Zero Bone Loss Concepts

ZERO BONE LOSS CONCEPTS
Frontmatter
Library of Congress Cataloging-in-Publication Data
CONTENTS
PREFACE
ACKNOWLEDGMENTS
CONTRIBUTORS
INTRODUCTION TO ZERO BONE LOSS CONCEPTS
Clinical Practice
Scientific Research
Integration of Science andClinical Practice
Structure of the Book
References
SECTION I: SURGICAL CONCEPTS
Chapter 1: SURGICAL FACTORS FOR ESTABLISHING CRESTAL BONE STABILITY
Crestal Bone Loss
Importance of Stable Bone
Factors Causing Crestal Bone Loss
Conclusion
References
Chapter 2: IMPLANT DESIGN FACTORS
Familiarity with Implant System
Polished Collar
Microgap
Conclusion
References
Chapter 3: IMPLANT PLACEMENT DEPTH
Bone-Level Implants Without Platform Switching
Bone-Level Implants with Platform Switching
Tissue-Level Implants
Restoration Material
References
Chapter 4: VERTICAL SOFT TISSUE THICKNESS
Types of Tissue Measurements
Biologic Width
Thin Vertical Tissue and Bone Loss
Vertical Soft Tissue Thickness Threshold
Possible Causes of Bone Resorption
Increasing Vertical Soft Tissue
References
Chapter 5: SUBCRESTAL IMPLANT PLACEMENT
Bone Remodeling and Bone Loss
Subcrestal Placement and Vertical Tissue Thickness
Implant Design
Maintaining Bone Channels with Multiunit Abutments
Implant Placement
References
Chapter 6: FLATTENING OF THE ALVEOLAR RIDGE
Rationale
Safety
Implant Selection
Bone Removal Guidelines
Implant Depth
Gingival Pressure
References
Chapter 7: THE TENT-POLE TECHNIQUE
Surgical Procedures
Suturing
Clinical Evidence
When to Choose the Tent-Pole Technique
References
Chapter 8: VERTICAL SOFT TISSUE AUGMENTATION
Soft Tissue Grafting
Allogeneic Grafts
Xenografts
Long-Term Data of Vertical Soft Tissue Augmentation
Augmentation and Implant Success Criteria
References
Chapter 9: ATTACHED TISSUES AROUND DENTAL IMPLANTS
Necessity of Attached Tissue
How Much Attached Tissue Is Adequate?
Establishing Adequate Tissue
Attached Tissue and Vertical Tissue Thickness
Enhancement of Keratinized Mucosa with Restorations
References
Chapter 10: PRACTICAL RECOMMENDATIONS FOR IMPLANT PLACEMENT
Adequate Vertical Soft Tissue
Inadequate Vertical Soft Tissue and Adequate Bone Height for Subcrestal Implant Placement
Inadequate Vertical Soft Tissue and Inadequate Bone Height for Subcrestal Implant Placement
SECTION II: PROSTHETIC CONCEPTS
Chapter 11: PROSTHETIC FACTORS FOR MAINTAINING CRESTAL BONE STABILITY
References
Chapter 12: CONSIDERATIONS FOR CEMENT-RETAINED RESTORATIONS
Advantages and Disadvantages of Cement Retention
Cementation Margin
Undercuts
Cement Remnants and Peri-implant Disease
Reducing Cement Remnants
References
Chapter 13: CEMENT/SCREW-RETAINED RESTORATIONS
Advantages and Disadvantages of Screw Retention
Hybrid Cement/Screw Retention
Fabricating Single Cement/Screw-Retained Restorations
Soft Tissue Conditioning
References
Chapter 14: TITANIUM BASE SOLUTIONS FOR FIXED PARTIAL DENTURES
Types of Titanium Bases
Impression Procedures for FPDs
Nonengaging Titanium Bases
Ensuring a Passive Fit
Other FPD Solutions
Segmentation with Cement/Screw-Retained FPDs
References
Chapter 15: ABUTMENT ALTERNATIVES
Custom Abutments
Angulated Abutments
Decision Tree
References
Chapter 16: INFLUENCE OF THE EMERGENCE PROFILE
Emergence Profile and Bone Loss
Gingival Height of Titanium Base
Cementation Line
Emergence Profile Angle of the Restoration
References
Chapter 17: PROSTHETIC MATERIALS
Reference
Chapter 18: SUBGINGIVAL MATERIALS
Plaque Zone and Adherence Zone
Overview of Different Materials
Zirconia
Other Subgingival Materials
Tissue Adhesion
Bone Stability and Probing Depth
References
Chapter 19: AVOIDING “ZIRCONIA WITHOUT ZIRCONIA” RESTORATIONS
Cemented Restorations
Screw-Retained Restorations
Case Studies
Long-Term Effects of Zirconia Exposure to Peri-implant Tissues
References
Chapter 20: SUPRAGINGIVAL MATERIALS FOR IMPLANT RECONSTRUCTIONS
Challenges with Zirconia-Ceramic Restorations
Monolithic Materials
Zirconia–Lithium Disilicate Restorations
Zirconia and Esthetics
Algorithm for Material Selection
References
EPILOGUE
INDEX
Thomas Linkevicius