Abd El Salam El Askary – Fundamentals of Esthetic Implant Dentistry

Описание

In the name of God, the Beneficent, and the Merciful.
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.
Bennett and Weyant (1993) caution, however, that
overall improvement in oral and facial esthetics may
improve the patient’s social ease, but it may not alter
others’ perceptions of his or her honesty, virtue, helpfulness,
potency, or general emotional adjustment.
Implant dentistry offers a unique opportunity for
collaboration and interaction among clinicians. This is
witnessed by the numerous study groups and specialty
conferences held on an almost weekly basis around the
world. The growth of implant therapy has influenced
almost every aspect of dentistry, from manufacturing
implant components to marketing and financing strategies
that further promote implant therapy.
These in turn lead to new loading concepts, versatile
restorative options, challenging implant designs, minimally
invasive surgical approaches, and new esthetic
therapies. As a result, we can now use dental implants
under more accurate surgical and biomechanical protocols,
thus achieving outstanding treatment success
rates. Simply put, we have entered an era of clinical
predictability.
Applying clinical periodontal plastic surgery procedures
to modern implant dentistry has enabled us to
achieve, preserve, and maintain the natural peri-implant
soft and hard tissue contours. Therefore, we should
extend our gratitude to the forerunners of periodontal
plastic surgery and the champions of modern esthetic
implantology who inspired us with their exceptional
dedication and innovation. Thanks should also go to
pioneers such as Tarnow, Misch, Lazara, Bragger,
Belser, Buser, Potashnick, Hurzeler, Belser, H. Salama,
M. Salama, Bengazi, Moy, Spears, Garber, Semion,
Chiche, Wöhrle, Saadoun, Grunder, Bitchacho, Magne,
Jovanovich, Kan, Allen, Zitzmann, Simion, and many
others who have made valuable scientific and clinical
advancements in implant dentistry, and whose contributions
have personally benefited me greatly. It is my
firm belief that esthetic implant dentistry should be
rooted in the understanding that we as clinicians do not
create esthetics anew, but imitate the esthetics created by
God. Therefore, we value our work according to our
ability to imitate Nature, not our ability to create artifice.
This book presents a comprehensive overview of
modern esthetic implant dentistry, with particular
emphasis on achieving beauty through the close study
of related facial details and the importance of smile
analysis in any esthetic dentistry treatment plan. All
aspects of esthetic implant therapy have been carefully
presented in a manner which, hopefully, is both reader
friendly and clinically applicable.
Chapter 1 defines beauty in particular and general
terms, highlights the value of esthetics to both patients
and clinicians, demonstrates how to achieve conceptual
thinking when performing an esthetic treatment, and
discusses the clinician-patient relationship during
esthetic implant therapy. Chapter 2 covers the merits of
any successful practice by applying the optimal diagnostic
tools and features the most up-to-date assessment
techniques in diagnosis and planning. Chapter 3 is
intended as a solid grounding in the relationship of
facial esthetics to the intraoral clinical picture. It urges
clinicians to place a greater emphasis on studying the
facial features and linking them to the intraoral condition
before starting treatment to achieve an optimal and
appropriate outcome.
Chapter 4 discusses accurate 3D implant positioning
within the alveolar ridge and relates the optimal implant
position to achieving a healthy biological emergence
profile and healthy contours. It also highlights the impact
of modern implant designs on the treatment outcome.
Chapter 5 provides comprehensive insights on the most
up-to-date peri-implant soft tissue procedures and techniques
for achieving optimal esthetics. It starts with the
basics of performing atraumatic soft tissue handling and
concludes with soft tissue closure and maintenance.
Chapter 6 presents the immediate implant placement
in both flapless and flapped surgical protocols. Methods
of using natural teeth as provisional restorations in
immediate implant cases are detailed in this chapter.
Chapter 7 explains the optimal preservation methods of
the socket environment for allowing predictable implant
placement. It also offers clinical solutions for each socket
condition.
Chapter 8 assists the reader in understanding the
behavior and nature of the interimplant papilla. The
difference in the papillae between natural teeth and
implants is thoroughly explained, as is the predictability
of most available methods of interimplant papilla
regeneration. This chapter also discusses future clinical
advancements trials in this field.
Chapter 9 predicts future trends in bone grafting by
applying genetic engineering methods to present-day
implant dentistry and outlines the best grafting methods
to offer highly predictable results. Chapter 10 defines the
prosthodontic procedures used to achieve esthetically
pleasing implant-supported restorations, covers most
implantology-related advanced prosthetic and therapeutic
techniques made to obtain natural contours and biological harmony with implant-supported restorations,
and draws attention to novel methods used to
assist the clinician in achieving predictable esthetics.
Chapter 11 highlights the importance of shade matching
in esthetic implant dentistry and details the roles of
color and light in achieving successful esthetic restorative
outcomes. Chapter 12 shows the clinical consequences
of mishandling implants in the esthetic zone. It
extensively portrays the major complications that can
occur during the course of treatment and provides suggestions
for solving complications resulting from positioning
errors, soft and hard tissue grafting errors, or
prosthetic errors.
I hope this book will offer readers the professional
success and satisfaction that I have enjoyed. I also hope
that, as so many have given their time and advice freely
to me, I might be able to reciprocate this valuable gift
and offer my own expertise and in turn help with the
advancement of this specialty.