Impedimenta is a publishing house founded in 2007. It has been awarded with the National Prize to Best Publishing Labour in 2008. Nowadays publishes between 24 and 34 titles per year (fiction, graphic novels, comics and children’s illustrated books).
View Rights Portal
With a realistic approach, I intend, after more than 12 years of study and compilation of cases on peri-implantitis, to clarify and organize implant pathology, propose solutions and open a space of study, which I believe necessary, in the training of professionals in implantology and odonto-stomatological research. I would like this book to shed a little light on something that is an indivisible form of implantology and provide some answers to so many questions that we ask ourselves during breaks and meals at conferences and events, where, among colleagues, we discuss implantology from day to day, without spectacular cases, the one we apply immediately and the one that makes the success rate much, much higher than the failure rate. We must face situations that we can control and assume the risks of complications that will undoubtedly arise in our surgical maturing. This book will help us to solve many of the situations that are going to present us, but what will help us the most without having problems will be common sense and prudence. Table of Contents: Prologue I Dra. Dª Araceli Morales Sánchez Prologue II Dr. D. Javier Alández Chamorro Initial Reflection Preface Chapter 1- GeneralWhat do we know about peri-implantitis? As described? What is its cause? Previous concepts about peri-implantitis.New clinical-therapeutic approach.Etiology.Microbiology. Chapter 2- Clinic, ClassificationWhat are the general symptoms of gingival infection? Why a new classification? How is peri-implantitis presented in this new classification? • Symptomatology. • Mucositis stage.• Suppurative stage.• Osteolytic stage. • Classification of Dr. Sánchez Salmerón • Justification. • Contribution. • Description: • 3rd grade• Grade 2 and 2a• Grade 1 and 1a—- Grade 0 —-• Grade 1• Grade 2 Chapter 3- RadiologyWhat does peri-implantitis look like on an x-ray? Chapter 4- Diagnosis and Differential DiagnosisHow is peri-implantitis diagnosed and differentiated from other pathologies? Chapter 5- Treatment of peri-implantitis: GeneralWhat is the general scheme of treatment of peri-implantitis? Chapter 6- Materials and treatment techniqueWhat materials are used and how, in the treatment of peri-implantitis? Chapter 7- Treatment of Periimplantitis Grade 0What is done when there is a slight swelling around an implant? Chapter 8- Treatment of peri-implantitis Grade 1, 1aWhat is done when there is inflammation around an implant or at the apex of the implant? Chapter 9- Treatment of peri-implantitis Grade 2, 2aWhat is done when there is suppuration around an implant or at the apex of the implant? Chapter 10- Treatment of Grade 3 peri-implantitisWhat is done when an implant is moved? Chapter 11- Treatment of Peri-implantitis Grade -1What is done when an implant is lost and / or associated zonal symptoms appear? Chapter 12- Treatment of peri-implantitis Grade -2What is done when a second failure occurs? Chapter 13- Types of bone loss caused by peri-implantitisWhat type of bone loss can occur from peri-implantitis? Dehiscence defect.Apical defect.Circumferential bone loss (crater), or defect with 4 walls.Bone defect with three walls.Bone defect with two walls.Bone defect with a wall.Severe vertical bone loss (with hardly any bone walls). Chapter 14- Situations that can evolve to peri-implantitisWhat non-implant risk situations can affect the next implants? • Necrosis of the mucoperiosteal flap.• Biomaterial infection (graft and membrane).• Gingival fistula.• Surgery close to implant treatments.• Infection of teeth adjacent to implants.• Reactivation of periodontal disease of teeth adjacent to implants. Chapter 15- Non-implant treatment optionsAfter implants, what options do we have? Chapter 16- ConclusionsWhat is there to learn from everything studied? Chapter 17- Quick Guide to Treatment and Vade MecumWhat medication is used in the treatment of peri-implantitis? • Treatment of grade 0 peri-implantitis.• Treatment of grade 1 peri-implantitis.• Treatment of peri-implantitis grade 1a.• Treatment of grade 2 peri-implantitis• Treatment of grade 2a peri-implantitis.• Treatment of grade 3 peri-implantitis.• Treatment of grade -1 peri-implantitis.• Treatment of peri-implantitis grade -2.• Short Vademecum Blibliography link: https://lisermed.com/tienda/implantologia/atlas-clinico-periimplantitis/
Bimonthly - 2013 Volume(s) - 20 www.implantdent.org Implant Dentistry meets the needs of all implant team members in this rapidly growing field with current, expert coverage on every aspect of implant treatment. The peer-review system distinguishes the journal with contributions from leading authorities on implant systems, biomaterials, prosthodontics, oral and maxillofacial surgery, oral pathology, periodontics, and much more. Keeping readers abreast of the newest therapeutic procedures and options, Implant Dentistry aims to enhance the relationship of private practice, education, and research to advance oral implantology for the ultimate benefit of the patient.
