Since the concept of osseointegration was introduced to the dental community more than 35 years ago by Professor P-I Brånemark, significant improvements have been achieved in patient evaluation, methods used to enhance the bone and soft tissues of potential implant sites, and surgical techniques to prepare the osteotomy sites and place the implants. In particular, CBCT scans and associated software planning programs now enable the implant team to analyze the bone sites in three dimensions in relation to the proposed contours of the implant-retained prostheses; select implants of suitable diameter, length, and configuration; position them virtually in ideal locations; and fabricate surgical templates that enable surgeons to prepare the osteotomy sites and place the implants with great precision. These topics are thoroughly discussed from the perspective that an interdisciplinary approach will yield the most predictable outcomes for treatment of the dental implant patient. The authors address the sometimes controversial topic of immediate loading and provide useful insights regarding when this approach can achieve predictable outcomes and when it is to be avoided. The use of CAD/CAM technologies is emphasized throughout the text, and the latest developments and their use in this rapidly expanding arena are fully described.

Although it is accepted that implant dentistry is restoratively driven, the surgical aspects are none the less critical to producing successful outcomes. In volume 1 we stressed that sound prosthodontic principles and an interdisciplinary approach are key to managing dental implant patients. This volume demonstrates how the surgeon plays a leading role in the decision-making process during treatment planning and surgical management. When restorative dentists and nonsurgical specialists place dental implants, the accountability is the same as it is for a trained surgical specialist. Therefore, we strongly encourage restorative specialists to seek further surgical training before taking on this responsibility. We continue to believe that an interdisciplinary approach is best and will provide better outcomes, especially in more complex implant cases.

Contents

۱. History and Introduction to Implant Surgery
۲. The Evolution of Modern Dental Implant Surfaces
۳. Medical History and Physical Examination
۴. Workup and Diagnostic Procedures
۵. Implant Surgery Basics
۶. Computer-Guided Planning and Surgery
۷. Tilted and Zygomatic Implants
۸. Hard and Soft Tissue Augmentation
۹. Reconstruction of Major Maxillary and Mandibular Defects with Implants
۱۰. Surgical Considerations for the Esthetic Zone
۱۱. Immediate Loading, Immediate Provisionalization, and Delayed Loading
۱۲. Maintenance and Follow-Up
۱۳. Surgical Complications of Implant Placement