种植牙指导手册.pdf

BRITISH DENTAL JOURNAL VOLUME 201 NO. 3 AUG 12 2006 139 PRACTICE Surgical guidelines for dental implant placement M. Handelsman 1 The goal of an implant supported reconstruction is to obtain optimal aesthetics and function. In order to achieve this, visualisation of the final restorative reconstruction is necessary prior to beginning treatment. The term ‘restorative-driven’ treatment planning has been used to identify this process. 1 It requires a team approach of specialists, who can develop a multi- disciplinary treatment plan. It starts with an accurate diagnosis, which will lead to a prognosis of each individual tooth and the overall dentition. This information will help the clinician develop the treatment options suitable for tooth replacement. Only when the goals have been defined can the sequence of therapy be established. Working backwards from the wax-up of the final diagnostic model of the proposed treatment assists not only with the management of plex case, but will help avoid mishaps. 2 munication between the team and the patient is extremely important. Understanding the patient’s expectations is key to a essful e. Deciding that these expectations are realistic requires a correct diagnosis and an inter-disciplinary treatment plan that is logical. This approach takes time and requires prehensive treatment discussion between the team members, and then a thorough case presentation to the patient. 3 Only then will the patient begin to understand the extent of their problem and the options available to reconstruct their mouth. IN BRIEF ● Dental implant placement must be both biologically and restoratively driven. ● Dental implants should only be placed following prehensive examination and accurate diagnosis. ● The deficient osseous ridge must be reconstructed prior to implant placement. DIAGNOSIS The restorative dentist will develop and direct the plan after gathering data, which includes plete medical and dental history, clini- cal fi