Ramit Verma

There are many patient and tooth related factors which play an important role to achieve optimal esthetics, in implant supported restorations. Prime importance is the recognition of the fact that a definitive treatment plan should be developed sequentially to ensure the best possible service. With appropriate diagnosis and conscientious treatment planning, the use of endosseous oral implants enjoys good prognosis. The implantological rehabilitation of the esthetic zone is one of the most demanding and complex treatments due to the necessity to obtain an optimum esthetic result. The various factors and procedures, which play an important role in the enhancement of peri-implant esthetics have been discussed in this dissertation.

This book provides a comprehensive idea about dental implant design, surface structure and properties of titanium, different method used for surface treatment, surface properties of titanium implants aimed for bone and soft tissue integration, explained with the help of pictures . This book will help dental students and practitioner in selection of different types of implants based upon their surface properties.

The prosthetic restoration of small edentulous spans poses a dilemma when the adjacent teeth do not require crowns. It is difficult to justify extensive reduction of the adjacent teeth to support a conventional fixed partial denture. A single-tooth implant is an alternative for patients with adequate bone dimensions and who are willing to undergo a minor surgical procedure. However, oral implants are not the treatment of choice for many patients and the resin-bonded fixed partial denture (RBFPD) offers a possible solution. In the 1970s, Howe and Denehy, adapted the Rochette bonded cast-metal periodontal splint concept to create the first RBFPD. The early procedures were conservative, but problems with debonding resulted in a survival rate of only 28% at 7.5 years. To enhance retention and resistance form of posterior RBFPDs, Livaditis, recommended preparation of parallel guide surfaces on the interproximal and lingual aspects of the adjacent teeth along with rests on the occlusal aspect to counteract dislodging forces. Resin bonding was further enhanced by using solid electrolytically etched base metal- alloy casting.