John III Beumer - Fundamentals of Implant Dentistry

Fundamentals of Implant Dentistry Volume 1: Prosthodontic Principles Second Edition

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Library of Congress Cataloging-in-Publication Data

Names: Beumer, John, III, 1941- editor. | Faulkner, Robert F., editor. |

Shah, Kumar C., editor. | Wu, Benjamin M., 1962- editor.

Title: Fundamentals of implant dentistry / edited by John Beumer III,

Robert F. Faulkner, Kumar C. Shah, Benjamin M. Wu.

Description: Second edition. | Batavia, IL : Quintessence Publishing, Co, Inc, [2022]- | Includes bibliographical references and index. |

Contents: v. 1. Prosthodontic principles | Summary: “Textbook covers restorative treatment options for edentulous and partially edentulous

situations, from relatively simple problems that can be handled by a solo practitioner to those with substantial prosthodontic complexities,

periodontal compromise of existing dentition, and significant bone and soft tissue defects”-- Provided by publisher.

Identifiers: LCCN 2021042809 (print) | LCCN 2021042810 (ebook) | ISBN

9780867159523 (v. 1 ; hardcover) | ISBN 9781647241155 (v. 1 ; ebook) Subjects: MESH: Dental Implants | Dental Implantation--methods | Tooth

Diseases—surgery Classification: LCC RK667.I45 (print) | LCC RK667.I45 (ebook) | NLM WU

640 | DDC 617.6/93--dc23 LC record available at https://lccn.loc.gov/2021042809

LC ebook record available at https://lccn.loc.gov/2021042810

A CIP record for this book is available from the British Library.

ISBN: 9780867159523

© 2022 Quintessence Publishing Co, Inc

Quintessence Publishing Co, Inc

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All rights reserved. This book or any part thereof may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, or otherwise, without prior written permission of the publisher.

Editors: Zachary Kocanda & Marieke Z. Swerski

Design: Sue Zubek

Production: Sarah Minor

CONTENTS

Dedication DEDICATION To Jan, for her unwavering love and support. John Beumer III To my wife, Terry, who continues to love, support, and believe in me as I continue my life’s endeavors. Robert F. Faulkner To my entire family for their love and encouragement: to my parents, Chimanlal and Kusum, for always believing in me; to my siblings, Jigar and Hetal, for their unconditional support; to my son, Kiaan, and my daughter, Vachi, for their inspiration to keep trying no matter what; and last but definitely not least, to my wife, Shreya, for everything she does and her love and support. Kumar C. Shah To Betty, Chloe, and Sarah for making every moment a blessing, and to my teachers for shaping my students. Benjamin M. Wu

Preface

Contributors

Section I: Foundational Principles

1 History and Biologic Foundations

2 Osseointegration, Its Maintenance, and Recent Advances in Implant Surface Bioreactivity

3 Implant Biomechanics, Screw Mechanics, and Occlusal Concepts for Implant Patients

4 Contemporary Implant Materials

5 Digital Technologies and Implant Dentistry

Section II: Restoration of Edentulous Patients

6 Edentulous Patients: Patterns of Bone Resorption and Clinical Outcomes with Implants

7 Restoration of Edentulous Mandibles with Overdentures

8 Restoration of Edentulous Mandibles with Fixed Prostheses

9 Restoration of Edentulous Maxillae with Implant-Retained Overdentures

10 Restoration of Edentulous Maxillae with Fixed Prostheses

Section III: Restoration of Partially Edentulous Patients

11 Restoration of the Posterior Quadrants of Partially Edentulous Patients: Basic Principles and Patient Selection

12 Restoration of the Posterior Quadrants: Examination, Workup, and Prosthodontic Procedures

13 Restoration of Single-Tooth Defects in the Esthetic Zone

14 Restoration of Multiple-Tooth Defects in the Esthetic Zone

Section IV: Special Topics

15 Implants and Removable Partial Dentures

16 Implants for the Growing Child

17 Implants in Irradiated Tissues, Osteoporosis Patients, and Patients Treated with Bisphosphonates

18 Implants and Orthodontics: A Symbiotic Partnership

19 Basic Fundamentals of Implant Surgery

20 Follow-up, Maintenance, Complications, and Troubleshooting

Index

Please scan the QR code to access the illustrated glossary

DEDICATION

To Jan, for her unwavering love and support.

John Beumer III

To my wife, Terry, who continues to love, support, and believe in me as I continue my life’s endeavors.

Robert F. Faulkner

To my entire family for their love and encouragement: to my parents, Chimanlal and Kusum, for always believing in me; to my siblings, Jigar and Hetal, for their unconditional support; to my son, Kiaan, and my daughter, Vachi, for their inspiration to keep trying no matter what; and last but definitely not least, to my wife, Shreya, for everything she does and her love and support.

Kumar C. Shah

To Betty, Chloe, and Sarah for making every moment a blessing, and to my teachers for shaping my students.

Benjamin M. Wu

PREFACE

Afirst edition is always a work in progress, and this is especially true in a field as dynamic as implant pros- thodontics. Moreover, dentistry and dental education are in the midst of revolutionary change, primarily because of the refinement of CAD/CAM technologies. These changes are by no means confined to implant prosthodontics. For example, removable partial denture (RPD) metal frameworks designed digitally and printed using selective laser melting now achieve precision and strength equivalent to that produced by the most skilled laboratory technician using analog methods. Fabrication of complete dentures using digital technologies is now possible—although the best outcomes are achieved when time-tested analog impression techniques are combined with digital methods. The digital revolution has allowed us to explore the use of new restorative materials for our implant-borne restorations, to visualize the local anatomy of our patients in three dimensions prior to treatment, and to execute our surgical and prosthodontic treatments with improved precision and efficiency. One of the goals of this new edition is to illustrate when and how digital technologies can be combined with analog techniques to create workable and efficient prosthodontic workflows.

As in the first edition, the book is divided into sections. Several new topics and chapters have been added to the second edition. In chapter 3, a synopsis of biomechanics as it pertains to implant prosthodontics is presented along with our view of the proper approach to occlusal and component design. Where possible, clinical data are combined with engineering principles to illustrate practical application of biomechanical concepts. Mechanotransduction and tissue response to mechanical loading are included to emphasize the dynamic nature of the bone-implant interface. New chapters on digital technologies and contemporary materials used in implant dentistry have also been added. Issues pertinent to maintenance, implant and prosthodontic complications, and their treatment are combined in another new chapter. The chapter on the use of implants in irradiated tissues has been enhanced to include a section on the use of implants in patients treated with bisphosphonates. Another chapter has been added devoted to implant surgery and tailored for nonsurgically trained dentists.