clinical and laboratory manual of implant overdentures pdf download

clinical and laboratory manual of implant overdentures pdf download

Would you like to change to the United States site? To download and read them, users must install the VitalSource Bookshelf Software. E-books have DRM protection on them, which means only the person who purchases and downloads the e-book can access it. E-books are non-returnable and non-refundable.This is a dummy description.This is a dummy description.This is a dummy description.This is a dummy description.This highly practical step-by-step handbook provides the dentist and laboratory technician with essential instruction and sound clinical support, demystifying this complex subject through systematic evaluation of the available attachment systems to produce treatment plans to best suit the patient’s needs. He is the founder of the Center for Oral Implantology at Johns Hopkins University and currently the President of the American Institute of Implant Dentistry in Washington DC.The outstanding clinical documentations and illustrations are presented step by step and easy to follow. Dr. Shafie and his contributors provided the clinician and all members of the implant team excellent material that covers all facets of the implant practice and specifically the implant overdenture. This book will serve as a must-have reference, even for the experienced clinicians. This book will serve as a must-have reference, even for the experienced clinician. The detailed illustrations and supportive clinical documentations are easy to follow and address every step, form initial consultation to final delivery and recall. This highly practical step-by-step handbook provides the dentist and laboratory technician with essential instruction and sound clinical support, demystifying this complex subject through systematic evaluation of the available attachment systems to produce treatment plans to best suit the patient’s needs. To find out more, including how to control cookies, see here. This percent progressively increases to almost 42 percentage in seniors.We can see a signi?

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cant boom inside the wide variety of fully edentulous sufferers by the point baby boomers reach a long time 65 and above. One of the most important lawsuits of those patients is the instability of the decrease denture. For the reason that conventional denture is completely tissue born and transfers all the masticatory forces to the residual ridge, patients tend to enjoy signi?cant and speedy lack of the alveolar ridge. Implant-supported overdentures no longer only offer required balance for the patient however additionally cast off the etiology of this problem with the aid of preventing in addition bone loss. We are Sharing copy of this book available on internet with our reader's for education purpose only. 2. We are not selling any books on this platform. Payment for Premium download link (which is not compulsory) is for mainatainance of this website only. 3. If your PC notify you for Malware or virus than please stop windows defender for a while. If you think WHY??? Check FAQ Section. Renew your subscription plan from HERE. He founded the Center for Oral Implantology at Johns Hopkins University, where he trained many dentists in various aspects of implant dentistry. Dr. Shafie is president of the American Institute of Implant Dentistry, based in Washington, D.C. He is a faculty member in the Department of Oral and Maxillofacial Surgery at Washington Hospital Center, where he teaches postgraduate courses in oral implantology. He is an adjunct faculty member of the Boston University Center for Implantology. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. I wrote most of this book sitting next to her hospital bed during her fight with neuroblastoma cancer. She was a symbol of strength and hope in life.

They stood by me during the toughest period of my life and they never gave up on me. She spent countless hours working with me to create all of the beautiful artwork for this book. It is a great honor for me to write this Foreword for Dr. Shafie’s Clinical and Laboratory Manual of Implant Overdentures. With more than 20 million Americans being fully edentulous, there is no better time for this book to be written and utilized. Undergraduate programs across the country are finally realizing that the two implant overdenture is, by far, the recommended treatment of choice over leaving someone fully edentulous. The amount of bone loss that we in dentistry have seen in fully edentulous patients during past generations is frightening to consider. We actually thought and were teaching that this aveolar bone atrophy was “normal” and continuous after extraction. What we now know is that two implants in the anterior mandible will stop this progressive bone loss and preserve the ridge instead of compressing it slowly as time passes. He describes each chapter with diagrams that are easy to follow, along with clinical pictures to document his thoughts. He also has covered the various abutment connections from many of the commercial companies that are being used today by clinicians all over the world. The discussion of occlusion and loading is particularly important for the technician and the clinician to understand. This manual is well organized and easy to follow with its step by step breakdown of each topic and technique. Besides the different implants and abutments that are available, the manual also goes into great detail on the construction of bars and how to best utilize them for different clinical situations. There is even a practice management chapter to help the clinician incorporate this technology into a practice. This clinical laboratory manual should become the gold standard for technicians and clinicians when dealing with overdentures.

