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ISBN 10: 0323112919
ISBN 13: 9780323112918
Author: Carl Misch
Written by the foremost authority in the field, Dental Implants Prosthetics, 2nd Edition helps you advance your skills and understanding of implant prosthetics. Comprehensive coverage includes both simple and complicated clinical cases, with practical guidance on how to apply the latest research, diagnostic tools, treatment planning, implant designs, materials, and techniques to provide superior patient outcomes.
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Treatment supported by clinical evidence equips students with a more targeted evidence-based approach to patient procedures.
- NEW! Emphasis on treatment planning helps decrease the number of visits while providing effective, long-term results for the patient.
- NEW! Focus on the patient presentation offers the latest treatment options for bone harvesting, restoration and recovery.
- NEW! Original illustrations and photos highlight and clarify key clinical concepts and techniques.
Dental implant prosthetics 2nd Table of contents:
Part I: Introduction
Chapter 1: Rationale for Dental Implants
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Effects of an Aging Population
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Age-Related Tooth Loss
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Anatomical Consequences of Edentulism
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Negative Consequences of Complete Dentures
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Advantages of Implant-Supported Prostheses
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Summary
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References
Chapter 2: Generic Root Form Component Terminology
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Generic Prosthetic Component Terminology
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Generic Implant Body Terminology
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Implant Body Regions
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Implant Components
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Summary
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References
Chapter 3: An Implant Is Not a Tooth: A Comparison of Periodontal Indices
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Literature Review
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Longevity
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Mobility
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Percussion
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Pain
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Probing Depths
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Bleeding Index
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Crestal Bone Loss
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Radiographic Evaluation
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Keratinized Tissue Concerns
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Periimplant Disease
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Summary
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References
Part II: Basic Sciences
Chapter 4: Biomaterials for Dental Implants
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Compatibility of Surgical Biomaterials and the Role of Synthetic Materials
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Bulk Properties
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Physical, Mechanical, and Chemical Requirements for Implant Materials
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Metals and Alloys
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Ceramics and Carbon
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Polymers and Composites
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Future Areas of Application
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Surface Characteristics
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Summary
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Acknowledgment
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References
Chapter 5: Clinical Biomechanics in Implant Dentistry
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Loads Applied to Dental Implants
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Mass, Force, and Weight
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Forces
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Force Delivery and Failure Mechanisms
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Moment of Inertia
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Summary
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References
Chapter 6: Bone Response to Mechanical Loads
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Biological Response
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Mechanotransduction
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Changes in Gene Expression
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Biomechanical Response
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References
Chapter 7: Radiographic Imaging in Implant Dentistry
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Classification of Radiographic Imaging Techniques
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Imaging Modalities
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Presurgical and Diagnostic Imaging (Phase 1)
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Periapical Radiography
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Occlusal Radiography
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Cephalometric Radiography
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Panoramic Radiography
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Computed Tomography
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Interactive Diagnostic Imaging
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Magnetic Resonance Imaging
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Radiographic Imaging of Vital Structures in Oral Implantology
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Recommended Presurgical Treatment Planning
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Fabrication of Diagnostic Templates
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Implant Imaging in Perspective
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References
Part III: Implant Treatment Planning
Chapter 8: Stress Treatment Theorem for Implant Dentistry: The Key to Implant Treatment Plans
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Natural Tooth versus Implant Support Systems
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Early Loading Failure
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Occlusal Overload on Prosthetic Components
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Marginal Bone Loss
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Biological Causes
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Biomechanical Causes
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Arrest of Crestal Bone Loss
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Discussion
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Summary
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References
Chapter 9: Prosthetic Options in Implant Dentistry
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Completely Edentulous Prosthesis Design
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Partially Edentulous Prosthesis Design
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Prosthetic Options
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Removable Prostheses
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Conclusion
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References
Chapter 10: Force Factors Related to Patient Conditions (A Determinant for Implant Number and Size)
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Normal Forces Exerted on Teeth
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Parafunction
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Crown Height Space
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Masticatory Dynamics
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Arch Position
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Opposing Arch
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Summary
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References
Chapter 11: Bone Density: A Key Determinant for Treatment Planning
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Influence of Bone Density on Implant Success Rates
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Etiology of Variable Bone Density
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Bone Classification Schemes Related to Implant Dentistry
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Misch Bone Density Classification
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Bone Density: Location
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Radiographic Bone Density
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Bone Density—Tactile Sense
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Scientific Rationale of a Bone Density–Based Treatment Plan
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Treatment Planning
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Summary
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References
Chapter 12: Treatment Plans Related to Key Implant Positions and Implant Number
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Treatment Plan Rationale
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Treatment Fees and Economics
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Treatment Fees and Risk Factors
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Treatment Plan Sequence
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Abutment Options
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Implant Number
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Maximum Implant Number
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Splinted versus Independent Implant Crowns
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Summary
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References
Chapter 13: Implant Body Size: A Biomechanical and Esthetic Rationale
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Character of Forces Applied to Dental Implants
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Surface Area
