Dental implant surgery is an artform. To help you advance your skills and become a master of implant prosthetics, Misch’s Contemporary Implant Dentistry, 4th Edition uses a multidisciplinary approach to cover the industry’s most current processes and surgical procedures. The new edition of this text continues to provide comprehensive, state-of-the-art information on the science and discipline of contemporary implant dentistry. Covering the breadth of dental implant surgery, it includes full-color, in-depth coverage of both simple and complicated clinical cases, with practical guidance on how to apply the latest research, diagnostic tools, treatment planning, implant designs, and materials. New author Randolph R. Resnik, is an internationally known educator, clinician, and researcher in the field of Oral Implantology and Prosthodontics who will continue Dr. Misch’s legacy and teachings.
Contents: فهرست فصول
Instructions for online access Cover image Title page Table of Contents Copyright Contributors Foreword Dedicaton About the Authors Preface Acknowledgments Part I. Scientific Basis 1. Rationale for Dental Implants Increasing Demand for Dental Implants The Future of Implant Dentistry Summary 2. Terminology in Implant Dentistry Generic and Proprietary Terminology Osseointegration Types of Dental Implants Implant Macrostructure Implant Surfaces Implant Platforms and Connections Surgical Protocols Surgical Instrumentation Implant Restorations Peri-implant Disease Other Types of Implants Conclusion 3. Functional Basis for Dental Implant Design Function and Implant Design Implant Features Implant Materials Summary 4. Bone Physiology, Metabolism, and Biomechanics Osteology Bone Physiology Skeletal Adaptation: Modeling and Remodeling Cortical Bone Growth and Maturation Bone Metabolism Calcium Conservation Skeletal Compromise Biomechanics Sutures Implant-Anchored Orthodontics Summary 5. Biomaterials for Dental Implants Compatibility of Surgical Biomaterials and the Role of Synthetic Materials Bulk Properties Physical, Mechanical, and Chemical Requirements for Implant Materials Metals and Alloys Ceramics and Carbon Polymers and Composites Future Areas of Application Surface Characteristics Surface Characterization and Tissue Interaction Summary Part II. Biomechanical Properties of Dental Implants 6. Clinical Biomechanics in Implant Dentistry Loads Applied to Dental Implants Mass, Force, and Weight Forces Components of Forces (Vector Resolution) Three Types of Forces Force Delivery and Failure Mechanisms Moment Loads Clinical Moment Arms Moment of Inertia Summary 7. Stress Treatment Theorem for Implant Dentistry Biomechanical Overload Impact of Occlusal Overload on Mechanical Components Marginal Bone Loss Biomechanical Stress Effects on Treatment Planning Key Implant Positions and Implant/Abutment Number Summary 8. Treatment Planning: Force Factors Related to Patient Conditions Bite Force Parafunction Tongue Thrust and Size Crown Height Space Masticatory Dynamics (Patient Size, Gender, Age, and Skeletal Position) Arch Position Opposing Arch Summary 9. Dental Implant Surfaces Introduction Surface Roughness Review of Implant Surfaces Biological Responses and Interaction with the Implant Surface Role of Surface Roughness in Peri-implant Disease Future Directions Functionalization with Biologically Active Substances Biomimetic Formation of Hydroxyapatite on the Implant Surface Summary Part III. Fundamental Science 10. Medical Evaluation of the Dental Implant Patient Medical Evaluation Medical History Laboratory Evaluation Systemic Disease and Oral Implants Systemic Autoimmune Diseases Medications of Interest to Implant Dentistry Immunosuppressive Drugs Oral Antithrombotic Medications Allergies Medical Consultation and Clearance 11. Radiographic Evaluation in Oral Implantology Imaging Objectives in Oral Implantology Presurgical Imaging (Phase 1) Radiographic Modalities Used in Oral Implantology Cone Beam Tomography (CBCT) Normal Radiographic Anatomy Summary 12. Applied Anatomy for Dental Implants Surgical Anatomy of the Maxilla as an Organ Surgical Anatomy of the Mandible Blood Supply to the Maxilla and Mandible 13. Dental Implant Infections Introduction Overview of Oral, Head, and Neck Infection and Spread Microbiology of Dental Implant Infection Causes and Risks of Dental Implant Infection Infection Before the Implant Placement Perisurgical Infection Severe Postsurgical Infection Peri-implant Disease Prophylactic Antibiotics 14. Pharmacology in Implant Dentistry Antimicrobials Therapeutic Use of Antibiotics: Postoperative Infections Management of Postoperative Inflammation Postsurgical Pain Management Protocols Postoperative Pain Combination Analgesic Therapy for Postoperative Pain Control of Postoperative Surgical Pain Pain Control Protocol Sedative Agents Comprehensive Pharmacologic Protocol