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References 1. Becker W, Becker BE. Replacement of maxillary and mandibular molars with single endosseous implant restorations: a retrospective study. J Prosthet Dent. 1995 Jul; 74(1):51–55. 2. Misch CE, Misch-Dietsh F, Silc J, Barboza E, Cianciola LJ, Kazor C. Posterior implant single-tooth replacement and status of adjacent teeth during a 10-year period: a retrospective report. J Periodontol. 2008 Dec;79(12):2378-82. 3.Misch CE. Endosteal implants for posterior single tooth replacement: alternatives, indications, contraindications, and limitations. J Oral Implantol. 1999;25(2):80-94. 4. Ekfeldt A, Carlsson GE, Börjesson G. Clinical evaluation of single tooth restorations supported by osseointegrated implants: a retrospective study. Int J Oral Maxillofac Implants. 1994 Mar-Apr;9(2):179–83. 5. Muftu A, Chapman RJ. Replacing posterior teeth with freestanding implants: fouryear prosthodontic results of a prospective study. J Am Dent Assoc. 1998 Aug; 129(8):1097–102. 6. Jansen C. Presentation given at the Academy of Osseointegration 2012 Annual Meeting, Phoenix, Ariz. 7. Anderson LC, Kosinski TF, Mentag PJ. A review of the intraosseous course of the nerves of the mandible. J Oral Implantol. 1991;17(4):394-403. 8. Alhassani AA, AlGhamdi AS. Inferior alveolar nerve injury in implant dentistry: diagnosis, causes, prevention, and management. J Oral Implantol. 2010;36(5):401-7. Epub 2010 Jun 14. Figure 34: Abutment screw tightened utilizing jig Figure 35: IPS e.max screw-retained crown seated Figure 36: Occlusion verified Figure 37: Access opening sealed with composite 26 – www.inclusivemagazine.com –
IMPLANT POSITION IN THE ESTHETIC ZONE Go online for in-depth content by Siamak Abai, DDS, MMedSc Since the advent of modern root form osseointegrated implant dentistry in 1952 by Per-Ingvar Brånemark 1 and colleagues, clinicians have strived for improvements in implant positioning in the esthetic zone to achieve predictable restorative and esthetic results. Years of clinical experience in congruence with controlled clinical studies have led to established parameters as a guide for these results. Prosthetic treatment planning and establishing a set clinical protocol prior to implant placement are paramount. It is important to note that proper implant positioning is patient- and often implant-specific, and that inter-patient generalizations can result in myopic treatment planning and decrease the predictability of an esthetic outcome. Treatment planning prior to implant placement traditionally begins with comprehensive medical and dental evaluation, articulated diagnostic casts, periapical and panoramic radiographs, cone beam computed tomography (CBCT) scans, and a diagnostic wax-up. Patient demands must always be taken into consideration prior to surgery, and presurgical mockups may be necessary to convey the information to the patient. Prosthetic treatment planning helps the clinician with a restorative-driven implant placement rather than a bonedriven approach, with the latter leading to poor abutment angulations and drastically reduced restorative options. Bone augmentation is often necessary in order to achieve optimal residual ridge dimensions prior to implant placement. The inventive work of Sir Godfrey Hounsfield 2 and the advancement of CBCT technology have led the dental profession into a new realm of dimensional accuracy that is often unattainable with conventional dental radiography. In combination with the use of a surgical or guided stent, proper 3-D positioning of a dental implant has become an attainable goal, leading to increased confidence for the clinician and accurate clinical results. The importance – Implant Position in the Esthetic Zone – 27
Page 1 and 2: Inclusive Restorative Driven Implan
Page 3 and 4: Contents 19 Restoring Mandibular Si
Page 6 and 7: Publisher Jim Glidewell, CDT Editor
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: Figures 26a, 26b: Acrylic abutment
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
Page 55 and 56: Photo Essay: Immediate and Post-Pla
Page 57 and 58: 4a On the day of surgery, the risks
Page 59 and 60: With the implant securely hand-thre
Page 61: Case #2: Post-Placement Utilization
Page 65 and 66: 7a Once an appropriate osseointegra
Page 67 and 68: CLINICAL TIP When a Flapless Approa
Page 69 and 70: LAB SENSE Go online for in-depth co
Page 71 and 72: Digitally (CAD) Designed vs. Waxed
Page 73 and 74: mitigate the painful and disruptive
Page 77 and 78: Go online for in-depth content Trea
Page 79 and 80:
BB: For the sake of our audience, c
Page 81 and 82:
A lot of times, having the prosthes
Page 83 and 84:
the time, and then I will prescribe
Page 85 and 86:
Go online for in-depth content Crea
Page 87 and 88:
Figure 3: In2Guide surgical guide c
Page 89 and 90:
Figure 13: Implants torqued to full
Page 91 and 92:
Figure 22: Teflon plumber’s tape
Page 93 and 94:
“Rules of 10” Guidelines for Su
Page 95 and 96:
Some added concern is focused on th
Page 97 and 98:
The all-on-four concept generally r
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