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Implant and
Regenerative
Therapy in
Dentistry
A Guide to
Decision Making
Paul A. Fugazzotto
Implant and Regenerative Therapy in Dentistry: A Guide to Decision Making provides a
uniquely clear, precise guide to decision making in a variety of clinical situations, from the
treatment planning phase to execution of procedures. Anchored in the realities of clinical
practice, it offers concrete and useful decision criteria for multiple treatment options and
equips readers with key problem-solving strategies and critical apparati.
Implant and Regenerative Therapy in Dentistry: A Guide to Decision Making acts as both
a reference and a daily companion, replete with more than 700 clinical photographs and
thorough referencing throughout. Topics covered include guided bone regeneration therapy,
esthetic treatment options, and immediate implant placement. Decision-making algorithms
conclude most chapters, summarizing key steps in a user-friendly format for maximum
accessibility. Written by expert authors under the leadership of an exceptional editor, this book
will be an invaluable resource to clinical practitioners in all fields pertaining to implant and
regenerative therapies.
Paul A. Fugazzotto is in full-time clinical practice specializing in periodontics and implant therapy.
In addition to maintaining his practice, he has published and lectured extensively on the topics of
implant dentistry and regenerative therapies.
Special Features
Guided clinical decision making
Reflects the realities of regenerative and implant dentistry
Sound instruction that offers concrete answers
Replete with decision trees and algorithms for daily clinical use
Richly illustrated in full color throughout
Also of Interest
Implant Restorations: A Step-by-Step Guide, Second Edition
Carl Drago
ISBN: 9780813828831
Clinical Periodontology and Implant Dentistry, Fifth Edition
Jan Lindhe, Niklaus P. Lang, Thorkild Karring
ISBN: 9781405160995
Implant and Regenerative Therapy in Dentistry
A Guide to Decision Making
Fugazzotto A Guide to Decision Making Implant and Regenerative Therapy in Dentistry
BLBS033-Fugazzotto March 10, 2009 13:1
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IMPLANT AND REGENERATIVE
THERAPY IN DENTISTRY
A GUIDE TO DECISION MAKING
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IMPLANT AND REGENERATIVE
THERAPY IN DENTISTRY
A GUIDE TO DECISION MAKING
Paul A. Fugazzotto, DDS
A John Wiley & Sons, Ltd., Publication
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Edition first published 2009
C 2009 Wiley-Blackwell
Chapter 4, copyright retained by Will Martin
Chapter 5, copyright retained by Dean Morton
Chapter 12, copyright retained by Robert Jaffin
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It is sold on the understanding that the publisher is not engaged
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Library of Congress Cataloging-in-Publication Data
Fugazzotto, Paul A.
Implant and regenerative therapy: a guide to decision making /
Paul A. Fugazzotto.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-8138-2962-3 (hardback : alk. paper)
1. Dental implants. 2. Guided bone regeneration. I. Title.
[DNLM: 1. Dental Implantation—methods. 2. Dental Implants.
3. Guided Tissue Regeneration, Periodontal—methods.
4. Periodontal Diseases—therapy. 5. Tooth Loss—therapy.
WU 640 F957i 2009]
RK667.I45F84 2009
617.6
92–dc22
2008053892
A catalog record for this book is available from the U.S. Library of
Congress.
Set in 10.5/12 pt ITC Slimbach by AptaraR Inc., New Delhi, India
Printed in Singapore
Disclaimer
The contents of this work are intended to further general scientific
research, understanding, and discussion only and are not
intended and should not be relied upon as recommending or
promoting a specific method, diagnosis, or treatment by
practitioners for any particular patient. The publisher and the
author make no representations or warranties with respect to the
accuracy or completeness of the contents of this work and
specifically disclaim all warranties, including without limitation
any implied warranties of fitness for a particular purpose. In view
of ongoing research, equipment modifications, changes in
governmental regulations, and the constant flow of information
relating to the use of medicines, equipment, and devices, the
reader is urged to review and evaluate the information provided in
the package insert or instructions for each medicine, equipment,
or device for, among other things, any changes in the instructions
or indication of usage and for added warnings and precautions.
Readers should consult with a specialist where appropriate. The
fact that an organization or Website is referred to in this work as
a citation and/or a potential source of further information does
not mean that the author or the publisher endorses the
information the organization or Website may provide or
recommendations it may make. Further, readers should be aware
that Internet Websites listed in this work may have changed or
disappeared between when this work was written and when it is
read. No warranty may be created or extended by any
promotional statements for this work. Neither the publisher nor
the author shall be liable for any damages arising herefrom.
