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GU n. 63 del 10/03/2020
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EDIZIONI MARTINA S.R.L.
40126 Bologna - Via delle Belle Arti 17/E - Tel. 051.6241343 - WhatsApp 3388677050 - info@edizionimartina.com


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Book cover - New frontiers in immediate loading

 

NEW FRONTIERS in IMMEDIATE LOADING

BUCCI SABATTINI V.

308 pages • 995 color illustrations

ISBN 978-88-7572-098-8

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Prezzo di copertina 140,00 €

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133,00 €

The Author
Preface
Author's introduction
Index

 

The Author

 

Vincenzo Bucci Sabattini

Physician - Surgeon and Dental Surgeon.

Specialised in biomaterials in prosthetic surgery, University of Bologna.

Specialised in clinical implantology, University of Chieti.

Advanced periodontitis patient: biological and treatment concepts. University of Gothenburg.

Professor of periodontology on the Masters in Dentistry of the A.S.A.S., Rome (three-year period 1996-1999).

Professor of implantology and implant prosthetics on the course in stomatology surgery at the University of Naples Federico II.

Professor of implantology and implant prosthetics on the Masters in Implantology at the “G. D’Annunzio” University of Chieti-Pescara.

Professor of implantology and implant prosthetics on the course in implantology at the University of Pavia.

Visiting professor of advanced implantology on the specialist degree course in dentistry and dental prosthetics, Faculty of Medicine and Surgery, University of Pavia.

Speaker at many congresses, in Italy and abroad.

Author of 152 publications in national and international journals.

Author of the book “Chirurgia ossea ricostruttiva e rigenerativa”, published by Martina-Bologna 1999.

Author of the book “Parodontologia”, published by Elsevier-Masson, Milan 2001.

Director of the series “La pratica Odontoiatrica”, published by Elsevier-Masson, Milan.

Author of the DVD series: Le tecniche chirurgiche di GBR e GTR (Guided Bone Regeneration and Guided Tissue Regeneration) in Implantologia. Published by TU.E.OR. Turin, 2005.

Author of the book “Tecniche ricostruttive e rigenerative dei mascellari atrofici, i biomateriali: scelta, indicazioni e metodi d’uso” , published by TU.E.OR, Turin 2007.

Author of the book “Nuove frontiere del Carico Immediato”, published by Martina, Bologna 2010.

Member of the Scientific Committee of the following journals: “Implantologia Dentale & Parodontologia”, “Dental Tribune”, “Symposium Odontoiatrico” and “Protech”.

Member of the following associations: ANDI and Amici di Brugg.

Member of the European Federation of Periodontology.

Active member and founder of IAIO (International Association of Implant Osteoconnected Technique).

Diplomate ICOI (International Congress of Oral Implatologists)

Active member of IADR (International Association of Dental Research) and CEDIADR (Continental European Division / IADR).

Head of the Unit of Dentistry at the Centro Diagnostico Chirurgico (CDC) Magentino.

Private practitioner at the CDC Magentino, Magenta (MI).

www.cdcmagentino.it

 

Preface

 

Few disciplines in dentistry have enjoyed the attention and research endeavour that, over the past 40 years, have been devoted to implantology, causing it, together with the technology on which it is based, to evolve rapidly.

The development of new materials and new micro- and nano-treated surfaces, the use of dedicated virtual planning software, and the evolution of digital radiology have revolutionised the techniques initially proposed and accepted by the entire scientific community, the main objective being to make it possible to perform rehabilitations rapidly and with high success rates.

However, changes and continuous developments can disorientate the clinician who, on a daily basis, is subjected to the pressure of new developments not always adequately supported by scientific research.

Therefore, a book like this that, through the practical presentation of excellently documented clinical cases, sets out to provide clarification in a sphere in which there is a risk of placing too much store by approximate and poorly codified methods and, therefore, of creating more problems than solutions, is certainly to be welcomed.

I have known the author for many years as a passionate professional and, in more recent times, as a lecturer at the University of Pavia, where he enjoys the high regard of colleagues and generates enthusiasm in students.

I wish him and his book every success, in the certainty that many professionals will find it a valuable source of suggestions and inspiration for the treatment of their patients who are, ultimately, the main beneficiaries of our studies and our research.

