Carl E. Misch’s research while affiliated with Temple University and other places

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Publications (148)


Principles of Basal Implantology
  • Chapter

June 2019

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547 Reads

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5 Citations

Gérard M. Scortecci

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Carl E. Misch

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Guillaume Odin

Contemporary basal implantology aims at rapid restoration of masticatory function and esthetics using implants designed to fit the available bone structure. Bone volume, bone density, and bone anatomy determine the static treatment option, while the dynamic and physiological aspects of the technique are related to activation of stem cells with osseotensors, blood supply, muscles, occlusion, and functional loading of the prosthetic implant-supported teeth. All of these parameters must be taken into consideration in order to promote long-term implant success.


Partial Edentulism

June 2019

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49 Reads

Partially edentulous patients can be safely managed with basal implants. In many favorable clinical situations requiring more than two implants, an immediately loaded functional denture using wide mono-disk Diskimplants® or plate-form Diskimplants® has proven to be a safe and reliable treatment option. When mechanical conditions are questionable, especially for atrophic jaws, a submerged technique (6-month waiting period) appears preferable. Should a problem occur during the initial functional loading period with a transitional CrCo screw-secured fixed bridge, a salvage procedure can be performed in a single session, for example, by replacing an implant by a wider implant or by adding a Diskimplant® to provide better mechanical support in dense bone.


Completely Edentulous Atrophic Jaws and Extreme Clinical Situations

June 2019

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49 Reads

Jean-Marie Donsimoni

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Gérard M. Scortecci

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Carl E. Misch

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[...]

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Jean-Paul Meningaud

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.









Citations (82)


... For example, panoramic images restricted their capacity to evaluate the edentulous area and create implants that fit the space's vertical and horizontal dimensions (Tarraf & Ali, 2018). However, due to advances in engineering and computational analysis, the gold-standard imaging tests for most patients undergoing orthodontic treatment combined with restorative procedures are cone-beam computed tomography and digital dental models (Misch et al., 2005). This narrative review examines the effectiveness of digital planning-assisted orthognathic surgery combined with implantology, focusing on functional and aesthetic outcomes. ...

Reference:

Effectiveness of digital planning-assisted orthognathic surgery combined with implantology in the treatment of severe malocclusions: a narrative review of functional and aesthetic outcomes
Consensus Conference Panel Report: Crown-Height Space Guidelines for Implant Dentistry—Part 1
  • Citing Article
  • December 2005

Implant Dentistry

... Idzior-Haufa et al. (2021) reported higher displacement in the no-cantilever design (bar) compared with the attachment with a cantilever (bar with CEKA in the distal part) in overdentures supported by two dental implants. Implant-assisted mandibular overdentures may be supported by two to five dental implants (Scortecci et al. 2019). However, Bassi-Bassi-Junior et al. (2021), in a finite element study, reported that three-implant-assisted mandibular overdentures showed more satisfactory force dissipation than the fourimplant type. ...

Principles of Basal Implantology
  • Citing Chapter
  • June 2019

... Bone loss due to an inflammatory response to titanium particles and ions is sometimes referred to as metallosis [15]. Factors such as implant design, degree of roughness, the acute rejection, poor oral hygiene and smoking are other causes for these diseases [16,17]. Peri-implantitis is one of the most frequent complications associated with dental implants, affecting around 1 to 4 implants per 10 placed and caused by plaque bacteria, which is characterized by peri-implant soft tissue inflammation accompanied by bone loss [18,19]. ...

Periodontal and Maintenance Complications
  • Citing Chapter
  • January 2018

... Для процесса остеоинтеграции необходимо соответствующее время. Остеоинтегрированный имплантат определяется при микроскопическом анализе как целая субстанция, контактирующая с костью непосредственно без прослойки соединительной ткани [9,10]. ...

Osseointegration and Dental Implants
  • