Clinical and Laboratory Manual of Dental Implant Abutments

Author: Hamid R. Shafie  

Publisher: John Wiley & Sons Inc‎

Publication year: 2014

E-ISBN: 9781118926659

P-ISBN(Hardback):  9781119949817

Subject: R782.1 dental surgery

Keyword: 暂无分类

Language: ENG

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Description

To fulfill the vision for his latest book, Dr. Hamid Shafie compiled technical information from a vast variety of sources, including implant manufacturers and designers, master dental technicians, implant researchers, and expert clinicians leading the field of implant dentistry worldwide. 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.

 

Dr. Shafie follows the same easy-to-read, easy-to-understand format as his best-selling textbook Clinical and Laboratory Manual of Implant Overdentures.Starting with the material science behind implant abutments, the text then describes all of the relevant abutment solutions, providing a step-by-step guide to design and manufacturing of the CAD/CAM abutments and explaining how to adjust prefabricated abutments and one-piece titanium and zirconia implants. 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. Every dental implant clinician, technician, student, and implant industry insider needs this vital wor

Chapter

Cast Gold

Relevant Studies Comparing Gold, Porcelain, Titanium, and Aluminum

Zirconia

Polyether Ether Ketone (PEEK)

Conclusions

References and Additional Reading

2: General Information about Implant Abutments

Terminology

Stock Abutments

Customized Abutments

References and Additional Reading

3: Retaining Abutment Screws

Introduction

Basic Terminology

Torque or Moment of Force

Preload or Clamping

Reverse Torque or Detorque

Screw Loosening

Settling or Torque Loss

Abutment Screw Mechanics

Shape and Size

Abutment Screw Materials

Commercially Pure Titanium

Coated or Treated Titanium

Gold

Special Considerations

Implant Connection Types

Single versus Multi-unit Implant Restorations

Achieving Optimal Torque

Torque-limiting Devices

Screw Drivers

Abutment Screw Failure

Screw Fracture

Screw Stripping

References and Additional Reading

4: Different Implant–Abutment Connections

Introduction

Chronological Development of Abutment Connections

External Hex Connections

External Connection

Retaining Prosthetic Screw

Rotational Misfit and Screw Loosening

Internal Connections

Force Distributions

Rotational Misfit and Screw Loosening

Esthetics

Microbial Seal

Superior Joint Strength

Platform Switching

Comparison of Different Internal Connection Designs

Friction-Fit Joints

Slip-fit Joints

Connection Diversification among Implant Companies

Conclusions

References and Additional Reading

5: Prefabricated Implant Abutments

Introduction

Chronological Development of Prefabricated Abutments

Recent Developments

Examples of Prefabricated Abutments

Clinical Examples

Nobel Biocare Prefabricated Abutment: Single Tooth Replacement

Nobel Biocare Unaltered Abutments: Two Teeth Replacement

Implant Direct Straight Contoured Abutment

Implant Direct Prefabricated Abutment Modification

References and Additional Reading

6: Use of CAD/CAM Technology in Custom Abutment Manufacturing

History of Cad/Cam Technology in Prosthetic Dentistry

History of Cad/Cam Technology in Implant Abutment Manufacturing

Virtual Design and Manufacture of Abutments

Design Process Prior to Machining Custom Abutments

Laboratory Steps in the Scanning and Fabrication of Custom Abutments

Virtual Abutment Design of Custom Abutments

Machine Milling of Custom Abutments

Finishing Metallic Custom Abutments

Custom Abutment Inspection

Ordering an Atlantis Patient-specific Abutment

Abutment Placement Using Sulcular Stretching

Clinical Examples

CAD/CAM Designed Custom Abutments

Sulcular Stretching

Advantages of Cad/Cam Abutments Versus Regular Cast Custom Abutments

Common Problems in Cad/Cam Abutment Manufacturing

Conclusions

References and Additional Reading

7: Relationship between Abutment Geometry and Peri-implant Tissue in Esthetic Zone Cases

Introduction

Provisional Restorations Prior to Implant Loading

General Considerations

Fixed Provisional Options

Removable Provisional Options

Contouring the Soft Tissue with Provisional and Custom Impressions

Cement-retained Provisional Restorations

Screw-retained Provisional Restorations

Customized Impression Technique

Different Designs of Final Crowns Supported by Custom and Stock Abutments

Screw-retained Prostheses

Cement-retained Protheses

References and Additional Reading

8: Instrumentation for Abutment Modification and Guidelines for their Use

Introduction

Extra-Oral Adjustment Techniques for a Titanium Abutment

Cutting Instruments

Finishing and Polishing Instruments

Adjustment Steps for a Prefabricated Titanium Abutment

Extra-Oral Adjustment Techniques for a Zirconia Abutment

Gross Reduction Instruments

Finishing and Polishing Instruments

Adjustment Steps for a Prefabricated Zirconia Abutment

Intra-Oral Adjustment Techniques FOR a Zirconia Abutment

Gross Reduction Instruments

Finishing Instruments

Adjustment Steps for a Prefabricated Zirconia Implant Abutment

References and Further Reading

9: Abutment Preparation Techniques for One-Piece Titanium and Zirconia Implants

Introduction

Material Science of One-Piece Implants

One-Piece Implant Macro-Geometry

Nobel Biocare

Zimmer

BioHorizons

Z-Systems

Bredent

Oral Iceberg

One-Piece Implant Micro-Geometry

Case Selection Criteria

General Considerations

Anatomic Considerations

Biomechanical Considerations

Surgical Techniques

General Considerations

Nobel Biocare NobelDirect 3.0 Surgical Protocol

Zimmer One-Piece Surgical Protocol

BioHorizons One-Piece 3.0 Surgical Protocol

Z-Systems Z-Look3 Evo Surgical Protocol

Bredent WhiteSKY Surgical Protocol

Oral Iceberg CeraRoot Surgical Protocol

One-Piece Implant Abutment Preparation Techniques

Preliminary Adjustments

Final Adjustments

Finish Line

Abutment Angulation

Post-adjustment Smoothing

Principles of Loading

Provisionalization and Crown Fabrication

Provisional Restorations for Titanium One-piece Implants

Provisional Restorations for Zirconia One-piece Implants

Cementation of Provisional Restorations

Final Impression

Final Prosthesis

References and Additional Reading

10: Cleaning, Disinfection, and Sterilization Techniques for Implant Abutments

Introduction

Cleaning, Disinfecting, and Sterilizing Implant Abutments

Cleaning

Disinfection

Packaging the abutment in the dental laboratory

Sterilization

Cleaning and Sterilizing Abutment Adjustment Instruments

Cleaning

Sterilization

References and Additional Reading

Index

End User License Agreement

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