My deepest congratulations for a job well done to Dr. Shafie and his contributors. Totally edentulous patients can become dentally-functional through the placement of dental implants to support complete dentures. It is a great injustice to allow patients, especially those who are financially restricted, to go through their lives without the renovating benefit of implants. The best venue for dentists to learn to treat patients with implants is in dental school as part of the regular curriculum. Dental education around the world has been lacking in training dental students about implantology, especially with regards to implant-supported complete dentures. This inadequacy has forced many dentists to seek training in implantology through short courses sponsored by implant companies. With several hundred implant systems available today, making sense of different options, surgically and prosthetically, is a monumental task. Dentists need accurate information regarding all aspects of implantology, presented scientifically and without commercial bias, and this book has fulfilled those requirements. Dr. Hamid Shafie has authored a very comprehensive and complete book that addresses the most common problems general dentists face in restoring implant-supported dentures. As a prosthodontic alumnus of Boston University Goldman School of Dental Medicine, Dr. Shafie has used his vast knowledge and experience to put together a very informative book on how to plan treatment and how to utilize attachments in implant-supported removable dentures. I congratulate Dr. Shafie for his hard work in compiling this information and presenting it in such a logical manner. This percentage gradually increases to almost 42 percent in seniors. However, these percentages are deceptively low because the baby boomer generation outnumbers the current population over 65. We will see a significant increase in the number of fully edentulous patients by the time baby boomers reach ages 65 and above.

One of the main complaints of these patients is the instability of the lower denture. Since the conventional denture is fully tissue born and transfers all of the masticatory forces to the residual ridge, patients tend to experience significant and rapid loss of the alveolar ridge. Therefore, even an ideally fabricated, lower, removable, complete denture will be unstable after several months. This problem has helped denture adhesive manufactures build a multimillion-dollar market. Denture adhesive can be a quick solution for instability of removable prostheses but it does not eliminate the etiology; that is, constant bone loss due to direct transmission of masticatory forces to the residual alveolar ridge. They have shown a great success rate, as recorded in over 35 years of documentation. Dental implants were introduced to the United States in 1984 as an alternative treatment option for fully edentulous patients. Since then, however, most restorative dentists have focused on utilizing them more in the treatment of partially edentulous patients and less in treating fully edentulous patients. Probably one of the main reasons for devoting more attention to fixed partial dentures supported by implants is the significant demand by the sophisticated baby boomer generation. When this section of population reaches retirement age, we will see a significant demand for implant-supported over-dentures. Implant-supported overden-tures not only provide required stability for the patient but also eliminate the etiology of this problem by preventing further bone loss. About two hundred different attachments are available, making it difficult to choose the right attachment for a particular patient. Conventional, removable, complete dentures should be offered to a patient only if there is a medical or dental contraindication for implant placement or if the patient is not in a financial situation to afford an ideal treatment plan.

Some reports also show very little correlation between a patient’s satisfaction and the clinical evaluation of the denture fit. On the other hand, a strong association does exist between a patient’s perceived masticatory efficiency and their satisfaction with the prosthesis. A survey of elderly patients showed that 66 percent were dissatisfied with their complete dentures. The main reasons for this dissatisfaction were discomfort, poor fit and retention, soreness, and pain, especially with mandibular dentures. Patients typically experience significantly less chewing difficulties with implant-supported overdentures than with conventional dentures. An evaluation of the mastication time and the magnitude of masticatory strokes show an almost equal efficiency for implant-supported overdentures and fixed implant-supported prosthesis. The implant procedure is relatively simple, and the treatment time is similar to that for complete dentures. Benefits include psychological effects such as satisfaction and oral health-related quality of life, as well as functional benefits such as chewing ability. This improved function could increase the range of foods that an edentulous patient can eat and, as a result, improve their nutrition and general health. Most patients can afford one type of implant overdenture since they are less expensive compared to fixed prosthesis. If one or more of the supporting implants fail, it is also easier to modify an existing implant overdenture. A two-piece, precision fit implant overdenture is a good solution when the implants are placed in an unfavorable trajectory and cannot be utilized for a fixed prosthesis. A milled substructure bar helps create an ideal path of insertion and an ideal aesthetic outcome. In addition, this treatment option can be used in patients with compromised available bone. Implant survival rate is comparable to that for fixed implant-supported prosthesis.