Pavia 29/03/2010

Prof. SILVANA RIZZO


Author's introduction

 

I have been a dentist for thirty-three years now, but my involvement with the profession goes back further than that as dentistry runs in my family. My father gained his specialisation in dentistry in 1949 at the University of Bologna. When I was a high school student, my father, in addition to his surgery, had a dental laboratory staffed by three technicians who worked for his surgery.

I therefore began to earn myself some pocket money helping out in the laboratory, pouring models, polishing the edges of complete dentures, etc.

I am therefore lucky enough to be able to recall procedures and techniques from before my time. And this is a great advantage.

Unlike many, I do not make the mistake of thinking that things came into being when I first became aware of them. The need to study the history of our profession is greatly underestimated. After all, history is the teacher of life (historia magistra vitae).

The period in which I started to practice was an exciting one for the dentistry world, the like of which had never been seen before and has not been repeated since.

It was the period that saw the advent of periodontics and the creation of the Italian Society of Periodontics; it also saw the establishment of offshoots of the Amici di Brugg (an important and historical Italian dental society) and of the different academies (of conservative and of prosthetic dentistry, etc.), which soon saw Italian dentistry reaching levels of excellence. Finally, following the creation of the specialist degree in dentistry, the official register of dentists was set up.

This was also the period in which implantology burst onto the scene.

Unfortunately, however, for a long time, this discipline was shunned by most good quality dentists and by practically the whole of the academic world.

I was fortunate to have many good teachers, and among these I wish to recall, in particular, Dr De Chiesa and Dr Pescarmona. At the time, they too, like many, were unwilling to accept implantology.

However, my father, who had been an orthopaedist before the war, turning to dentistry as a result of a war injury, introduced me to a maxillofacial-implantology type surgical approach that, at the time, was shunned by most of our colleagues.

It was only through Branemark that implantology finally gained acceptance and “respectability”.
Nowadays, the enormous clinical and scientific contribution made by the early pioneers is, increasingly, getting the recognition it deserves.

This brief autobiographical narrative, which underlines how very fortunate I was, also explains the order of the topics presented in this book.

Indeed, the first chapter is a historical account, precisely because without historical knowledge one cannot have a proper perspective, and without a proper perspective one can easily make mistakes.

The most frequent mistake is to commit acts of faith. And there is no place for these in the scientific sphere.

The concept of ipse dixit (“he said it”) has not been acceptable since Galileo’s era.

The third chapter, referring back to the historical notes (repetita iuvant), critically reviews many concepts long considered indisputable.

It also explains why, today, it is reasonable to consider implant-prosthetic rehabilitation with immediate loading the best therapeutic solution in cases of edentulism and severe dental and periodontal disease.

This chapter may be regarded as the heart of the entire book and, more than just a technical treatise, it aims to encourage the reader to engage in a process of critical reasoning and thinking.

This is my fourth publishing adventure.

A book, even a modest one like this, put together with the support and collaboration of many colleagues, represents a whole year’s work, given that I was only able to concentrate on it in my free time (evenings and weekends).

But I nevertheless wished to undertake this project, seeing it, somehow, as my moral duty.

Those who, like me, had the enormous fortune of playing an active role in the cultural and clinical advance of our profession, having reached their full professional maturity are duty bound to hand down their knowledge and experience to the new generations.

This is why I intend, here, to make my preferences (of materials and not just methods) clearly known.

They are, indeed, the fruit of more than thirty years’ practical clinical experience, supported by constant updating and research activity.

I say what I say because I am convinced that I am doing something useful for my colleagues and, even more so, for the patients who come to us seeking treatment.

I am absolutely convinced that the techniques, materials and methods I discuss herein are among the best currently available on the market; indeed, on the basis of my own experience I would say that they are the best.

I am, and have always been, a free spirit: I am unwilling to go with the crowd and am not guided by the desire for profit.

Those who trust my judgement will give credence to what I say. It is my hope that those who, a priori, do not will nevertheless want to learn more and to verify what I say, thereby giving me the credit (which I know I deserve) for being an honest professional and a passionate, albeit amateur, researcher.

I am certain that those wishing to learn more about these methods will be won over, and for that I will be deeply grateful.

Because it means I will have accomplished my objective.

