Practical Procedures in Implant Dentistry

2 Chapter 4 Figure 4.1 Example of a surgical checklist. Source: Care Implant Dentistry....

3 Chapter 5 Figure 5.1 Tripartite effect of tooth loss. Figure 5.2 Resorption patterns of the mandibular edentulous ridge (note the ... Figure 5.3 Progressive healing of extraction socket. BC, blood clot; GT, gra... Figure 5.4 Hard and soft tissue healing of a single tooth extraction. (a) Cl... Figure 5.5 Loss of vertical dimension and facial soft tissue support. (a, b)...

4 Chapter 6 Figure 6.1 Osteology of the skull (exploded view). Figure 6.2 Osteology of the skull (frontal view). Figure 6.3 Osteology of the skull (lateral view). Figure 6.4 Innervation and vascular supply of the maxillary and mandibular d... Figure 6.5 Anatomical rendering of head and neck – lateral view. Figure 6.6 Anatomical rendering of head and neck (structures unlabeled). (a)... Figure 6.7 Muscles of mastication and facial expression.

5 Chapter 7 Figure 7.1 Three‐dimensional versus two‐dimensional view of incisive foramen... Figure 7.2 Location of the infraorbital foramen. The location of the infraor... Figure 7.3 Changes in the presentation of the maxillary sinus. (a) In the de... Figure 7.4 Implant placement following maxillary sinus augmentation in a sta... Figure 7.5 Position of the greater palatine artery and nerve. The greater pa...

6 Chapter 8 Figure 8.1 Mental foramen and neurovascular bundle. Interruption of normal s... Figure 8.2 Comparison of imaging techniques on the same patient. The periapi... Figure 8.3 Imaging of the lingual foramen and proximity to the genial tuberc...Figure 8.4 Tracing of inferior alveolar canal. The capture of CBCT imaging a...Figure 8.5 Contents of the submandibular fossa and closely related structure...

7 Chapter 9Figure 9.1 (a) Teeth 11 and 21 had sustained sporting injury. (b) Both teeth...Figure 9.2 (a) CBCT measurement schematic. Points a – d : buccal bone height, b Figure 9.3 Histological image (20× magnification) showing new bone, residual...Figure 9.4 (a, b) Teeth 11 and 21 indicated for extraction. (c) Minimally tr...Figure 9.5 The No.69 Swann‐Morton® mini‐blade can act as a surgical blade an...Figure 9.6 (a–d) For maxillary and mandibular anterior or single‐rooted teet...

8 Chapter 10Figure 10.1 Titanium rods prior to dental implants being cut from these.Figure 10.2 An individual dental implant cut from the titanium rod.Figure 10.3 The cut implants prior to any surface treatments.Figure 10.4 The implants after sandblasting.Figure 10.5 The implants are then acid etched to remove surface impurities a...Figure 10.6 Finally, the implants are sterilised and packaged.Figure 10.7 Examples of various implant designs. (a) Tapered implant with pa...Figure 10.8 Measuring wettability by the sessile water droplet test.Figure 10.9 Scanning electron microscope (SEM) view of an untreated, machine...Figure 10.10 Classification of implant surface roughness: (a) treated implan...Figure 10.11 Differing thread designs: (a) plateau; (b) reverse buttress; (c...Figure 10.12 ( a ) Thread geometry, reverse buttress design. ( b ) Thread pitch,...Figure 10.13 An external hexagonal connection. Note the visible gap between ...Figure 10.14 An internal conical connection. Note the intimate contact betwe...Figure 10.15 An external, ‘flat‐on‐flat’ connection. Abutment and implant ar...Figure 10.16 The internal conical connection moves a potential gap away from...

9 Chapter 11Figure 11.1 Immediate implant placement on day of tooth extraction. Use of a...Figure 11.2 Temporary cylinder in situ opaqued with opaque tints to block me...Figure 11.3 Denture tooth converted into immediate provisional crown.Figure 11.4 Prosthetically guided soft tissue healing with provisional crown...Figure 11.5 Final all‐ceramic crown and abutment in place, recreating natura...Figure 11.6 Assessment of the cone beam computed tomography (CBCT) radiograp...Figure 11.7 Assessment of the CBCT reveals a large root anatomy with minimal...Figure 11.8 The initial osteotomy in the anterior maxilla needs to be initia...