Considering the nature of masticatory force distribution, three basic types of implant overdentures are available: The attachments provide retention for the overdenture. With this treatment modality, the denture base should provide maximum tissue coverage, similar to a conventional complete denture. During mastication, the residual ridge receives the majority of the masticatory forces, which means that this type of prosthesis is mainly tissue-born rather than implant-born. To fabricate this type of overdenture, two implants and a resilient bar attachment assembly should be utilized. The denture base should still provide extended tissue coverage. During mastication, the attachment assembly and supporting implants receive most of the masticatory forces. The remainder of the chewing forces are transferred to the posterior aspect of the overdenture and ultimately absorbed by the supporting tissue. During mastication, the attachment assembly transfers all of the masticatory forces to the supporting implants. With this type of overdenture, minimum flange and tissue coverage is required since the prostheses are fully implant-born. A minimum of four implants is required. In a patient with an ovoid or pointed alveolar ridge, three implants can be placed between the two mandibular foramens to form a tripod. In this case, the attachment assembly is not resilient, and the prosthesis is fully implantborn. The most common position is the canine area. This option provides the opportunity to place more implants posterior in case the prosthesis must be changed to tissue-implant-supported or fully implant-supported in the future. If the implants were in the canine position, more hinge movement would occur when the patient tries to cut food with the lower incisors. Placing the implant in the lateral position reduces the anterior-posterior distance from the incisal edges to the hinge axis between the implants.

This reduces the lift and movement of the posterior section of the overdenture away from the residual ridge, which ultimately increases stability. One hundred and ten edentulous patients with atrophic mandibles and persistent conventional complete denture problems were selected. One-third of the patients received a mainly tissue-supported overdenture supported by two implants and two prefabricated ball attachments (2IBA), one-third received a tissue-implant-supported overdenture on two implants with a single bar (2ISB), and one-third received a fully implant-supported overdenture on four implants with a triple bar (4ITB). For group 2ISB, an egg-shaped Dolder Bar with a single matrix was used. For group 4ITB, three egg-shaped Dolder Bars and three corresponding matrixes were used. The investigators reported that treatment of the edentulous mandible with four implants and three bar attachments is significantly more expensive than treatment with two individual attachments. However, multiple bar attachment assemblies require less long-term post-care costs. During the 96-month period of this investigation, the two implants and single bar attachment appeared to be the most effective for edentulous patients when considering patient satisfaction, clinical performance of the prostheses, and cost effectiveness. The study also found that patients who smoke are at a higher risk of complications when treated with mandibular implant overdentures. Patient reactions to treatment with jawbone-anchored protheses.A randomized clinical trial in a senior population. A national questionnaire survey. A prospective comparative preliminary study: One-year results.Patient’s opinions 1 year after treatment.A comparison with new complete dentures not retained by implants—a multicentre randomized clinical trial.Chicago: Quintessence Publishing, 1999. A randomized clinical trial in an elderly population.Part III: Comparisons of patient satisfaction.

A comparison between two countries with different systems but similar living standards. A five-year randomized clinical trial.Available at (accessed April 30, 2003). A comparison of three treatment strategies on ITI dental implants.Available at (accessed May 15, 2002). Part I: Surgical results.Skipping any of the recommended steps of the treatment-planning phase compromises the outcome of the final treatment. Determine the magnification error of that image, and then determine the height of available bone. If the patient’s upper lip support needs to be enhanced, an implant-supported overdenture with a labial flange is the preferred choice of treatment. This radiograph produces a single image of the maxilla and mandible with all of the anatomical landmarks in a frontal plane. It is very cost effective and practical, because it can be generated in most dental offices. The clinician can easily identify the gross anatomy of the jaws and opposing landmarks, as well as form an initial assessment of the vertical height of the bone. The patient is exposed to a relatively low radiation dose compared to a CT scan or conventional tomogram. Also, fine anatomical details cannot be seen as they appear on a CT scan.The diagnostic template is an acrylic base, which has been fabricated over the study cast. Place the BBs as close as possible to the desired implant sites (Figure 2.3). To browse Academia.edu and the wider internet faster and more securely, please take a few seconds to upgrade your browser. You can download the paper by clicking the button above. He and his expert contributors meticulously assembled each chapter to include only the most relevant and up-to-date content and procedures in a concise and simple format.

