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Publisher Jim Glidewell, CDT Editor-in-Chief and clinical editor Bradley C. Bockhorst, DMD Managing Editors David Casper, Jennifer Holstein, Barbara Young Creative Director Rachel Pacillas Contributing editors Greg Minzenmayer; Dzevad Ceranic, CDT; Eldon Thompson copy editors David Frickman, Megan Strong digital marketing manager Kevin Keithley Graphic Designers/Web Designers Emily Arata, Jamie Austin, Deb Evans, Kevin Greene, Joel Guerra, Audrey Kame, Phil Nguyen, Kelley Pelton, Melanie Solis, Ty Tran, Makara You Photographers/Videographers Sharon Dowd, Mariela Lopez, James Kwasniewski, Andrew Lee, Marc Repaire, Sterling Wright, Maurice Wyble Illustrator Phil Nguyen coordinatorS/AD Representatives Teri Arthur, Vivian Tsang If you have questions, comments or suggestions, e-mail us at inclusivemagazine@glidewelldental.com. Your comments may be featured in an upcoming issue or on our website. © 2012 Glidewell Laboratories Neither Inclusive magazine nor any employees involved in its publication (“publisher”) makes any warranty, express or implied, or assumes any liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represents that its use would not infringe proprietary rights. Reference herein to any specific commercial products, process, or services by trade name, trademark, manufacturer or otherwise does not necessarily constitute or imply its endorsement, recommendation, or favoring by the publisher. The views and opinions of authors expressed herein do not necessarily state or reflect those of the publisher and shall not be used for advertising or product endorsement purposes. CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures. Inclusive is a registered trademark of Inclusive Dental Solutions. 4 – www.inclusivemagazine.com –
Letter from the Editor There are many axioms used in implantology, such as, “begin with the end in mind” and “implant dentistry is a restorative procedure with a surgical component,” all pointing to the importance of proper diagnosis and case work-up. Addressing this topic we have: an article on implant planning in the esthetic zone, penned by our own Dr. Siamak Abai; an interview with Dr. David Little, where we look at treating the edentulous patient; and, because treatment planning should be considered not just from the surgical perspective but from the prosthetic aspect as well, we’ve included an informative article by Dr. Lyndon Cooper, et al., with guidelines for restoring edentulous mandibles. Our Small Diameter Implants column reviews the importance of planning from the prosthetic perspective for overdenture cases. As you’ve seen in the last few issues, the Inclusive ® Tooth Replacement Solution has the potential to change the way implant dentistry is practiced. We are pleased to announce the expansion of this comprehensive solution for other major implant platforms, as well as post-placement utilization of its patient-specific components. For more on this topic, check out our product spotlight (page 47) and photo essay (page 53). In our My First Implant column, we feature one of implant dentistry’s pioneers, Dr. Jack Hahn, who takes us back to 1969 — when another revolution entirely was taking place. We are confident you’ll enjoy this retrospective from a clinician who has made major contributions to implantology. We are also introducing a new column that will focus on a very critical aspect of implant dentistry: the role of the dental hygienist. Susan Wingrove, RDH, skillfully kicks off the Hygienist’s Corner with her discussion of evaluating implants at the recall appointment. These are exciting times. The field of implant dentistry is rapidly advancing, and we are committed to keeping you up to date with new technologies and procedures as we continue to provide easy, convenient, and affordable solutions for you and your patients. Wishing you continued success, Dr. Bradley C. Bockhorst Editor-in-Chief, Clinical Editor inclusivemagazine@glidewelldental.com – Letter from the Editor – 5
Page 1 and 2: Inclusive Restorative Driven Implan
Page 3 and 4: Contents 19 Restoring Mandibular Si
Page 8 and 9: Contributors ■ Bradley C. Bockhor
Page 10 and 11: Trends in Implant Dentistry Average
Page 13 and 14: my first implant with Jack A. Hahn,
Page 15 and 16: The House that Jack Built Inspired
Page 17 and 18: Hygienist’s Corner A Probing Ques
Page 19 and 20: Probe using only 0.15 Ncm of pressu
Page 21 and 22: Restoring Mandibular Single Teeth w
Page 23 and 24: Figure 4: Cross-sectional view of p
Page 25 and 26: Figure 13: Seated provisional resto
Page 27 and 28: Figures 26a, 26b: Acrylic abutment
Page 29 and 30: IMPLANT POSITION IN THE ESTHETIC ZO
Page 31 and 32: type of connection between implant,
Page 33 and 34: SMALL DIAMETER implants Planning fr
Page 35: Mandibular Spacing Maxillary Spacin
Page 38: used before the patient even presen
Page 42 and 43: BB: Sounds like it’s a truly inte
Page 44 and 45: Figure 6: Double-cord tissue retrac
Page 46: It’s a great time to be in dentis
Page 51 and 52: CLINICAL TIP Go online for in-depth
Page 53 and 54: 5a Figures 5a, 5b: A new bite regis
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Photo Essay: Immediate and Post-Pla
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4a On the day of surgery, the risks
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With the implant securely hand-thre
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Case #2: Post-Placement Utilization
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7a Once an appropriate osseointegra
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CLINICAL TIP When a Flapless Approa
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LAB SENSE Go online for in-depth co
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Digitally (CAD) Designed vs. Waxed
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mitigate the painful and disruptive
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Go online for in-depth content Trea
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BB: For the sake of our audience, c
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A lot of times, having the prosthes
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the time, and then I will prescribe
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Go online for in-depth content Crea
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Figure 3: In2Guide surgical guide c
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Figure 13: Implants torqued to full
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Figure 22: Teflon plumber’s tape
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“Rules of 10” Guidelines for Su
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Some added concern is focused on th
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The all-on-four concept generally r
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