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Implant Length
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Ideal Implant Length
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Implant Diameter
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Ideal Implant Width
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Esthetics
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Summary
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References
Chapter 14: Available Bone and Dental Implant Treatment Plans
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Literature Review
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Available Bone
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Divisions of Available Bone
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Summary
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References
Chapter 15: Scientific Rationale for Dental Implant Design
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Implant Design
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Functional versus Theoretical Surface Area
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Surface Condition versus Design
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Functional Implant Dimension
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Bone–Implant Contact Related to Occlusal Load
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Implant Body Design Related to Occlusal Forces
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Bone Cell Response to Implant Body Design
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Thread Geometry and Functional Surface Area
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Implant Design and Bone Response
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Apical Implant Design Considerations
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Implant Body Related to Fracture
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Implant Body Biomaterial Related to Fracture
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Force Duration and Implant Body Design
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Influence on Implant Body Design
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Summary
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References
Chapter 16: Preimplant Prosthodontics: Overall Evaluation, Specific Criteria, and Pretreatment Prostheses
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Overall Evaluation
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Specific Criteria
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Treatment Prostheses
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References
Chapter 17: Natural Teeth Adjacent to an Implant Site: Joining Implants to Teeth
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Abutment Options
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Adjacent Bone Anatomy
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Cantilevers in Partial Edentulism
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Implants Connected to Teeth
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References
Chapter 18: Diagnostic Casts, Surgical Templates, and Provisionalization
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Diagnostic Casts
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Ideal Implant Positioning Guidelines
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Radiographic Templates
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Surgical Templates
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Laboratory-Fabricated Techniques for Surgical Guides
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Transforming a Radiographic Template into a Surgical Guide
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Computed Tomography Surgical Templates
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Provisional Restorations
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Relining of Prostheses
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Summary
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References
Chapter 19: Treatment Plans for Partially and Completely Edentulous Arches in Implant Dentistry
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Partially Edentulous Arches
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History
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Classification of Partially Edentulous Arches
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Classification of Completely Edentulous Arches
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Summary
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References
Part IV: Special Treatment Options
Chapter 20: Posterior Single-Tooth Replacement: Treatment Options and Indications
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Posterior Missing Tooth
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Posterior Single-Tooth Replacement Options
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Contraindications and Limitations of Posterior Single-Tooth Implants
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Specific Single-Tooth Implant Indications
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Implant Body Selection
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Premolar Implant Replacement
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First Molar Implant Replacement
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Summary
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References
Chapter 21: Single-Tooth Implant Restoration: Maxillary Anterior and Posterior Regions
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Maxillary Anterior Implant Crowns
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Implant Body Position
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Implant Depth Position
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Stage II Surgery and Soft Tissue Emergence Contours
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Prosthetic Phase
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Final Preparation and Impression
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Complications
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Prothesis Fabrication
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Direct Restorative Technique
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Indirect Crown Fabrication
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Posterior Implant Crowns
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Posterior Crown Cusp Angle
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Posterior Implant Crown Contour
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Conclusion
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Summary
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References
Chapter 22: Maxillary Posterior Edentulism: Treatment Options for Fixed Prostheses
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Implant Treatment Plan–Related Factors
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Dental Contraindications for Implant Treatment
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Treatment History
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Summary
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References
Chapter 23: The Edentulous Mandible: Treatment Plans for Implant Overdentures
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Advantages of Mandibular Implant Overdentures
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Philosophy for Implants in the Edentulous Mandible
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Disadvantages of Implant Overdentures
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Review of the Literature
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Overdenture Treatment Options
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Overdenture Movement
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Mandibular Implant Site Selection
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Challenging Force Factors: Patient and Anatomic Factors
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Discussion
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Summary
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References
Chapter 24: The Completely Edentulous Mandible: Treatment Plans for Fixed Restorations
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Comparing Fixed versus Removable Implant Prostheses
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Force Factors
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Mandibular Dynamics
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Implant Treatment Options for Fixed Restorations
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Long-Term Treatment Planning
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Summary
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References
Chapter 25: Maxillary Arch Implant Considerations: Treatment Plans for Partial and Complete Edentulous Fixed and Overdenture Prostheses
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Edentulous Anterior Maxilla
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Treatment Options
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Premaxilla Arch Form
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Premaxillary Edentulous Treatment Plans
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Posterior Edentulous Maxillae Treatment Plans
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Fixed Prosthesis Design
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Maxillary Implant Overdentures
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Conclusion
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References
Part V: Prosthetic Aspects of Implant Dentistry
Chapter 26: Principles of Fixed Implant Prosthodontics: Cement-Retained Restorations
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Protection of the Prosthesis
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Cement-Retained versus Screw-Retained Implant Fixed Prostheses
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Advantages of Cement-Retained Prostheses
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Advantages of Screw-Retained Prostheses
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Complications of Cemented Prostheses
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Resistance and Abutments
