MISCH - Contemporary Implant Dentistry

CONTEMPORARY IMPLANT DENTISTRY

Third Edition

CARL E. MISCH, DDS, MDS, PHD(HC)

Clinical Professor and Director, Oral Implant Dentistry, Temple University, Kornberg School of Dentistry, Department of Periodontics and Implant Dentistry, Philadelphia, Pennsylvania

Clinical Professor, University of Michigan, School of Dentistry, Department of Periodontics/Geriatrics, Ann Arbor, Michigan

Adjunct Professor, University of Detroit, School of Dentistry, Department of Restorative Dentistry, Detroit, Michigan

Adjunct Professor, University of Alabama at Birmingham, School of Engineering, Birmingham, Alabama

Founder, Misch International Implant Institute, Beverly Hills, Michigan

MOSBY

Copyright

MOSBY ELSEVIER

11830 Westline Industrial Drive

St. Louis, Missouri 63146

CONTEMPORARY IMPLANT DENTISTRY

ISBN: 978-0-323-04373-1

Third Edition

Copyright 2008, 1999, 1993 by Mosby, Inc., an affiliate of Elsevier Inc.

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Notice

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Editor assumes any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.

The Publisher

Library of Congress Control Number 2007935907

Vice President and Publisher: Linda Duncan

Acquisitions Editor: John Dolan

Managing Editor: Jaime Pendill

Developmental Editors: Elizabeth Clark, Julie Nebel

Editorial Assistant: Joslyn Dumas

Publishing Services Manager: Patricia Tannian

Project Manager: Jonathan M. Taylor

Design Direction: Teresa McBryan

Printed in Canada

Last digit is the print number: 9 8 7 6 5 4 3 2 1

Contributors

Martha Warren Bidez, PhD, Professor, Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama

Diana Bronstein, DDS, MS, Adjunct Assistant Clinical Professor, Department of Periodontology and Oral Implantology, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania

Marco Degidi, MD, DDS, Private Practice, Bologna, Italy

Giovanna Iezzi, DDS, PhD, Research Fellow, Dental School, Department of Dentistry, University of Chieti, Chieti, Italy

Louis T. Kircos, DDS, MDS, PhD, Professor, Department of Restorative Dentistry, Loma Linda University, Loma Linda, California, Attending Radiologist, North Bay Radiology, Advanced Imaging of Chicago, Chicago, Illinois

Jack E. Lemons, PhD, Professor, Department of Prosthodontics, Surgery, and Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama

Matthew Lyman, DO, Resident, Department of Orthopedics, Botsford Hospital, Farmington Hills, Michigan

Francine Misch-Dietsh, DDS, MDS, Associate Professor, Department of Periodontology and Oral Implantology, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania, Misch International Implant Institute, Beverly Hills, Michigan

Adriano Piattelli, MD, DDS, Professor of Oral Pathology and Medicine, Dean and Director of Studies and Research, Dental School, University of Chieti, Chieti, Italy

Ana Emlia Farias Pontes, DDS, MSc, PhD, Associate Professor of Periodontology and Implantology, Educational Foundation of Barretos, Barretos, So Paulo, Brazil

Girish Ramaswamy, MS, Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama

Randolph R. Resnik, DMD, MDS, Clinical Associate Professor, Department of Periodontology and Oral Implantology, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania, Surgical Director, Misch International Implant Institute, Beverly Hills, Michigan

W. Eugene Roberts, DDS, PhD, DHC (Med), Jarabak Professor and Director of Graduate Orthodontics, Department of Orthodontics, School of Dentistry, Indiana University, Indianapolis, Indiana, Associate Professor, Department of Oral and Maxillofacial Implantology, School of Medicine, University of Lille II, Lille, France

David P. Sarment, DDS, MS, Assistant Professor, Department of Periodontics/Prevention/Geriatrics, School of Dentistry, University of Michigan, Ann Arbor, Michigan

Antonio Scarano, DDS, MD, Department of Dentistry, University of Chieti, Chieti, Italy

Gerard M. Scortecci, DDS, MDS, PhD, Chairman of the Post Graduate Oral Implant Program, Department of Oral and Maxillofacial Surgery, School of Medicine, University of Nice Sophia-Antipolis, Nice, France, Clinical Professor of Periodontology, University of Southern California, Los Angeles, California, Visiting Professor, New York University, New York, New York

Mohamed Sharawy, BDS, PhD, Professor and Director, Department of Biology/Anatomy & Oral and Maxillofacial Surgery, Medical College of Georgia, Augusta, Georgia

Miles L. Singer, DO, FACOS, FAOAO, Assistant Clinical Professor, Osteopathic Surgical Specialties, Michigan State UniversityCollege of Osteopathic Medicine, East Lansing, Michigan, Clinical Assistant Professor, Des Moines University, Des Moines, Iowa, Clinical Assistant Professor, Department of Surgery, College of Osteopathic Medicine, University of Health Science, Kansas City, Missouri, Private Practice, Orthopedic Surgery, Botsford Hospital, Farmington Hills, Michigan

J. Todd Strong, MS, COO and Executive Vice President, BioHorizons, Adjunct Professor, Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama

Jon B. Suzuki, DDS, PhD, MBA, Professor of Microbiology and Immunology, School of Medicine, Professor of Periodontology and Oral Implantology, Associate Dean for Graduate Education, Research, and International Affairs, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania

Lynn D. Terracciano-Mortilla, RDH, Private Practice, Trinity, Florida

Foreword

The profession of dentistry, and in particular the field of implant dentistry, has been significantly changed and improved by Dr. Carl E. Misch. More important, however, is the dental patient who has been the major recipient of the innovations and clinical advancement of this field. From single-tooth implant placement to complex bone augmentation with multiple implant positioning, this textbook provides the science and peer-reviewed research enhancing implant success and improving clinical outcomes.

This textbook leads the clinician through a logical sequence of growth and maturation as an implant dentist. Basic chapters on medical history, bone, and pharmacology lead into increasingly complex surgical approaches that include virtually every clinical venue faced by the implant dentist. These well-illustrated chapters with outstanding clinical teaching cases will serve as a basic guide for the dental clinician and as a valuable resource in ones reference library.

A quarter of a century of experience at the Misch International Implant Institute is evident in this textbook. Clinical and teaching approaches that have been proved over time are directly applied in each chapter. The thousands of general dentists and specialists who have successfully completed the comprehensive series of Misch Institute three-dayweekend courses (which includes several years of Temple University and University of Pittsburgh periodontology residents) have provided significant feedback, resulting in continuous outcomes assessments of clinical procedures and research methods highlighted in this text. The reader will not only improve their clinical skills, but also their confidence with Dr. Misch. I speak from personal experience as a board-certified periodontist who completed his first surgical placement of a dental implant under the tutelage of Dr. Misch (while on a giant video monitor viewed by more than 60 dentists during one of the Misch Institute courses) over a decade ago. I continue to be mentored by Dr. Misch and feel fortunate to call him a professional colleague, research collaborator, and true friend.