Quick Reference to Dental Implant Surgery

About the Author xi

Preface and Introduction xiii

Case Selection and Diagnosis 1

Part A: Medical Consideration in Implant Dentistry 1

1 Commonly Ordered Blood Tests in Implant Dentistry 1

2 ASA Classifications 3

3 Medical Conditions 4

4 Recommendations for Medical Consideration in Implant Dentistry 6

Part B: Radiographic Examination and Imaging Modalities 8

1 Imaging Strategies 8

2 Radiographic Examination and Imaging Modalities 12

3 Principles of Imaging for Dental Implant Assessment, with Recommendations 15

Part C: Surgical Stents 20

1 SurgicalStentTypes 20

2 Comparison of Surgical Stents 24

3 Recommendations 25

References 25

Surgical Principles and Protocols 27

Part A: Scrubbing and Gowning 27

1 Preparation Prior to Surgical Scrub 27

2 Surgical Scrubbing Methods 27

3 Steps for Surgical Scrubbing 28

4 DryingtheHands 28

5 Gowning 28

6 De-gowning 30

7 Recommendations 30

Part B: Surgical Report 30

1 Principles 30

2 Recommendations 30

Part C: Commonly Used Medications in Implant Dentistry 31

1 Pain Management 31

2 Antibacterial Infection 32

3 Sinus Bacterial Infection 32

4 Xerostomia 33

5 Recommendations 35

References 35

Surgical Treatment 37

Part A: Immediate Implants 37

1 Classification 37

2 Procedure 39

3 General Advantages and Disadvantages 39

4 Complications and Treatment 40

5 Immediate Loading 40

6 Immediate Loading: When To? 40

7 Recommendations 40

Part B: Sinus Augmentation 43

1 MaxillarySinusAnatomy 43

2 Anatomical Considerations 44

3 Procedure Steps 44

4 Recommendations for Complications 47

Part C: Ridge Augmentation 47

1 Soft Tissue Augmentation 47

2 OnlayGrafts 51

3 Titanium Straps, Cores, and Screws 51

4 TitaniumMesh, Distraction Osteogenesis, J Block, and Ridge Expansion 55

5 Membranes 55

6 Recommendations 56

Part D: Extraction Socket Preservation 56

1 Advantages 56

2 Steps for Good Extraction Socket Development 57

3 Complications 57

4 Recommendations 57

Part E: Suture Materials 58

1 Monofilament and Multifilament Sutures 58

2 Absorbable and Non-absorbable Sutures 59

3 Natural and Synthetic Sutures 59

4 Recommendations 60

References 61

Corrective Implant Surgery 63

Part A: Clinical Recommendations for the Prevention and Treatment of Peri-implant Disease 63

Part B: Peri-implantitis Treatment Recommendations 64

References 71

Errors and Complications 73

Part A: Diagnosis of Complications 73

Part B: Surgical Errors 73

1 Early Implant Failure 73

2 Late Implant Failure 74

Part C: Prosthetic Errors 74

Part D: The Checklist 74

1 Basic Implant Placement 74

References 75

Communication 77

Part A: Sample Consents 77

1 Endosseous Implant Consent 77

2 Maxillary Sinus Augmentation Consent 81

3 Conscious Sedation Consent 83

4 Dental Extraction Consent 84

5 Ridge Augmentation Consent 86

6 Bisphosphonates Consent 88

7 BiopsyConsent 89

8 Blank Consent Form 90

9 Gingivectomy Consent 91

10 Gingival Augmentation Consent 92

Part B: Sample Surgical Report 94

Part C: Sample Postoperative Instructions and How to Clean Implants 95

Part D: Sample Patient Letters 98

Part E: Sample Letters to Physicians 99

Part F: Sample Letters to Referring Dentists 99

Index 101

The Author
Mohamed A. Maksoud, DMD, is board certified by the American Board of Implantology/Implant Dentistry and diplomate of the International Congress of Oral Implantology, and is part of the Department of Oral Medicine Infection and Immunity of Harvard University School of Dental Medicine in Boston, Massachusetts, USA