Publications by authors named "Paul A Schnitman"

Implant dentistry has become a common treatment alternative, yet only a small percentage of patients missing teeth are receiving its benefits. Significant limitations are the small percent of practitioners placing implants due to the long learning curve, as well as the time commitment on the part of the patient. This proof of concept demonstrates clinical implant treatment requiring years of manual skill development on the part of the surgeon, restorative dentist, and technician can be accomplished in 2 visits, completely digitally, without the need for conventional impressions, laboratory procedures, and advanced manual skills.

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This retrospective analysis was undertaken to evaluate the effect of immediate implant restoration using a computer-assisted technique in partially edentulous sites on interimplant and intertooth bone level stability and papilla formation. Nine partially edentulous patients received a total of 23 implants that supported immediately placed implant restorations. Planning was accomplished using a radiographic guide, which allowed visualization of the emergence profile from the platform of the implant to the cervical of the planned restoration.

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Computer-assisted implant planning and subsequent production of a surgical template based on this plan has gained attention because it provides restoratively driven esthetics, patient comfort, satisfaction, and the option of flapless surgery and immediate restoration. However, it adds expense and requires more time. Another significant but not so apparent advantage may be improved survival and success over freehand techniques in types III and IV bone.

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Computer guided implant treatment allows implants and associated restorations to be precisely placed during the same procedure directly through the gingiva with reduced postoperative complications and surgical time. When bone height is adequate but very narrow, the virtual guided sleeve is often placed too deeply into the ridge crest interfering with the seating of the surgical template. This case report of a patient exhibiting very narrow residual ridges due to severe resorption describes a new computer guided procedure using a single surgical template maintaining bone height and immediate restoration without a mucoperiosteal flap.

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Purpose: This study was undertaken to assess the predictive usefulness of preoperative bone density, as measured by computed tomography (CT), and the intraoperative implant stability measures of insertion torque (IT), Periotest values (PTV), and resonance frequency analysis (ie, implant stability quotient [ISQ]) toward developing an algorithm for successful immediate loading, one-step exposure, or submergence of dental implants.

Materials And Methods: Consecutively presenting patients requesting immediate loading in areas other than the anterior mandible were analyzed retrospectively. The implants were either immediately loaded, left exposed, or submerged on the basis of preoperative CT bone density and intraoperative primary stability measures.

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Recently, implant surgery has been introduced into postdoctoral prosthodontic programs; however, efficient training models to teach this have not been described to date. For training models to be effective and acceptable to all parties, a mutually beneficial situation must be created, and guidelines that can be followed easily need to be described. The purpose of this report is to suggest immediate loading of dental implants as an example for an interdisciplinary training model that integrates both the surgical aspects of implant therapy into the education of prosthodontic graduate students and the prosthodontic aspects of implant therapy into the training of periodontal graduate students.

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Recently, implant surgery has been introduced into postdoctoral prosthodontic programs; however, efficient training models to teach this have not been described to date. For training models to be effective and acceptable to all parties, a mutually beneficial situation must be created, and guidelines that can be followed easily need to be described. The purpose of this report is to suggest immediate loading of dental implants as an example for an interdisciplinary training model that integrates both the surgical aspects of implant therapy into the education of prosthodontic graduate students and the prosthodontic aspects of implant therapy into the training of periodontal graduate students.

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Computer-guided minimally invasive implant treatment promises to revolutionize the way we practice implant dentistry. This new technology allows implants and associated restorations to be precisely placed at the same procedure directly through the gingiva in an hour or less. Since there is no incision, there is minimal postoperative discomfort or swelling and no sutures.

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