Glossary xii
1 History of Dental Implants 1
2 Osseointegration 7
Concept 7
Factors affecting Osseointegration 8
– Implant Related 8
– Environment Related 19
Success vs Survival 22
New Concepts 24
3 Implant Systems 28
Components 28
Fixture 28
Transmucosal 32
Implant Types 33
Prosthetic 36
– Abutments 38
– Screws 39
– Torque Wrench 39
Laboratory 39
Implant systems 40
4 Patient Selection and Indications for Treatment 43
Patient Selection 44
– Generic Planning 45
– Site Specific Planning 48
Indications for implant Treatment 54
Follow up care 58
5 Surgical and Prosthodontic Protocols 60
Surgical Protocols 60
– Timing of Implant Fixture Placement 61
– Computer Guided placement 65
Augmentation Procedures 66
– Timing 67
– Techniques 70
– Materials 73
Prosthodontic Protocols 78
– Type of Prosthesis 79
– Complications 83
Loading Protocols 85
Constructing the Prosthesis 85
Fitting the Prosthesis 87
Post insertion Instructions 87
Outcomes 88
6 Peri-Implant Tissues 90
Anatomy 90
Health 93
Disease 94
– Factors to consider 94
– Periimplant Mucositis 95
– Peri-implantitis 96
Assessment 99
Treatment 99
7 Maintenance Care around Dental Implants 109
Definition 109
Principles 110
Components 112
Intervals 118
Treatment During Maintenance care 122
Criteria for Success and Failure Dental Implant Retained Restorations 127
8 Role of the Hygienists/Therapists 129
Role as a Clinician 131
Role as an Educator 134
Implant Systems 138
Implant Restoration Types 138
Surgical Procedures 138
Index 141