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Essential Techniques of Alveolar Bone Augmentation in Implant Dentistry: A Surgical Manual

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Essential Techniques of Alveolar Bone Augmentation in Implant Dentistry

A clinically focused manual of the most important surgical techniques in alveolar bone augmentation, providing key information for managing cases in implant dentistry

The second edition of Essential Techniques of Alveolar Bone Augmentation in Implant Dentistry: A Surgical Manual, Second Edition presents a variety of key surgical bone augmentation techniques for ensuring proper bone width and height for dental implant placement. Enabling clinicians and dental students to rapidly locate information for cases requiring bone augmentation, this highly practical reference covers ridge preservation, horizontal and vertical ridge augmentation, soft tissue grafting for implant site development, tissue engineering techniques, and surgical alternatives to bone grafting in implant dentistry.

Succinct chapters written by a panel of more than 40 international leading clinicians, scientists, and teachers include step-by-step descriptions of each surgical procedure—supported by information on diagnosis and treatment planning and more than 1,000 high-quality clinical images and illustrations. This fully up to date second edition includes new coverage of 3D alveolar ridge defect reconstruction, procedures for vertical bone augmentation in the posterior maxilla, complete arch dental implant treatment using photogrammetry, metal-ceramic transitional maxillary implant rehabilitation, ridge-split expansion using piezoelectric surgery, and more.

  • Presents the main techniques for horizontal and vertical alveolar ridge augmentation
  • Contains essential clinical knowledge on bone biology, radiographic and prosthetic evaluation, incision designs, and wound closure
  • Introduces alternative techniques such as zygomatic implants, pterygoid implants, and All-on-4 procedure for placement of dental implants that circumvent bone grafting
  • Combines the most practical and efficient techniques from the First Edition of Horizontal Augmentation of the Alveolar Ridge in Implant Dentistry and Vertical Augmentation of the Alveolar Ridge in Implant Dentistry in a single and concise book

Essential Techniques of Alveolar Bone Augmentation in Implant Dentistry: A Surgical Manual, Second Edition is a must-have for both novice and experienced dental clinicians, implant dentists, oral surgeons, prosthodontists, and periodontists, and an invaluable resource for dental students and trainees.

Author(s): Len Tolstunov
Edition: 2
Publisher: Wiley-Blackwell
Year: 2022

Language: English
Pages: 603
City: Hoboken

Cover Page
Dedication Page
Title Page
Copyright Page
Contents
Preface
Acknowledgments
About the Author and the Editor
Contributors
About the Companion Website
Section I: Introduction: Essential Clinical Knowledge
CHAPTER 1 Bone Biology and Wound Healing
Chapter 1.1 Bone Biology
BONE TISSUE ANATOMICAL ASPECTS
MAIN CELLULAR COMPONENTS
COMPOSITION
STRUCTURE
BONE REMODELING AND HEALING
BONE REMODELING
BONE HEALING
WHAT CAN COMPROMISE BONE HEALING?
BONE ANGIOGENESIS
BIOMATERIALS FOR BONE REGENERATION
BONE GRAFTS
SYNTHETIC HYDROXYAPATITE-BASED BIOMATERIALS
POLYMERS
BONE MORPHOGENETIC PROTEIN-2
PLATELET CONCENTRATES
OSSEOINTEGRATION
PHASES OF OSSEOINTEGRATION
BONE LOADING
THRESHOLD STRAIN
REFERENCES
Chapter 1.2 Wound Healing
OVERVIEW OF THE WOUND HEALING PROCESS
PHASES OF WOUND HEALING
WHICH FACTORS CAN LEAD TO IMPAIRED HEALING?
