Skip to main content
SpringerLink
Log in

Diagnosis and Treatment Planning: A Restorative Perspective

  • Chapter
  • First Online:
Graftless Solutions for the Edentulous Patient

Part of the book series: BDJ Clinician’s Guides ((BDJCG))

Abstract

Treatment of the edentulous patients with implant-supported restorations presents a significant challenge to the treating clinician. Patient expectations in regard to aesthetics, phonetics, form and function are high.

There are a myriad of factors that need to be evaluated to determine if the patient is a suitable candidate for a fixed vs. a removable implant-supported restoration. Evaluation of the edentulous patient is also complicated by the fact that patients may not only be missing clinical crown height but in addition may have experienced a combination of tooth, soft tissue and bone loss, with associated changes in facial form.

The purpose of this chapter is to evaluate the diagnostic factors that are critical in treatment planning of a patient for fixed implant-supported restorations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Branemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977;16:1–132.

    PubMed  Google Scholar 

  2. US Bureau of the Census. Statistical abstract of the United States: 1996. 116th ed. Washington DC: US Bureau of the Census; 1996. p. 15, tables II, No. 16, p 17,table II, No. 17.

    Google Scholar 

  3. Allen PF, McMillan AS. A review of the functional and psychosocial outcomes of edentulousness treated with complete replacement dentures. J Can Dent Assoc. 2003;69(10):662.

    PubMed  Google Scholar 

  4. Heath MR. The effect of maximum biting force and bone loss upon masticatory function and dietary selection of the elderly. Int Dent J. 1982;32:345–56.

    PubMed  Google Scholar 

  5. Turkyilmaz I, Company AM, McGlumphy EA. Should edentulous patients be constrained to removable complete dentures? The use of dental implants to improve the quality of life for edentulous patients. Gerodontology. 2010;27(1):3–10.

    Article  Google Scholar 

  6. Zitzmann NU, Marinello CP. Treatment plan for restoring the edentulous maxilla with implant supported restorations: removable overdenture versus fixed partial denture design. J Prosthet Dent. 1999;82(2):188–96.

    Article  Google Scholar 

  7. Jivraj S, Chee W, Corrado P. Treatment planning of the edentulous maxilla. Br Dent J. 2006;201(5):261–79.

    Article  Google Scholar 

  8. Tjan AH, Miller GD, The JG. Some aesthetic factors in asmile. J Prosthet Dent. 1984;51:24–8.

    Article  Google Scholar 

  9. Schwarz MS, Rothman SL, Rhodes ML, Chafetz N. Computed tomography: Part II. Pre-operative assessment of the maxilla for endosseous implant surgery. Int J Oral Maxillofac Implants. 1987;2:143–8.

    Article  Google Scholar 

  10. Wicks RA. A systematic approach to definitive planning for osseointegrated implant prostheses. J Prosth. 1994;3(4):237–42.

    Article  Google Scholar 

  11. Robins JW. Differential diagnosis and treatment of excess gingival display. Pract Periodontics Aesthet Dent. 1999;11(2):265–72.

    Google Scholar 

  12. Bedrossian E. Implant treatment planning for the edentulous patient. St Louis: Mosby Elsevier; 2008.

    Google Scholar 

  13. Balshi TJ, Wolfinger GJ, Balshi SF. Analysis of 356 pterygomaxillary implants in edentulous arches for fixed prosthesis anchorage. Int J Oral Maxillofac Implants. 1999;14(3):398–406. prosthodontics. JPD 1976 Dec;36(6):624-635

    PubMed  Google Scholar 

  14. Schnitman PA, Wohrle PS, Rubenstein JE, DaSilva JD, Wang NH. Ten-year results for Branemark implants immediately loaded with fixed prostheses at implant placement. Int J Oral Maxillofac Implants. 1997;12:495–503.

    PubMed  Google Scholar 

  15. Brunski JB. Biomechanical considerations in dental implant design. Int J Oral Implantol. 1988;5(1):31–4.

    PubMed  Google Scholar 

  16. Malo P, Rangert B, Nobre M. “All on 4”, immediate function concept with Branemark implants for completely edentulous mandible. A retrospective clinical study. Clin Implant Dent Relat Res. 2003;5(Suppl 1):2–9.

    Article  Google Scholar 

  17. Capelli M, Zuffeti F, Testori T, Del Fabbro M. Immediate rehabilitation of completely edentulous jaws with fixed prosthesis supported by upright and tilted implants. A multicenter clinical study. Int J Oral Maxillofac Implants. 2007;22:639–44.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Herman Ostrow USC School of Dentistry, Los Angeles, CA, USA

    Saj Jivraj B.D.S., MS.Ed.

  2. Eastmann Dental Institute, London, UK

    Saj Jivraj B.D.S., MS.Ed.

  3. Private Practice, Oxnard, CA, USA

    Saj Jivraj B.D.S., MS.Ed.

  4. Diplomate, American Board of Oral and Maxillofacial Surgeons, Chicago, IL, USA

    Hooman Zarrinkelk D.D.S.

  5. Fellow, American College of Oral and Maxillofacial Surgeons, Washington, DC, USA

    Hooman Zarrinkelk D.D.S.

  6. Private Practice, Ventura, CA, USA

    Hooman Zarrinkelk D.D.S.

Authors
  1. Saj Jivraj B.D.S., MS.Ed.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hooman Zarrinkelk D.D.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Saj Jivraj B.D.S., MS.Ed. .

Editor information

Editors and Affiliations

  1. Anacapa Dental Art Institute, Oxnard, CA, USA

    Saj Jivraj

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Jivraj, S., Zarrinkelk, H. (2018). Diagnosis and Treatment Planning: A Restorative Perspective. In: Jivraj, S. (eds) Graftless Solutions for the Edentulous Patient. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-319-65858-2_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-65858-2_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65857-5

  • Online ISBN: 978-3-319-65858-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation