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The Art and Science of Shade Matching in Esthetic Implant Dentistry, 275 Chapter 12 Treatment Complications in the Esthetic Zone, 301 FUNDAMENTALS OF ESTHETIC IMPLANT DENTISTRY Abd El Salam El Askary FUNDAMENTALS OF ESTHETIC IMPLANT DENTISTRY FUNDAMENTALS OF ESTHETIC IMPLANT DENTISTRY Abd El Salam El Askary Dr. Abd El Salam El Askary maintains a private practice special- Set in 9.5/12.5 pt Palatino izing in esthetic dentistry in his native Egypt. An experienced cli- by SNP Best-set Typesetter Ltd., Hong Kong nician and researcher, he is also very active on the international Printed and bound by C.O.S. Printers Pte. Ltd. conference circuit and as a lecturer on continuing professional development courses. He also holds the position of Associate For further information on Clinical Professor at the University of Florida, Jacksonville. Blackwell Publishing, visit our website: www.blackwellpublishing.com © 2007 by Blackwell Munksgaard, a Blackwell Publishing Company Disclaimer The contents of this work are intended to further general scientific Editorial Offices: research, understanding, and discussion only and are not intended Blackwell Publishing Professional, and should not be relied upon as recommending or promoting a 2121 State Avenue, Ames, Iowa 50014-8300, USA specific method, diagnosis, or treatment by practitioners for any Tel: +1 515 292 0140 particular patient. The publisher and the editor make no represen- 9600 Garsington Road, Oxford OX4 2DQ tations or warranties with respect to the accuracy or completeness Tel: 01865 776868 of the contents of this work and specifically disclaim all warranties, Blackwell Publishing Asia Pty Ltd, including without limitation any implied warranties of fitness for 550 Swanston Street, Carlton South, a particular purpose. In view of ongoing research, equipment mod- Victoria 3053, Australia ifications, changes in governmental regulations, and the constant Tel: +61 (0)3 9347 0300 flow of information relating to the use of medicines, equipment, Blackwell Wissenschafts Verlag, Kurfürstendamm 57, 10707 Berlin, and devices, the reader is urged to review and evaluate the infor- Germany mation provided in the package insert or instructions for each med- Tel: +49 (0)30 32 79 060 icine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings The right of the Author to be identified as the Author of this Work and precautions. Readers should consult with a specialist where has been asserted in accordance with the Copyright, Designs and appropriate. The fact that an organization or Website is referred to Patents Act 1988. in this work as a citation and/or a potential source of further infor- mation does not mean that the author or the publisher endorses All rights reserved. No part of this publication may be reproduced, the information the organization or Website may provide or rec- stored in a retrieval system, or transmitted, in any form or by any ommendations it may make. Further, readers should be aware that means, electronic, mechanical, photocopying, recording or other- Internet Websites listed in this work may have changed or disap- wise, except as permitted by the UK Copyright, Designs and peared between when this work was written and when it is read. Patents Act 1988, without the prior permission of the publisher. No warranty may be created or extended by any promotional state- ments for this work. Neither the publisher nor the author shall be First published 2007 by Blackwell Munksgaard, a Blackwell liable for any damages arising herefrom. Publishing Company The last digit is the print number: 987654321 Library of Congress Cataloging-in-Publication Data El Askary, Abd El Salam. Fundamentals of esthetic implant dentistry / Abd El Salam El Askary. – 2nd ed. p. ; cm. Rev. ed. of: Reconstructive aesthetic implant surgery. c2003. Includes bibliographical references and index. ISBN-13: 978-0-8138-1448-3 (alk. paper) ISBN-10: 0-8138-1448-0 (alk. paper) 1. Dental implants. I. El Askary, Abd El Salam. Reconstructive aesthetic implant surgery. II. Title. [DNLM: 1. Dental Implantation–methods. 2. Esthetics, Dental. 3. Reconstructive Surgical Procedures–methods. WU 640 E37f 2007] RK667.I45E4 2007 617.6′92–dc22 2006027645 978-0-8138-1448-3 I dedicate this work to the one who teacheth by the pen, Teacheth man that which he knew not. Contents List of Contributors, viii Foreword, ix Preface, x Acknowledgments, xii About the Author, xiv Chapter 1 Introduction, 3 Chapter 2 Diagnostic Considerations for Esthetic Implant Therapy, 13 Chapter 3 Contemporary Facial Evaluation, 79 Chapter 4 Multidimensional Esthetic Implant Positioning, 109 Chapter 5 Intraoral Plastic Soft Tissue Surgery, 127 Chapter 6 Immediate Esthetic Implant Therapy, 179 Chapter 7 Socket Augmentation: Rationale and Technique, 209 Chapter 8 The Interimplant Papilla, 225 Chapter 9 Tissue Engineering in Maxillofacial Surgery, 255 Chapter 10 Prosthetic Technologies and Techniques Beyond the Mere Fixture, 263 Chapter 11 The Art and Science of Shade Matching in Esthetic Implant