MAIN TYPES OF WOUND HEALING
ORAL SOFT TISSUE WOUND HEALING
ORAL SOFT TISSUE SPECIAL FEATURES: INTRINSIC DIFFERENCES BETWEEN ORAL MUCOSA AND SKIN
SCAR AND SCARLESS WOUND HEALING IN ORAL SOFT TISSUES
EARLY WOUND HEALING SCORE: A METHOD TO ASSESS PRIMARY INTENTION WOUND HEALING
REFERENCES
CHAPTER 2 Applied Surgical Anatomy of the Jaws
MAXILLA: SURGICAL ANATOMY
SURGICAL ACCESS TO THE MAXILLARY SINUS
MUSCLES ATTACHED TO THE MAXILLA OFSURGICAL IMPORTANCE
SENSORY INNERVATION OF THE MAXILLA
ARTERIAL SUPPLY TO THE MAXILLA
VENOUS DRAINAGE FROM THE MAXILLA
LYMPHATIC DRAINAGE FROM THE MAXILLA
MANDIBLE: SURGICAL ANATOMY
MUSCLE ATTACHMENT TO THE MANDIBLE OF SURGICAL IMPORTANCE TO ORAL IMPLANTOLOGISTS
INNERVATION OF THE LOWER JAW AND ASSOCIATED STRUCTURES
BLOOD SUPPLY TO THE MANDIBLE
SUMMARY AND CONCLUSIONS
ACKNOWLEDGMENTS
REFERENCES
CHAPTER 3 Radiographic Evaluation of the Alveolar Ridge in Implant Dentistry: CBCT Technology
THE ROLE OF RADIOGRAPHY IN IMPLANT DENTISTRY
PERIAPICAL RADIOGRAPHY
PANORAMIC RADIOGRAPHY
OCCLUSAL RADIOGRAPHY
CONE BEAM COMPUTED TOMOGRAPHY
ANATOMICAL AND ARCHITECTURAL CONSIDERATIONS FOR TREATMENT PLANNING
ANTERIOR MAXILLA
NASOPALATINE (INCISIVE) CANAL
CANALIS SINUOSUS
ANTERIOR NASAL SPINE AND NASAL FLOOR
PATTERN OF RIDGE ATROPHY IN THE ANTERIOR MAXILLA
POSTERIOR MAXILLA
MAXILLARY SINUS
GREATER PALATINE FORAMEN
PATTERN OF RIDGE ATROPHY INTHE POSTERIOR MAXILLA
ANTERIOR MANDIBLE
MANDIBULAR INCISIVE CANAL
LINGUAL FORAMEN AND LATERAL CANALS
GENIAL TUBERCLES
PATTERN OF RIDGE ATROPHY IN THE ANTERIOR MANDIBLE
POSTERIOR MANDIBLE
INFERIOR ALVEOLAR (MANDIBULAR) CANAL
MENTAL FORAMEN
SUBMANDIBULAR AND SUBLINGUAL FOSSAE
LINGUAL NERVE
PATTERN OF RIDGE ATROPHY IN THE POSTERIOR MANDIBLE
IMAGING CONSIDERATIONS FOR CBCT UTILIZATION
TECHNICAL CONSIDERATIONS
BONE QUALITY AND BONE DENSITY ASSESSMENT
PATHOLOGY DETECTION
RADIATION DOSE
INTERACTIVE IMPLANT TREATMENT PLANNING
SURGICAL GUIDES
NEWER TECHNOLOGICAL ADVANCES
REFERENCES
CHAPTER 4 Prosthetic Comprehensive Oral Evaluation in Implant Dentistry
INITIAL EVALUATION
DIAGNOSTIC WORK-UP
DIAGNOSIS AND TREATMENT PLAN
SMILE EVALUATION
DIAGNOSTIC CASTS AND WAX-UP
RADIOGRAPHIC IMPLANT GUIDE
CLINICAL APPLICATIONS
PROSTHETIC EVALUATION AND TREATMENT PLANNING OF PARTIALLY EDENTULOUS PATIENTS IN THE ESTHETIC ZONE
PROSTHETIC EVALUATION AND TREATMENT PLANNING OF PARTIALLY EDENTULOUS PATIENTS IN THE POSTERIOR DENTITION
PROSTHETIC EVALUATION AND TREATMENT PLANNING OF THE COMPLETELY EDENTULOUS PATIENT
REFERENCES
CHAPTER 5 Alveolar Ridge Defects and Bone Augmentation Techniques: Surgical Algorithm
RIDGE PRESERVATION AND RIDGE AUGMENTATION
RIDGE PRESERVATION
RIDGE AUGMENTATION
BONE DEFECTS, BONE GRAFTS, AND BONE GRAFTING TECHNIQUES
EXTRAOSSEOUS VERSUS INTRAOSSEOUS ALVEOLAR BONE DEFECTS
ONLAY VERSUS INLAY ALVEOLAR BONE GRAFTS
