Minimally Invasive Dental Implant Surgery Minimally Invasive Dental Implant Surgery Edited by Daniel R. Cullum DDS Oral and Maxillofacial Surgeon Private Practice Coeur d’Alene, ID, USA Guest Lecturer Loma Linda University Department of OMS Loma Linda, CA, USA Guest Lecturer UCLA Department of OMS Los Angeles, CA, USA Douglas Deporter DDS, Dipl Perio, PhD Discipline of Periodontics Faculty of Dentistry University of Toronto Toronto, ON, Canada Copyright © 2016 by John Wiley & Sons, Inc. All rights reserved Daniel R. Cullum, Aldo Leopardi (Chapter 4), Bach T. Le (Chapter 14), and Earl Ness (Chapter 21) retain the copyright of all the fi gures in their chapters that are not otherwise the copyright of another third party. 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Minimally Invasive Surgical Procedures—methods. 3. Patient Care Planning. WU 640] RK667.I45 617.6'93—dc23 2015025339 Cover images courtesy of Daniel R. Cullum. Printed in Singapore 10 9 8 7 6 5 4 3 2 1 Contents Contributors, vii 8. Periodontal and Peri-implant Soft Tissue Surgery, 137 Memorial, viii Giles Horrocks, Christine Cole, & Daniel R. Cullum Foreword, ix Preface, x 9. Minimally Invasive Implant Surgery Using Computer-Guided Technology, 169 Acknowledgments, xi Copyright note, xii Gary Orentlicher, Andrew Horowitz, & Marcus Abboud Section I: Technology, Diagnosis, and Section III: Optimizing Anatomical Limits Treatment Planning with Short, Narrow and Angled Implants 1. Diagnosis and Treatment Planning for Minimally 10. Short Implants, 193 Invasive Dental Implant Treatment, 3 Douglas Deporter Jean-Francois Bedard & Daniel R. Cullum 11. Narrow Implants, 208 2. Diagnostic Imaging for Patient Evaluation and Joerg Neugebauer, Douglas Deporter, & Daniel R. Cullum Minimally Invasive Treatment Planning, 28 Scott D. Ganz 12. Minimally Invasive Complete Arch Treatment: Th e Versatility of Angled Implants, 219 3. Risk Assessment and Avoiding Complications, 51 Ole T. Jensen & Daniel R. Cullum David Dara Yarmand, Douglas Deporter, & Daniel R. Cullum 13. Wedge Implants and Piezoelectric Surgery: A 4. Th e Provisional Restoration: A Diagnostic, Minimally Invasive Implant Concept for the Functional, and Esthetic Template, 66 Treatment of Narrow Alveolar Ridges, 227 Aldo Leopardi & Daniel R. Cullum Tomaso Vercellotti & Claudio Stacchi Section II: Technology and Surgery Section IV: Implant Site Development 5. Extraction Site Management for Ridge Preservation 14. Single-Stage Implant Placement and Simultaneous and Implant Site Development, 89 Graft ing: Th e “Esthetic Contour Graft ”, 241 Barry Bartee & Daniel R. Cullum Bach T. Le & Sze Wing Cynthia Au Yeung 6. Engineering Biologic Width and Tissue Levels with 15. Trans-Alveolar Sinus Elevation and Contiguous Sinus Implant and Abutment Surface Preparation, 107 Floor Elevation, 251 Myron Nevins, Cary A. Shapoff , Khalid Al Hezaimi, & Daniel R. Cullum & Douglas Deporter David M. Kim 16. Ridge Expansion, 285 7. Recombinant Human Bone Morphogenetic Protein-2 Daniel R. Cullum or Recombinant Human Platelet-Derived Growth Factor BB in Extraction Site Preservation and Bone 17. Ridge Expansion Combined with Trans-Alveolar Augmentation, 119 Sinus Elevation, 311 Craig M. Misch, Marc L. Nevins, & Jason A. Boch Daniel R. Cullum v vi Contents Section V: Immediate Implant Reconstruction Section VI: Comprehensive Applications of Minimally Invasive Surgery 18. Immediate Implant Placement for Single- and Multi-Rooted Teeth, 337 20. Skeletal Anchorage and Orthodontics in Implant Site Daniel R. Cullum & Douglas Deporter Development, 387 Michael P. Chaff ee & Daniel R. Cullum 19. Immediate Esthetic Zone Tooth Replacement, 367 Daniel R. Cullum & Howard Park 21. Minimally Invasive Comprehensive Treatment: Case Studies, 412 Daniel R. Cullum & Earl Ness Index, 443 Contributors Marcus Abboud, DMD Douglas Deporter, DDS, Dipl Perio, PhD Earl Ness, DDS, MSD Associate Professor and Founding Chair Discipline of Periodontics Private Practice Prosthodontics Department of Prosthodontics and Digital Technology Faculty of Dentistry Spokane, WA, USA Stony Brook University University of Toronto Stony Brook, NY, USA Toronto, ON, Canada Joerg Neugebauer, DDS, PhD Department for Oral Surgery and Implantology Khalid Al Hezaimi, BDS, MSc Scott