Dentistry, 275 Chapter 12 Treatment Complications in the Esthetic Zone, 301 Index, 329 vii List of Contributors Main author: Chapter 9 Dr. Dritan Turhani Abd El Salam El Askary, B.D.S AKH-General Hospital of Vienna 39 Abdelsalam aref. St. Department of Cranio-Maxillofacial and Oral Surgery Elbostan Waehringer Guertel 18-20 Alexandria, Egypt 1090 Vienna, Austria E-mail: [email protected] E-mail: [email protected] Phone: +2 012 214 8642 β Fax: +2 03 5850770 Elisabeth Stein, Martina Wein enböck, and Rolf Ewers also contributed Co-authors: Chapter 10 Chapter 7 Dr. Peter Gehrke Hom-Lay Wang, D.D.S., M.S.D. Bismarck str.27 Professor and Director of Graduate Periodontics 67059 Ludwigshafen Department of Periodontics and Oral Medicine Germany University of Michigan School of Dentistry Phone: 49 62 21 68124456 1011 North University Avenue Fax: +49 621 68124469 Ann Arbor, Michigan 48109-1078, USA Email: [email protected] Phone: 734-763-3383 Fax: 734-936-0374 E-mail: [email protected] Chapter 11 Stephen J. Chu, DMD, MSD, CDT, MDT Rodrigo F. Neiva, D.D.S. 150 East 58th Street, Suite 3200 Clinical Assistant Professor New York, New York 10155 Department of Periodontics and Oral Medicine Phone: 212-752-7937 University of Michicgan School of Dentistry Fax: 212-980-9647 Ann Arbor, Michigan 48109-1078, USA E-mail1: [email protected] E-mail2: [email protected] viii Foreword Osseointegration is no longer a possibility but rather put into this work, some of which have not been seen in a given in implant dentistry today. However, with this print before. It is also wonderful to see the fact that facial predictability that we have come to expect, has also esthetics and smile analysis has been integrated into the come a shift into concerns that at one time were not evaluation of the patient. This is something that dentists even thought about. Today, the concept of beauty and often forget about, and Dr. El Askary has made sure to esthetics are also equally as important as the pure emphasize the face and mouth as part of the stage that function of mastication. In fact, in some cases with is set up for the teeth and intraoral tissues. high smile lines, it is more important than just func- In addition, the chapters on modern diagnostic tion and will in fact determine the treatment plan of methods, perioplastic surgery, socket preservation, choice. papilla regeneration, and bone reconstruction are all This textbook is a wonderful accumulation of the beautifully illustrated and documented. The scientific thoughts and work of Dr. El Askary and other profes- community and those involved in esthetic treatment of sionals from around the world. I want to congratulate their patients will have a sense of fulfillment after Dr. El Askary for his dedication to this project, which is viewing this text. It will be a reference text that will considered to be an ongoing work in progress over his guide them to improve their performance and to help outstanding career. His involvement with esthetics and solve the clinical dilemmas that they face daily. implant dentistry is as intense as anyone’s in this field, Congratulations again to Dr. El Askary, whose dedi- and his dedication and pursuit of excellence is to be cation and pursuit of excellence is to be applauded. commended. This textbook has many wonderful chapters for both Dennis Tarnow the specialist as well as the novice in this field. It is pre- Professor and Chairman sented in a clear meaningful way that all clinicians can Department of Periodontology and Implant Dentistry relate to easily. Many of the latest concepts have been New York University College of Dentistry ix Preface In the name of God, the Beneficent, and the Merciful. Chiche, Wöhrle, Saadoun, Grunder, Bitchacho, Magne, Jovanovich, Kan, Allen, Zitzmann, Simion, and many Implant dentistry today focuses more on the patient’s others who have made valuable scientific and clinical overall appearance than ever before, contributing not advancements in implant dentistry, and whose contri- only to enhanced social interaction but also to self- butions have personally benefited me greatly. It is my confidence and self-esteem. As a result, esthetic implan- firm belief that esthetic implant dentistry should be tology procedures are expected to become a more rooted in the understanding that we as clinicians do not integral part of modern dentistry, encompassing quality create esthetics anew, but imitate the esthetics created by of life along with routine functional establishment. God. Therefore, we value our work according to our Bennett and Weyant (1993) caution, however, that ability to imitate Nature, not our ability to create artifice. overall improvement in oral and facial esthetics may This book presents a comprehensive overview of improve the patient’s social ease, but it may not alter modern esthetic implant dentistry, with particular others’ perceptions of his or her honesty, virtue, help- emphasis on achieving beauty through the close study fulness, potency, or general emotional adjustment.
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