STATIC VERSUS DYNAMIC SURGICAL TECHNIQUES
RISK FACTORS IN BONE AUGMENTATION PROCEDURES IN IMPLANT DENTISTRY
MAIN SURGICAL TECHNIQUES OF BONE AUGMENTATION IN IMPLANT DENTISTRY
GUIDED BONE REGENERATION
BLOCK BONE GRAFTING
RIDGE-SPLITEXPANSION PROCEDURE
DISTRACTION OSTEOGENESIS
ALTERNATIVE SURGICAL TECHNIQUES
GRAFT HEALING AND VASCULARIZATION
ALVEOLAR BONE AUGMENTATION DECISION TREE ALGORITHM
ALVEOLAR BONE CLASSIFICATION BY DEFICIENCY (ABCD) – THE OLSTUNOV CLASSIFICATION
EXAMPLES OF THE TOLSTUNOV CLASSIFICATION
CONCLUSION
REFERENCES
CHAPTER 6 Incision Design, Soft Tissue Flaps, and Wound Closure in Alveolar Bone Augmentation Surgeries in Implant Dentistry
INCISION DESIGN IN ALVEOLAR BONE AUGMENTATION SURGERIES
SOFT TISSUE FLAPS IN ALVEOLAR BONE AUGMENTATION SURGERIES
VASCULARITY PATTERNS
FLAP DESIGNS
REFLECTION OF THE MUCOPERIOSTEUM
PREPARING FOR WOUND CLOSURE
TENSION RELEASE INCISIONS
WOUND CLOSURE IN ALVEOLAR BONE AUGMENTATION SURGERIES
PRINCIPLES OF SUTURING
TYPES OF SUTURES
COMPLICATIONS
NERVE INJURY
BLEEDING
WOUND DEHISCENCE
CONCLUSION
REFERENCES
CHAPTER 7 Biological Rationale of the Surgical Procedure: Bone Augmentation
GRAFT REVASCULARIZATION SOURCES
CONCLUSION
ACKNOWLEDGMENT
REFERENCES
Section II: Ridge Preservation
CHAPTER 8 Bone Grafting Materials for Bone Preservation and Augmentation in Implant Dentistry: Surgical Algorithm
AUTOGENOUS BONE GRAFTS
ALLOGRAFTS
XENOGRAFTS
ALLOPLASTS
CALCIUM PHOSPHATES
TRICALCIUM PHOSPHATE
HYDROXYAPATITE
CONCLUSION
REFERENCES
CHAPTER 9 Guided Bone Regeneration for Extraction Sockets: Ridge Preservation
REVIEW OF THE LITERATURE
SURGICAL TECHNIQUE
CASE REPORTS
CASE 1
CASE 2
DISCUSSION
CONCLUSION
ACKNOWLEDGMENTS
REFERENCES
CHAPTER 10 Platelet-Rich Fibrin for Bone Augmentation in Implant Dentistry
THE EVOLUTION (HISTORY) OF PLATELET-RICH FIBRIN
LEUKOCYTE AND PLATELET-RICHFIBRIN
PROTOCOLS TO PRODUCE PLATELET-RICH FIBRIN VIA HORIZONTAL CENTRIFUGATION
CLINICAL USES OF PLATELET-RICH FIBRININ BONE AUGMENTATION
USE OF PLATELET-RICH FIBRIN IN EXTRACTION SITE MANAGEMENT
PLATELET-RICH FIBRIN FOR GUIDED BONE REGENERATION
PLATELET-RICH FIBRIN FOR SINUS GRAFTING PROCEDURES
ADVANTAGES OF THE USE OF PLATELET-RICH FIBRIN
DISCUSSION AND FUTURE RESEARCH
CONCLUSION
REFERENCES
Section III: Ridge Augmentation: Horizontal
CHAPTER 11 Guided Bone Regeneration with Resorbable and Non-resorbable Membranes for (Mainly) Horizontal Alveolar Bone Augmentation in Implant Dentistry
APPLIED SURGICAL ANATOMY
INDICATIONS AND CONTRAINDICATIONS
INDICATIONS
CONTRAINDICATIONS
BASIC PRINCIPLES OF GUIDED BONE REGENERATION
PRIMARY WOUND CLOSURE
ANGIOGENESIS
SPACE MAINTENANCE
WOUND STABILITY
DESCRIPTION OF SURGICAL TECHNIQUE
INCISIONS AND FLAP DESIGN
FLAP ELEVATION AND SITE PREPARATION
BUCCAL FLAP RELEASE
HARVESTING OF BONE
