Surgical Design for Dental Reconstruction with Implants: A New Paradigm

Frontmatter......Page 2
Contents......Page 6
Chapter 1: Introduction to Surgical Design Using Embryologic Processes......Page 10
Goals and Principles ofSurgery and Embryogenesis......Page 11
Evolutionary Differences inSurgery and Embryogenesis......Page 12
Clinical Application ofEmbryologic Processes......Page 13
Creation of ConstructionChambers as an AlternativeStrategy to ReconstructiveSurgery......Page 18
Conclusion......Page 19
References......Page 20
Chapter 2: Establishing and Maintaining Osseointegration Within the Functional Matrix......Page 22
Conventional Concepts ofOsseointegration......Page 23
Establishment ofOsseointegration Within aBone-Forming Construct......Page 24
Conclusion......Page 28
References......Page 29
Chapter 3: Engineering Environments for Simultaneous Bone Growth and Osseointegration......Page 30
Reconstruction of a FailedImplant Site......Page 31
Bone Reconstruction in a SiteLacking Bone-Forming Cellsand a Stabilized Environment......Page 35
Comparison of CarrierStrategies for rhBMP-2......Page 39
Formation of Bone andOsseointegrationin anOlder Patient withCompromised Sinuses......Page 44
Functional Analysis of GraftPositioning and VolumeRequirements......Page 49
Management of a Deficiency inNeuromuscular Input......Page 53
Alveolar Construction in a Siteof Extreme Alveolar Atrophy......Page 55
References......Page 60
Chapter 4: Using Bone Morphogenetic Protein to Generate Bone......Page 62
Delivery of rhBMP-2......Page 63
rhBMP-2 Carried on an ACS......Page 66
rhBMP-2 in Combinationwith Other Materials......Page 69
Large Doses of rhBMP-2Without Bone Grafting......Page 71
rhBMP-2 and Solvent-Dehydrated Bone for theRepair of an Alveolar Cleft......Page 73
References......Page 74
Role of Periodontal Ligaments in Regulationof Bone Growth......Page 76
Surgical Design andProcedures......Page 79
Exploitation of ToothDevelopment and Eruption toCreate Bone-FormingConstructs......Page 83
Engineering Bone-FormingConstructs in the PrimaryDentition......Page 84
Bone Construction for Placementof Implants in Cleft Sites......Page 90
Conclusion......Page 95
References......Page 96
Chapter 6: Using Osteotomiesto Generate Bonein Defects of Local Origin......Page 98
Objectives of Osteotomy for the Design of Bone-Forming Constructs......Page 99
Relationship BetweenOsteotomy and Bone-FormingConstructs......Page 100
Osteotomy to Create aBone-Forming Chamber......Page 101
Segmental Osteotomy to Treata Defect Resulting from FailedTreatment of an ImpactedCanine......Page 105
Osteotomy in a Bone-FormingConstruct to ManageCongenital Deficiencies......Page 111
Osteotomy to Correct a DefectResulting from FailedOrthodontic Extrusion......Page 116
Osteotomy for Reconstructionof a Traumatic Deformity......Page 121
References......Page 128
Chapter 7: Using Osteotomiesto Generate Bonein Patients with Systemic Disorders......Page 130
Osteotomy for BoneConstruction in a Patientof Advanced Age......Page 131
Designing Surgery for aCompromised HealingEnvironment......Page 135
Osteotomy to Grow Boneafter Multiple FailedGrafting Attempts......Page 142
Le Fort I Osteotomy toTreat a Major DevelopmentalField Defect......Page 148
Le Fort III Osteotomy forBone Formation afterRadiation Therapy......Page 155
References......Page 160
Chapter 8: Bone-Forming Constructs for Major Skeletal Reconstruction......Page 162
Displacement of theGenioglossus Muscle forMandibular Reconstruction......Page 163
Mylohyoid Muscle inMandibular BodyReconstruction......Page 166
Displacement of the MylohyoidMuscle for MandibularReconstruction......Page 167
Pterygomaxillary Bone-FormingChambers......Page 173
References......Page 178
Chapter 9: Controlling the Accuracy of Osteotomy Fragment Repositioning......Page 180
Potential Sources of Error inFragment Repositioning......Page 181
Methods of OsteotomyFragment Repositioning......Page 189
Correction of a RepositioningError......Page 199
Conclusion......Page 205
Chapter 10: Comparing Mechanical and Virtual Surgical Planning......Page 206
Historical Perspective......Page 207
Procedures for Surgical Planning......Page 209
Analysis of Surgical PlanningMethods......Page 217
Conclusion......Page 218
References......Page 220
Chapter 11: Design and Surgical Techniquein Detail: A Clinical Demonstration......Page 222
Diagnosis and Engineering......Page 223
Surgical Planning......Page 228
Surgical Technique......Page 239
References......Page 248
Index......Page 250