10 Chapter 12Figure 12.1 ‘Nose to chin’ photos of the lips at rest and at high smile are ...Figure 12.2 Periapical radiographs are essential in implant planning as they...Figure 12.3 This image shows a large defect left when an implant became infe...Figure 12.4 This patient presented with a failing first premolar. In plannin...Figure 12.5 This patient presented for implants in the lateral incisor posit...Figure 12.6 Orthodontic site preparation. In this case, an internally resorb...Figure 12.7 The ectopically erupted canine was moved not only to bring it ba...

11 Chapter 13Figure 13.1 Implant loading timeline.Figure 13.2 The Ostell IDX unit utilises resonance frequency analysis to mea...Figure 13.3 Immediate implant placement into socket after tooth extraction....Figure 13.4 Impression of implant at time of placement. Note the protection ...Figure 13.5 Immediate loading with provisional implant crown (PMMA with temp...

12 Chapter 14Figure 14.1 Surgical instrumentation. From left to right: Depth probe, Lagra...Figure 14.2 (a) Anterior (Branemark) retractor, (b) Bishop retractor, (c) Mi...Figure 14.3 Benex ®Extraction System is a specialised device for atraum...Figure 14.4 Micross (Meta) bone scraper.Figure 14.5 Anthogyr Torq Control.Figure 14.6 Surgical cassette housing instruments preventing damage and opti...

13 Chapter 15Figure 15.1 (a) Comparison between full‐thickness and partial‐thickness flap...Figure 15.2 Soft tissue punch.Figure 15.3 (a) Buccal envelope flap. (b) Envelope flap with mid‐crestal inc...Figure 15.4 (a) Two‐sided flap with distal vertical releasing incision at th...Figure 15.5 (a) Papilla‐sparing incision. (b) Modified papilla‐sparing incis...Figure 15.6 (a) Envelope flap designed with palatally/lingually placed crest...

14 Chapter 16Figure 16.1 Suture packaging and descriptions.Figure 16.2 Suture needles.Figure 16.3 Simple interrupted sutures.Figure 16.4 Continuous/uninterrupted sutures.Figure 16.5 (a) Internal horizontal mattress suture continuous. (b) External...Figure 16.6 (a) Internal vertical mattress suture continuous. (b) External v...

15 Chapter 17Figure 17.1 Triad of contemporary implant dentistry.Figure 17.2 Pink Esthetic Score criteria include: mesial papilla ( a ), distal...Figure 17.3 (a) Implant placement in an upper central incisor area. (b) Note...Figure 17.4 (a) Buccal veneer grafting performed at the time of implant plac...Figure 17.5 (a, b) Robust buccal volume augmentation following combined conn...Figure 17.6 (a) Clinical situation following bone and soft tissue augmentati...Figure 17.7 Close‐up view of the buccal plate of a canine socket following e...Figure 17.8 Schematic illustrating the differences between the peri‐implant ...Figure 17.9. (a) Pre‐operative bone sounding of the buccal plate reveals pro...

16 Chapter 18Figure 18.1 Incorrect placement of implants, with insufficient spacing betwe...Figure 18.2 Placement of an implant should be within the alveolar ridge, ens...Figure 18.3 Placement of an implant too labially will lead to poor aesthetic...

17 Chapter 19Figure 19.1 The peri‐implant phenotype.Figure 19.2 Missing first premolar site with mild to moderate horizontal buc...Figure 19.3 (a–i) Buccal roll flap suturing sequence. (b) Healed first premo...Figure 19.4 Healed lateral incisor site with mild to moderate horizontal buc...Figure 19.5 (a–e) Pouch roll technique incision outline. (b) Healed lateral ...Figure 19.6 Healed first and second molar site with shallow vestibulum and l...Figure 19.7 (a–d) Apically repositioned flap incision and suturing outline. ...Figure 19.8 Healed first premolar, second premolar, and first molar site wit...Figure 19.9 (a–f) Apically repositioned flap incision and suturing outline. ...Figure 19.10 (a, b) Healed first molar site with shallow vestibulum, moderat...Figure 19.11 (a) Partial‐thickness mucosal flap secured apically using singl...Figure 19.12 (a) Free gingival graft incision, graft, and suturing outline. ...Figure 19.13 Surgical blade dimensions.