FLAP CLOSURE TECHNIQUE
CASE REPORTS
CASE 1
CASE 2
CASE 3
CASE 4
CASE 5
CASE 6
POST-OPERATIVECARE
COMPLICATIONS
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 12 Autogenous Block Bone Graft for Horizontal Ridge Augmentation in Implant Dentistry
RECIPIENT SITE ANALYSIS
BLOCK BONE AUGMENTATION TECHNIQUES
ONLAY BONE GRAFTING
GUIDED BONE REGENERATION AND ONLAY BONE BLOCK GRAFTING
CORTICAL AUTOGENOUS TENTING
REGENERATIVE TECHNIQUES IN BONE GRAFTING
PLATELET DERIVATIVES
MESENCHYMAL STEM CELLS
CASE PRESENTATIONS
CASE 1
CASE 2
CASE 3
CASE 4
CASE 5
CONCLUSION
REFERENCES
CHAPTER 13 Allogenic Block Graft as an Alternative to Autogenous Block Graft for Augmentation of Horizontal Alveolar Bone Defects in Implant Dentistry
INDICATIONS FOR ALLOGENIC BLOCK GRAFTS
DISTINGUISHING FEATURES OF IRRADIATED ALLOGENIC BLOCK GRAFTS
MATERIALS AND METHODS
PATIENT SELECTION CRITERIA
PRE-OPERATIVE CONSIDERATIONS
TECHNIQUE OF ALLOGENIC BLOCK GRAFT FOR A SINGLE ANTERIOR TOOTH
FLAP DESIGN
PREPARATION OF THE RECIPIENT BONE BED FOR DECORTICATION AND PERIOSTEAL RELEASE INCISION (SCORING)
CONFORMING THE BLOCK
FIXATION OF THE BLOCK
MANAGEMENT OF VOIDS AND COVERAGE
RE-ENTRY FOR IMPLANT PLACEMENT
TECHNIQUE OF ALLOGENIC BLOCK GRAFT FOR ANTERIOR SEXTANT
PRE-OPERATIVE PLANNING
SURGICAL PROCEDURE
PREPARATION OF THE RECIPIENT BED AND ADAPTATION OF THE ALLOGENIC BLOCK
POST-OPERATIVE ASSESSMENT AND SURGICAL RE-ENTRY
BIOPSY INTERPRETATION
IMPLANT PLACEMENT AND COMPLETION OF PROSTHETIC REHABILITATION
TECHNIQUE OF ALLOGENIC BLOCK GRAFT FOR POSTERIOR SEXTANT
PRE-OPERATIVE PLANNING
SURGICAL PROCEDURE
PREPARATION OF THE RECIPIENT BED AND ADAPTATION OF THE ALLOGENIC BLOCK
POST-OPERATIVE ASSESSMENT AND SURGICAL RE-ENTRY
BIOPSY INTERPRETATION
IMPLANT PLACEMENT AND COMPLETION OF PROSTHETIC REHABILITATION
DISCUSSION
CONCLUSION
ACKNOWLEDGMENT
REFERENCES
CHAPTER 14 Ridge-Split Expansion Procedure for Horizontal Bone Augmentation in Implant Dentistry
Chapter 14.1 Diagnosis and Treatment Planning
HISTORY
DIAGNOSIS AND TREATMENT PLANNING
PATIENT (HOST) SELECTION
ALVEOLAR RIDGE DEFECT ANALYSIS AND CLASSIFICATION
DIAGNOSTIC WORK-UP
CONE BEAM COMPUTED TOMOGRAPHY
SURGICAL STENT
INSTRUMENTATION
REFERENCES
Chapter 14.2 Surgical Principles of the Ridge-Split Expansion Procedure
THE MAXILLA IS NOT AN UPSIDE-DOWN MANDIBLE
VASCULARIZATION: VASCULAR PERIOSTEAL FLAP
SECONDARY INTENTION AND WOUND HEALING: RIDGE-SPLITEXPANSION PROCEDURE AND GUIDED BONE REGENERATION
OSTEO-CONDENSATION OF SURROUNDING BONE
OSTEO-MOBILIZATION OF THE BUCCAL BONE FRAGMENT
CONCLUSION
REFERENCES
Chapter 14.3 Mandibular Two-Stage Alveolar Ridge-Split Expansion Procedure
SURGICAL PROCEDURE: MANDIBULAR RIDGE SPLIT
STAGE 1: CORTICOTOMY
A COMMON QUESTION
STAGE 2: SPLIT-EXPANSION-GRAFT
CASE REPORT
REFERENCES