In addition to offering the ultimate procedural guide for clinical and laboratory preparation of dental implant abutments, this textbook is filled with useful tips on clinical practice management such as sterilization, instrumentation and trouble-shooting related to implant abutments. Clinical and Laboratory Manual of Dental Implant Abutmentsis the only text devoted exclusively to an in-depth look at implant abutments. It is presented as a clinical and laboratory manual, and although it does contain some references to the literature, it is mainly of practical interest and focuses on planning issues, different systems and techniques. It addresses various aspects of this treatment modality, starting with patient expectations, rationale and planning, clinical and laboratory prosthetic management, followed by selected implant systems and surgical considerations. This progression seems logical, developing an appreciation of the prosthetic requirements, prior to considering surgical planning. Implant systems considered in more detail include Strauman, Endopore, Maximus OS overdenture implants and ERA overdenture implants. There are complete chapters on spark erosion, occlusion, maintenance, and the core principles of a successful implant practice. After classifying attachment types, based on resiliency, it focuses closely on stud and bar attachments. It describes some examples of the attachment systems available, applicable to various implant systems. Clinical and laboratory stages are described using a step-by-step approach, which despite being repetitive, allows the reader to extrapolate prosthetic techniques to other attachment systems. This hardback book is visually appealing, with over 600 clinical images and schematic diagrams, in some cases superimposed to clarify points. The body of the text is divided into 17 chapters, each being on average 11 pages long.

These are sub-divided clearly making it a very interesting and readable text, and suitable to use as a quick reference. Overall, the book delivers a comprehensive and clear account of various aspects of implant-supported overdentures. It would be highly useful to both clinical and laboratory staff that are involved in the planning, surgical and prosthetic phases of treatment. Its clear and well illustrated format would make it appealing to those new to the subject matter, and its comprehensive content may attract the more experienced practitioner. Download citation Published: 08 September 2007 Issue Date: 08 September 2007 DOI. Please enable scripts and reload this page. Try again or register an account. For more information, please refer to our Privacy Policy.Please try after some time. Hamid Shafie. 247 pp., illustrated. Wiley-Blackwell; 2007. In 17 chapters, all phases of implant overdenture therapy are covered. The outstanding clinical documentations and illustrations are presented step-by-step and easy to follow. The team consists of restorative dentists, prosthodontists, periodontists, oral and maxillofacial surgeons, laboratory technicians, hygienist, architect, branding, marketing, and practice management experts. The goal is to encourage clinicians to use implant overdenture therapy for fully edentulous patients and provide the information required to simplify the procedure. Time, financial, and functional requirements are discussed to maximize success and avoid mistakes. Clinical, radiographic (Panoramic, occlusal, and computed tomography), and anatomical considerations to determine available bone quantity and quality and to allow joint treatment planning. Biomechanical considerations, load distribution, selection criteria, and factors influencing design are covered to help the team in joint treatment planning. The clinical and laboratory procedures are covered in detail.

Design specifications, indications, contraindications, and chair-side utilization are presented step-by-step with great, detailed clinical documentations and illustrations. The vertical and sagittal relationships, and the anterior-posterior distance are discussed in details in regards to the alveolar ridge and the hinge axis. The bar materials and classifications to support indications and contraindications are covered in depth and allow the team a thorough understanding and decision making based on requirement for a specific case. Once again, the illustrations and documentations make this chapter invaluable to all members of the team. All clinical and laboratory steps are documented and will help guide the clinician to avoid common errors in this treatment modality. The shape of the mandible must be taken into consideration for implant distribution to maximize the resistance to the lever arm. Finally, the impact on the quality of life should be the determining factor of success. Type of denture tooth, set-up, and position are critical factors in overdenture occlusion. Centric occlusion, equilibration, and occlusal plane are also very important and often forgotten in implant overdenture construction. The implant overdenture is not immune to fundamental prosthetic and occlusal principles. Chapter 10 covers the presurgical assessment and various incision designs and suturing techniques related to implant surgery. Bone grafting materials, harvesting and site preparation are also covered in this chapter. Chapters 11, 12, and 13 are system specific and describe the steps and protocol for different implant systems. These chapters can provide a reference in regards to the surgical protocol of the systems presented. The advantages and the critical factors in determining loading strategies are presented to help the team members in selecting the appropriate modality.

