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Figure 6.7a. Preoperative CT scan in cross-sectional view showing a narrow bucco-lingual alveolar ridge. Insuffi cient width to place implants. Figure 6.7b. Clinical photograph showing the osteotomy at the crest of the ridge, lateral, and apical borders of the intended ridge expansion. 122 Figure 6.7c. Bone spread apart to allow the placement of bone. Figure 6.7d. Bone allograft inserted into the trough created when the buccal and lingual plates of bone have been displaced. Figure 6.7e. Re-entry into the area and note the increase in width so that 4 mm wide implants could be installed.
can be inserted into the center of the displaced plates of bone, eliminating the need for an additional surgical visit (Figs. 6.8a–6.8e). Onlay and veneer grafts harvested from remote sites (Bell <strong>19</strong>80) are still needed in some situations. This is especially true when there is insuffi cient bone in the premaxilla to anchor implants. The fi nal development to enhance vertical bone growth was the introduction of distraction osteogenesis (Chin <strong>19</strong>98) and the down Figure 6.8a. Radiograph showing the bone resorption around a blade implant. Figure 6.8b. Clinical photograph showing the wide resorption of bone after the blade implant was removed. The extent of the bone loss is encroaching upon the mandibular canal. Chapter 6 Pre-implant Surgical Interventions 123 Figure 6.8c. Minipins inserted into the bone defect and extending occlusally to act as a support for a bone allograft and titanium membrane placement. Figure 6.8d. Bone graft placed and covered with a titanium membrane. Figure 6.8e. Re-entry showing vertical bone growth almost to the top of the miniscrews.
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Osseointegration and Dental Implant
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Asbjorn Jokstad, DDS, PhD, is Profe
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vi Contents 4 Comprehensive Treatme
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viii Contents What Have We Learned
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Osseointegration and implant dentis
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xiv Contributing Authors of Dentist
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xvi Contributing Authors Engineerin
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The improvements in implant technol
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tion techniques related to dental i
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lum in most dental faculties worldw
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Table 1.1. Implant producers of the
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6 Osseointegration and Dental Impla
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8 Osseointegration and Dental Impla
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10 Osseointegration and Dental Impl
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64 Figure 4.1a. Patient was diagnos
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Page 126 and 127: e f Figures 5.32e and f. Following
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ing bone formation in maxillary sin
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and concern for our patients, to ma
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growth factors have been studied ex
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clinical benefi t in the long-term
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composite bone graft: Preliminary r
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9 Biomaterials and Substances for S
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one graft in combination with a bar
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Figure 9.5. Photomicrograph of trep
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to harvest autogenous bone or use a
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the canine supraalveolar, peri-impl
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hBMP-2/ACS has also been shown to s
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References Adell R, Lekholm U, Rock
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10 Implant Surgery Interventions TH
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Figure 10.4. Interactive interpreta
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Figure 10.12. Graft marrow complex
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Figure 10.20. Complex 3-D aesthetic
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THE HEALING BONE-IMPLANT INTERFACE:
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was designed to resemble a more con
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A C BID (microns) 50 45 40 35 30 25
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sive strains exceeding 30% in the e
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214 Osseointegration and Dental Imp
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INFLUENCES OF IMPLANT DESIGN AND SU
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numerous experimental studies (for
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Figure 13.2. Microphotograph of an
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a Clinical Experience with “Short
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as anchorage units during orthodont
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———. 1985. Introduction to os
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Rocci A, Martignoni M, Burgos P, Go
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Figure 14.17. A clinical situation
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INTEGRATION OF BIOLOGICAL PRINCIPLE
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Figure 15.1. Scanning electron micr
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process of bone bonding in vitro an
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e g Recent new knowledge may infl u
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Figure 15.5a. Prepared second left
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Baylink DJ, Wergedal JE, et al. 199
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mandible. Clin Oral Implants Res 8(
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STABILITY OF IMPLANT- ABUTMENT CONN
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fl at to fl at joints. With most in
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Figure 16.8. A solid one-piece impl
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Table 16.1. planning level & decisi
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When considering immediate restorat
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17 The Transmucosal Component and t
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Chapter 17 Transmucosal Component a
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Figure 17.14. CAD view (CAM StructS
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CONTEMPORARY DENTAL IMPLANTS AND CL
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the bone level at the time of impla
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94%. Forty-two percent (226) of the
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Based on the fi ndings of this stud
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Chapter 18 The Implant Design and C
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Figure 18.12b. The PrimaConnex TM i
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Hatley CL, Cameron SM, Cuenin MF, P
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emoval. Pract Periodont Aesthet Den
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322 Table 19.2. Systematic reviews
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Table 19.5. Clinical trials with fo
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23 Dental Implants in the Habilitat
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Figure 23.2. Severe loss of vertica
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Figure 23.8. The planned restoratio
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Figure 23.17. Occlusal view of maxi
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24 Minimum Competency for Providing
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tially restricted to perhaps only t
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386 Appendix Pre-implant Surgical I
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388 Appendix Michael A. Pikos Certi
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390 Appendix Patient Focus on Neuro
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392 Appendix periodontal plastic an
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394 Appendix the Norwegian Society
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396 Appendix prosthodontics. Dr. Kn
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398 Appendix Myron Nevins Dr. Myron
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400 Appendix Universidad de los And
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402 Appendix American College of Pr
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The University of Toronto, Faculty
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406 Index Animal studies, 8-9. See
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408 Index research design, 347 rese
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410 Index FDA. See Food and Drug Ad
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412 Index complications, 21t data e
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414 Index Neoss Bimodal, 229 Neukam
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416 Index RANKL, 219 Rare disorders
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418 Index Tatum, Hilt, 167 Taylor,
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