By Reinhilde Jacobs LDS, PhD, Daniel van Steenberghe MD, PhD (auth.)
Precise radiographic making plans of implant components impacts the remedy making plans either from the surgical and the prosthodontic standpoint. Thorough radiographic evaluate reduces the occurrence of problems. Early popularity of failure is helping in facing issues. This e-book is an leading edge factor facing radiographic thoughts for the situation and evaluate of endosseous oral implants. it's a sensible advisor for all these fascinated by oral implant surgical procedure and prosthetic rehabilitation. Richly illustrated with radiographs, assessment tables and stream diagrams it presents step-by-step methods for the making plans and review of oral implants.
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Additional info for Radiographic Planning and Assessment of Endosseous Oral Implants
In a long-term perspective the presence of gingivitis seems to be associated with increased marginal bone loss (Lindquist et al. 1996). Still, periodontitis should be treated prior to implant placement for several reasons: surgery and healing in an "healthy" environment, treatment planning and individual prognosis of teeth, patient motivation, ... (Fig. 6a) (van Steenberghe et al. 1990). Retained roots in the jaw bone should be detected and removed, since they may interfere with implant installation (infection and 3 Radiographic Indications and Contra-Indications for Implant Placement 51 Fig.
However, the need for implant rehabilitation in such a patient is often higher than in the others. One should therefore carefully consider the individual patient. There is a dilemma between an increased fracture risk when installing 4 to 6 implants for a fixed prosthesis and an increased risk for nerve compression or irritation of the mental nerve on top of the mandible when installing 2 implants connected by a bar to retain an overdenture. Another drawback of this resilient design is the ongoing bone resorption in the posterior mandible (Jacobs et al.
Often patients and even clinicians think there is a need to rehabilitate the entire dental arch in full edentulism. There is ample evidence from the dentate situation that a symmetrical rehabilitation up to the second or first premolar respectively for patient groups below and above 45 years of age meets all functional and subjective requirements (Witter et a1. 1989). One should not try to insert implants in the lateral regions of the maxilla in full edentulism when not needed and certainly refrain from systematic sinus inlay grafting which seems to be fashionable in some centres nowadays.
Radiographic Planning and Assessment of Endosseous Oral Implants by Reinhilde Jacobs LDS, PhD, Daniel van Steenberghe MD, PhD (auth.)