Possible Drug Interactions in Oral Implantology Part IV. Treatment Planning Principles 15. Interactive Computed Tomography and Dental Implant Treatment Planning Evaluation and Determination of the Ideal Implant Position Prior To Obtaining a CBCT Obtaining a Cone Beam Computed Tomography Scan Obtain Dataset Integrate Dataset Into Specialized Software Reconstruction (Manipulation of Data to Formulate a Treatment Plan) Treatment Plan to Surgical Placement Surgical Template Fabrication Surgical Implant Placement With Surgical Template CBCT by Drill Guidance (Fig. 15.23) Requirements of a Surgical Template Surgical Template Fabrication Digital Technology Materials Surgical Template Complications Summary 16. Available Bone and Dental Implant Treatment Plans Literature Review Implant Size Measurement of Available Bone Divisions of Available Bone Summary 17. Prosthetic Options in Implant Dentistry Completely Edentulous Prosthesis Design Partially Edentulous Prosthesis Design Summary 18. Bone Density: A Key Determinant for Treatment Planning Influence of Bone Density on Implant Success Rates Etiology of Variable Bone Density Bone Classification Schemes Related to Implant Dentistry Misch Bone Density Classification Determining Bone Density Scientific Rationale of a Bone Density–Based Treatment Plan Treatment Planning Summary 19. Treatment Plans Related to Key Implant Positions and Implant Number Key Implant Positions Rules for a Fixed Implant Prosthesis Implant Number Additional Treatment Planning Principles Summary Part V. Edentulous Site Treatment Planning 20. Treatment Plans for Partially and Completely Edentulous Arches in Implant Dentistry Partially Edentulous Arches Classification of Completely Edentulous Arches Summary 21. Preimplant Prosthodontic Factors Related to Surgical Treatment Planning Overall Evaluation Maxillary Anterior Tooth Position Existing Occlusal Vertical Dimension Mandibular Incisor Edge Position Existing Occlusal Planes (Posterior Maxillary and Mandibular Planes of Occlusion) Specific Criteria Maxillomandibular Arch Relationship Existing Occlusion Crown Height Space Temporomandibular Joint Extraction of Teeth with Hopeless or Guarded Prognosis Existing Prostheses Arch Form Natural Teeth Adjacent to Implant Site Attaching Implants to Teeth Soft Tissue Support Pretreatment Prostheses Postimplant Placement Transitional Prosthesis Summary 22. Single and Multiple Tooth Replacement: Treatment Options Tooth Replacement Single Missing Tooth Specific Single-Tooth Implant Indications Single-Tooth Implant Size Specifics Multiple Missing Teeth Types of Prostheses Abutment Options 23. Treatment Planning for the Edentulous Posterior Maxilla Inherent Disadvantages of Posterior Maxilla Treatment Treatment History Sinus Graft Options for the Posterior Maxilla Summary 24. The Edentulous Mandible: Fixed Versus Removable Prosthesis Treatment Planning Mandibular Treatment Planning Principles Implant Overdentures Advantages (RP-4 and RP-5) Review of the Overdenture Literature Mandibular Overdenture Treatment Planning (RP-4 and RP-5) Fixed Prosthesis Summary 25. The Edentulous Maxilla: Fixed versus Removable Treatment Planning Treatment Planning Factors Literature Review Fixed Maxillary Treatment Plans Removable Maxillary Treatment Plans Summary Part VI. Implant Surgery 26. Basic Surgical Techniques and Armamentarium Flap Design Types of Flaps Proper Incision Technique Surgical Armamentarium Instruments to Remove Tissue From Extraction Sockets or Bony Defects Aseptic Technique Utilization of Ideal Suturing Suture Type Suture Qualities Suture Size Suture Needle Suturing Technique Suturing Instruments Suturing Knots 27. Implant Placement Surgical Protocol Pre-Implant Placement Protocols Dental Implant Osteotomy Preparation Bone Density Factors Related to Implant Preparation Generic Drilling Sequence Dental Implant Surgical Protocol 1 (D1 Bone) Dental Implant Surgical Protocol 2 (D2 Bone) Dental Implant Surgical Protocol 3 (D3 Bone) Dental Implant Surgical Protocol 4 (D4 Bone) Primary Stability One-Stage versus Two-Stage Summary 28. Ideal Implant Positioning “X”-Axis (Mesial-Distal) Positioning Buccolingual Positioning(“Y-Axis”) Faciopalatal Positioning Excessive Depth Inadequate Depth Treatment RP-4 and RP-5 Treatment Treatment Implant Position with Respect to Vital Structures Prevention of Implant Malposition Summary 29. Maxillary Anterior Implant Placement Maxillary Anterior Implant Placement Nasopalatine (Incisive) Foramen and Canal Implants in Approximation to the Nasal Cavity Maxillary Anterior Anodontia Summary 30. Mandibular Anatomic Implications for Dental Implant Surgery Mandibular Anterior Mandibular Posterior Vascular Considerations Neural Considerations Radiographic Considerations Anatomic Considerations 31. Dental Implant Complications Intraoperative Complications Bleeding-Related