Implant Dentistry E Book

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Contemporary Implant Dentistry - E-Book

Author : Carl E. Misch
Publisher : Elsevier Health Sciences
ISBN 13 : 0323079016
Total Pages : 1121 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Contemporary Implant Dentistry - E-Book by : Carl E. Misch

Download or read book Contemporary Implant Dentistry - E-Book written by Carl E. Misch and published by Elsevier Health Sciences. This book was released on 2007-11-26 with total page 1121 pages. Available in PDF, EPUB and Kindle. Book excerpt: Turn to this new third edition for consistent outcomes on even your most complex implant cases! World-renowned dental implantologist Carl E. Misch gives you expert advice and guidance on the various surgical approaches to placing implants in the revision of his best-selling classic. Over 1,000 full-color illustrations depict details of implants, related materials, and surgical procedures, while well-known contributors (Mohamed Sharawy, Martha Warren Bidez, Adriano Piatelli, and others) share a wealth of knowledge in their respective fields. This third edition provides an excellent opportunity for you to develop and refine your skills and experience more consistent, predictable clinical outcomes. Thorough explanations of the rationale for implants and their specific characteristics discuss why different options work better for different patients; the rationale behind implant materials and sizes; and the overall science of osteointegrated implants – providing a full understanding of how implants behave under certain circumstances and how to make the best choices for implant patients. Chapter on Diagnostic Imaging and Techniques focuses on the latest technology available to determine patient conditions, familiarizing you with recent advances and how they apply to treatment planning principles. Section on Treatment Planning discusses the rationales for implant placement, variables in implants and patient conditions, and the four degrees of jaw bone density, Dr. Misch’s best-known criterion for successful implant placement. Prepares you for actual treatment by reviewing scientific fundamentals such as applied anatomy, biomechanical principles, current biomaterials, prevention and management of dental infections, and pharmacologic considerations. Surgical procedure chapters are of benefit to the implant surgeon and are critical to the restoring dentist who wants to better understand and appreciate surgical concepts. Over 1,000 full-color illustrations depict details of implants, related materials, and surgical procedures. Brand-new coverage includes: Key Implant Positions and Number, Ideal Implant Surgery, Extraction Socket and Barrie Membrane Bone Grafts, Sinus Pathology and Complications of Sinus Grafts, Immediate Loading for a Single Tooth, Partially Edentulous and Completely Edentulous Patient. Important updates include indications and contraindications for rationale of biomechanical treatment plans, layered approach to bone grafting, autograft block bone grafting, soft tissue surgery, and implant esthetics and maintenance. A new chapter on Tissue Engineering uses current information on platelet-rich plasma membranes and other elements of tissue engineering so you can take advantage of appropriate materials. Emphasis on evidence-based implant outcomes provides valuable information on which procedures have the greatest likelihood of success and lowest risk of complications.

Misch's Contemporary Implant Dentistry

Author : Randolph Resnik
Publisher : Elsevier Health Sciences
ISBN 13 : 0323478263
Total Pages : 1267 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Misch's Contemporary Implant Dentistry by : Randolph Resnik

Download or read book Misch's Contemporary Implant Dentistry written by Randolph Resnik and published by Elsevier Health Sciences. This book was released on 2020-01-25 with total page 1267 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dental implant surgery is an artform. To help you advance your skills and become a master of implant prosthetics, Misch's Contemporary Implant Dentistry, 4th Edition uses a multidisciplinary approach to cover the industry’s most current processes and surgical procedures. The new edition of this text continues to provide comprehensive, state-of-the-art information on the science and discipline of contemporary implant dentistry. Covering the breadth of dental implant surgery, it includes full-color, in-depth coverage of both simple and complicated clinical cases, with practical guidance on how to apply the latest research, diagnostic tools, treatment planning, implant designs, and materials. New author Randolph R. Resnik, is an internationally known educator, clinician, and researcher in the field of Oral Implantology and Prosthodontics who will continue Dr. Misch’s legacy and teachings. Content reflects original author’s philosophy and surgical protocols for dental implants giving you a system for achieving predictable outcomes. Evidence-based approach to dental implant procedures features state-of-the-art guidance supported by the best available research evidence. Rich art program throughout text highlights and clarifies key clinical concepts and techniques with over 2,500 images, radiographs, full-color clinical photographs, line art, and diagrams. Definitive resource in implant dentistry provides you with authoritative state-of-the art guidance by recognized leader in the field. Internationally known author, Randolph R. Resnik, DMD, MDS is a leading educator, clinician, author and researcher in the field of Oral Implantology and Prosthodontics. Surgical protocols provide the latest, most up-to-date literature and techniques that provide a proven system for comprehensive surgical treatment of dental implant patients. Thoroughly revised content includes current diagnostic pharmacologic and medical evaluation recommendations to furnish the reader with the latest literature-based information. Proven strategies and fundamentals for predictable implant outcomes Latest implant surgical techniques for socket grafting and ridge augmentation procedures Proven, evidence-based solutions for the treatment of peri-implant disease Includes the use of dermal fillers and botox in oral implantology Up-to-date information on advances in the field reflects the state-of-the-art dental implantology. Addition of an ExpertConsult site allows you to search the entire book electronically.