Chapter 14.4 Maxillary Single-Stage Alveolar Ridge-Split Expansion Procedure
CASE REPORT OF A MAXILLARY SINGLE-STAGE ALVEOLAR SPLIT PROCEDURE WITH SIMULTANEOUS IMPLANT PLACEMENT
REFERENCES
Chapter 14.5 Advanced Ridge-Split Expansion Techniques for an Experienced Practitioner
SINGLE-STAGE MANDIBULAR ALVEOLAR SPLIT WITH A CLOSED FLAP (CLOSED MAND C-SEG)
SINGLE-STAGE ALVEOLAR SPLIT AND IMMEDIATE IMPLANT WITH A CLOSED FLAP (CLOSED C-SEG-I) (FIGURES 14.5.1–14.5.4)
SINGLE-STAGE ALVEOLAR SPLIT WITH AN OPEN FLAP (OPEN C-SEG)
SINGLE-STAGE ALVEOLAR SPLIT AND IMMEDIATE IMPLANT WITH AN OPEN FLAP (OPEN C-SEG-I) (FIGURE 14.5.5)
SPREADER-DRIVEN RIDGE EXPANSION APPROACH (WITH OR WITHOUT IMPLANT) (FIGURES 14.5.6 AND 14.5.7)
CASE REPORT OF ALVEOLAR SPLIT WITH CONICAL PROGRESSIVE OSTEOTOMES
CONCLUSION
REFERENCES
Chapter 14.6 Complications of the Ridge-Split Expansion Procedure and Conclusion
CONCLUSION: “10 COMMANDMENTS” FOR THE ALVEOLAR SPLIT
REFERENCES
CHAPTER 15 Ridge-Split Expansion Procedure Utilizing Piezoelectric Surgery for Horizontal Bone Augmentation in Implant Dentistry
INSTRUMENTS TO SPLIT THE ALVEOLAR RIDGE
FISSURE BUR
ROTARY DISK/MICRO-SAW
RECIPROCATION SAW
CASE REPORT: RIDGE-SPLIT EXPANSION PROCEDURE USING A RECIPROCATION SAW
LASERS (Er:YAG, Er,Cr:YSGG)
PIEZOELECTRIC BONE SURGERY
RIDGE EXPANDERS TO EXPAND THE SPLIT ALVEOLAR RIDGE
MANUAL OSTEOTOME/CHISEL
ROTARY EXPANDER/OSSEODENSIFICATION BUR
RIDGE-SPLIT EXPANSION PROCEDURE WITH SIMULTANEOUS IMPLANT PLACEMENT
CASE REPORT: RIDGE-SPLIT EXPANSION PROCEDURE WITH SIMULTANEOUS IMPLANT PLACEMENT IN THE POSTERIOR MAXILLA
CASE REPORT: RIDGE-SPLIT EXPANSION PROCEDURE WITH SIMULTANEOUS IMPLANT PLACEMENT IN THE POSTERIOR MANDIBLE
RIDGE-SPLIT EXPANSION PROCEDURE WITH DELAYED IMPLANT PLACEMENT (TWO-STAGERIDGE-SPLIT EXPANSION)
CASE REPORT: STAGED RIDGE-SPLIT EXPANSION PROCEDURE WITH SPLIT AND EXPANSION/FRACTURE OF THE BUCCAL SEGMENT
CASE REPORT: STAGED RIDGE-SPLIT EXPANSION PROCEDURE WITH REPOSITION OF GREENSTICK-FRACTURED BUCCAL SEGMENT
MANAGEMENT OF FRACTURED BUCCAL SEGMENT
CONCLUSION
REFERENCES
CHAPTER 16 Minimally Invasive Combined Technique for Vertical and Horizontal Bone Augmentation in the Posterior Maxilla: Alveolar Split with Crestal Sinus Lift
RIDGE-SPLIT EXPANSION PROCEDURE FOR WIDTH-DEFICIENT ALVEOLAR RIDGE
CRESTAL SINUS ELEVATION FOR HEIGHT-DEFICIENT ALVEOLAR RIDGE IN THE POSTERIOR MAXILLA
MINIMALLY INVASIVE SURGICAL TECHNIQUES: ESLI SEQUENCE
VOLUMETRIC (THREE-DIMENSIONAL) ALVEOLAR BONE AUGMENTATION IN THE POSTERIOR MAXILLA
BIOLOGICAL RATIONALE OF THE ALVEOLAR SPLIT AND CRESTAL SINUS ELEVATION PROCEDURES
REVASCULARIZATION OF THE OSTEOTOMIZED BONE SEGMENT
REVASCULARIZATION OF THE INTERPOSITIONAL BONE GRAFT
RE-ESTABLISHMENT OF ALVEOLAR ANATOMY
OSTEOCONDENSATION
CASE REPORTS
RIDGE EXPANSION AND CRESTAL SINUS FLOOR INTRUSION IN THE POSTERIOR MAXILLA