This book is an eminently clinical guide that has been created from the knowledge and experience of years in the authors' profession and a highly qualified multidisciplinary team. Atlas of zygomatic implants, offers the reader a protocol necessary to know the anatomy, diagnosis, classification, treatment plans, anesthetic and surgical techniques, such as regenerations for the placement of zygomatic implants. Current digital techniques in oral surgery and implantology have placed us in a new technological scenario, and this has also reached zygomatic implants. In a large maxillary atrophy we can place zygomatic implants and make immediate loading, something that, in extreme atrophies, without zygomatic implants is practically unthinkable. It is true that zygomatic implants are only indicated in a small number of patients, those with extreme maxillary atrophies, among all those treated with dental implants. Zygomatics were introduced to the scientific world by Brånemark in 1998, and since then changes have been made, both in the implants and in the procedure, which have led to a considerable decrease in their complications, in the short and long term. Two important figures in implantology collaborated with him in Spain: Carlos Aparicio Magallón, who has contributed greatly to the scientific development of zygomatic implants with numerous bibliographical contributions and a book, and Joan Pi Urgell, who for many years worked and learned directly with Brånemark . They taught us, formed a school in Spain, and got many other professionals in our country to be grateful for their contributions to Spanish implantology. It is important that readers who approach this topic know that it is a difficult technique, not without serious complications, and that it should always be performed by an experienced surgeon. It is a procedure reserved for professionals with extensive surgical experience and not carrying out the proper training, with a teacher to guide you, can pose serious problems for the dentist and the patient. Therefore, the first requirement to use zygomatic implants is humility: we must recognize our limitations and train properly before launching into complex treatment like this. To finish we want to say to those who read this book that we have written it with the idea that it helps professionals to better understand this technique and to know when they can apply it to their patients. Zygomatic implant surgery is a delicate procedure and not without complications, which should only be performed when one has learned from the hand of a teacher and as long as one has sufficient training and surgical experience to do so. Table of Contents: Chapter 1: History of zygomatic implants Reginaldo Migliorança • Javier Aizcorbe-Vicente • André Irschlinger • David Peñarrocha-Oltra • Juan Alberto Fernández-Ruíz • Miguel Peñarrocha-Diago Chapter 2: Anatomy applied to zygomatic implants Juan Guarinos-Carbó • María Díaz-Sánchez • Pedro Serrano-Carbó • Miguel Puche-Torres • Francisco Martínez- Soriano • Miguel Peñarrocha-Diago. SummaryMalar boneBone atrophyInfraorbital regionNeurovascular and muscular elementsPreoperative radiological studyconclusionMessage to rememberBibliographyChapter 3: Radiographic examination and guided surgery in zygomatic implants María Peñarrocha-Diago • Juan Carlos Bernabeu-Mira • Xulio Pouso-Rey • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra SummaryIntroductionRadiological anatomy of the zygomatic boneTypes of radiographic methodsPreoperative radiological studyPostoperative radiological studyPreoperative and postoperative radiological study procedureGuided surgery on zygomatic implantsMessage to rememberBibliographyChapter 4: Diagnosis, Classifications, and Treatment Plan: A Prosthetic and Surgical Perspective Miguel Peñarrocha-Diago • Javier Aizcorbe-Vicente • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra. SummaryIntroductionAnatomical flying buttresses Frontomaxilar or canine flying buttress Fronto-zygomatic flying buttress Pterygomaxillary flying buttressZygomatic implants vs. Bone grafts and conventional implantsProsthetic diagnosis of the maxillary edentulousTypes of prosthesis in atrophic upper jawExtraoral examinationOcclusion vertical dimension (DVO)Lip supportLip length, smile line and transition linePosition of the incisal edge of the central incisorIntraoral examinationOcclusion and antagonistic dentitionResult of the aesthetic and functional analysis of the patient's prosthesisSurgical diagnosis of the maxillary toothlessPatient's medical conditionDegree of atrophy of the upper jawImplant distributionSurgical determination of the prosthetic spaceObtaining primary stabilityMessage to rememberBibliographyChapter 5: Conscious sedation in complex dental surgery Maite Bovaira-Forner • Paula Bovaira-Forner SummaryIntroductionPreoperative evaluationMonitoring: material and equipmentDrugsOral sedationIV sedationInhalation