Implant Dentistry - E-Book

Author : Arun K. Garg
Publisher : Elsevier Health Sciences
ISBN 13 : 0323087655
Total Pages : 352 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Implant Dentistry - E-Book by : Arun K. Garg

Download or read book Implant Dentistry - E-Book written by Arun K. Garg and published by Elsevier Health Sciences. This book was released on 2009-12-11 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get the practical information you need to add dental implants to your practice! Dr. Arun Garg, a leading dental implant educator, clinician, and researcher, uses a clear, succinct writing style to inform and guide you through the full scope of dental implantology. A patient-focused approach covers surgical templates and techniques, sterilization, pharmacology, bone biology, complications, and more. A robust appendix offers handy information including insurance codes, consent forms, surgical tray set-ups, and food recipes for patients recovering from surgery. A practical yet comprehensive approach covers all aspects of implant dentistry from patient history to post-operative care, with minimal use of jargon, in an easy-to-read format. Outstanding photos help you visualize and understand patient outcomes. An appendix on post-operative instructions includes a unique section on delicious yet recovery-specific recipes.

Practical Procedures in Implant Dentistry

Author : Christopher C. K. Ho
Publisher : John Wiley & Sons
ISBN 13 : 111939919X
Total Pages : 432 pages
Book Rating : 4.1/5 (193 download)

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Book Synopsis Practical Procedures in Implant Dentistry by : Christopher C. K. Ho

Download or read book Practical Procedures in Implant Dentistry written by Christopher C. K. Ho and published by John Wiley & Sons. This book was released on 2021-07-16 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical Procedures in IMPLANT DENTISTRY Master the fundamentals and intricacies of implant dentistry with this comprehensive and practical new resource Practical Procedures in Implant Dentistry delivers a comprehensive collection of information demonstrating the science and clinical techniques in implant dentistry. Written in a practical and accessible style that outlines the principles and procedures of each technique, the book offers clinical tips and references to build a comprehensive foundation of knowledge in implantology. Written by an international team of contributors with extensive clinical and academic expertise, Practical Procedures in Implant Dentistry covers core topics such as: Rationale and assessment for implant placement and restoration, including the diagnostic records and surgical considerations required for optimal planning and risk management Incision design considerations and flap management, with an essential knowledge of regional neuro-vascular structures Implant placement, encompassing the timing of the placement, bone requirements and understanding the importance of the peri-implant interface for soft tissue stability Impression techniques, loading protocols, digital workflows and the aesthetic considerations of implants Prosthetic rehabilitation of single tooth implants to fully edentulous workflows, including discussions of soft tissue support, biomechanics and occlusal verification Perfect for both general dental practitioners and specialists in implant dentistry, Practical Procedures in Implant Dentistry is also a valuable reference to senior undergraduate and postgraduate dental students.

Dental Implant Prosthetics - E-Book

Author : Carl E. Misch
Publisher : Elsevier Health Sciences
ISBN 13 : 0323112919
Total Pages : 1008 pages
Book Rating : 4.3/5 (231 download)

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Book Synopsis Dental Implant Prosthetics - E-Book by : Carl E. Misch

Download or read book Dental Implant Prosthetics - E-Book written by Carl E. Misch and published by Elsevier Health Sciences. This book was released on 2014-07-21 with total page 1008 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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. 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.

Evidence-Based Implant Dentistry

Author : Oreste Iocca
Publisher : Springer
ISBN 13 : 3319268724
Total Pages : 248 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Evidence-Based Implant Dentistry by : Oreste Iocca

Download or read book Evidence-Based Implant Dentistry written by Oreste Iocca and published by Springer. This book was released on 2016-09-28 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers all aspects of implant dentistry, presenting up-to-date information that reflects the highest level of scientific evidence as presented in the specialized literature. Among the topics addressed by expert authors are the prognosis of natural tooth versus implant restorations, bone response to implant treatment, placement and loading time, implant design and length, platform design, implant abutments, prosthodontic treatment, reconstructive surgery, and periimplantitis. The amount of data available for the clinician working in the field of implantology is huge and constantly increasing. The task of remaining abreast of the latest evidence and applying it effectively in clinical practice is further hindered by the fact that many scientific papers make contradictory claims and contain methodological flaws and biases that generate confusion and lack of reliability. Against this background, Evidence-Based Implant Dentistry will serve the reader as a dependable and scientifically supported guide to current implant treatment and key issues in the field.

