1563204
1563205
20097

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Retreatment in implantology. Foundations of a reversible clinical practice

Producto Commerce ID (CProductId): 1563205

Eduardo Anitua Aldecoa

Peri-implantitis is one of the most critical complications in contemporary implantology, and its management begins long before the first signs of bone loss appear. This book addresses its prevention, diagnosis and treatment from a clinical perspective, analysing the patient-, implant- and restoration-related factors that influence its onset and progression. The various therapeutic alternatives and the criteria for determining when implant treatment is feasible and when explantation represents the most appropriate option are discussed in detail, all supported by numerous clinical cases illustrating the different scenarios and procedures. The book also includes clinical protocols, decision-making algorithms and procedures aimed at resolving complications while preserving tissues to the greatest extent possible and facilitating, when necessary, a new restoration.
1
Categorías:
Medicina oral, Prácticas clínicas

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Opciones

2026
978-84-87673-89-4
346
112
34
Oral medicine, Clinical placements
ES
Showing 1 to 7 of 7

Peri-implantitis is one of the principal challenges in contemporary implantology. Its management requires more than treating an already established lesion; it demands an understanding of the multiple factors that can lead to its development.

This book addresses peri-implantitis from a comprehensive perspective, beginning with prevention and the identification of risk factors related to the patient, the implant, the tissues and the restoration itself. Throughout its chapters, it examines the mechanisms involved in the loss of biological stability, early and late complications, and the criteria for establishing a diagnosis and making well-founded therapeutic decisions.

Two of the central concepts in the text are retreatment and rescue. Rather than adopting a view focused exclusively on preserving the affected implant, it proposes that each situation should be assessed in light of the prognosis of the restoration as a whole and the future therapeutic options available. In certain scenarios, removing an implant at the appropriate time may represent a more conservative decision than prolonging treatment aimed at maintaining it at all costs, thereby allowing, when necessary, retreatment of the restoration.

The book also develops different strategies for the treatment of peri-implantitis, minimally invasive explantation, preservation of the receiving bed, and planning of a new restoration when required. The analysis of the final clinical cases brings these principles into daily practice, demonstrating how the decisions taken at each stage condition the options available in the future.

In summary, this work presents a clinical approach aimed at preventing complications, diagnosing them early and intervening before tissue loss limits our therapeutic resources, always preserving bone and soft tissues to ensure the long-term viability of treatment.

Index:
  1. Part I: Peri-implant health. Physiology and the basis of osseointegration
    • The biological phenomenon of osseointegration. A contemporary perspective
    • Dynamic and static remodelling of the bone-implant interface. Bone response to loading phenomena
    • The implant surface and its role in osseointegration, maintenance of health and peri-implantitis. Types of surfaces, advantages and drawbacks
    • Peri-implant health and prevention of complications. The importance of the surface and design of prosthetic components
  2. Part II: Complications in implantology. Main technical and biological complications
    • Biological complications in implantology. Diagnosis, aetiology, prevention and treatment
    • Technical complications in implantology. Prevention and management of clinical situations
  3. Part III: Definition of peri-implantitis. Aetiology, prevention, diagnosis and treatment
    • Peri-implantitis: introduction, definition, prevalence and aetiology
    • Microbiota associated with peri-implantitis and mucositis. Etiopathogenesis and bacterial mechanisms of bone loss
    • Etiopathogenesis of peri-implantitis. Patient-, implant- and prosthesis-related factors
    • Treatment of peri-implantitis. Predictability of the different procedures
    • Prevention of peri-implantitis. Primary and secondary
  4. Part IV: Reversibility. Explantation technique in detail
    • Explantation: concept and rationale for explanting. Biomechanics of de-osseointegration
    • Atraumatic explantation technique. Indications and mode of use of the implant extraction kit
    • Safety and clinical efficacy. Explantation technique
  5. Part V: Management of the post-explantation area. Regenerative techniques
    • Treatment of the post-explantation bed. PRGF - ENDORET® in bone regeneration. Clinical decision-making
  6. Part VI: Conceptual framework of retreatment
    • Retreatment of failed single-unit cases. Identification and resolution of causes. Predictable protocols
    • Retreatment of multiple cases. Treatment sequence
    • Retreatment of full arches. Decision-making, general recommendations and loading protocols
    • Non-conventional implants. Management criteria, explantation and retreatment in biological and mechanical failure

Editorial BTI

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