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Completely Edentulous Atrophic Jaws and Extreme Clinical Situations

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Basal Implantology

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Abstract

Management of edentulous atrophic jaws is probably the most challenging situation in implant dentistry. Patients in this situation are oral invalids and can stay so the rest of their life. Risk/benefit analysis is necessary before deciding to proceed with implant placement because surgery should not aggravate the initial oral status. Teleradiographs, computed tomography (CT), and cone-beam CT studies are indicated for accurate determination of the buccolingual dimension and cortical plate thickness. An immediate functional loading technique is preferable provided there are less than 100 μm of bone-implant relative motion. This requires the limitation of implant micromovements during the healing process, otherwise fibrous tissue can develop instead of bone. Thanks to the availability of wide plate-form Diskimplants® (43 × 9 or 33 × 9 mm) and microthreaded root-form implants, this procedure is today preferred to delayed loading for fully edentulous atrophic jaws.

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Conflict of interest statement

Gérard M. Scortecci is the inventor of the Diskimplant and holder of several associated patents that are exploited by the Victory company. He is an unpaid consultant to this firm and a minority shareholder in the company. No money was received from any of the companies mentioned in the book or from any of the companies whose products are mentioned.

Author information

Authors and Affiliations

  1. Centre Médical Europe, Paris, France

    Jean-Marie Donsimoni

  2. University of Nice-Sophia Antipolis Medical School, Nice, France

    Gérard M. Scortecci

  3. New York University, New York, NY, USA

    Gérard M. Scortecci

  4. University of Southern California, Los Angeles, CA, USA

    Gérard M. Scortecci

  5. Private Practice, Nice, France

    Gérard M. Scortecci

  6. ENT and Maxillo-facial Surgery Department, Institut Universitaire de la Face et du Cou, University of Nice-Sophia Antipolis Medical School, Nice, France

    Guillaume Odin

  7. Hôpital Henri Mondor, Créteil, France

    Jean-Paul Meningaud

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  1. Jean-Marie Donsimoni
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  2. Gérard M. Scortecci
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  3. Carl E. Misch
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  4. Guillaume Odin
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  5. Jean-Paul Meningaud
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Corresponding author

Correspondence to Gérard M. Scortecci .

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Editors and Affiliations

  1. Nice, France

    Gérard M. Scortecci

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Donsimoni, JM., Scortecci, G.M., Misch, C.E., Odin, G., Meningaud, JP. (2019). Completely Edentulous Atrophic Jaws and Extreme Clinical Situations. In: Scortecci, G. (eds) Basal Implantology. Springer, Cham. https://doi.org/10.1007/978-3-319-44873-2_12

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  • DOI: https://doi.org/10.1007/978-3-319-44873-2_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-44871-8

  • Online ISBN: 978-3-319-44873-2

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