Table of Contents

1. Introduction

 

2. Proceedings of the 3rd and 4th ITI Consensus Conferences and Literature Review: Extended Edentulous Spaces in the Esthetic Zone
2.1 Consensus Statements
2.1.1 Proceedings of the 3rd ITI Consensus Conference 2003
2.1.2 Proceedings of the 4th ITI Consensus Conference 2008
2.2 Literature Review
2.2.1 General Aspects and Biological Considerations
2.2.2 Treatment Planning and Risk Assessment
2.2.3 Surgical Procedures
2.2.4 Restorative Procedures
2.2.5 Complications

 

3. Preoperative Evaluation and Treatment Planning
3.1 Introduction
3.2 Patient History
3.2.1 Main Complaints and Expectations
3.2.2 Social and Family History
3.2.3 Dental History
3.2.4 Motivation and Compliance
3.2.5 Habits
3.2.6 Medical History and Medications
3.3 Local Examination
3.3.1 Extraoral
3.3.2 Intraoral General Examination
3.3.3 Initial Radiographic Examination
3.3.4 Mounted Diagnostic Casts
3.3.5 Intraoral Implant-Specific-Examination
3.3.6 Summary
3.3.7 Implant-Specific Radiographic Evaluation
3.4 Risk Assessment
3.5 Prosthodontic Planning Considerations
3.5.1 Introduction
3.5.2 Diagnostic Wax-up
3.5.3 Implant Selection from a Prosthodontic Viewpoint
3.6 Surgical Planning

 

4. Surgical Considerations and Treatment Procedures for Extended Edentulous Spaces in the Esthetic Zone
4.1 Introduction
4.2 Ridge Alterations Following Tooth Extraction
4.2.1 Histological Changes
4.2.2 Dimensional Changes of the Alveolar Ridge
4.2.3 Soft-Tissue Thickness in Edentulous Areas of the Anterior Maxilla
4.2.4 Surgical and Esthetic Implications
4.3 Surgical Procedures in Extended Edentulous Spaces
4.3.1 Simultaneous versus Staged Approach
4.3.2 Preoperative Radiographic Examination
4.3.3 Esthetic Risk Assessment (with Special Consideration of the Smile Line)
4.3.4 Timing of Implant Placement
4.3.5 Correct Three-Dimensional Implant Placement
4.3.6 Number of Implants
4.3.7 Contour Augmentation Using Guided Bone Regeneration (GBR)
4.3.8 Soft-Tissue Grafting
4.4 Conclusions

 

5. Prosthodontic Considerations and Treatment Procedures
5.1 Loading Protocols for Extended Edentulous Spaces in the Esthetic Zone
5.2 Provisionalization
5.2.1 Pre-Implant Provisional Restorations
5.2.2 Implant-Supported Provisional Restorations and Soft-Tissue Conditioning
5.3 Permanent Prostheses
5.3.1 Cementation versus Screw Retention
5.3.2 Abutment Selection
5.3.3 Treatment Procedures
5.3.4 Use of Pink Ceramics in the Extended Edentulous Space
5.4 Occlusion

 

6. Clinical Case Presentations
6.1 Replacement of Two Central Incisors with Non-Splinted Crowns on Bone-Level Implants
6.2 Replacement of Two Central Incisors with Non-Splinted Crowns on Tissue-Level Implants
6.3 Replacement of an Upper Right Central and Lateral Incisor with an Implant-Supported Crown and a Distal Cantilever
6.4 Replacement of Two Central Incisors and One Lateral Incisor with a Fixed Dental Prosthesis on Two Bone-Level Implants
6.5 Replacement of Two Central Incisors and One Lateral Incisor with a Fixed Dental Prosthesis on Two Tissue-Level Implants
6.6 Replacement of Four Incisors with a Fixed Dental Prosthesis on Two Bone-Level Implants
6.7 Replacement of Five Teeth with a Fixed Dental Prosthesis on Bone-Level Implants
6.8 Replacement of Six Teeth with a Fixed Dental Prosthesis on Four Bone-Level Implants

 

7. Complications: Causes, Prevention, and Treatment Options
7.1 Causes of Complications
7.1.1 Introduction
7.1.2 Risk Factors for Complications Reported in the Literature
7.2 Prevention of Complications
7.3 Management of Complications—Clinical Case Presentations
7.3.1 The Consequences of Non-Retrievability in Implant-Supported Fixed Prosthodontics
7.3.3 Replacement of Failing Hydroxyapatite-Coated Cylinder-Type Implants with Bone-Level Implants and a Screw-Retained Fixed Partial Denture in the Anterior Maxilla
7.3.4 Replacement of Teeth 12 and 13 with Tissue-Level Implants
7.3.5 Replacement of Four Incisors with a Fixed Partial Denture on Two Narrow-Neck Implants after Implant Failure

 

8. Conclusions

 

9. References

ITI International Team for Implantology
ITI Headquarters
Peter Merian-Strasse 88
4052 Basel
Switzerland

Phone +41 61 270 83 83
Fax +41 61 270 83 84
E-Mail headquarters@iti.org 

ITI International Team for Implantology | Peter Merian-Strasse 88 | 4052 Basel | Switzerland | Phone +41 61 270 83 83 | Fax +41 61 270 83 84 | headquarters@iti.org