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Natural Teeth and Implant Abutments: A Comparison of Prosthetic Indices
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Types of Cements for Implants
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Cementation
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Summary
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References
Chapter 27: Digital Technology in Implant Dentistry
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The Harmony of Function and Esthetics with Digital Technology
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The Dental Laboratory
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The Digital Laboratory
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The Digital Process
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Linear versus Vertical Manufacturing
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Digital Diagnostic and Treatment Planning
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Digital Fixed Prosthetics
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The Digital Process
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Communication of Occlusion
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Computerized Design and Fabrication
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Dental Impressions
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The Future of CAD/CAM Dentistry
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Conclusion
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Summary
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Acknowledgment
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References
Chapter 28: Principles for Abutment and Prosthetic Screws and Screw-Retained Components and Prostheses
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Screw Retention
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Screw Loosening of Abutment and Prosthetic Screws
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Abutment Screw Connection
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Screw-Retained Prostheses
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Advantages of Screw-Retained Prostheses
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Complications of Screw-Retained Prostheses
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Passive Screw-Retained Prostheses
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Digital Dentistry
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Complications
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Summary
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References
Chapter 29: Mandibular and Maxillary Implant Overdenture Design and Fabrication
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Anatomical Consequences of Edentulism
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Advantages of an Implant Overdenture
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Advantages of Implant-Supported Overdentures versus Fixed Prostheses
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Disadvantages of Implant Overdentures
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Review of the Literature
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Overdenture Attachments
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Mandibular Implant Site Selection
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Overdenture Treatment Options
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Prosthesis Fabrication
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Step-by-Step Restorative Procedure
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Maxillary Implant Overdentures
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Maxillary Overdenture versus a Fixed Prosthesis
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Premaxilla Arch Form: Dentate and Residual Bone
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Posterior Implant Location
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Maxillary Implant Overdenture Treatment Options
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Maxillary Overdenture Complications
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Restorative Procedure
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Summary
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References
Chapter 30: Maxillary Arch Fixed Implant Prostheses: Design and Fabrication
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Consequences of Anterior Maxillary Edentulism
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Advantages of a Maxillary Implant Prosthesis
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Treatment Planning Considerations
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Premaxilla Arch Form: Dentate and Residual Bone
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Implant Number and Premaxilla Arch Form
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Posterior Implant Number
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Sequence of Treatment Planning
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Mandibular Incisor Edge Position
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Existing Occlusal Planes (Posterior Maxillary and Mandibular Planes of Occlusion)
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Fixed Prosthesis Design
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Step-by-Step Fabrication of Fixed Full-Arch Maxillary Prostheses
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Summary
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References
Chapter 31: Occlusal Considerations for Implant-Supported Prostheses: Implant-Protective Occlusion
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Natural Tooth versus Implant Support Systems
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Implant-Protective Occlusion
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Occlusal Considerations for Fixed Implant Prostheses
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Premature Occlusal Contacts
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Implant Body Orientation
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Force Direction and Bone Mechanics
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Prosthetic Angled Loads
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Posterior Crown Cusp Angle
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Mutually Protected Articulation
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Cantilevers and Implant-Protective Occlusion
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Crown Height and Implant-Protective Occlusion
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Posterior Implant Crown Contour
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Posterior Occlusal Contact Positions
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Timing of Occlusal Contacts
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Design to the Weakest Arch
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Summary by Bone Volume
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Conclusion
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Summary
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References
Chapter 32: Progressive Bone Loading: Increasing the Density of Bone with a Prosthetic Protocol
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Influence of Bone Density on Implant Success Rates
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Etiology of Variable Bone Density
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Misch Bone Density Classification
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Scientific Rationale of Bone Density–Based Implant Treatment
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Rationale for Progressive Loading
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Progressive Loading Protocol
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Time
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Diet
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Occlusal Material
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Occlusion
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Prosthesis Design
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Progressive Loading Phases
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Completely Edentulous Patient Protocol
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Summary
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References
Chapter 33: A Maxillary Denture with Modified Occlusal Concepts Opposing an Implant Prosthesis
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Maxillary Soft Tissue Evaluation
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Hard Tissue Evaluation
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Maxillary Denture Impressions
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Maxillary Anterior Tooth Position
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Posterior Maxillary Plane of Occlusion
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Occlusal Vertical Dimension
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Functionally Generated Path Technique for Maxillary Removable Prostheses
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Summary
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References
Part VI: Maintenance
Chapter 34: Maintenance of Dental Implants
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Plaque Biofilm and Dental Implants
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Probing Depths
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Bleeding Index
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Crestal Bone Loss
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Patient Oral Hygiene
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Instrument Selection
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Implant Maintenance Procedures
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Chemotherapeutic Agents
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Implant Quality of Health Scale: A Clinical Assessment of the Health–Disease Continuum
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Repair of Ailing, Failing Dental Implants
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Implant Crown Esthetic Index
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Summary
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References
Index
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