Vincenzo Bucci Sabattini

 

Index

 

INTRODUCTION (Dr Thierry Giorno)

PREFACE (Prof. Silvana Rizzo)

AUTHOR’S INTRODUCTION

1. IMMEDIATE LOADING: HISTORICAL BACKGROUND

Paolo Zampetti

2. MAXILLARY ANATOMY: ASPECTS RELATED TO IMPLANT SURGERY AND SURGICAL PLANNING

Marco Del Corso, Jacques Dargaud

Instrumental investigations and presurgical planning

Surgical anatomy of the upper maxilla by regions

Anterior region of the maxilla
Lateral region of the maxilla
Posterior region of the maxilla

Surgical anatomy of the mandible by regions

Anterior region of the mandible
Latero-posterior region of the mandible

3. NEW DEVELOPMENTS IN IMMEDIATE LOADING: CHARACTERISTICS OF IMPLANTS AND PROSTHETIC TECHNIQUES

Vincenzo Bucci Sabattini, Francesca Bucci Sabattini

Introduction

MAINTAINING ASEPSIS: STERILISATION

Francesca Bucci Sabattini, Vincenzo Bucci Sabattini

Storage and re-use of sterilised material
Steriliser and sterilising process control systems
Traceability system
Sterilisation standards

BIOMECHANICS IMPLANT MACROMORPHOLOGY AND MICROMORPHOLOGY, THE IMPLANT-ABUTMENT CONNECTION, SURFACE TREATMENT. THE FACTORS LEADING TO PRIMARY STABILITY AND THE MAINTENANCE OF OSSEOINTEGRATION

Vincenzo Bucci Sabattini

Primary stability
Blood supply to the site

MAXILLARY SINUS SURGERY FOR IMPLANT PROCEDURES

Vincenzo Bucci Sabattini, Alberto Minnici

Proposed techniques
Criteria for success
Surgical risks
The most frequently used techniques
Classic technique
Mini-invasive technique according to Bucci Sabattini, 1999

BONE SURGERY

Vincenzo Bucci Sabattini, Aniello D’Ambrosio

New implant macromorphology for reducing bone trauma and increasing bone-implant contact and osseointegration: the Blossom solution

Titanium and surface treatment: factors determining osseointegration time, osseointegration stability and bone-implant contact
Surface

REPORT ON ANALYSES CONDUCTED TO ASSESS THE ABUTMENT-IMPLANT INTERFACE SEAL

Vincenzo Bucci Sabattini, Clara Cassinelli

Post-extraction implants

IMPLANT-PROSTHETIC REHABILITATION WITH IMMEDIATE LOADING OF FULL-ARCH RESTORATIONS

Alberto Minnici, Ugo Botta, Aniello D’Ambrosio, Vincenzo Bucci Sabattini

IMMEDIATE LOADING IN EDENTULOUS JAWS USING THE INTRA-LOCK PROTOCOL: THE FLAT-ONE BRIDGE

Vincenzo Bucci Sabattini, Thierry Giorno, Fabrizio Montagna, Ugo Botta

The choice of materials: metal, ceramics, industrial composites and laboratory polymerised composites: advantages and disadvantages

IMPRESSION-TAKING TECHNIQUES AND THE TRANSFER OF DATA TO THE LABORATORY

Alberto Minnici, Ugo Botta, Vincenzo Bucci Sabattini

Extra-oral clinical examination: smile line, Camper’s plane, bi-pupillary plane, assessment of peri-oral mimic lines
Assessment of muscle tension and investigation of joint noises and/or limitations or deviations on mouth opening and closing

4. FULL-ARCH RESTORATIONS WITH FLAT ABUTMENTS: CLINICAL SAMPLE AT TWO YEARS

Daniele Manfredini, Alberto Minnici, Vincenzo Bucci Sabattini

5. GUIDED BONE TISSUE REGENERATION

Alberto Maltagliati, Alberto Minnici, Vincenzo Bucci Sabattini

6. THE POSTURE-OCCLUSION RELATIONSHIP AND POSTURAL ASSESSEMENT IN DENTAL TREATMENT

Fabio Zaina, Stefano Negrini, Vincenzo Bucci Sabattini

7. IMPLANT PROSTHETICS AND TEMPOROMANDIBULAR DISORDERS

Daniele Manfredini

8. BRUXISM AS A RISK FACTOR IN IMPLANT PROSTHETICS

Daniele Manfredini

9. ADVERSE EVENTS

Fabrizio Montagna, Livia Montagna, Alessandra Piras

ADVERSE EVENTS: CASES AND ICONOGRAPHY
CLINICAL CASE

APPENDIX

AUTOLOGOUS BONE GRAFTS AND IMMEDIATE LOADING IMPLANTOLOGY

Stefano Torti