Misch's Avoiding Complications in Oral Implantology

Author : Carl E. Misch
Publisher : Elsevier Health Sciences
ISBN 13 : 0323390153
Total Pages : 907 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Misch's Avoiding Complications in Oral Implantology by : Carl E. Misch

Download or read book Misch's Avoiding Complications in Oral Implantology written by Carl E. Misch and published by Elsevier Health Sciences. This book was released on 2017-03-24 with total page 907 pages. Available in PDF, EPUB and Kindle. Book excerpt: See how to effectively manage ALL dental implant complications throughout ALL phases of treatment! Avoiding Complications in Oral Implantology provides evidence-based management protocols for a wide range of implant problems such as placement complications, malpositioning, bleeding, infection, and nerve injuries. Hundreds of high-quality, full-color photos and illustrations clearly demonstrate the complications and their resolution. Edited by Carl Misch and Randolph Resnik — both well-known names in dental implantology and prosthodontics — and with a team of expert contributors, this authoritative guide helps you handle the implant-related complications that can occur as more and more patients choose dental implants. Expert authors are joined by a panel of recognized leaders in implant dentistry — many of whom are associated with the Misch International Implant Institute — to share their extensive experience with handling complications through all phases of treatment. Comprehensive approach to complications that occur in the different phases of oral implantology provides the knowledge and skills you need to handle treatment planning, implant placement, post-operative complications, prostheses-related complications, and more. Over 1,000 images include full-color clinical photographs, radiographs, line drawings, and diagrams, clearly demonstrating complications, procedures, and outcomes. Management protocols developed by world-renowned dental implantologists provide a proven system and authoritative guidance in managing complications with dental implants. Evidence-based solutions make it easier to manage a wide variety of clinical problems associated with dental implants, with state-of-the-art guidance supported by the best available research.

Clinical Implantology

Author : Ajay Vikram Singh
Publisher : Elsevier India
ISBN 13 : 8131233243
Total Pages : 38 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Clinical Implantology by : Ajay Vikram Singh

Download or read book Clinical Implantology written by Ajay Vikram Singh and published by Elsevier India. This book was released on 2019-08-26 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book, primarily written keeping in mind fresher as well as experienced implant dentists, provides all the new and relevant information of basic to advanced implantology for the undergraduate as well as postgraduate dental students. Current concepts of implantology are beautifully presented with illustrations and clinical cases making this book a complete literature for the dentists to learn the basic science and various advanced techniques of implantology like sinus grafting, nasal floor grafting, block grafting, ridge splitting, distraction osteogenesis, soft tissue grafting, 'all-on-4'/'all-on-6' techniques and many more. Consists of 24 chapters with more than 3000 illustrations including hundreds of clinical cases Provides step-by-step guidelines for implantology techniques Describes concepts under introduction, indications, contraindications, advantages, disadvantages, step-by-step technique, key points and summary headings Covers basic to advanced techniques with high quality clinical photographs and line illustrations Shares expertise of contributors from across the globe A useful reference for dental students, practitioners and experienced implantologists

Osseointegration and Dental Implants

Author : Asbjorn Jokstad
Publisher : John Wiley & Sons
ISBN 13 : 0813804744
Total Pages : 444 pages
Book Rating : 4.8/5 (138 download)

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Book Synopsis Osseointegration and Dental Implants by : Asbjorn Jokstad

Download or read book Osseointegration and Dental Implants written by Asbjorn Jokstad and published by John Wiley & Sons. This book was released on 2009-03-03 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Osseointegration and Dental Implants offers a comprehensive guide to the state of the art of implant dentistry. Based around the proceedings of the Toronto Osseointegration Conference Revisited, it gathers together information on all aspects of implant dentistry and osseointegration, from basic scientific background, such as the biology of osseointegration and the biomechanics of implant surface design, to clinical relevance, such as treatment planning, loading protocols, and patient rehabilitation. This unique book shows implant dentistry as it is today, in all its diverse clinical applications, and provides an expert discussion of what we know, what we think we know, and what we need to find out.

