Ulpee R. Darbar - Dental Implants for Hygienists and Therapists
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Dental Implants for Hygienists and Therapists
Dental Implants for Hygienists and Therapists
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Dental Implants for Hygienists and Therapists
Ulpee Darbar BDS, MSc, FDS(Rest Dent)RCS, FHEA
Consultant in Restorative Dentistry Eastman Dental Hospital London, UK
This edition first published 2022
© 2022 John Wiley and Sons Ltd
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The right of Ulpee Darbar to be identified as the author of this work has been asserted in accordance with law.
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The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.
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Library of Congress Cataloging-in-Publication Data
Names: Darbar, Ulpee R., author.Title: Dental implants for hygienists and therapists / Ulpee Darbar, Eastman Dental Hospital, London, UK. Description: Hoboken, NJ : John Wiley & Sons, 2022. | Includes bibliographical references and index. Identifiers: LCCN 2021053096 (print) | LCCN 2021053097 (ebook) | ISBN 9781119763826 (paperback) | ISBN 9781119763833 (pdf) | ISBN 9781119763840 (epub) Subjects: LCSH: Dental implants. | Teeth--Transplantation. Classification: LCC RK667.I45 D37 2022 (print) | LCC RK667.I45 (ebook) | DDC 617.6/93--dc23/eng/20211220 LC record available at https://lccn.loc.gov/2021053096LC ebook record available at https://lccn.loc.gov/2021053097
Cover image: Courtesy of Ulpee Darbar
Cover design by Wiley
Set in 9.5/12.5pt STIXTwoText by Integra Software Services Pvt. Ltd, Pondicherry, India
Contents
1 Cover
2 Title page Dental Implants for Hygienists and Therapists Ulpee Darbar BDS, MSc, FDS(Rest Dent)RCS, FHEA Consultant in Restorative Dentistry Eastman Dental Hospital London, UK
3 Copyright
4 Glossary
5 1 History of Dental Implants
6 2 Osseointegration ConceptFactors affecting Osseointegration- Implant Related- Environment RelatedSuccess vs SurvivalNew Concepts
7 3 Implant Systems ComponentsFixtureTransmucosalImplant TypesProsthetic- Abutments- Screws- Torque WrenchLaboratoryImplant systems
8 4 Patient Selection and Indications for Treatment Patient Selection- Generic Planning- Site Specific PlanningIndications for implant TreatmentFollow up care
9 5 Surgical and Prosthodontic Protocols Surgical Protocols- Timing of Implant Fixture Placement- Computer Guided placementAugmentation Procedures- Timing- Techniques- MaterialsProsthodontic Protocols- Type of Prosthesis- ComplicationsLoading ProtocolsConstructing the ProsthesisFitting the ProsthesisPost insertion InstructionsOutcomes
10 6 Peri-Implant Tissues AnatomyHealthDisease- Factors to consider- Periimplant Mucositis- Peri-implantitisAssessmentTreatment
11 7 Maintenance Care around Dental Implants DefinitionPrinciplesComponentsIntervalsTreatment During Maintenance careCriteria for Success and Failure Dental Implant Retained Restorations
12 8 Role of the Hygienists/Therapists Role as a ClinicianRole as an EducatorImplant SystemsImplant Restoration TypesSurgical Procedures
13 Index
14 End User License Agreement
List of Illustrations
1 Chapter 1Figure 1.1 Subperiosteal implants in the mouth.Figure 1.2 Blade vent implants.Figure 1.3 Ramus implants.Figure 1.4 Mandibular tranossteal implant.Figure 1.5 a, b: The Branemark two-piece implant...
2 Chapter 2Figure 2.1 Bone to implant contact in osseointegration.Figure 2.2 Primary (mechanical) stability vs secondary...Figure 2.3 Osseointegration showing the ...Figure 2.4 Healing time lines for implant placement and restoration.Figure 2.5 a. b: Zirconium implants. a: Straumann. b: Ceraroot.Figure 2.6 Cylindrical implants used with a press...Figure 2.7 Parallel-sided and tapered implants.Figure 2.8 Hybrid-designed implant (parallel sided at...Figure 2.9 a, b: Different implant thread configurations...Figure 2.10 Shows the progressive change...Figure 2.11a The progressive change in the implant shape...Figure 2.11b Range of different implants.Figure 2.12a Electron Micrographs of the different...Figure 2.13a Implant diameters to match the type...Figure 2.13b Different implant lengths.Figure 2.14 The different types of bone quality...Figure 2.15 a, b, c: Drill sequence showing...Figure 2.16 The all on four concept.Figure 2.17 Mini implants compared to standard implants.
3 Chapter 3Figure 3.1 a, b, c: Component...Figure 3.2 Implant screw replicating a tooth root...Figure 3.3 A: Implant fixture...Figure 3.4 Cross section of different...Figure 3.5 a: External connection:...Figure 3.6 Two-piece implant (tissue-level)...Figure 3.7 Placement of the two...Figure 3.8 A 24-year female has one-piece...Figure 3.9 Zygomatic implants.Figure 3.10 a, b, c: Impression techniques...Figure 3.10b Closed-tray technique.Figure 3.11 a. Abutment level impression...Figure 3.12 a, b, c: Range of abutments...Figure 3.13 a: Gold and titanium abutment...
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