Implant Overdentures The Standard of Care for Edentulous Patients 1st edition by Jocelyne Feine,Gunnar Carlsson 9780867155617 0867154306

CHAPTER 1 The World Without Teeth: Demographic Trends

Age and Edentulism

Edentulism Worldwide

Fig 1-1

Variation Within a Country

Table 1-1

Gender Difference

Fig 1-2

Socioeconomic Factors

Education

Income

Economic Development

Fig 1-3

Rural Versus Urban

Fig 1-4

Density of Dentists

Health, Lifestyle, and Psychosocial Factors

Explaining Edentulism

Decline in Edentulism

Projection for the Future: Treatment Needs for Edentulous Arches

Conclusion

References

CHAPTER 2 Edentulism, Digestion, and Nutrition

Masticatory Process

Nutrient Intake and Dentition

Table 2-1

Implant-Supported Prostheses Versus Conventional Dentures

Nutritional Status and Implant Prostheses

Dietary intake and habits

Anthropometric data

Blood nutrient data

Summary

Acknowledgments

References

CHAPTER 3 The Impact of Edentulism on Function and Quality of Life

Impact of Edentulism on Function

Mandibular Function

Denture-Induced Mucosal Disorders

Denture-Induced Residual Ridge Resorption

Use of Dental Services

Food Selection, Mastication, and Diet

Social Interactions

Impact of Edentulism on Quality of Life

Defining Oral Health–Related Quality of Life

Psychologic Health and Function

Socioeconomic Status

Life Satisfaction and Self-esteem

Summary

References

CHAPTER 4 Patient Preferences and Expectations

Patient Preferences

Definition

Evaluation

Table 4-1

Fig 4-1

Patient Expectations

Table 4-2

Table 4-3

Summary

References

CHAPTER 5 Implant Overdentures Versus Conventional Dentures

Satisfaction

Table 5-1

Fig 5-1

Table 5-2

Oral Health–Related Quality of Life

Middle-aged Adults

Older Adults

Fig 5-2

Function

Fig 5-3

Conclusion

Acknowledgments

References

CHAPTER 6 Measuring the Cost of Implant Overdenture Therapy

Cost Analysis

Cost Calculation

Overhead costs

Clinician Treatment Time

Fig 6-1

Cost of Scheduled and Unscheduled Visits

Table 6-1

Long-term Implications of Cost Analysis

Acknowledgment

References

CHAPTER 7 Choosing an Implant System for Clinical Practice: An Evidence-Based Method

Government Agencies

Organized Dentistry

Peer-Reviewed Literature Analysis

Table 7-1

Table 7-2

Criteria for Validating a Clinical Trial Article

Summary

References

CHAPTER 8 Comparison of Treatment Strategies for Implant Overdentures

The Breda Implant Overdenture Study

Prosthetic Treatment

Oral Hygiene

Aftercare

Clinical Implant Performance Scale

Table 8-1

Table 8-2

Patient Satisfaction

Treatment Costs

Table 8-3

Table 8-4

Table 8-5

Cost Effectiveness

Implications

Summary

References

C HAPTER 9 Indications and Trand eatment Planning for Mandibular Implant Overdentures