Dental Implants

Author : Muhammad Sohail Zafar
Publisher : Woodhead Publishing
ISBN 13 : 0128196270
Total Pages : 324 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Dental Implants by : Muhammad Sohail Zafar

Download or read book Dental Implants written by Muhammad Sohail Zafar and published by Woodhead Publishing. This book was released on 2020-07-23 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dental Implants: Materials, Coatings, Surface Modifications and Interfaces with Oral Tissues provides readers with information on past and contemporary advances in the design and modification of dental implants to enhance osseointegration and biocompatibility. The book begins with a look at the current status of dental implants, materials and fabrication methods. Chapters then cover surface modification techniques and a variety of inorganic, organic and biological coatings. Final sections cover tissue-implant interfaces. Written by a multidisciplinary team of materials scientists, dental clinicians and implantologists, this book is an essential reference for materials scientists, dental practitioners and researchers and students in academia. Covers all aspects related to dental implants, including implant materials science, their fabrication, surface coatings and their clinical applications Provides detailed information on surface modification on surfaces coated with inorganic, organic and biological materials Discusses the modification of dental implants, including implant-bone interaction enhanced by coatings on dental implant surfaces Written by a multidisciplinary team of materials scientists, dental clinicians and Implantologists

Surgical Essentials of Immediate Implant Dentistry

Author : Jay R. Beagle
Publisher : John Wiley & Sons
ISBN 13 : 1118517571
Total Pages : 262 pages
Book Rating : 4.1/5 (185 download)

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Book Synopsis Surgical Essentials of Immediate Implant Dentistry by : Jay R. Beagle

Download or read book Surgical Essentials of Immediate Implant Dentistry written by Jay R. Beagle and published by John Wiley & Sons. This book was released on 2012-12-10 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgical Essentials of Immediate Implant Dentistry provides a definitive text on this important treatment modality. Assisting readers to make sense of the various clinical techniques and protocols, Beagle discusses the available underlying evidence to provide a practical, comprehensive and navigable aid to attaining a thorough understanding of this complex and highly relevant subject. All aspects of immediate placement of endosseous implants are clearly and scientifically discussed, enabling the reader to survey the entire subject area, fusing clinical guidance with scientific discussion. Surgical Essentials of Immediate Implant Dentistry takes pre-operative risk assessment and indications and contraindications for immediate loading as its logical starting point. It then proceeds to examine the treatment of infected sites, extraction site healing, methods of extraction, surgical protocol, and finishes with a discussion of complications. Surgical Essentials of Immediate Implant Dentistry will find a ready place within libraries of oral and maxillofacial surgeons, periodontists and prosthodontists and will provide all dentists with an interest in implant dentistry with a useful and welcome companion to this expanding area of clinical practice and research.

Digital Dental Implantology

Author : Jorge M. Galante
Publisher : Springer Nature
ISBN 13 : 303065947X
Total Pages : 210 pages
Book Rating : 4.0/5 (36 download)

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Book Synopsis Digital Dental Implantology by : Jorge M. Galante

Download or read book Digital Dental Implantology written by Jorge M. Galante and published by Springer Nature. This book was released on 2021-04-26 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes the fusion of CBCT and CAD/CAM technologies for the purpose of surgical dental treatments and explains the advantages and applications of this digital approach for implant placement procedures and other oral surgical protocols. All aspects of computer-aided imaging and design are first covered in the textbook, including the creation of DICOM and STL files; followed by the process of virtual merging to obtain a combined image. Secondly, clinical tips for the use of digital wax up, software interactions and accurate template fabrication are explained, including subtractive and additive methods used for this manufacturing step. The remainder of the book is devoted to the application of technology fusion in implantology, guided bone regeneration, and maxillofacial surgery. Both static and dynamic guided surgeries are described. Materials characteristics and surgical instruments are also presented to define a correct selection criteria. The digital approach outlined in this textbook involves a paradigm shift in the way traditional oral surgery is conceived. Technology fusion aims to improve treatment accuracy, optimize clinical time and reduce patient morbidity. Clinicians will find this book to be a valuable guide for virtual surgical planning and a path to introduce themselves into the exciting world of digital dental surgery.

Contemporary Implant Dentistry

Author : Carl E. Misch
Publisher :
ISBN 13 :
Total Pages : 736 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Contemporary Implant Dentistry by : Carl E. Misch

Download or read book Contemporary Implant Dentistry written by Carl E. Misch and published by . This book was released on 1999 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt: Resource added for the Dental Hygienist program 105081 and Dental Assistant program 315081.

