Dental Implants for Hygienists and Therapists delivers an accessible and informative exploration of the fundamental principles of tooth replacement with dental implants, as well as the science and theory that underlies modern implants, and the factors impacting their success and survival. The book offers robust guidance on the assessment of peri-implant tissues in health and in disease, an evidence-based approach to their management, and instruction on when a referral should be made. It also covers function and anatomy in health and disease around dental implants and the supporting tissues as well as the factors that influence predictability and patient management. This book includes: - Thorough introductions to the history of dental implants and osseointegration, including the difference between success and survival - Comprehensive exploration of one-piece and two-piece implant systems, patient selection and indications for implant treatment - Practical discussions of surgical (including augmentation) and prosthodontic protocols and peri-implant tissues - In-depth examinations of maintenance care, including the management of peri-implant disease with non-surgical and surgical treatment, and the role of the hygienist
Dental Implants for Hygienists and Therapists is invaluable to dental hygienists and therapists seeking a one-stop resource on dental implantology.
Table of Contents
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