Foreword ix

Preface xi

Contributing Authors xiii

Introduction Asbjorn Jokstad xix

1 Implant Dentistry: A Technology Assessment 3

How Many Implant Systems Do We Have and Are They Documented? Asbjorn Jokstad 3

What Have We Learned from Randomized Controlled Clinical Trials on Oral Implants? Marco Esposito Maria Gabriella Grusovin Paul Coulthard Helen Worthington 9

Systematic Reviews of Survival and Complication Rates of Implant-Supported Fixed Dental Prostheses and Single Crowns Bjarni Elvar Paetursson 14

2 Comprehensive Treatment Planning for Complete Arch Restorations 27

Treatment of the Edentulous Maxilla and Mandible with Implant-Retained Overdentures David A. Felton 27

Key Implant Positions and Implant Number: A Biomechanical Rationale Carl E. Misch 32

Treatment Alternatives for the Terminal Dentition Patient Luca Cordaro 35

3 Comprehensive Treatment Planning for the Patient with Complex Treatment Needs 43

The Challenging Patient with Facial Deformities, Rare Disorders, or Old Age Birgitta Bergendal James D. Anderson Frauke Muller 43

4 Comprehensive Treatment Planning for the Patient with Oral or Systemic Inflammation 63

The Efficacy of Osseointegrated Dental Implants for Periodontally Compromised Patients Myron Nevins David M. Kim 63

Profiles and Treatment Options for Refractory Patients in a Periodontal Practice Oystein Fardal Gerard J. Linden 70

Systemic Implications of Peri-implant Inflammation: Mimicry of the Periodontitis-Systemic Disease Model? Howard C. Tenenbaum Michael Glogauer Michael Landzberg Michael Goldberg 74

5 Surgery Phase Planning 85

Advances in Diagnosis and Treatment Planning Utilizing CT Scan Technology forImproving Surgical and Restorative Implant Reconstruction: Tools of Empowerment Scott D. Ganz 85

Immediate Implants in Infected Sites: Contraindications Reconsidered Jay R. Beagle 95

Image-Based Implant Therapy: Current Status and Future Perspectives Homah Zadeh 101

6 Pre-implant Surgical Interventions 117

Horizontal and Vertical Bone Regeneration in the Maxilla and Mandible Burton Langer 117

Pre-implant Surgical Interventions Tissue-Engineering Solutions E. Todd Scheyer 125

Guided Bone Regeneration with or without Bone Grafts: From Experimental Studies to Clinical Application Nikolaos Donos 129

7 Pre-implant Surgical Augmentation Interventions 141

Hard-Tissue Augmentation to Osseointegrate Implants Friedrich W. Neukam Emeka Nkenke Rainer Lutz 141

Onlay and Inlay Grafting in Implant Rehabilitation: Clinical Aspects Karl-Erik Kahnberg 148

Is Autogenous Bone Still the "Gold Standard" for Grafting? Current Opinion on the Use of Autograft in Implant Dentistry Craig M. Misch 152

8 Pre-implant Surgical Interventions with Focus on the Maxilla 167

Evolution of the Sinus Augmentation Procedure: 1982, 2008, and Beyond Stephen S. Wallace Stuart J. Froum 167

Bone Augmentation in the Severely Resorbed Maxilla Lars Rasmusson 175

9 Biomaterials and Substances for Site Optimizing 183

Alveolar Augmentation: Past, Present, and Future Ulf M.E. Wikesjo Massimo Simion Michael S. Reddy 183

10 Implant Surgery Interventions 197

Three-Dimensional Reverse Tissue Engineering for Optimal Dental Implant Reconstruction Michael A. Pikos Albert H. Mattia 197

11 The Implant and Biological Response 205

The Healing Bone-Implant Interface: Role of Micromotion and Related Strain Levels in Tissue John B. Brunski Jennifer A. Currey Jill A. Helms Philipp Leucht Antonio Nanci Rima Wazen 205

12 The Implant Surface and Biological Response 213

The Changing Interface John E. Davies Peter Schupbach Lyndon Cooper 213

13 The Implant Design and Biological Response 225

Influences of Implant Design and Surface Properties on Osseointegration and Implant Stability Jan Gottlow 225

Implant Surface Design and Local Stress Fields-Effects on Peri-implant Bone Formation and Retention with "Short" Porous-Surfaced Implants Robert M. Pilliar 230

14 Loading Protocols and Biological Response Peter K. Moy Georgios E. Romanos Mario Roccuzzo 239

15 Restorative Phase Treatment Planning 255

Integration of Biological Principles to Achieve Stable Aesthetics Clark M. Stanford 255

Changing Rationales: Connecting Teeth with Implants by a Suprastructure Paul Weigl 260

16 Restorative Phase Treatment Planning Using Shortened Clinical Protocols 269

Stability of Implant-Abutment Connections Thomas D. Taylor 269

Shortened Clinical Protocols: The (R)evolution Is Still Ongoing Roland Glauser 273

17 The Transmucosal Component and the Supra-construction Revolution 279

Abutment Design and Materials Using CAD/CAM Technology Steven E. Eckert 279

CAD/CAM in Implant Dentistry Jorg-R. Strub Siegbert Witkowski 285

18 The Implant Design and Clinical Outcomes 295

Contemporary Dental Implants and Clinical Performance John K. Schulte Shadi Daher 295

The Internal Connection: A Contributing Factor to Achieving an Aesthetic Result Antonio Sanz Ruiz 302

19 Loading Protocols and Clinical Outcomes 311

What Have We Learned about the Influence of Loading on the Quality and Maintenance of Osseointegration? Ignace Naert Katleen Vandamme Joke Duyck 311

The Concept of Early Loading Hans-Peter Weber 315

What Have We Learned from Clinical Trials about Early Loading of Implants? Asbjorn Jokstad 319

20 Patient Focus on Neurophysiology 333

A Neurophysiologic Perspective on Rehabilitation with Oral Implants and Their Potential Side Effects Barry J. Sessle Iven Klineberg Peter Svensson 333

21 Patient Focus on Expected and Unexpected Outcomes 345

Dental Implant Innovations-Growing Evidence for Best Decisions Kent Knoernschild 345

Subjective and Objective Evaluation of Implant-Supported Reconstructions for Partially Edentulous Patients Klaus Gotfredsen 354

22 Patient Focus on Function and Quality of Life and Future Implementation J. Mark Thomason Jocelyne S. Feine Daniel Wismeijer 361

23 Dental Implants in the Habilitation of Young Patients George K.B. Sandor 373

24 Minimum Competency for Providing Implant Prosthodontics-What Should Be the Educational Requirements? 381

Guaranteeing Treatment for Everyone: Changing Educational Criteria for "Garden Variety" Cases to Major Bone Grafts Kenneth W.M. Judy 381

Appendix The Toronto Osseointegration Conference Revisited, May 9-10, 2008: Program and Biographies of Speakers 385

Index 405