Front cover 1
Title page 2
Copyright page 5
Dedication 6
Foreword 8
Preface 10
Acknowledgments 12
Table of contents 14
Two distinct, but related sections. 16
Chapter 1: Demographics of Edentulous Patients 20
References 23
Chapter 2: Osseointegration: Rationale for Two-Stage versus One-Stage Protocols 24
Key Factors Influencing Osseointegration 25
The Biologic Bases for the Evolution of the Immediate-Load Concept 26
Osseointegration According to Skalak and Br氓nemark 26
Summary 27
References 27
Chapter 3: Immediate Loading 30
Contact Osteogenesis versus Distant Osteogenesis 31
References 41
Chapter 4: Limitations in Treating the Edentulous Maxilla 44
Phonetics 48
Lip Support 48
Oral Hygiene 49
References 50
Chapter 5: Systematic Pretreatment Evaluation of the Edentulous Maxilla 52
Fixed-Maxillary Prostheses 52
Presence or Absence of a Composite Defect 53
Visibility of the Residual Ridge Crest 55
Radiographic Evaluation to Assess Maxillary Zones 56
Special Considerations 57
References 61
Chapter 6: Treatment of the Edentulous Maxilla: Anterior Tilted Implant Concept 62
Radiographic Evaluation 62
Treatment Planning 63
Preoperative Protocol 63
Surgical Protocol 63
Postoperative Care 75
Phase II Appointment 76
Final Prosthesis 76
Discussion 77
References 77
Chapter 7: Treatment of the Edentulous Maxilla: Zygoma Implant Concept 80
Radiographic Evaluation 80
Preoperative Considerations 80
Surgical Options 82
Surgical Protocol 83
References 87
Chapter 8: Systematic Pretreatment Evaluation of the Edentulous Mandible 88
Historical Perspective 88
Evaluation of the Edentulous Mandible for Immediate Loading 88
Composite Defect 89
Final Prosthetic Design 89
Transition Line 90
Position of the Mental Foramen 90
Radiographic Studies 92
Preoperative Protocol 92
Surgical Protocol and Technique 94
Prosthetic Conversion 98
Postoperative Care 101
Phase II Appointment 102
Discussion 103
References 103
Chapter 9: Conversion Technique for Immediate Loading 106
Postoperative Instructions 108
Management of Provisional Prosthesis Complications 111
\u201cWhite Denture\u201d: Tooth-Only Defect 115
References 116
Chapter 10: Computer-Guided Surgery 118
Material and Method 118
Computer-Guided Surgical Protocol for Tilted Implants: Maxilla 136
Computer-Guided Surgical Protocol for Tilted Concept: Mandible 143
Computer-Guided Surgical Protocol for Zygoma Implants: An Investigational Procedure 153
Complications Associated with Computer-Guided Surgery 166
Discussion 167
References 167
Chapter 11: Case Presentations: Alternatives for Final Framework Designs 168
Hybrid versus Profile Prostheses 168
Titanium Framework: Procera Implant Bridge 174
Cal Technique: An Alternative Framework Design 181
Chapter 12: Case Presentations: Immediate-Loading Tilted Implants 192
Tilted Treatment Concept: Maxilla 192
Tilted Concept: Mandible 201
All-On-4 Porcelain Fused to Metal Bridge 211
Chapter 13: Case Presentations: Immediate-Loading Zygoma Implant 216
Immediate-Load Zygoma Protocol 216
Zygoma Concept: Immediate Loading of Failing Existing Teeth and Implants 221
Guided Zygoma 225
Chapter 14: Case Presentations: Advanced Procedures 244
Complete Anodontia 244
Ectodermal Dysplasia: The Zygoma and Tilted Treatment Concepts 254
Management of a Patient with a Cleft Palate 260
Failing Implants 272
Failing implant-supported maxillary overdenture 278
Chapter 15: Case Presentations: Management of Complications 284
Management of Failed Immediately-Loaded Zygomatic Implants 284
Sinus Infections after Placement of Zygomatic Implants 290
Failed Tilted Implant: Immediate Treatment 294
References 301
Chapter 16: Case Presentations: Quad Zygoma 302
Preliminary Presentation 302
Failed Maxillary Overdenture 307
\u201cAccessory\u201d Nasal Floor Implant 310
Through-And-Through Palatal Defect 316
Index 322