RIDGE EXPANSION AND CRESTAL SINUS FLOOR ELEVATION WITH SIMULTANEOUS IMPLANT PLACEMENT IN THE POSTERIOR MAXILLA
CONCLUSION
REFERENCES
Section IV: Ridge Augmentation: Vertical
CHAPTER 17 Protected Bone Regeneration with Titanium Mesh for (Mainly) Vertical Alveolar Ridge Augmentation in Implant Dentistry
INDICATIONS
CONTRAINDICATIONS
PRE-OPERATIVE PLANNING (T0)
GRAFTING MATERIALS
DONOR SITES
PRE-OPERATIVE PREPARATION OF PATIENTS
SURGICAL PROCEDURE (T1)
PREPARATION OF THE SURGICAL FIELD
TYPE OF ANESTHESIA
BONE HARVESTING PROCEDURE
REGENERATION WITH A TITANIUM MESH
SURGERY: FLAP DESIGN, RECIPIENT SITE, AND INCISIONS (T1)
TITANIUM MESH REMOVAL AND IMPLANT PLACEMENT (T2)
IMPLANT RE-OPENINGAND PROSTHETIC PHASE (T3 AND T4)
CLINICAL CASES
CASE 1
CASE 2
COMPLICATIONS
EARLY EXPOSURE OF THE MESH WITH OR WITHOUT EVIDENT SIGNS OF INFLAMMATION/SUPPURATION
LATE EXPOSURE OF THE MESH WITH OR WITHOUT EVIDENT SIGNS OF INFLAMMATION/SUPPURATION
DISCUSSION
VERTICAL BONE GAIN
COMPLICATIONS
BONE GAIN MODIFICATIONS BEFORE IMPLANT PLACEMENT
BONE GAIN MODIFICATIONS AFTER IMPLANT PLACEMENT (PERI-IMPLANT BONE RESORPTION)
SURVIVAL RATE OF IMPLANTS
CONCLUSION
REFERENCES
CHAPTER 18 Autogenous Block Bone Graft for (Mainly) Vertical Ridge Augmentation in Implant Dentistry
RECIPIENT SITE CLASSIFICATION AND DEFECT ANALYSIS
DONOR SITES FOR BLOCK BONE
INTRAORAL HARVEST
AUGMENTATION TECHNIQUES
ONLAY BLOCK BONE GRAFTING
CORTICAL AUTOGENOUS BLOCK TENTING
ANATOMICAL TRANSPOSITIONING
INLAY (INTERPOSITIONAL) BONE GRAFTING (SANDWICH TECHNIQUE)
INFERIOR ALVEOLAR NERVE LATERALIZATION
PEDICLE SEGMENTAL ROTATION
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 19 Pedicled Vascularized Segmental Osteotomy with Interpositional Bone Grafting for Vertical Ridge Augmentation: Posterior Sandwich Osteotomy
POSTERIOR MAXILLA
TECHNIQUE
CLINICAL APPLICATIONS
POSTERIOR MAXILLA
POSTERIOR MANDIBLE
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 20 Khoury Split Bone Block Grafting Technique: Biological Alveolar Bone Augmentation with Autogenous Bone
BIOLOGY OF BONE REGENERATION
AUGMENTATION TECHNIQUES
BONY LID TECHNIQUE
AUGMENTATION OF SMALL BONE DEFECTS: BONE CORE TECHNIQUE
AUGMENTATION OF LARGE BONY DEFECTS/SEVERE BONE ATROPHY
CONCLUSION
REFERENCES
CHAPTER 21 Alveolar Distraction Osteogenesis for Bone Augmentation in Implant Dentistry
SURGICAL PROCEDURE
INDICATIONS FOR ALVEOLAR DISTRACTION OSTEOGENESIS
ADVANTAGES AND DISADVANTAGES
COMPLICATIONS
CASE REPORTS
CASE 1: ALVEOLAR DISTRACTION OSTEOGENESIS IN THE ANTERIOR MAXILLA
CASE 2: ALVEOLAR DISTRACTION OSTEOGENESIS IN THE POSTERIOR MANDIBLE
CONCLUSION AND SUGGESTIONS FOR A SURGEON
REFERENCES
CHAPTER 22 Orthodontic Therapy: Orthodontic Extrusion for Vertical Ridge Enhancement
WHAT IS ORTHODONTIC FORCED ERUPTION?
