Skip to main content
SpringerLink
Log in

Diagnosis and Treatment Planning: A Surgical Perspective

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

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

  • 1398 Accesses

Abstract

Treatment of edentulism has always been a challenge to the dental profession. Reconstruction of atrophic jaws caused by edentulism has necessitated sometimes complex grafting procedures. Grafting procedures carry significant morbidity and cost associated with them. Today, there is great interest from the public and dental professionals in the less invasive graft-less approaches to the atrophic jaw rehabilitation. Graft-less approaches to treatment involve specific manner of placement of sufficient number of dental implants in strategic positions of patients’ existing bone structures. The surgeon must understand the three absolute surgical requirements for successful treatment. Diagnostic factors to be considered by the surgeon to fulfil these absolute requirements for rehabilitation are discussed in this chapter.

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. Slide GD, Akinkugbe AA, Sanders AE. Projections of US edentulism prevalence following 5 decades of decline. J Dent Res. 2014;93(10):959–65.

    Article  Google Scholar 

  2. Kerschbaum T. Long-term prognosis of conventional prosthodontic restorations. In: Naert I, Van Steenberghe D, Worthington P, editors. Osseontegration in oral rehabilitation. London: Quintessence Publishing Co. p. 33–49.

    Google Scholar 

  3. Stellingsma C, Raghoebar GM, Meijer HJ, Batenburg RH. Reconstruction of the extremely rebreed mandible with interposed bone grafts and placement of endosseous implants. A preliminary report on outcome of treatment and patients satisfaction. Br J Oral Maxillofac Surg. 1998;36:290–5.

    Article  PubMed  Google Scholar 

  4. Triplett RG, Nevins M, Marx RE, Spagnoli DB, Oates TW, Moy PK. Pivotal, randomized, parallel evaluation of recombinant human bone morphogenetic protein-2/absorbable collagen sponge and autogenous bone graft for maxillary sinus floor augmentation. J Oral Maxillofac Surg. 2009;67:1947–60.

    Article  PubMed  Google Scholar 

  5. Keller EE, Tolman DE, Eckert SE. Maxillary antral-nasal inlay autogenous bone graft reconstruction of compromised maxilla: a 12 year retrospective study. Int J Oral Maxillofac Implants. 1999;14:707–21.

    PubMed  Google Scholar 

  6. Block MS, Baughman DG. Reconstruction of severe anterior maxillary defect using distraction osteogenesis. Bone grafts and implants. J Oral Maxillofac Surg. 2005;63:291–7.

    Article  PubMed  Google Scholar 

  7. Aghaloo TL, Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement? Int J Oral Maxillofac Implants. 2007;22(suppl):49–70.

    PubMed  Google Scholar 

  8. Blackburn TK, Cawood JI, Stoelinga PJW, Lowe D. What is the quality of evidence base for pre-implant surgery of the atrophic jaw? Int J Oral Maxillofac Surg. 2008;37:1073–9.

    Article  PubMed  Google Scholar 

  9. Esposito M, Grusovin MG, Coulthard P, Worthington HV. The efficacy of various bone augmentation procedures for dental implants: a Cochrane systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants. 2006;21:696–710.

    PubMed  Google Scholar 

  10. Brånemark PI, Svensson B, van Steenberge D. Ten year survival rates of fixed prostheses on four or six implants ad modum Branemak in full edentulism. Clin Oral Implants Res. 1995;6:227–31.

    Article  PubMed  Google Scholar 

  11. Agliardi E, Panigatti S, Clericó M, Villa C, Maló P. Immediate rehabilitation of the edentulous jaw with full fixed prostheses supported by four implants: interim results of a single cohort prospective study. Clin Oral Implants Res. 2010;21:459–65.

    Article  PubMed  Google Scholar 

  12. Maló P, de Araújo Nobre M, Lopes A, Moss S, Molina G. A longitudinal study of the survival of all-on-4 implants in the mandible with up to 10 years of follow-up. J Am Dent Assoc. 2011;142:310–20.

    Article  PubMed  Google Scholar 

  13. Laney WR, Tolman DE. The Mayo Clinic experience with tissue-integrated prostheses. In: Albrektsson T, Zarb GA, editors. The Brånemark Oeontegrated implant. Chicago: Quintessence; 1989. p. 165–95.