The Syncone concept and the advantages of telescopic crown techniques are very well-documented and illustrated. The reading is given as an implant stability quotient (ISQ) and should be recorded. This information is very valuable at the time of the implant placement and in the future. Various techniques for homecare are described in this chapter to include brushing, flossing, and antimicrobials. The importance of recall visits and periodic radiographic and clinical examinations is emphasized. The importance of team and the vision to focus on many elements of success in the implant practice. Marketing; branding and even office design, and key features in planning to distinguish and differentiate implantologists. This book will serve as a must-have reference, even for the experienced clinicians. The detailed illustrations and supportive clinical documentations are easy to follow and address every step, from initial consultation to final delivery and recall. This is an outstanding and complete book for implant overdentures. View full article text Please try after some time. Please try after some time. Please try again soon.All rights reserved. By continuing to use this website you are giving consent to cookies being used. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. The 13-digit and 10-digit formats both work. Please try again.Please try again.Please try again. This highly practical step-by-step handbook provides the dentist and laboratory technician with essential instruction and sound clinical support, demystifying this complex subject through systematic evaluation of the available attachment systems to produce treatment plans to best suit the patient’s needs. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. In order to navigate out of this carousel please use your heading shortcut key to navigate to the next or previous heading.

Register a free business account The outstanding clinical documentations and illustrations are presented step by step and easy to follow. Dr. Shafie and his contributors provided the clinician and all members of the implant team excellent material that covers all facets of the implant practice and specifically the implant overdenture. This book will serve as a must-have reference, even for the experienced clinicians. This book will serve as a must-have reference, even for the experienced clinician. The detailed illustrations and supportive clinical documentations are easy to follow and address every step, form initial consultation to final delivery and recall.This highly practical step-by-step handbook provides the dentist and laboratory technician with essential instruction and sound clinical support, demystifying this complex subject through systematic evaluation of the available attachment systems to produce treatment plans to best suit the patient’s needs. A wide variety of implant systems are featured in the book presented as an accessible, intuitive directory for classifying attachments. It lists clinical indications and contraindications for each attachment assembly, details surgical placement techniques complete with color photographs and schematic illustrations, and explains how to present appealing treatment plans to potential candidates, as well as advising on how to manage a successful and dynamic implant practice. Currently many countries are adopting the implant overdenture as a standard of care for fully edentulous patients. Although implant overdentures are an attractive treatment modality for fully edentulous patients, the necessary clinical and laboratory training as well as the variety of attachment systems often create confusion about which system will best suit each patient's needs. This four-color handbook presents an accessible, intuitive directory for classifying attachments.

It lists clinical indications and contraindications for each attachment assembly, details surgical placement techniques complete with color photographs and schematic illustrations, and explains how to present appealing treatment plans to potential candidates, as well as advising how to manage a successful and dynamic implant practice. Featuring comprehensive coverage in a compact package, this book allows clinicians and lab technicians to find precise answers quickly. A wide variety of implant systems are featured in the book.He is the founder of the Center for Oral Implantology at Johns Hopkins University and currently the President of the American Institute of Implant Dentistry in Washington DC.This highly practical step-by-step handbook provides the dentist and laboratory technician with essential instruction and sound clinical support, demystifying this complex subject through systematic evaluation of the available attachment systems to produce treatment plans to best suit the patient’s needs. A wide variety of implant systems are featured in the book presented as an accessible, intuitive directory for classifying attachments. It lists clinical indications and contraindications for each attachment assembly, details surgical placement techniques complete with color photographs and schematic illustrations, and explains how to present appealing treatment plans to potential candidates, as well as advising on how to manage a successful and dynamic implant practice. To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. Please try again later. Richard Hughes DDS 5.0 out of 5 stars This book on Overdentures is clearly written and very understandable. I recommend this book without reservation.