DESCRIPTION OF THE TECHNIQUE
POSTERIOR TEETH
THREE-DIMENSIONAL BONE REMODELING
LATERAL IMPLANT SITE DEVELOPMENT
MULTIDIRECTIONAL MOVEMENT
DISCUSSION
RESULTS
CONTRAINDICATIONS
LIMITATIONS
ADVANTAGES
CONCLUSION
REFERENCES
CHAPTER 23 Reconstruction of Three-Dimensional Alveolar Ridge Defects Utilizing Screws and Implant Abutments for the Tent-Pole Grafting Technique
RIDGE AUGMENTATION USING THE TENT-POLE SCREW TECHNIQUE
THREE-DIMENSIONAL RIDGE AUGMENTATION UTILIZING A TITANIUM SCREW AS A TENT-POLE SCREW: CASE REPORT
AUGMENTATION OF A THREE-DIMENSIONAL ALVEOLAR DEFECT UTILIZING A LOW-PROFILE HEALING ABUTMENT AS A TENT-POLE ABUTMENT
CASE REPORT
DESCRIPTION OF TENT-POLE ABUTMENT (SANTA)
SURGICAL PROCEDURE OF SANTA-1–ASSISTED HORIZONTAL RIDGE AUGMENTATION
CASE REPORT: HORIZONTAL RIDGE AUGMENTING USING A TENT-POLE ABUTMENT (SANTA-1)
THREE-DIMENSIONAL RIDGE AUGMENTATION USING A TENT-POLE ABUTMENT (SANTA-2)
CASE REPORT: SIMPLIFIED THREE-DIMENSIONAL RIDGE AUGMENTING USING A TENT-POLE ABUTMENT (SANTA-2)
CONCLUSION
REFERENCES
CHAPTER 24 Lateral Sinus Lift/Bone Graft for Vertical Bone Augmentation in the Posterior Maxilla
INDICATIONS AND CONTRAINDICATIONS
PRE-OPERATIVE DIAGNOSIS, PLANNING, AND EVALUATION OF CASE DIFFICULTY
APPLIED SURGICAL ANATOMY
SINUS ANATOMY
SINUS MEMBRANE
UNDERWOOD’S SEPTA
VASCULARIZATION
INNERVATION
SURGICAL TECHNIQUE
ANESTHESIA
FLAP MANAGEMENT (ENTRY)
LATERAL WINDOW PREPARATION (ANTROSTOMY)
SINUS MEMBRANE ELEVATION
CONTINUING ELEVATION IN THE EVENT OF PERFORATION
PREPARATION OF IMPLANT SITES FOR THE SIMULTANEOUS APPROACH
INSERTION OF GRAFT MATERIAL AND IMPLANT PLACEMENT WITH THE SIMULTANEOUS APPROACH
GRAFT MATERIALS
SUTURING
POST-OPERATIVE PHARMACOLOGICAL TREATMENT
SURGICAL TECHNIQUE: STAGE TWO SURGERY
CONCLUSION
REFERENCES
CHAPTER 25 Crestal Sinus Lift/Bone Graft for Vertical Bone Augmentation
ANATOMICAL STRUCTURES
RESIDUAL ALVEOLAR BONE DIMENSIONS
BONE QUALITY
SCHNEIDERIAN MEMBRANE
SINUS FLOOR MORPHOLOGY
SEPTA
TECHNIQUES
SUMMERS’ OSTEOTOMY TECHNIQUE
REAMERS APPROACH
STAGED CRESTAL MAXILLARY SINUS AUGMENTATION
HYDRAULIC PRESSURE TECHNIQUE
OSSEOUS DENSIFICATION
GRAFTING MATERIALS USED DURING THE SINUS AUGMENTATION PROCEDURE
ENDOSCOPE-CONTROLLED MAXILLARY SINUS ELEVATION
IMPLANT LENGTH IN OSTEOTOME PROCEDURES
POST-SURGICAL CONSIDERATIONS
COMPLICATIONS
PREVENTION AND MANAGEMENT
SINUS MEMBRANE PERFORATION
SINUSITIS AND POST-OPERATIVEINFECTION
INCISION OPENING/MUCOSAL DEHISCENCE