    Google Scholar 

  14. American Association of Oral and Maxillofacial Surgeons. Position paper:medication-related osteonecrosis of the jaw—2014 update. Chicago: American Association of Oral and Maxillofacial Surgeons; 2014.

    Google Scholar 

  15. Sadowsky SJ. The implant-supported prosthesis for the edentulous arch: design considerations. J Prosthet Dent. 1997;78(1):28–33.

    Article  PubMed  Google Scholar 

  16. Schnitman P. The profile prosthesis: an aesthetic fixed implant-supported restoration for the resorbed maxilla. Pract Periodontics Aesthet Dent. 1999;11:143–51.

    PubMed  Google Scholar 

  17. Fortin Y, Sullivan RM, Rangert B. The Marius implant bridge: surgical and prosthetic rehabilitation of the completely edentulous upper jaw with moderate to severe resorption: a 5-year retrospective clinical study. Clin Implant Dent Relat Res. 2002;4:69–77.

    Article  PubMed  Google Scholar 

  18. Bedrossian E. Implant treatment planning for the edentulous patient, a Graftless approach. St.Louis: Mosby; 2011.

    Google Scholar 

  19. Aboul-Ela LM. The evaluation of the interocclusal distance in complete dentures. Egypt Dent J. 1967;13:56.

    PubMed  Google Scholar 

  20. Owen WD, Douglas JR. Near or full occlusal vertical dimension increase of severely reduced inter-arch distance in complete dentures. J Prosthet Dent. 1971;26:134.

    Article  PubMed  Google Scholar 

  21. Lekholm U, Zarb GA. Osseointegration in clinical dentistry. Chicago: Quintessensce; 1985. p. 199–209.

    Google Scholar 

  22. Ding X, Lia SH, Zhu XH, et al. Effect of diameter and length on stress distribution of the alveolar crest around immediate loading implants. Clin Implant Dent Relat Res. 2008;11:279.

    Article  PubMed  Google Scholar 

  23. Jensen OT, Adams MW. The maxillary M-4: a technical and biomechanical note for the all-on-4 management of severe maxillary atrophy. J Oral Maxillofac Surg. 2009;67:1739.

    Article  PubMed  Google Scholar 

  24. Brunski JB. Biomechanical aspects of the optimal number of implants to carry a cross-arch full restoration. Eur J Oral Implantol. 2014;7(Suppl2):S111–32.

    PubMed  Google Scholar 

  25. Brånemark PI, Hansson BO, Adell R, et al. Osseointegrated implants in treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977;16:1–32.

    PubMed  Google Scholar 

  26. Bedrossian E. Immediate function with zygomatic implant: a graftless solution for the patient with mild to advanced atrophy of the maxilla. Int J Oral Maxillofac Implants. 2006;21(6):937–42.

    PubMed  Google Scholar 

  27. Malo P, Nobre M, Lopes A. The rehabilitation of completely edentulous maxillae with different degrees of resorption with four or more immediately loaded implants: a 5-year retrospective study and a new classification. Eur J Oral Implantol. 2011;4:227–43.

    PubMed  Google Scholar 

  28. Krakmenov L, Kahn M. Rangert B, et al: tilting of posterior mandibular and maxillary implants for improved prosthesis support. Int J Oral Maxillofac Implants. 2000;15:405–14.

    Google Scholar 

  29. Duyck J, et al. Magnitude and distribution of occlusal forces on oral implants supporting fixed prosthesis: an in vivo study. Clin Oral Implants Res. 2000;11:465–75.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

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

    Hooman M. Zarrinkelk D.D.S.

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

    Hooman M. Zarrinkelk D.D.S.

  3. Private Practice, Ventura, CA, USA

    Hooman M. Zarrinkelk D.D.S.

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

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

  5. Eastman Dental Institute, London, UK

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

  6. Private Practice, Oxnard, CA, USA

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

Authors
  1. Hooman M. Zarrinkelk D.D.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Saj Jivraj B.D.S., M.S.Ed
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hooman M. Zarrinkelk D.D.S. .

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

Zarrinkelk, H.M., Jivraj, S. (2018). Diagnosis and Treatment Planning: A Surgical 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_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-65858-2_2

  • 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