11.1 Immediate implant placement on day of tooth extraction. Use of a...Figure 11.2 Temporary cylinder in situ opaqued with opaque tints to block me...Figure 11.3 Denture tooth converted into immediate provisional crown.Figure 11.4 Prosthetically guided soft tissue healing with provisional crown...Figure 11.5 Final all‐ceramic crown and abutment in place, recreating natura...Figure 11.6 Assessment of the cone beam computed tomography (CBCT) radiograp...Figure 11.7 Assessment of the CBCT reveals a large root anatomy with minimal...Figure 11.8 The initial osteotomy in the anterior maxilla needs to be initia...10 Chapter 12Figure 12.1 ‘Nose to chin’ photos of the lips at rest and at high smile are ...Figure 12.2 Periapical radiographs are essential in implant planning as they...Figure 12.3 This image shows a large defect left when an implant became infe...Figure 12.4 This patient presented with a failing first premolar. In plannin...Figure 12.5 This patient presented for implants in the lateral incisor posit...Figure 12.6 Orthodontic site preparation. In this case, an internally resorb...Figure 12.7 The ectopically erupted canine was moved not only to bring it ba...
11 Chapter 13Figure 13.1 Implant loading timeline.Figure 13.2 The Ostell IDX unit utilises resonance frequency analysis to mea...Figure 13.3 Immediate implant placement into socket after tooth extraction....Figure 13.4 Impression of implant at time of placement. Note the protection ...Figure 13.5 Immediate loading with provisional implant crown (PMMA with temp...
12 Chapter 14Figure 14.1 Surgical instrumentation. From left to right: Depth probe, Lagra...Figure 14.2 (a) Anterior (Branemark) retractor, (b) Bishop retractor, (c) Mi...Figure 14.3 Benex® Extraction System is a specialised device for atraum...Figure 14.4 Micross (Meta) bone scraper.Figure 14.5 Anthogyr Torq Control.Figure 14.6 Surgical cassette housing instruments preventing damage and opti...
13 Chapter 15Figure 15.1 (a) Comparison between full‐thickness and partial‐thickness flap...Figure 15.2 Soft tissue punch.Figure 15.3 (a) Buccal envelope flap. (b) Envelope flap with mid‐crestal inc...Figure 15.4 (a) Two‐sided flap with distal vertical releasing incision at th...Figure 15.5 (a) Papilla‐sparing incision. (b) Modified papilla‐sparing incis...Figure 15.6 (a) Envelope flap designed with palatally/lingually placed crest...
14 Chapter 16Figure 16.1 Suture packaging and descriptions.Figure 16.2 Suture needles.Figure 16.3 Simple interrupted sutures.Figure 16.4 Continuous/uninterrupted sutures.Figure 16.5 (a) Internal horizontal mattress suture continuous. (b) External...Figure 16.6 (a) Internal vertical mattress suture continuous. (b) External v...
15 Chapter 17Figure 17.1 Triad of contemporary implant dentistry.Figure 17.2 Pink Esthetic Score criteria include: mesial papilla (a), distal...Figure 17.3 (a) Implant placement in an upper central incisor area. (b) Note...Figure 17.4 (a) Buccal veneer grafting performed at the time of implant plac...Figure 17.5 (a, b) Robust buccal volume augmentation following combined conn...Figure 17.6 (a) Clinical situation following bone and soft tissue augmentati...Figure 17.7 Close‐up view of the buccal plate of a canine socket following e...Figure 17.8 Schematic illustrating the differences between the peri‐implant ...Figure 17.9. (a) Pre‐operative bone sounding of the buccal plate reveals pro...
16 Chapter 18Figure 18.1 Incorrect placement of implants, with insufficient spacing betwe...Figure 18.2 Placement of an implant should be within the alveolar ridge, ens...Figure 18.3 Placement of an implant too labially will lead to poor aesthetic...
17 Chapter 19Figure 19.1 The peri‐implant phenotype.Figure 19.2 Missing first premolar site with mild to moderate horizontal buc...Figure 19.3 (a–i) Buccal roll flap suturing sequence. (b) Healed first premo...Figure 19.4 Healed lateral incisor site with mild to moderate horizontal buc...Figure 19.5 (a–e) Pouch roll technique incision outline. (b) Healed lateral ...Figure 19.6 Healed first and second molar site with shallow vestibulum and l...Figure 19.7 (a–d) Apically repositioned flap incision and suturing outline. ...Figure 19.8 Healed first premolar, second premolar, and first molar site wit...Figure 19.9 (a–f) Apically repositioned flap incision and suturing outline. ...Figure 19.10 (a, b) Healed first molar site with shallow vestibulum, moderat...Figure 19.11 (a) Partial‐thickness mucosal flap secured apically using singl...Figure 19.12 (a) Free gingival graft incision, graft, and suturing outline. ...Figure 19.13 Surgical blade dimensions.
