Since the first edition of this book published in 2002, there has been a significant
evolution of implant design where many of the major implant systems share
common design features that facilitate treatment, improve success, and allow
clinicians to more readily adapt to an alternative system. At the same time, there
have been huge developments in CAD-CAM applications to implant dentistry and
rapid treatment protocols. Despite these changes, the underlying basic principles of
thorough diagnosis, meticulous treatment planning, and execution of treatment
When the groundwork for the fi fth edition of Clinical
Periodontology and Implant Dentistry began in early
2007, it became clear that we had reached a fork in
the road. It has always been my intention that each
successive edition of this work should refl ect the state
of the art of clinical periodontology and, in doing
such, should run the gamut of topics within this
Preparations for the 4th edition of Clinical Periodontology
and Implant Dentistry started in 2001 when all
senior authors of the various chapters of the current
text were identified and invited to join the team of
contributors. The authors were selected because of
their reputations as leading researchers, clinicians or
teachers in Periodontology, Prosthetic Dentistry, Implant
Dentistry and associated domains.
Implant dentistry today focuses more on the patient’s
overall appearance than ever before, contributing not
only to enhanced social interaction but also to selfconfidence
and self-esteem. As a result, esthetic implantology
procedures are expected to become a more
integral part of modern dentistry, encompassing quality
of life along with routine functional establishment.
This book is based upon our combined experiences
of working together in the treatment of
patients with dental implant prostheses at Guy's
Hospital and in private practice over the last 10
years. While the chapters are not attributed to
specific authors, the surgical chapters are mainly
the work of Richard and Paul Palmer; the implant
denture chapters, Brian Smith; and the fixed
prosthodontics, Leslie Howe. Our initial experiences
were with the Brånemark system, which
established a benchmark in implant treatment,
with high success rates using meticulous techniques.
At a recent meeting of the American Academy of Esthetic
Dentistry a survey questioned whether aesthetic treatment
methods were ethical. The situation typical for that time
was used as basis for the survey: "Let's assume that the
patient is completely healthy and there are no biological or
physical reasons for a therapeutic intervention.
The purpose of this practical manual is to describe and illustrate each step of the basic surgical procedures involved in the placement of implants in qualified patients. To that end, each procedure is briefly but lucidly described; carefully illustrated in a series of drawings of the techniques and instrumentation used; and reinforced through clinical photographs, including radiographic and postoperative follow-up views.
The pioneering work of Bra˚ nemark ushered in a new era in dentistryd
the era of implant dentistry. Bra˚ nemark and his colleagues created a new
field of study from a serendipitous research observation, thus exemplifying
Pasteur’s dictum that ‘‘chance favors the prepared mind.’’ Through further
research, these investigators transformed the field of implantology from an
unpredictable art to a well-grounded clinical science. This research provided
the scientific basis for a set of strict clinical protocols.
In the past few decades, the Finite Element Method (FEM) has been developed into a key indispensable technology in the modeling and simulation of various engineering systems. The present book reports on the state of the art research and development findings on this very broad matter through original and innovative research studies exhibiting various investigation directions of FEM in electrical, civil, materials and biomedical engineering.
The use of implants has, little by little, been imposed
on the world of dentistry. Some years ago,
it was strongly suggested that the practitioners
asked implant patients to sign a consent form to
release the dentist from all responsibility in case of
failure. Then, one day a patient in France sued his
dentist for having prepared his teeth for a fixed
partial denture without suggesting the implant alternative.
The patient won the case. Soon it might
be necessary to ask patients to sign a form indicating
that they have refused implant treatment.
This book provides the theoretical foundation of Finite Element Analysis(FEA) in
implant dentistry and practical modelling skills that enable the new users (implant
dentists and designers) to successfully carry out PEA in actual clinical situations.
The text is divided into five parts: introduction of finite element analysis and
implant dentistry, applications, theory with modelling and use of commercial
software for the finite element analysis. The first part introduces the background of
FEA to the dentist in a simple style.
There is no doubt that the introduction and evolution
of regenerative and implant therapies affords
clinicians the opportunity to provide patients with
previously undreamt-of treatment outcomes. However,
such therapeutic approaches must not be visualized
as an end to themselves.
The goals of conscientious and comprehensive
therapy remain the maximization of patient
comfort, function, and esthetics in both the short
and long terms.