ROTATIONAL INSTABILITY/IMPLANT MIGRATION
BENIGN PAROXYSMAL POSITIONAL VERTIGO
CONCLUSION
REFERENCES
Section V: Soft Tissue Grafting for Implant Site Development
CHAPTER 26 Soft Tissue Assessment and Grafting for Alveolar Ridge Enhancement in Implant Dentistry
TECHNIQUES
TECHNIQUES TO CREATE CONTOUR AND THICKNESS AND INCREASE THE KERATINIZED TISSUE
TECHNIQUES FOR PAPILLA MANAGEMENT
ROTATED PEDICULATED MARGINAL TISSUE (PALACCI)
ROTATED PEDICULATED LINGUAL MARGINAL TISSUE (EL CHAAR)
SOFT TISSUE TECHNIQUES FOR EXTRACTION SOCKET GRAFTING
CONCLUSION
REFERENCES
Section VI: Alternative (to Bone Grafting) Surgical Techniques
CHAPTER 27 Short Implants as an Alternative to Bone Augmentation in Implant Dentistry
CASE PRESENTATIONS
CASE 1
CASE 2
CASE 3
CONSIDERATIONS AND PITFALLS
CONCLUSIONS
REFERENCES
CHAPTER 28 Zygomatic and Pterygoid Implants as an Alternative to Bone Augmentation in Implant Dentistry
ZYGOMATIC IMPLANTS
PTERYGOID IMPLANTS
INDICATIONS
CONTRAINDICATIONS
PRE-OPERATIVE PLANNING
SURGICAL PROCEDURE
SURGICAL APPROACHES FOR ZYGOMATIC IMPLANTS
SURGICAL APPROACHES FOR PTERYGOID IMPLANTS
PROSTHETIC CONSIDERATIONS
CLINICAL CASES
CASE 1
CASE 2
CASE 3
COMPLICATIONS
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 29 Complete-Arch Dental Implant Treatment as an Alternative (to Bone Grafting) Surgical Technique
Chapter 29.1 Complete-ArchDental Implant Treatment Using Photogrammetry and Delayed Immediate Loading
COMPLETE-ARCHSITE CLASSIFICATION
FULL-ARCHTREATMENT: RESTORATIVE BUILDING BLOCKS
BUILDING BLOCK 1: CENTRIC RELATION
BUILDING BLOCK 2: VERTICAL DIMENSION OF OCCLUSION
BUILDING BLOCK 3: CASE PLANNING
BUILDING BLOCK 4: SURGERY
BUILDING BLOCK 5: PROVISIONALIZATION
BUILDING BLOCK 6: SOFT TISSUE
DISCUSSION
CONCLUSION
REFERENCES
Chapter 29.2 Maxillary Full-Arch Staged Ceramo-metal Implant Rehabilitation
CASE REPORT
HISTORY
EXAMINATION AND CLINICAL PRESENTATION
SURGICAL-RESTORATIVE SEQUENCE PERFORMED
STAGE 3 (3 MONTHS LATER)
DISCUSSION
HYBRID OR ALL-ON-FOUR FULL-ARCH IMPLANT PROSTHESIS DESIGN
CERAMO-METAL CROWN-AND-BRIDGE IMPLANT PROSTHESIS DESIGN
CONCLUSION
REFERENCES
Section VII: Tissue Bioengineering
CHAPTER 30 Tissue Bioengineering and Regeneration in Implant Dentistry
BASICS OF WOUND HEALING
BONE BIOLOGY AND GRAFTING
GUIDED BONE REGENERATION
SOFT TISSUE REGENERATION
TOOTH DEVELOPMENT AND REGENERATION
DENTAL STEM CELLS
BONE MARROW STEM CELLS
CELLS, SCAFFOLDS, AND GROWTH FACTORS
CONCLUSION
REFERENCES
Index
EULA