Initial Consultation

Consideration of Overall Patient Health for Implant Surgery

Radiographic Examination of the Edentulous Mandible

Fig 9-1

Fig 9-2

Fig 9-3

Fig 9-4a

Fig 9-4b

Fig 9-5a

Fig 9-5b

Fig 9-6a

Fig 9-6b

Fig 9-7

Fig 9-8

Fig 9-9

Site Selection for Implant Placement

Fig 9-10a

Fig 9-10b

Fig 9-11a

Fig 9-11b

Fabrication and Use of a Surgical Guide

Fig 9-12

Fig 9-13

Summary

References

CHAPTER 10 Prosthodontic Management of Maxillary and Mandibular Overdentures

Fig 10-1a

Fig 10-1b

Fixed Prostheses Versus Overdentures

Fig 10-2a

Fig 10-2b

Fig 10-2c

Figs 10-3a and 10-3b

Figs 10-3c and 10-3d

Figs 10-3e and 10-3f

Sequelae of Tooth Loss and Wear of Complete Dentures

Aging and Implant-Supported Overdentures

Figs 10-4a and 10-4b

Figs 10-5a and 10-5b

Figs 10-5c and 10-5d

Figs 10-5e and 10-5f

Fig 10-5g

Clinical Considerations for Overdenture Therapy

Indications for Overdentures and Prosthesis Design

Guidelines for Mandibular Overdenture Fabrication

Fig 10-6a

Fig 10-6b

Fig 10-6c

Fig 10-7

Fig 10-8a

Fig 10-8b

Guidelines for Maxillary Overdenture Fabrication

Biomechanical Considerations

Fig 10-9a

Fig 10-9b

Fig 10-9c

Fig 10-9d

Fig 10-9e

Fig 10-9f

Fig 10-10a

Fig 10-10b

Fig 10-10c

Figs 10-10d and 10-10e

Treatment Success with Overdentures

Implant Survival

Prosthetic Results

Patient-Related Factors

Summary

References

CHAPTER 11 The Influence of Attachment Systems on Implant-Retained Mandibular Overdentures

Clinical Trial

Figs 11-1a to 11-1c

Table 11-1

Patient Follow-up and Implant Failure

Peri-implant Outcome and Bone Changes

Fig 11-2

Table 11-2

Fig 11-3

Prosthetic Retention

Fig 11-4

Table 11-3

Table 11-4

Prosthetic Complications

Table 11-5

Patient Satisfaction

Dysfunction

Summary

Acknowledgments

References

CHAPTER 12 Loading Strategies for Mandibular Implant Overdentures

Clinical Overdenture Study

Patient Selection

Surgical and Prosthodontic Procedures

Fig 12-1

Fig 12-2a

Fig 12-2b

Fig 12-2c

Fig 12-2d

Fig 12-2e

Figs 12-3a and 12-3b

Figs 12-3c and 12-3d

Follow-up Procedures

Fig 12-4a

Fig 12-4b

Fig 12-4c

Fig 12-4d

Fig 12-4e

Fig 12-5a

Fig 12-5b

Fig 12-5c

Fig 12-5d

Fig 12-5e

Data Analysis

Success of Early Loading

Patient Exclusions and Implant Failure

Implant Stability Tests

Peri-implant Responses

Fig 12-6a

Fig 12-6b

Fig 12-6c

Fig 12-6d

Fig 12-6e

Fig 12-6f

Fig 12-7a

Fig 12-7b

Fig 12-7c

Fig 12-7d

Fig 12-8a

Fig 12-8b

Fig 12-8c

Fig 12-8d

Fig 12-9a

Fig 12-9b

Fig 12-9c

Fig 12-9d

Table 12-1

Prosthodontic Maintenance Requirements

Long-term Clinical Implications of Early Loading

Monitoring Marginal Bone Loss

Variability of Testing Mechanisms

Ramifications of Peri-implant Mucosal Health

Use of Tissue Conditioners with Immediate Loading

Conclusions

Acknowledgments

References

CHAPTER 13 Two-Implant Overdentures with Ball Attachments: A Step-by-Step Approach

Treatment Considerations

Patient Presentation

Fig 13-1

Fig 13-2

Fig 13-3

Fig 13-4

Presurgery Steps

Figs 13-5 and 13-6

Implant Placement

Fig 13-7

Fig 13-8

Fig 13-9

Fig 13-10

Fig 13-11

Fig 13-12

Fig 13-13

Fig 13-14

Fig 13-15

Fig 13-16

Fig 13-17

Postsurgical Appointment

Fig 13-18

Fig 13-19

First Restorative Appointment

Fig 13-20

Figs 13-21 and 13-22

Fig 13-23

Fig 13-24

Fig 13-25

Fig 13-26

Fig 13-27

Fig 13-28

Fig 13-29

Fig 13-30

Second Restorative Appointment

Fig 13-31

Fig 13-32

Fig 13-33

Fig 13-34

Fig 13-35

Fig 13-36

Fig 13-37

Third Restorative Appointment

Fig 13-38

Fig 13-39

Fig 13-40

Fourth Restorative Appointment

Fig 13-41

Fig 13-42

Fig 13-43

Fifth Restorative Appointment

Fig 13-44

Fig 13-45

Fig 13-46

Fig 13-47

Fig 13-48

Control Appointment

Fig 13-49

Recall Appointments

Summary

References

CHAPTER 14 Future Directions

Trends and Possible Goals for Mandibular Implant Overdentures

Patient Satisfaction and Masticatory Function

Number of Implants

Figs 14-1a and 14-1b

Table 14-1

Retention Systems

Immediate Loading

Bone Preservation

Epidemiology and Demographics