life and its relation to implant dentistry. It Niznick, Straumann, Misch, and others has solved many shows how implant dentistry uniquely combines science chronic clinical problems that were heretofore untreat- and art to achieve a functional, aesthetic result. It is worth able. Dental implants are becoming sometimes the only noting that this field requires not only clinical knowledge predictable alternative treatment for many clinical situa- but also artistic talent to provide satisfactory results. tions, and their long-term success over time has been well The second chapter concentrates on the presurgical established. New implant designs with improved surgical planning for aesthetic cases, from evaluations of the and prosthodontic options have extended the benefits of study cast to the fabrication of the surgical template. The implant dentistry to patients previously excluded from chapter highlights the available treatment options and therapy due to anatomical limitations or other reasons. explains why one treatment option should be selected Today, countless numbers of patients with partial and over another. It also covers the provisional stage prepara- full edentulism have experienced dramatic improvements tion for the patient receiving an implant-supported pros- not only in clinical function, but also in their appearance, thesis in the aesthetic zone; hence, the chapter focuses on social interactions, and personal self-confidence as a much more than aesthetic case planning. direct result of successful implant therapy. In that vein, The third chapter of this book addresses dental modern dental implantology may be considered the implant anatomy, the importance of implant positioning treatment modality of the twentieth century, and it on the alveolar ridge, and how the three-dimensional promises to yield even greater advancements in the new placement of an implant can be vital to the final treat- millennium. ment outcome. It also addresses the clinical challenges Concurrent with the refinement of the scientific aspects and options for addressing implant misplacements. of dental implants, many renowned clinicians around the The fourth chapter of this book concerns soft tissue world, such as Lazara, Bragger, Potashnick, Hurzeler, management around dental implants. It is the largest Belser, Tarnow, Salama, Bengazi, Sclar, Wohrle, Saadoun, chapter of the book and presents most of the soft tissue Grunder, Bitchacho, Geovanovick, Kan, Zitzmann, and techniques that are currently available. I have divided the others, have made invaluable advancements in the science topic into four categories, each of which relates to the of aesthetic implantology. Through the contributions of timing of clinical intervention. The chapter focuses on these master artists, dentists no longer need to make the many clinical techniques that can be important for the painful compromise between providing the patient with reader and includes guidelines for second-stage surgery, function at the expense of appearance, or vice versa. I soft tissue grafting, papilla regeneration, and soft tissue have greatly benefited from their contributions. enhancement procedures. I offer in this present work an overview of the beauty The fifth chapter of this book provides information on and artistic qualities that may be achieved with dental aesthetic bone reconstruction and presents the methods implants. The surgical and reconstructive aspects of aes- for grafting the alveolar ridge to attain an optimal aes- thetic dental implant restorations are presented, along thetic result. The chapter emphasizes the use of titanium IX

Description:
Univ. of Florida, Gainesville. Text presents the art and science of soft tissue management around dental implants and highlights current plastic surgery procedures for aesthetic implantology. Provides strategies and techniques addressing many of the complications associated with dental implants. Abu
See more

The list of books you might like

Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.