sedationRecovery and dischargeMessage to rememberBibliography Chapter 6: Surgical technique for the placement of zygomatic implantsJuan Alberto Fernández-Ruíz • Miguel Peñarrocha-Diago • David Soto-Peñaloza • David Peñarrocha-Oltra SummaryIntroductionAnesthetic technique for the placement of zygomatic implantsLocal anesthesiaEndovenous sedation accompanied by local anesthesiaGeneral anesthesiaWashing, carving and preparing the operative fieldPre-surgical measuresPreparation of the operative fieldMaterial needed for the surgical approach to the zygomatic processGeneral use materialIncision materialInstruments for detachmentRotary materialOsteoctomy suppliesSurgical technique - incisions, detachment, bed preparation, implant selectionIncisionExposure of the operative fieldPreparation of the implant bedClassic approach or intrasinusal techniqueSinus slot techniqueEstablishment of benchmarksImplant placement sequenceSelection of the type of implant to useClassification according to the angulation of the implant headClassification according to the type of surface treatmentZygomatic implant length and insertionMultiunit abutment placementFlap closureRevision regimeImmediate postoperativePostoperative mediateLate postoperativeDrug guidelinesPatient recoveryInformed consentInformed consent document for zygomatic implantsMessage to rememberBibliographyChapter 7: Bone and soft tissue regeneration in zygomatic implants Miguel Peñarrocha-Diago • Juan Carlos Bernabeu-Mira • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra IntroductionBone regeneration around zygomatic implantsPalatal bone regenerationVestibular bone regenerationPalatal and vestibular bone regenerationSoft tissue regeneration around zygomatic implantsPalatal rotation pedicled connective tissue scarf or graft techniqueScarf technique along with Bichat ball replacementConnective tissue graftBone and soft tissue regeneration around zygomatic implantsMessage to rememberBibliographyChapter 8: Zygomatic implants and jaw reconstruction Federico Hernández-Alfaro • Adaia Valls Ontañón SummaryIntroductionIndicationsStep by step procedureSurgical planningSurgical actProsthetic loadConclusionsMessage to rememberBibliography Chapter 9: Biomechanics of Angled and Zygomatic Implants David Soto-Peñaloza • Juan Alberto Fernández-Ruíz • Miguel Peñarrocha-Diago • Blanca Serra Pastor • David Peñarrocha-Oltra SummaryIntroductionBiomechanics of forces in the middle facial skeletonTransmission of forces from the tooth to the boneTransmission of forces from the implant to the boneBiomechanics of implant-supported restorations with zygomatic implantsBiomechanics of angled implantsBiomechanics of zygomatic implantsMessage to rememberBibliographyChapter 10: Immediate loading on zygomatic implants Miguel Peñarrocha-Diago • Javier Aizcorbe-Vicente • Blanca Serra Pastor • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra SummaryIntroductionImmediate loading conceptObjectives, requirements and considerations of immediate loading on zygomatic implantsSurgical Considerations: Primary StabilityProsthetic considerationsClinical proceduresDirect techniqueDirect-indirect techniqueIndirect techniqueconclusionMessage to rememberBibliographyChapter 11: Complications in zygomatic implants Miguel Peñarrocha-Diago • María Díaz-Sánchez • Juan Alberto Fernández-Ruíz • Hilario Pellicer-Chover • Miguel Armengot-Carceller • David Peñarrocha Oltra SummaryEarly complicationsLip lacerationOrbital injury or periorbital hematomaInfraorbital nerve injuryNasal bleedingRupture of the maxillary sinus wallPain and edemaAcute maxillary odontogenic sinusitis (early onset)Immediate failure of the zygomatic implantIntracranial penetration of the zygomatic implantPrevention of early complicationsLate complicationsMucositis and peri-implantitisVestibular dehiscence of the zygomatic implantOrosinusal communicationChronic maxillary sinusitis, late onsetImpaired speech and functionalityFailure of the zygomatic implantSurvival in zygomatic implantsConclusionsMessage to rememberChapter 12: Clinical cases of zygomatic implants Miguel Peñarrocha-Diago • María Díaz-Sánchez • David Peñarrocha-Oltra • Juan Alberto Fernández-Ruíz Zygomatic implants with 15 years of evolution (Cawood and Howell grade V atrophy)Zygomatic implants with 14 years of evolution evolution (Cawood and Howell grade VI atrophy)Zygomatic implants with palatal bone regeneration, without immediate loadingZygomatic implants with vestibular and palatal bone regeneration, without immediate loadingFour zygomatic implants without bone regeneration, with soft tissue grafting and without immediate loadingZygomatic implants with bone regeneration, soft tissue grafting and immediate loadingZygomatic implants with bone regeneration and immediate loading link: https://lisermed.com/tienda/implantologia/atlas-de-implantes-cigomaticos-miguel-penarrocha-alberto-fernandez-david-penarrocha/
