A Retrospective Study of a Multi-Center Case Series of 452 Zygomatic Implants Placed Over 5 Years for Treatment of Severe Maxillary Atrophy.

Background: Treatment of the severely resorbed maxilla traditionally has been managed with such protocols as sinus elevation, bone and soft-tissue grafting, and osteotomy procedures. The use of zygomatic implants has made it possible to circumvent such procedures, allowing immediate loading of implants with fixed prostheses.

Objective: This study reports the success rate of 452 zygomatic implants placed and restored in 249 patients over 5 years in a multi-center setting.

Zygomatic Implants for the Management of Severe Alveolar Atrophy in the Partial or Completely Edentulous Maxilla.

Treatment of severely resorbed partially or completely edentulous maxillae can include the utilization of the zygomatic process for immediate implant fixation and stabilization with immediate function. This approach may alleviate the need for significant grafting to enable implant placement in the posterior maxilla and allow implants to be placed into denser, more stable bone. Zygomatic implants, which have been used clinically for the past 20 years in the treatment of the severely resorbed maxilla, allow implant placement to support fixed prosthetics.

Correction of Large Oro-antral Communications From Previously Failed Implant Treatment: Reconstruction of Hard and Soft Tissues.

As dental implants become more popular for the treatment of partial and total edentulism and treatment of "terminal dentitions," techniques for the management of the atrophic posterior maxillae continue to evolve. Although dental implants carry a high success rate long term, attention must be given to the growing numbers of revisions or retreatment of cases that have had previous dental implant treatment and/or advanced bone replacement procedures that, due to either poor patient compliance, iatrogenic error, or poor quality of the pre-existing alveolar and/or soft tissues, have led to large osseous defects, possibly with deficient soft-tissue volume. In the posterior maxillae, where the poorest quality of bone in the oral cavity exists, achieving regeneration of the alveolar bone and adequate volume of soft tissue remains a complex procedure.

Options for the Esthetic Zone Using the Immediate Restoration Procedure: Observational Data of 15 Years and 5000 Implants.

Dental implants have become a suitable treatment option for patients experiencing tooth loss and a popular choice among clinicians for immediate tooth replacement. Because of modifications in implant designs and development in immediate restoration and loading protocols, dental implant treatment can be reduced to a single procedure instead of multiple processes, hence providing the patient with a streamlined treatment that is typically much less invasive with immediate-tooth replacement. The purpose of this paper is to review the immediate restoration of dental implant(s) procedure and validate its position in treatment protocols by presenting success rates documented for more than 15 years and with 5000 implants.

Acellular dermal matrix grafts for root coverage procedures: review of products and introduction of a new technique.

Gingival recession remains a significant problem in dental esthetics as well as periodontal health. Adequate zones of keratinized, attached tissue are vital for long-term periodontal health and maintenance. The correction of gingival recession is an important principle in cosmetic dental procedures that requires a harmonious gingival complex.

An update on implant placement and provisionalization in extraction, edentulous, and sinus-grafted sites. A clinical report on 3200 sites over 8 years.

Provisionalization of dental implants at placement has become more prominent in the field of implantology over the past several years, especially in the esthetic zone. The benefits of this treatment option include immediate tooth replacement, formation and maintenance of esthetic soft-tissue contours, containment for bone-grafting and tissue-regenerative procedures, and an improved sense of the patient's perception of the implant process. The blending together of the surgical and prosthetic/esthetic phase has never been more important as implant systems, abutment options, and surgical techniques have helped optimize procedures that can be accomplished at the surgical visit.

Implant placement and provisionalization in extraction, edentulous, and sinus grafted sites: a clinical report on 1,500 sites.

The incorporation of restorative procedures at implant placement and the creation of natural emergence profiles and lifelike ceramic restorations have become the focus of implantology. Recent publications have provided guidelines for success with the immediate restoration procedure, and have presented basic surgical protocols for the implant team. Enhancement of the healing phase through the local delivery of growth factors to the surgical site, as well as through advancements in bone grafting materials, has allowed implant surgeons to accomplish multiple surgical procedures during the initial surgical visit.

Localized ridge augmentation with allogenic block grafts prior to implant placement: case reports and histologic evaluations.

The placement of dental implants is based on the amount of alveolar bone present in the edentulous site to be reconstructed. Insufficient alveolar contours may require bone grafting procedures to restore an adequate bone volume before implant placement. Larger osseous defects often require block grafts harvested from the symphysis or the ramus buccal shelf region.

Immediate restoration of implants utilizing a flapless approach to preserve interdental tissue contours.

Dental implants have become widely accepted for the replacement of missing teeth due to their high success rates. Conventional multistage approaches to implant reconstruction have contributed to professionals' acceptance of implant dentistry as a treatment option, yet innovative implant procedures often enable clinicians to achieve function and aesthetics in shorter treatment periods. This presentation describes recent advances in surgical procedures and provisionalization techniques that, when applied properly, provide soft tissue integration and long-term implant success.

Treatment of the infected implant site using platelet-rich plasma.

Implant therapy has become a highly effective treatment modality for patients seeking the replacement of lost dentition. Potential complications in the delivery of implant therapy may cause either failure of implant integration or the development of peri-implantitis. In an effort to enhance the healing phase in the treatment of the infected implant site, the incorporation of platelet-rich plasma and its growth factors has been introduced into the surgical protocol.

Immediate implant placement and provisionalization in edentulous, extraction, and sinus grafted sites.

The incorporation of restorative procedures during implant placement, as well as during the creation of natural emergence profiles and lifelike ceramic restorations, has become the focus of implantology over the last few years. Recent publications have provided guidelines for success with the immediate restoration procedure and have presented basic surgical protocols for the implant team. Enhancement of the healing phase through the local delivery of growth factors to the surgical site, as well as through advancements in bone grafting materials, has allowed the implant surgeon to accomplish multiple surgical procedures during the initial surgical visit.

Immediate restoration of multiple tooth implants for aesthetic implant restorations.

The immediate restoration or loading of dental implants has been an intense area of clinical trial and research in the field of dental implantology over the last several years. The ability to temporize implants that are placed and prevent the use of a removable transitional appliance is appealing to not only patients, but dentists as well. Additionally, the placement of implants into immediate extraction sockets, and the immediate restoration of those implants, is showing excellent success rates clinically.