Dental Implants for Hygienists and Therapists (eBook)

Ulpee Darbar is a Consultant in Restorative Dentistry and Director of Dental Education at the Eastman Dental Hospital, London, UK.

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