The ADA Practical Guide to Dental Implants

192 Pages·2021·21.941 MB·English

by  Luigi O. Massa, J. Anthony von Fraunhofer

The ADA Practical Guide to
Dental Implants

The ADA Practical
Guide to Dental
Implants
Luigi O. Massa, DDS
Premier Dental Centers,
Art & Technology Dental Studio,
Boerne, TX, USA
J. Anthony von Fraunhofer, MSc, PhD, FADM, FRSC
Professor Emeritus, University of Maryland,
Baltimore, MD, USA
This edition first published 2021
© 2021 by the American Dental Association
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Library of Congress Cataloging‐in‐Publication Data
Names: Massa, Luigi O., author. | Von Fraunhofer, J. A. (Joseph Anthony),
author. | American Dental Association, issuing body.
Title: The ADA practical guide to dental implants / Luigi O. Massa,
J. Anthony von Fraunhofer.
Other titles: American Dental Association practical guide to dental
implants | Practical guide series (American Dental Association)
Description: First edition. | Hoboken, NJ : Wiley-Blackwell, 2021. |
Series: ADA practical guide | Includes bibliographical references and
index.
Identifiers: LCCN 2021007918 (print) | LCCN 2021007919 (ebook) |
ISBN 9781119630692 (paperback) | ISBN 9781119630661 (adobe pdf) |
ISBN 9781119630685 (epub)
Subjects: MESH: Dental Implants
Classification: LCC RK667.I45 (print) | LCC RK667.I45 (ebook) | NLM WU
640 | DDC 617.6/93–dc23
LC record available at https://lccn.loc.gov/2021007918
LC ebook record available at https://lccn.loc.gov/2021007919
Cover Design: Wiley
Cover Images: © Luigi O. Massa
Set in 9.5/12pt Palatino by SPi Global, Pondicherry, India
10 9 8 7 6 5 4 3 2 1
Table of Contents
Preface vii
1 Why Dental Implants? 1
2 A Brief History of Dental Implants 9
3 Design of Implants 17
4 Patient Factors 27
5 Patient Consults 35
6 Treatment Planning and Evaluating Implant Sites 39
7 Implant Scenarios 43
8 Implant Surgery: Simple Healed Sites 51
9 Bone Grafting 65
10 Guided Surgery 77
11 Complicated Implant Placement: Immediate Sites 85
12 Full Arch Cases 99
13 Screw‐Retention vs Cement Retention of Restorations 109
14 Restoring Dental Implants 115
v
vi Table of Contents
15 Dental Implant Failures 127
16 Economics of Dental Implants 139
17 Maintaining Dental Implants 145
Appendix A: Restoring Dental Implants 153
Appendix B: Abutments 157
Appendix C: Bone Graft Materials 167
Index 177
Preface
Dentistry has a venerable history. Although prosthodontics has been practiced
for several thousand years, the science of dentistry and dental care have made
their greatest advances over the past 100+ years. What started out with the
ground‐breaking work of Greene Vardiman Black (1836–1915), reached its cur-
rent extraordinary achievements and capabilities with a variety of innovations in
the basic sciences, biomaterials science, radiography, dental armamentaria. . .
and the dental implant.
The modern dental implant is based on the pioneering work of the Swedish
orthopedic surgeon, Per‐Ingvar Brånemark, in 1952.
Basically, a dental implant is a surgical fixture placed into the jawbone where
it fuses with bone or osseointegrates over the span of a few months. Thus, the
dental implant becomes a replacement for the root of a missing tooth such that
it can support a replacement tooth or bridge. In fact, dental implants are now
considered the standard of care for most prosthetic replacements of missing
teeth.
The great advantage of an osseointegrated dental implant is that it is
remarkably stable, mimics a natural tooth and will function independently
of adjacent teeth. The success rate for dental implantology is now close to
98%, making dental implants the most successful of any restorative dental
treatment.
This book was written in response to numerous requests to make available a
practical guide to dental implants that functions as a virtual “how‐to” manual for
the dentist. What we have tried to do is discuss the many different aspects of
dental implantology, even that difficult subject of economics, and give examples
of each treatment modality covered in the text. We have also provided literature
references so that the interested reader can delve more deeply into any subject
that catches their interest.
vii
viii Preface
We hope we have succeeded in our efforts and that this book will prove to be
a useful guide and help to dentists as they embark upon the exciting task of
placing and restoring dental implants for their patients.
Luigi O. Massa
New Braunfels, TX
J. Anthony von Fraunhofer
Boerne, TX