Implant Treatment Planning for the Edentulous Patient: A Graftless Approach to Immediate Loading

Stay on the cutting edge of implant dentistry for the edentulous patient! Written by Dr. Edmond Bedrossian, one of only a few specialists doing zygoma implants, Treatment Planning for the Fully Endentulous Patient: A Graftless Approach to Immediate Loading covers the latest advances in implants, products, and techniques. The book discusses the broader issues of working with the edentulous patient, then describes 1-stage and 2-stage protocols, immediate loading, and the graftless approach. Also included are insightful discussions of case studies and coverage of new software that helps to improve outcomes in treatment planning and surgery.


Key Features

Over 1,000 full-color illustrations depict implant techniques and products.

Coverage of the Graftless Approach includes two concepts: 1) the anterior tilted implant, and 2) the zygoma implant, each eliminating the need for grafts and producing an implant site less prone to infection and with a quicker healing time.


A Computer Guided Surgery chapter covers the latest software developed for treatment planning, creating the surgical template, laboratory procedures, and fabrication of the prosthetics.


Case presentations on immediate loading tilted implants and zygoma implants appear at the end of the book, each a beginning-to-end study from Dr. Bedrossian’s own archives.


Coverage of broader issues related to the edentulous patient includes a discussion of special needs, demographics, and the systemic pretreatment of these patients including bone composites and overall esthetic and functional goals.


Related Titles

Functional Occlusion : From TMJ to Smile Design
McCracken’s Removable Partial Prosthodontics, 12th Edition
Management of Temporomandibular Disorders and Occlusion, 6th Edition
Contemporary Fixed Prosthodontics, 4th Edition

Table of Contents

1. Demographics of the edentulous patients

2. Osseointegration: rational for 2-stage vs. 1-stage protocols

3. Immediate loading


2-stage procedures


Distance Osteogenesis


Contact Osteogenesis


Enhanced surfaces, Fluid retention index


ISQ and immediate loading

4. Treatment limitation in treating the edentulous maxilla


Literature review for treatment of the edentulous maxilla


Lip support, VDO, phonetics, oral hygiene


Surgical limitation for implant placement (posterior maxilla)


Grafting approach: Surgical reconstruction of composite defects


Prosthetic reconstruction of composite defect

5. Systematic pretreatment evaluation of the edentulous maxilla


Composite defects


Types of implant supported prosthesis


Transition line


Zones of the maxilla

6. Graftless approach for the treatment of the edentulous maxilla

a) Anterior tilted implant concept

7. Graftless approach for the treatment of the edentulous maxilla

a) Zygoma implant concept

8. Systematic pretreatment evaluation of the edentulous mandible


All-on-4 concept

9. Conversion technique for immediate loading of the edentulous patient

10. Computer guided surgery (CGS)


Treatment planning


Guided templates


Immediate loading

d) CGS: Maxillary tilted implants

e) CGS : Mandibular tilted implants

f) CGS : Zygoma concept

11. Case presentations: Alternatives for the final framework designs


Hybrid vs. Profile prosthesis


Titanium framework for the final profile prosthesis

c) Cal bar for the final profile prosthesis

12. Case presentations: Immediate loading tilted implants


Tilted concept maxilla profile prosthesis


Tilted concept mandible: profile prosthesis


Tilted concept: PFM prosthesis

13. Case presentations: Immediate loading zygoma implant


The zygoma protocol


Combination of failing teeth and implants


Guided zygoma

14. Case presentations: Advanced procedures


Complete anodontia


Ectodermal dysplasia


Management of the patient with alveolar cleft


Immediate replacement of existing failing implants


Failing implant supported maxillary overdenture

15. Case presentations: Management of complications


Failed zygomatic implant


Failed tilted implant

16. Case presentations: The quad-zygoma concept




Author Information
By Edmond Bedrossian