Daniel Buser - Surgical Manual of Implant Dentistry

Surgical Manual of Implant Dentistry:Step-By-Step Procedures

Surgical Manual of Implant Dentistry

Step-By-Step Procedures

Daniel Buser, DDS, Dr med dent

Professor and Chairman

Department of Oral Surgery and Stomatology

School of Dental Medicine

University of Bern

Bern, Switzerland

Jun-Young Cho, DDS

Associate Professor

Department of Periodontics

Baylor College of Dentistry

Texas A & M University System Health Science Center

Dallas, Texas

Alvin B. K. Yeo, BDS, MSc

Periodontics Unit

Department of Restorative Dentistry

National Dental Centre

Republic of Singapore

Library of Congress Cataloging-in-Publication Data

Buser, Daniel.

Surgical manual of implant dentistry : step-by-step procedures /

Daniel Buser, Jun Y. Cho, Alvin Yeo.

p. ; cm.

eISBN-13: 978-0-86715-706-2

1. Dental implants--Handbooks, manuals, etc. 2. Dental implants

--Atlases. I. Cho, Jun Y. II. Yeo, Alvin. III. Title.

[DNLM: 1. Dental Implantation--methods--Atlases. 2. Dental

Implantation--methods--Case Reports. WU 600.7 B977s 2007]

RK667.I45S874 2007

617.6'93--dc22

2006033380

© 2007 Quintessence Publishing Co, Inc

Quintessence Publishing Co, Inc

4350 Chandler Drive

Hanover Park, Illinois 60133

www.quintpub.com

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.

Editor: Bryn Goates

Design and production: Dawn Hartman

Table of Contents

Preface Preface B ased on the concept of osseointegration first described by Brånemark and Schroeder, implant dentistry has evolved tremendously over the past 15 years, and today it plays an integral role in dental rehabilitation. Though it was developed primarily to rehabilitate fully edentulous patients, since the late 1980s the treatment focus has gradually shifted to partially edentulous patients. Today, single-tooth replacement is the number one indication for implant therapy. Implant dentistry also has benefited from the significant progress made in associated treatment protocols. Development of bone augmentation procedures allows clinicians to correct alveolar bone deficiencies, while guided bone regeneration with barrier membranes and sinus floor elevation have become standards of care to correct bone defects in other parts of the oral cavity. In addition, improved osteophilic microtextured titanium implant surfaces help to accelerate healing, significantly reducing treatment time. Together, these ad vances make implant therapy more predictable and more attractive to patients, and the result has been a rapid expansion of implant dentistry in daily practice and more clinicians placing dental implants. This book is the culmination of many years’ effort to standardize surgical technique in implant dentistry. It is designed for postdoctoral students and practitioners who wish to perform surgical implant procedures in daily practice with a high predictability for success and a low risk for complications. Basic surgical principles and procedures for placing im plants both in standard sites and in sites with local defects are presented using detailed explanations and hand-drawn illustrations. The final chapter of the book presents 14 comprehensive clinical case reports, several documenting long-term follow-ups over a period of 10 years. The publication of this book coincides with the production of a DVD featuring live surgery of the same surgical techniques in seven clinical cases. The surgery was recorded during master courses in implant dentistry offered by the University of Bern. The authors wish to thank the staff of Quintessence Publishing for their excellent support during the preparation and production of this book.

1Basic Surgical Principles

2Indications for Each Implant Type

3Surgical Procedures in Standard Nonesthetic Sites

4Surgical Procedures in Standard Esthetic Sites

5Surgical Procedures for Implant Placement with Simultaneous Guided Bone Regeneration

6Surgical Procedures for Implant Placement with Simultaneous Sinus Floor Elevation

7Clinical Cases

Suggested Reading

Preface

Based on the concept of osseointegration first described by Brånemark and Schroeder, implant dentistry has evolved tremendously over the past 15 years, and today it plays an integral role in dental rehabilitation. Though it was developed primarily to rehabilitate fully edentulous patients, since the late 1980s the treatment focus has gradually shifted to partially edentulous patients. Today, single-tooth replacement is the number one indication for implant therapy.

Implant dentistry also has benefited from the significant progress made in associated treatment protocols. Development of bone augmentation procedures allows clinicians to correct alveolar bone deficiencies, while guided bone regeneration with barrier membranes and sinus floor elevation have become standards of care to correct bone defects in other parts of the oral cavity. In addition, improved osteophilic microtextured titanium implant surfaces help to accelerate healing, significantly reducing treatment time. Together, these ad vances make implant therapy more predictable and more attractive to patients, and the result has been a rapid expansion of implant dentistry in daily practice and more clinicians placing dental implants.

This book is the culmination of many years’ effort to standardize surgical technique in implant dentistry. It is designed for postdoctoral students and practitioners who wish to perform surgical implant procedures in daily practice with a high predictability for success and a low risk for complications. Basic surgical principles and procedures for placing im plants both in standard sites and in sites with local defects are presented using detailed explanations and hand-drawn illustrations. The final chapter of the book presents 14 comprehensive clinical case reports, several documenting long-term follow-ups over a period of 10 years.

The publication of this book coincides with the production of a DVD featuring live surgery of the same surgical techniques in seven clinical cases. The surgery was recorded during master courses in implant dentistry offered by the University of Bern.

The authors wish to thank the staff of Quintessence Publishing for their excellent support during the preparation and production of this book.

Chapter 1

Basic Surgical Principles

This chapter presents the basic surgical principles related to the placement of Straumann implants in partially edentulous patients. To achieve successful osseointegration, a precise and low-trauma surgical technique is required. Surgeons must take important measures preoperatively to prevent postsurgical infection, handle surgical instruments expertly to preserve soft tissues, and carefully accomplish adequate implant site preparation without overheating the bone. Precise surgical protocol includes the following precautions: