Implants and Oral Rehabilitation of the Atrophic Maxilla

Description:

This book covers the most suitable techniques for the rehabilitation of patients experiencing tooth loss, trauma or other situations resulting in bone atrophy. The book discusses current technologies, from diagnosis to treatment and surgery, applied to atrophic jaws using innovative tools and new PSI (patient specific implant) approaches. Oral Rehabilitation of the Atrophic Maxilla and the selection of the best treatment options for patients is one of the most difficult tasks facing the profession today. Readers will be able to solve complex problems and evaluate all available applications for patient management. Zygomatic implants, reconstructive surgery with bone grafts, post-oncologicasl and post traumatic reconstructions as well as dynamic navigation and robot assisted dental surgery are covered. The book is written by recognized experts and leaders in the field, and includes simpler techniques within the reach of many implantologists and more complex techniques that require specific surgical skills. It is relevant for, implanologist, periodontists, oral and maxillofacial surgeon, prosthodontists and every clinician treating maxillary atrophy.

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Table of contents :

Acknowledgements
Contents
About the Contributors
Part I: Theory and Rational Bases
1: General Considerations on the Surgical Techniques in the Treatment of the Atrophic Maxilla
1.1 Introduction
1.2 The Impact of Edentulism on the Quality of Life
1.3 Techniques and Technologies for Implant Rehabilitation
1.4 Indications of Treatment Techniques Based on the Degree and Location of Bone Atrophy
1.5 Reasons for This Book
References
2: Surgical Anatomy of the Atrophic Maxilla
2.1 Introduction
2.1.1 Cone-Beam Computed Tomography (CBCT): The Second Level of Image-Guided Diagnosis
2.2 The Physiopathology of Edentulism
2.3 The Anatomical and Radiological Aspects of the Edentulous Maxilla
2.3.1 Premaxilla
2.3.2 Midmaxilla
2.3.2.1 Surgical Anatomy of the Midmaxilla
2.3.2.2 Iuxtameatal Implants
2.3.3 Posterior Maxilla
2.3.3.1 Radiological Landmarks
2.3.3.2 Implants in the Pterygoid Region, Radiological Diagnosis and Planning
References
3: Integrating Modern Diagnostic Tools with Digital Engineering
3.1 Introduction to Applied Digital Technologies
3.1.1 Medical Imaging
3.1.1.1 Short Basics of CT and CBCT Technology
Computed Tomography (CT)
Cone-Beam Computed Tomography (CBCT)
3.1.1.2 Radiation Dose
3.1.1.3 Generic Imaging Protocols
3.1.1.4 Accuracy of 2D and 3D Measurements
3.1.1.5 Image-Based Classification of Bone Quality
3.1.1.6 Digital Imaging and Communications in Medicine (DICOM)
3.1.2 Computer-Aided Design (CAD)
3.1.3 Finite Element Analysis (FEA)
3.1.4 Additive Manufacturing
3.2 The Method of Concurrent Anatomical Engineering
3.2.1 Image Acquisition
3.2.2 Image Processing
3.2.3 Interfacing CAD, FEA, and AM
3.3 Potential of Digital Engineering in Clinical Practice
References
4: Surgical Planning Softwares and Computer Guided Implantology
4.1 The Importance of 3-D Diagnosis and Treatment Planning in the Atrophic Maxilla
4.2 Bone Grafting Surgical Protocols Using Three-Dimensional Technologies
4.2.1 Ganz–Rinaldi Sinus Augmentation Lateral Approach Protocol
4.2.1.1 Special Cases
4.2.1.2 Post-operative Use
4.2.2 Ganz–Rinaldi Protocol for Bone Harvesting from Mandibular Symphysis or Body Ramus
4.2.3 Ganz–Rinaldi Reconstructive Surgery Protocol
4.2.4 Ganz–Rinaldi Zygomatic implants Protocol
4.2.4.1 Introduction
4.3 Ganz–Rinaldi Bone Grafting Surgical Protocols Using Three-Dimension Technologies
4.3.1 Clinical Innovation: Lateral Sinus Lift Surgical Guide—Digital Workflow
4.3.1.1 Summary
4.3.2 Clinical Innovation: Ramus Harvest Guide—Digital Workflow
4.3.2.1 Summary
4.4 Conclusion
References
5: Dynamic Navigation Systems for the Rehabilitation of the Atrophic Maxillae
5.1 Introduction and Historical Background of Guided Surgery
5.2 An Overview of Dynamic Navigation
5.3 Dynamic Navigation Workflow(s) and Key Concepts
5.3.1 Workflow: Stent, Scan, Plan, and Place
5.3.1.1 Stent and Scan
5.3.2 Workflow Improvements: The Trace Registration (TR) Protocol
5.3.2.1 Plan
5.3.2.2 Trace
5.3.2.3 Place
5.3.3 Full-Arch Implant Prosthetic Treatment Workflow
5.3.3.1 Workflow for Transitioning the Terminal Natural Dentition to an Implant-Supported Full-Arch Prosthesis
5.3.3.2 Use of a Mini Implant
5.3.3.3 Use of Mini Screws
5.3.4 Potential Sources of Guidance Errors
5.4 Discussion
5.5 Pterygoid Implants for Totally Edentulous Patients
5.6 Conclusions
References
6: Robotics for Implant Reconstruction of the Edentulous Maxilla

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