Complications Postoperative Bleeding Control Postoperative Complications Incision Line Opening Biomechanical Complications Neurosensory Impairment Fractured Implant Explantation of Dental Implants 32. Immediate Implant Placement Surgical Protocol Advantages of Immediate Implant Placement Disadvantages of Immediate Placement Immediate Implant Studies Treatment Planning Considerations Requirements for Immediate Implant Placement Immediate Implant Placement Technique Complications Conclusion 33. Immediate Load/Restoration in Implant Dentistry Immediate-Loading Terminology Advantages of Immediate Load Protocol Disadvantages of Immediate Load Implants Prerequisites for Immediate-Loading Protocol Rational for Implant Immediate-Loading Protocol Histologic Evaluation of Immediate-Loaded Implants Immediate Occlusal Loading: Factors That Decrease Risks Immediate-Loading Protocol: Partially Edentulous Patients Partially Edentulous (Greater Than One Edentulous Space) Completely Edentulous Arches Provisional Implants All-on-4 Surgical/Prosthetic Protocol Advanced Fully Guided Immediate Placement/Loading Protocols (Box 33.6, Box 33.7, Fig. 33.18) Immediate Loading: Postoperative Instructions Immediate Loading: Postoperative Complications Summary Part VII. Soft and Hard Tissue Rehabilitation 34. Atraumatic Tooth Extraction and Socket Grafting Extraction Socket Healing Atraumatic Tooth Extraction Socket Grafting of the Extraction Site Socket Graft Healing Socket Grafting Contraindications Socket Graft Complications Conclusion 35. Bone Substitutes and Membranes Terminology for Bone Repair and Regeneration Mechanisms of Bone Repair and Regeneration Ideal Bone Graft Substitute Ideal Membrane Material Classification of Bone Graft Substitutes and Membranes Oversight Sterility Proprietary Sterilization Methods End-User Responsibilities Allograft Source, Processing, and Distribution Xenograft Source, Production, and Distribution Alloplast Production and Distribution Graft Descriptions50-60 Comparing Bone Graft Substitutes and Membrane Characteristics Looking to the Future Summary 36. Particulate Membrane grafting/Guided Bone Regeneration Indications for Bone Grafting Cellular Bone Regeneration Process Treatment Planning in the Compromised Edentulous Ridge Bony Defect Morphology Considerations and Classification Soft Tissue Considerations Guided Bone Regeneration Protocol Postoperative Treatment Development of Ideal Bone Density in Regeneration Sites Graft Maturation Healing Times Bone-Grafting Complications Summary 37. Maxillary Sinus Anatomy, Pathology, and Graft Surgery Maxillary Sinus Anatomy Maxillary Sinus: Clinical Assessment Maxillary Sinus Radiographic Evaluation Normal Anatomy Maxillary Sinus: Anatomical Variants Maxillary Sinus Pathology Cystic Lesions Miscellaneous Factors That Affect the Health of the Maxillary Sinus Relative and Absolute Contraindication to Maxillary Sinus Graft Procedures Reduction of Sinus Graft Complications Surgical Treatment of the Maxillary Sinus: History Treatment Classifications for the Posterior Maxilla Surgical Technique Intraoperative Complications Related to Sinus Graft Surgery Short-Term Postoperative Complications Revision Surgery Edema Ecchymosis Pain Oroantral Fistulae Post-Operative Infection Spread of Infection Implant Penetration Into the Sinus Overfilling of the Sinus Postoperative Cone Beam Computerized Tomographic Mucosal Thickening (False Positive for Infection) Migration of Implants Postoperative Fungal Infection Summary 38. Intraoral Autogenous Bone Grafting History of Autogenous Bone Grafts Preoperative Evaluation of Recipient Site Selection of Intraoral Donor Site Block Graft Preparation Comparison of Intraoral Bone-Grafting Donor Sites Postoperative Care and Instructions Complications Implant Placement Summary 39. Extraoral Bone Grafting for Implant Reconstruction Introduction Extraoral Donor Bone Graft Sites Summary 40. The Use of Botox and Dermal Fillers in Oral Implantology Injectable Neurotoxin (Botulinum Toxin) Botulinum Toxin Type A Uses in Implant Dentistry Generalized Botulinum Toxin Type A Postoperative Instructions Generalized Contraindications to Botox Generalized Complications to Botox Injectable Fillers Dermal Filler Use in Implant Dentistry Reversals for Dermal Fillers Complications With Dermal Fillers Complications48 Conclusion Part VIII. Dental Implant Maintenance 41. Peri-Mucositis and Peri-Implantitis Diagnosis, Classification, Etiologies, and Therapies Peri-implant Disease Peri-implant Mucositis Peri-implantitis Suzuki-Resnik Peri-Implant Disease Protocol Peri-Implant Disease Treatment Regimen Lack of Keratinized Tissues Retained Cement Peri-implant Disease Implant Quality Scale Conclusion 42. Implant Maintenance: Long-Term Implant Success Anatomy of Peri-implant Hard and Soft Tissues Appendix. Treatment Plan Options Index