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Univ. of Florida, Gainesville. Text presents the art and science of soft tissue management around dental implants and highlights current plastic surgery procedures for aesthetic implantology. Provides strategies and techniques addressing many of the complications associated with dental implants. Abundant high-quality illustrations. DNLM: Dental Implantation--methods.
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RECONSTRUCTIVE AESTHETIC IMPLANT SURGERY This page intentionally left blank RECONSTRUCTIVE AESTHETIC IMPLANT SURGERY Abd El Salam El Askary Blackwell Munksgaard Published in the U.S. by Iowa State Press A Blackwell Publishing Company © 2003 Blackwell Munksgaard, Published By Iowa State Press A Blackwell Publishing Company Iowa State Press 2121 State Avenue, Ames, Iowa 50014-8300, USA Tel: +1 515 292 0140 Web site: www.iowastatepress.com Editorial Offices: 9600 Garsington Road, Oxford OX4 2DQ Tel: +44 01865 776868 Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton South, Victoria 3053, Australia Tel: +61 (0)3 9347 0300 Blackwell Verlag Kurfurstendamm 57, 10707 Berlin, Germany Tel: +49 (0)30 32 79 060 Europe and Asia All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. The right of the Author to be identified as the Author of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988. North America Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by Iowa State Press, provided that the base fee of $.10 per copy is paid directly to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payments has been arranged. The fee code for users of the Transactional Reporting Service is 0-8138-21088/2003 $.10. Library of Congress Cataloging-in-Publication Data El Askary, Abd El Salam Reconstructive aesthetic implant surgery / Abd El Salam El Askary p. ; cm. Includes bibliographical references and index. ISBN 0-8138-2108-8 1. Dental implants. 2. Dental implants—Aesthetic implants. [DNLM: 1. Dental Implantation—methods. 2. Reconstructive Surgical Procedures—methods. WU 640 E37r 2003] I. Title RK667.I45E4 2003 617.6'92—dc21 2002155992 ISBN: 0-8138-2108-8 Cover art: From the portrait of Irma Brunner by Edouard Manet. © Photo RMN—Jean Schormans; reprinted by permission. Set in Sabon by D&G Limited, LLC Printed and bound in Korea by Doosan Printing For further information on Blackwell Publishing, visit our website: www.blackwellpublishing.com or www.iowastatepress.com Contents FOREWORD, vii PREFACE, ix ACKNOWLEDGMENTS, xi 1 Introduction, 3 Abd El Salam El Askary 2 Presurgical Considerations, 8 Abd El Salam El Askary 3 Aesthetic Implant Placement, 45 Abd El Salam El Askary 4 Soft Tissue Management, 60 Abd El Salam El Askary 5 Aesthetic Bone Grafting, 115 Luc Huys and Abd El Salam El Askary INDEX, 139 This page intentionally left blank Foreword The Kubler Ross emotional progression of anger, denial, despair, bargaining, and finally acceptance when facing serious illnesses or even death applies also to significant loss of teeth and related oral-facial structures. The advances that have been made in implant dentistry allow us to interrupt this downward spiral for many patients and virtually reconstruct their hard and soft tissue deficits. Originally, implants were devised to res