1 2009
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To Salvatore and Gloria Fugazzotto, without whom nothing was possible, and to Emily, without whom
nothing is worthwhile.
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Contents
Contributors ix
Acknowledgment xi
Chapter 1 Tooth Retention and Implant Placement: Developing Treatment Algorithms 1
Paul A. Fugazzotto, DDS and Sergio De Paoli, MD, DDS
Chapter 2 Guided Bone Regeneration 46
Paul A. Fugazzotto, DDS
Chapter 3 The Therapeutic Potential of PRGF in Dentistry and Oral Implantology 113
Eduardo Anitua, DDS, MD, Gorka Orive, PhD, and Isabel And´ıa, PhD
Chapter 4 Patient Evaluation and Planning Considerations 122
Will Martin, DMD, MS, FACP
Chapter 5 Planning and Surgical Options for Implant-Based Esthetic Treatment:
The Partially Dentate Patient 134
Jamil Alayan, BS, BDS, MDSc, FRACDS and Dean Morton, BDS, MS, FACP
Chapter 6 Augmentation of the Posterior Maxilla 143
Paul A. Fugazzotto, DDS
Chapter 7 The Use of Shorter Implants in Clinical Practice 196
Paul A. Fugazzotto, DDS
Chapter 8 Decision Making Following Extraction of Multirooted Maxillary Teeth 218
Paul A. Fugazzotto, DDS
Chapter 9 Decision Making at the Time of Treatment of Furcated Mandibular Molars: Roles
of Resective, Regenerative, and Implant Therapies 248
Paul A. Fugazzotto, DDS
Chapter 10 Alveolar Bone Preservation Following Tooth Extraction in the Esthetic Zone 272
Philip R. Melnick, DMD, FACD and Paulo M. Camargo, DDS, MS, MBA, FACD
Chapter 11 Immediate Implant Placement in Esthetic Single Tooth Sites 295
Sergio De Paoli, MD, DDS and Paul A. Fugazzotto, DDS
Chapter 12 Immediate Loading of the Full Arch in Patients with a Failing Dentition 318
Robert Jaffin, DMD
Chapter 13 The Rehabilitation of the Edentulous Maxillary Jaw Utilizing Dental Implant Therapy 364
Anthony J. Dickinson, BDSc, MSD
Index 399
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Contributors
Editor/Author
Paul A. Fugazzotto, DDS
Private Practice
Milton, Massachusetts
Contributors
Jamil Alayan, BS, BDS, MDSc, FRACDS
(Periodontics)
Brisbane, Queensland, Australia
Griffith University, School of Dentistry and
Oral health
Southport, Queensland, Australia
Isabel And´ıa, PhD
Scientific researcher of BTI Biotechnology Institute
San Antonio
Vitoria, Spain
Eduardo Anitua, DDS, MD
Scientific director of BTI Biotechnology Institute
Private Practice in Vitoria (Spain)
San Antonio
Vitoria, Spain
Paulo M. Camargo, DDS, MS, MBA, FACD
UCLA School of Dentistry
Section of Periodontics
Los Angeles, California
Sergio De Paoli, MD, DDS
University of Ancona
Private Practice
Ancona, Italy
Anthony J. Dickinson, BDSc, MSD
Registered Specialist, Prosthodontist
Glen Iris
Victoria, Australia
Robert Jaffin, DMD
Private Practice
Director, Periodontal Services
Hackensack University Medical Center
Hackensack, New Jersey
Will Martin, DMD, MS, FACP
Clinical Associate Professor
University of Florida – College of Dentistry
Center for Implant Dentistry
Gainesville, Florida
Philip R. Melnick, DMD, FACD
UCLA School of Dentistry
Section of Periodontics
Los Angeles, California
Dean Morton, BDS, MS, FACP
Professor and Assistant Dean
Department of Diagnostic Sciences,
Prosthodontics and Restorative Dentistry
University of Louisville School of Dentistry
Louisville, Kentucky
Gorka Orive, PhD
Scientific researcher of BTI Biotechnology Institute
San Antonio
Vitoria, Spain
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Acknowledgment
I would be remiss to not send the appropriate gratitude and thanks to Sophia Joyce of Wiley-Blackwell
for first proposing this project to me and helping
me to formulate its conceptual framework, and to
Shelby Allen for her perseverance and patience in
putting up with me. Finally, I need to thank Samantha for risking her dexterity in compiling and working on the manuscript.
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IMPLANT AND REGENERATIVE
THERAPY IN DENTISTRY
A GUIDE TO DECISION MAKING
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