D. Ganz, DMD University of Cologne Research Chair for Growth Factors and Bone Department Restorative Dentistry and Department of Cologne, Germany Regeneration Diagnostic Imaging Private offi ce for dentistry, Landsberg am Lech, King Saud University Rutgers School of Dental Medicine Germany Riyadh, Saudi Arabia Newark, NJ, USA; Private Practice Marc L. Nevins, DMD, MMSc Sze Wing Cynthia Au Yeung, BDS, Maxillofacial Prosthodontics and Implant Dentistry Boston Periodontics & Dental Implants Fort Lee, NJ, USA DDS, MD Boston, MA, USA Assistant Professor Division of Oral & Maxillofacial Surgery Andrew Horowitz, DMD, MD Myron Nevins, DDS Th e Herman Ostrow School of Dentistry of USC Private Practice Associate Clinical Professor Los Angeles County/USC Medical Center New York Oral, Maxillofacial and Implant Surgery Division of Periodontology, Department of Oral Los Angeles, CA, USA; Scarsdale, NY, USA; Medicine, Infection and Immunity Private Practice Associate Attending Harvard School of Dental Medicine Los Angeles, CA, USA Division of Oral and Maxillofacial Surgery Boston, MA, USA White Plains Hospital White Plains, NY, USA Barry Bartee, DDS, MD Gary Orentlicher, DMD OPrsitveaotge ePnriaccst Bicieomedical, Inc. Giles Horrocks, DDS, MS PNreiwva Yteo Prkr aOctriacle, Maxillofacial and Implant Surgery Restorative and Implant Dentistry Private Practice, Periodontics Scarsdale, NY, USA; Lubbock, TX, USA Boulder, CO, USA Chief, Division of Oral and Maxillofacial Surgery White Plains Hospital Jean-Francois Bedard, DMD Ole T. Jensen, DDS, MS White Plains, NY, USA (deceased) Adjunct Professor Private Practice, Prosthodontics University of Utah, School of Dentistry Howard Park, DMD, MD Salt Lake City, UT, USA Denver, CO, USA Guest Lecturer UCLA Department of OMS Jason A. Boch, DMD DMSc David M. Kim, DDS, DMSc Los Angeles, CA, USA Instructor, Harvard School of Dental Medicine Assistant Professor Department of Oral Medicine, Infection, and Immunity Division of Periodontology, Department of Oral Cary A. Shapoff, DDS Boston, MA, USA; Medicine, Infection and Immunity Private Practice Private Practice Harvard School of Dental Medicine Fairfi eld, CT, USA Wayland, MA, USA Boston, MA, USA Claudio Stacchi, DDS, MSc Michael P. Chaffee, DDS, MS Bach T. Le, DDS, MD, FICD, FACD Department of Medical, Surgical and Health Sciences Orthodontist, Private Practice Clinical Associate Professor University of Trieste Coeur d’Alene, ID, USA Division of Oral & Maxillofacial Surgery Trieste, Italy Th e Herman Ostrow School of Dentistry of USC Los Angeles County/USC Medical Center Christine Cole, DDS, MHS Los Angeles, CA, USA Tomaso Vercellotti, MD, DDS Private Practice, Periodontics Private Practice Boulder, CO, USA Aldo Leopardi, BDS, DDS, MS Genoa, Italy; Honorary Professor of University College of London Private Practice, Prosthodontist Daniel R. Cullum, DDS Eastman Dental Institute Greenwood Village, CO, USA Private Practice, Oral/Maxillofacial Surgery London, UK Implants Northwest Coeur d’Alene, ID, USA Craig M. Misch, DDS, MDS David Dara Yarmand, DDS, MD Guest Lecturer Oral & Maxillofacial Surgery and Prosthodontics Private Practice, OMS Loma Linda University Department of OMS Sarasota, FL, USA; Toronto, ON, Canada Loma Linda, CA Clinical Associate Professor Guest Lecturer Department of Implant Dentistry UCLA Department of OMS New York University Los Angeles, CA, USA New York, NY, USA vii Memorial to Jean-Francois Bedard Remembering a great son, husband, father, and friend . . . To Deanna and all the family, words cannot describe your loss and sorrow. Any time spent with this special man was both a joy and privilege. Jean was and will always be the unique fun-loving soul that we all loved to be with. His love for you and the kids was both obvious and spoken. He treasured you greatly in his heart, and when he was away you were always on his mind. We shared with Jean many outstanding moments on the mountain, at meetings, at great restaurants, even in the Starbucks’ line . . . that will not be forgotten. Jean was kind hearted, passionate, exacting, and highly skilled. He truly enjoyed life to the fullest! Please accept our deepest sympathies, you will remain in our thoughts and prayers as you move forward through this tragedy. Dan and Spring Cullum viii