Clinical Cases in Implant Dentistry

Clinical Cases in Implant Dentistry presents 49 actual clinical cases, accompanied by academic commentary, that question and educate the reader about essential topics in implant dentistry, encompassing diagnosis, surgical site preparation and placement, restoration, and maintenance of dental implants.

• Unique case-based format supports problem-based learning
• Promotes independent learning through self-assessment and critical thinking
• Highly illustrated with full-color clinical cases
• Covers all essential topics within implant dentistry

Dr. Nadeem Karimbuxis Professor of Periodontology and Associate Dean of Academic Affairs at Tufts University, School of Dental Medicine in Boston, Massachusetts, USA.

Dr. Hans-Peter Weber is Professor and Chair of the Department of Prosthodontics at Tufts University, School of Dental Medicine in Boston, Massachusetts, USA.

Contributors ix

Preface xv

Acknowledgments xvi

Chapter 1 Examination and Diagnosis 1

Case 1 Clinical Examination 2
Satheesh Elangovan

Case 2 Medical Considerations 8
Ioannis Karoussis and Pinelopi Pani

Case 3 Implant Stability 28
Marcelo Freire, Samuel Lee, and Kwang Bum Park

Case 4 Oclussal/Anatomical Considerations 34
Hamasat Gheddaf Dam and Rumpa Ganguly

Case 5 Radiographic Interpretation and Diagnosis 46
Aruna Ramesh and Rumpa Ganguly

Chapter 2 Implant Design 55

Case 1 Regular Platform Implant Case 56
Mariam Margvelashvili and Jacinto Cano Peyro

Case 2 Wide-Diameter Implants 64
Hans-Peter Weber and Hadi Gholami

Case 3 Special Surfaces 74
Suheil M. Boutros

Case 4 Narrow-Diameter Implant 88
Sung Min Chi

Case 5 Short Implants 94
Chun-Teh Lee, Chin-Wei Jeff Wang, Rainier A. Urdaneta, and Sung-Kiang Chuang

Case 6 Platform Switching 108
Samuel Lee, Sergio Herrera, and Kwang Bum Park

Chapter 3 Prosthetic Design 115

Case 1 Abutment Design 116
Christopher A. Barwacz

Case 2 Screw-Retained Implant Restorations 126
Luis Del Castillo, Maria E. Gonzalez, and Jacinto Cano-Peyro

Case 3 Choice of Restorative Materials 134
Sonja Mansour

Chapter 4 Soft Tissue Management 141

Case 1 Free Gingival Grafts 142
Daniel Kuan-te Ho

Case 2 Subepithelial Connective Tissue Graft 15
Luca Gobbato, Gustavo Avila-Ortiz, and Fabio Mazzocco

Case 3 Vestibuloplasty and Frenectomy 158
Daniel Kuan-te Ho, Luca Gobbato, and Luigi Minenna

Chapter 5 Ridge Site Preparation 165

Case 1 Xenograft Membrane: Porcine Derived 166
Mohammed Alasqah and Zuhair S. Natto

Case 2 Guided Bone Regeneration 174
Satheesh Elangovan

Case 3 Growth Factors 18
Daniel Kuan-te Ho and David Minjoon Kim

Case 4 Alveolar Ridge Preservation: Allograft 193
Gustavo Avila-Ortiz, Mitchell Gubler, Christina Nicholas, and Christopher Barwacz

Case 5 Alveolar Ridge Preservation: Alloplast 205
Waeil Elmisalati, Wichaya Wisitrasameewong, and Emilio Arguello

Case 6 Alveolar Ridge Preservation: Xenograft 214
Waeil Elmisalati, Wichaya Wisitrasameewong, and Emilio Arguello

Case 7 Guided Bone Regeneration: Non-Resorbable Membrane 224
Yong Hur, Hsiang-Yun Huang, Teresa Chanting Sun, and Yumi Ogata

Case 8 Ridge Split and Expansion 233
Samuel Koo and Hans-Peter Weber

Chapter 6 Sinus Site Preparation 239

Case 1 Lateral Window Technique 240
Yumi Ogata, Irina Dragan, Lucrezia Paterno Holtzman, and Yong Hur

Case 2 Internal Sinus Lift: Osteotome 252
Samuel Lee, Adrian Mora, and Kwang Bum Park

Case 3 Internal Sinus Lift: Other Techniques 258
Samuel Lee, Adrian Mora, and Kwang Bum Park

Chapter 7 Implant Placement 267

Case 1 One Stage/Two Stage Placement 268
Rory ONeill and Pinelopi Pani

Case 2 Immediate Placement 276
Samuel Koo, Marcelo Freire, and Hidetada Moroi

Case 3 Delayed Placement: Site Development 284
Y. Natalie Jeong and Carlos Parra

Case 4 Submerged Implant Placement and Provisional Restorations 293
Hans-Peter Weber and Hadi Gholami

Chapter 8 Restoration 307

Case 1 Single-Tooth Implants: Posterior 308
Hans-Peter Weber and Hadi Gholami

Case 2 Anterior Implant Restoration 320
Gianluca Paniz and Luca Gobbato

Case 3 Full-Mouth Rehabilitation 328
Gianluca Paniz, Eriberto Bressan, and Diego Lops

Case 4 Implant-Supported Mandibular Overdentures 338
Michael Butera

Case 5 Immediate Provisionalization (Temporization) 345
Panos Papaspyridakos and Chun-Jung Chen

Case 6 Immediate Loading 353
Panos Papaspyridakos and Chun-Jung Chen

Chapter 9 Special Interdisciplinary Considerations 361

Case 1 Implants for Periodontally Compromised Patients 362
Marcelo Freire, Karim El Kholy, and Mindy Sugmin Gil

Case 2 Dental Implants in an Orthodontic Case 370
Chin-wei Jeff Wang, Seyed Hossein Bassir, Nadeem Karimbux, and Lauren Manning

Case 3 Patients with Systemic Disease (A Genetic Disorder) 381
Abdullah Al Farraj Aldosari and Mohammed Alasqah

Case 4 The Use of Dental Implants in the Child/Adolescent 388
Seyed Hossein Bassir, Nadeem Karimbux, and Zameera Fida

Chapter 10 Peri-implantitis: Diagnosis, Treatment, and Prevention 395

Case 1 Ailing and Failing Implants 396
Seyed Hossein Bassir and Nadeem Karimbux

Case 2 Patients Plaque Control Around Implants 406
Lorenzo Mordini, Carlos Parra, Tannaz Shapurian, and Paul A. Levi, Jr.

Case 3 Professional Plaque Control Around Implants 419
Carlos Parra, Lorenzo Mordini, Tannaz Shapurian, and Paul A. Levi, Jr.

Case 4 Locally Delivered Drug Agents 430
Federico Ausenda, Francesca Bonino, Tannaz Shapurian, and Paul A. Levi, Jr.

Case 5 Systemic Antibiotics 438
Zuhair S. Natto, Shatha Alharthi, Tannaz Shapurian, and Paul A. Levi, Jr.

Case 6 Surgical Management of Peri-implantitis 447
Yumi Ogata, Zuhair S. Natto, Minh Bui, and Yong Hur

Case 7 Removal/Replacement of Failed Implants 457
Samuel S. Lee, Paulina Acosta, and Rustam DeVitre

Index 465