The predictability of successful osseointegrated implant rehabilitation of the edentulous jaw as described by Branemark et al., introduced a new era of management for the edentulous predicament. Implant rehabilitation of the edentulous maxilla remains one of the most complex restorative... Continue Reading →
The outcomes of both dental implants and endodontically treated teeth have been extensively studied. However, there is still a great controversy over when to keep a natural tooth and when to extract it for a dental implant. This article reviews... Continue Reading →
Type 3 extraction sockets present a unique challenge in that they possess gingival recession indicative of facial hard- and soft-tissue loss. When teeth present with prior disease requiring removal and implant replacement, the treatment strategy incorporates palatal implant positioning as... Continue Reading →
The use of dental implants is an accepted and predictable way of replacing missing or lost teeth. However, implants can and will fail and there are a variety of reasons why this occurs, which the practitioner should understand. In some... Continue Reading →
In the first 25 years of modern implant dentistry based on the concept of osseointegration (15, 96), implant placement was predominantly performed in healed sites of fully edentulous patients (1, 16). Most of these patients had been edentulous for years... Continue Reading →
A fixed dental prosthesis can be secured to an endosseous implant via cementation (using a provisional or definitive cement) on an implant abutment that is screw retained to the implant or directly in the implant via screw retention. The clinical... Continue Reading →
This study aimed to investigate the etiology, clinical manifestations, and treatment options of dental implants fractures through a literature review and to relate a clinical report. Click here for the paper CLICK HERE TO BOOK THE RESTORABILITY SYMPOSIUM
Several systemic diseases (and relative medications) have been reported to impair or in some cases complicate dental implant surgery. In broader terms, when dealing with patients suffering from systemic diseases, the monitoring of the medical condition and of the related... Continue Reading →
I was quite flattered to be asked to re-draft the Royal College of Surgeons Guidance on implants in the NHS in 2011. This was something I felt at the time required a lot of responsibility and gave me some kudos... Continue Reading →
Today the clinician is faced with widely varying concepts regarding the number, location, distribution and inclination of implants required to support the functional and parafunctional demands of occlusal loading. Primary clinical dilemmas of planning for maximal or minimal numbers of... Continue Reading →
The introduction of adhesive techniques in combination with translucent restorative materials has greatly influenced treatment concepts in fixed prosthodontics. Modern production technologies offer access to new polymer materials that provide innovative pre-treatment options for complex prosthetic rehabilitations. Additionally, computer-aided design... Continue Reading →
The use of zygomatic bone for implant placement can be a predictable alternative to certain other treatment tech- niques when rehabilitating the atrophic maxilla. Despite the high success rates of zygomatic implants, there is no consensus in the literature about... Continue Reading →
The prevention of any disease process should be the cornerstone of any healthcare provision. This ethos is well established in dentistry with plaque associated disease such as periodontitis and caries but is at the current time less developed for peri-implantitis.... Continue Reading →
After tooth extraction, the alveolar ridge will commonly decrease in volume and change morphologically. These changes are usually clinically significant and can make placement of a conventional bridge or an implant-supported crown difficult. If bone resorption is significant enough, then... Continue Reading →
Bucco-palatal collapse of the postextraction ridge is a signi cant challenge in restorative and implant dentistry. A variety of ridge preservation techniques using tissue and augmentative materials have been proposed in the literature. A slightly different approach is to use... Continue Reading →
Avulsed teeth that are stored extraorally in a dry environment for >60 min generally develop replacement root resorption or ankylosis following their replantation due to the absence of a vital periodontal ligament on their root surface. One negative sequelae of... Continue Reading →
Although more people are retaining increasing numbers of their natural teeth into older ages, approximately 30‑40% of persons over the age of 75 years in Western countries are edentulous. The causes and significance of tooth loss vary widely among individuals and... Continue Reading →
Achievement of optimal aesthetics on implants in the anterior region can be difficult due to inherent differences to the natural dentition. An important consideration is the peri-implant soft tissues which can be modified to create a more natural emergence profile... Continue Reading →
This article describes the many failures and complications that can occur when using implants to support restorations. Most of these failures can be prevented with proper patient selection and treatment planning. Implant failures can be largely classified into four main categories: 1) loss of integration,... Continue Reading →
The clinical replacement of lost natural teeth by osseointegrated implants has represented one of the most significant advances in restorative dentistry. Two decades ago, a majority of dentists were sceptical about implants and rejected them entirely. Today it is rare to find a practitioner... Continue Reading →
As the application of dental implants increases worldwide, so is the number of technical and biological complications that general dental practitioners will be called to manage, while maintaining implant patients. In addition, the greater patient mobility encountered today combined with a... Continue Reading →
The goal of an implant supported reconstruction is to obtain optimal aesthetics and function. In order to achieve this, visualisation of the final restorative reconstruction is necessary prior to beginning treatment. The term ‘restorative-driven’ treatment planning has been used to... Continue Reading →
Implant supported restorations can be attached to implants with screws or can be cemented to abutments which are secured to implants with screws. Screw retained implant restorations are generally the preferred method of securing restorations to implants. This article is... Continue Reading →
Orthodontic treatment of partially edentulous patients is difficult, especially if a significant number of teeth are missing. With loss of teeth, adjacent or opposing teeth usually tip, drift or over-erupt leaving spaces that are not optimal for replacement of missing teeth. Orthodontic correction of these spatial relationships will aid prosthetic replacement of the missing teeth, function, hygiene and aesthetics.
Diagnosis and treatment planning are key factors in achieving successful outcomes after placing and restoring implants placed immediately after tooth extraction. The efficacy of immediate implant placement has been established and shown to be predictable if reasonable guidelines are followed.
The 'pink' part of restorations can get forgotten whilst the 'white' parts get all the attention. The presence of a realistic gingival margin, root contouring, gingival stippling and potential age related gum changes can really add to the 'aesthetics' of... Continue Reading →
Soft tissue remodelling for implants
About 5 years ago I was approached by the Royal College to do a paper on the endodontic implant interface. At the time the conjecture about the longevity, survival and success of implants was starting to being questioned both within... Continue Reading →