18 Chapter 20Figure 20.1 Histology: Oral keratinised tissue epithelium consists of four l...Figure 20.2 Schematic drawing showing the distance between the cemento‐ename...Figure 20.3 (a) The desired outline is cut with a blade. (b) Undermining the...Figure 20.4 (a) A deeper, more coronal incision down to osseous is made. (b)...Figure 20.5 (a) Initial presentation showing recession on lateral incisor. (...Figure 20.6 (a) The previous block fixation screw was exposed and removed to...Figure 20.7 (a) The inside of the tissue was de‐epithelialised using a finis...Figure 20.8 (a) Connective tissue graft was harvested from the palate and pr...Figure 20.9 (a) Insertion of the connective tissue in the prepared tunnel bu...Figure 20.10 Three months post‐operative showing gain in soft tissue thickne...Figure 20.11 (a) Buccal pre‐operative view. (b) Occlusal view of the same de...Figure 20.12 (a) Pre‐augmentation bone view. (b) Augmentation with rhBMP‐2‐s...Figure 20.13 (a) Immediately post‐operation 4‐0 PTFE and 6‐0 proline sutures...Figure 20.14 (a) After implant placement and uncovers. Note the frenum and m...Figure 20.15 (a, b) Two strip free gingival grafts harvested from the palate...Figure 20.16 (a) An essex shell was prepared off the wax‐up followed by impl...Figure 20.17 Two months after soft tissue procedure.
19 Chapter 21Figure 21.1 Onlay autogenous bone graft harvested and stabilised on the post...Figure 21.2 (a) Pre‐operative view. (b) Initial situation prior to grafting....Figure 21.3 (a) Bone graft packed and stabilised on the buccal via two screw...Figure 21.4 (a, b) Pre‐operative view and initial situation prior to graftin...Figure 21.5 (a) Outlining the graft borders starting with medial and distal,...Figure 21.6 (a) Initial view of the graft. (b) The graft was split with piez...Figure 21.7 (a) Buccal plate is fixed first followed by palatal plate. Note:...Figure 21.8 (a) We can benefit from excess bone by careful trimming and usin...Figure 21.9 (a) Horizontal and vertical bone regeneration four months after ...Figure 21.10 (a, b) Buccal view of the implant position showing implant plac...
20 Chapter 22Figure 22.1 Open tray impression copings. Notice the square form of the copi...Figure 22.2 Customised impression coping in place, supporting and reproducin...Figure 22.3 Engaging and non‐engaging impression copings. Single restoration...Figure 22.4 Impression jig constructed in the laboratory for intra‐oral pick...Figure 22.5 Parallel technique used to take radiograph of implant and impres...
21 Chapter 23Figure 23.1 (a) With a low smile line <75% of the maxillary incisors in the ...Figure 23.2 (a) Tooth 11 suffering from external resorption. The patient has...Figure 23.3 (a) The use of pink soft tissue replacement and a large soft tis...
22 Chapter 24Figure 24.1 Immediate implant placement and provisionalisation. The maxillar...Figure 24.2 Adding resin (yellow) in this critical contour region to over‐co...Figure 24.3 Patient with missing interdental papillae. Note the interproxima...
23 Chapter 25Figure 25.1 Implant and prefabricated titanium abutment (Esthetic Abutment, ...Figure 25.2 Descriptions of the various implant abutments available.Figure 25.3 Customised titanium abutment with monolithic all ceramic (zircon...Figure 25.4 Multi‐unit abutments (Screw‐Retained Abutments; Straumann) are o...Figure 25.5 All on Four® Treatment concept (Nobel Biocare). Anterior im...Figure 25.6 Zirconia abutment inserted and final all‐ceramic crown.Figure 25.7 Correctly contoured emergence of abutments are more concave, all...Figure 25.8 Location jig to allow correct placement of the implant abutment....
24 Chapter 26Figure 26.1 Screw‐retained crowns need an access hole on the cingulum area t...Figure 26.2 To achieve screw retention in the anterior region may involve al...Figure 26.3 The hybrid cement/screw restorations involve a restoration being...Figure 26.4 One‐piece screw‐retained restorations with the veneering porcela...Figure 26.5 Use of lateral set‐screw/cross‐pin to allow a bridge to be tempo...Figure 26.6 The use of specialised drivers with a unique head allows for