Color Atlas of Dental Implant Surgery - E-Book

Author : Michael S. Block
Publisher : Elsevier Health Sciences
ISBN 13 : 0323228100
Total Pages : 488 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Color Atlas of Dental Implant Surgery - E-Book by : Michael S. Block

Download or read book Color Atlas of Dental Implant Surgery - E-Book written by Michael S. Block and published by Elsevier Health Sciences. This book was released on 2014-09-19 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: Use this atlas-style guide to master implant procedures and techniques! Written by leading expert Michael S. Block, DMD, Color Atlas of Dental Implant Surgery, 3rd Edition provides clear, full-color clinical photos and practical instructions covering a wide range of implant challenges. It takes you through treatment planning, presurgical guidelines, detailed surgical techniques, and postoperative follow-up. This edition adds more case studies and coverage of computed tomography. With this book, you’ll be able to address any implant-related situation and achieve optimal results! This title includes additional digital media when purchased in print format. For this digital book edition, media content is not included. Clear step-by-step procedures include indications, contraindications, and treatment results for each procedure. Over 1,400 full-color photographs and drawings depict important concepts and techniques, and show treatment from beginning to end. Indications and contraindications for each procedure provide details of why a procedure is performed. A discussion of the result of prosthodontic treatment is provided for each case, explaining how implant placement factors into successful therapy. Chapters are organized by oral anatomy and surgical technique, with each chapter presenting a different area of the mouth or a specific surgical technique. The Mandible section covers various approaches to augmentation of the atrophic mandible, including a case that utilizes distraction osteogenesis. Detailed cases of posterior mandible surgery demonstrate onlay bone harvesting and grafting the deficient ridge. The Maxilla section features sinus grafting, hard and soft tissue procedures, and the relatively new zygomaticus implant procedure. References are provided at the end of every chapter for additional reading and research.

Clinical Cases in Implant Dentistry

Author : Nadeem Karimbux
Publisher : John Wiley & Sons
ISBN 13 : 111870214X
Total Pages : 496 pages
Book Rating : 4.1/5 (187 download)

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Book Synopsis Clinical Cases in Implant Dentistry by : Nadeem Karimbux

Download or read book Clinical Cases in Implant Dentistry written by Nadeem Karimbux and published by John Wiley & Sons. This book was released on 2017-01-30 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Cases in Implant Dentistry presents 49 actual clinical cases, accompanied by academic commentary, that question and educate the reader about essential topics in implant dentistry, encompassing diagnosis, surgical site preparation and placement, restoration, and maintenance of dental implants. Unique case-based format supports problem-based learning Promotes independent learning through self-assessment and critical thinking Highly illustrated with full-color clinical cases Covers all essential topics within implant dentistry

Implant Surgery, An Issue of Dental Clinics of North America

Author : Harry Dym
Publisher : Elsevier Health Sciences
ISBN 13 : 0323791956
Total Pages : 257 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Implant Surgery, An Issue of Dental Clinics of North America by : Harry Dym

Download or read book Implant Surgery, An Issue of Dental Clinics of North America written by Harry Dym and published by Elsevier Health Sciences. This book was released on 2020-11-25 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Dental Clinics of North America focuses on Implant Surgery, and is edited by Dr. Harry Dym. Articles will include: The Medically Complex Dental Implant Patient: Controversies with Respect to Systemic Disease and Dental Implant Success and Survival; Placement of Short Implants: A Viable Alternative?; Surgical Approaches to Implant Placement in the Vertically & Horizontally Challenged Ridge; Update on Maxillary Sinus Augmentation; Implant Surgery Update for the General Practitioner; How to Avoid Life Threatening Complications Associated with Implant Surgery; All-on-4 Implant Concept Update; An Update on the Treatment of Peri-implantitis; Soft Tissue Injury in Preparation for Implants; Update on Zygomatic Implants; Prosthodontic Principles in Dental Implantology: Adjustments in a COVID-19 Pandemic-battered Economy; Guided Implant Surgery: A Technique Whose Time Has Come; Implant Material Sciences; Immediate Implants and Immediate Loading: Current Concepts; An Update on Hard Tissue Grafting Materials; and more!

Implantology in General Dental Practice

Author : Lloyd J. Searson
Publisher : Quintessence Publishing Company Limited
ISBN 13 : 1850973377
Total Pages : 177 pages
Book Rating : 4.8/5 (59 download)

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Book Synopsis Implantology in General Dental Practice by : Lloyd J. Searson

Download or read book Implantology in General Dental Practice written by Lloyd J. Searson and published by Quintessence Publishing Company Limited. This book was released on 2019-03-19 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: Increased media attention and research have heightened awareness of dental implants as an option for missing teeth. The general practitioner is now expected to offer implants when discussing restorative treatment with patients. This book aims to explain current best practice in the principles of patient assessment and treatment planning, implant selection criteria, and surgical and restorative treatment protocols for achieving optimum functional and cosmetic results according to each individual patient's clinical needs and requirements.