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Implant Dentistry

A guide to implant dentistry part 1: treatment planning

    Abstract

    Implant rehabilitation is considered a predictable treatment modality to replace single and multiple missing units, with high survival rates. Technical and biological complications are commonly encountered and careful treatment planning, restorative-driven implant placement and long-term maintenance are prerequisites of a successful implant rehabilitation. The aim of this two-part series is to provide an evidence-based overview regarding the sequence of treatment planning and the treatment stages of a successful implant rehabilitation. The first part of the series will focus on new patient assessment and pre-operative planning. The second part of the series will discuss the surgical and prosthodontic considerations and maintenance of implant-supported restorations.

    CPD/Clinical Relevance: To provide the dental practitioner with an evidence-based overview regarding treatment planning, surgical and prosthodontic considerations and maintenance of implant-supported restorations.

    References

    • 1. Jung RE, Zembic A, Pjetursson BE. Systematic review of the survival rate and the incidence of biological, technical and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res 2012; 23: 2–21. MedlineGoogle Scholar
    • 2. Pjetursson BE, Brägger U, Lang NP. Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res 2007; 18: 97–113. MedlineGoogle Scholar
    • 3. Papaspyridakos P, Chen CJ, Singh M, Weber HP, Gallucci GO. Success criteria in implant dentistry: a systematic review. J Dent Res 2012; 91: 242–248. Crossref, MedlineGoogle Scholar
    • 4. Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants 2004; 19: 43–61. MedlineGoogle Scholar
    • 5. Martin WC, Pollini A, Morton D. The influence of restorative procedures on esthetic outcomes in implant dentistry: a systematic review. Int J Oral Maxillofac Implants 2014; 29: 142–154. MedlineGoogle Scholar
    • 6. Morton D, Chen ST, Martin WC et al.. Consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry. Int J Oral Maxillofac Implants 2014; 29: 216–220. MedlineGoogle Scholar
    • 7. Wismeijer D, Brägger U, Evans C et al.. Consensus statements and recommended clinical procedures regarding restorative materials and techniques for implant dentistry. Int J Oral Maxillofac Implants 2014; 29: 137–140. MedlineGoogle Scholar
    • 8. Dawson A, Chen S, Buser D, Cordaro L, Martin W, Belser U. The SAC Classification in Implant Dentistry. Quintessence Publishing Co Ltd, 2009: pp4–25. Google Scholar
    • 9. Cochran DL, Schou S, Heitz-Mayfield LJ, Bornstein MM, Salvi GE, Martin WC. Consensus statements and recommended clinical procedures regarding risk factors in implant therapy. Int J Oral Maxillofac Implants 2009; 24: 86–89. MedlineGoogle Scholar
    • 10. Buser D, von Arx T, ten Bruggenkate CM, Weingart D. Basic surgical principles with ITI implants. Clin Oral Implants Res 2000; 11: 59–68. MedlineGoogle Scholar
    • 11. Bornstein MM, Cionca N, Mombelli A. Systemic conditions and treatments as risks for implant therapy. Int J Oral Maxillofac Implants 2009; 24: 12–27. MedlineGoogle Scholar
    • 12. Karoussis IK, Kotsovilis S, Fourmousis I. A comprehensive and critical review of dental implant prognosis in periodontally compromised partially edentulous patients. Clin Oral Implants Res 2007; 6: 669–679. Google Scholar
    • 13. Ong CT, Ivanovski S, Needleman IG. Systematic review of implant outcomes in treated periodontitis subjects. J Clin Periodontol 2008; 35: 438–462. MedlineGoogle Scholar
    • 14. Heitz-Mayfield LJ, Huynh-Ba G. History of treated periodontitis and smoking as risks for implant therapy. Int J Oral Maxillofac Implants 2009; 24: 39–68. MedlineGoogle Scholar
    • 15. Thilander B, Odman J, Gröndahl K, Lekholm U. Aspects osseointegrated implants inserted in growing jaws. A biometric and radiographic study in the young pig. Eur J Orthod 1992; 14: 99–109. MedlineGoogle Scholar
    • 16. Koch G, Bergendal T, Kvint S, Johansson UB. Göteberg: Graphic Systems AB, 1996. Consensus conference on oral implants in young patients. Google Scholar
    • 17. The SAC Assessment Tool: https://www.iti.org/SAC-Assessment-Tool Google Scholar
    • 18. Martin W, Lewis E, Nicol A. Local risk factors for implant therapy. Int J Oral Maxillofac Implants 2009; 24: 28–38. MedlineGoogle Scholar
    • 19. Belser U, Buser D, Higginbottom F. Consensus statements and recommended clinical procedures regarding esthetics in implant dentistry. Int J Oral Maxillofac Implants 2004; 19: 73–74. MedlineGoogle Scholar
    • 20. Mericske-Stern RD, Taylor TD, Belser U. Management of the edentulous patient. Clin Oral Implants Res 2000; 11: 108–125. MedlineGoogle Scholar
    • 21. Zitzmann NU, Marinello CP. Treatment outcomes of fixed or removable implant-supported prostheses in the edentulous maxilla. Part I: patients' assessments. J Prosthet Dent 2000; 83: 424–433. MedlineGoogle Scholar
    • 22. Zitzmann NU, Marinello CP. Treatment outcomes of fixed or removable implant-supported prostheses in the edentulous maxilla. Part II: clinical findings. J Prosthet Dent 2000; 83: 434–442. MedlineGoogle Scholar
    • 23. McCord JF, Smith P, Jauhar S. Complete dentures revisited. Dent Update 2014; 41: 250–259. LinkGoogle Scholar
    • 24. Gahan MJ, Walmsley AD. The neutral zone impression revisited. Br Dent J 2005; 198: 269–272. MedlineGoogle Scholar
    • 25. Alani A, Bishop K, Renton T, Djemal S. Update on guidelines for selecting appropriate patients to receive treatment with dental implants: priorities for the NHS – the position after 15 years. Br Dent J 2014; 217: 189–190. MedlineGoogle Scholar
    • 26. Weingart D, ten Bruggenkate CM. Treatment of fully edentulous patients with ITI implants. Clin Oral Implants Res 2000; 11: 69–82. MedlineGoogle Scholar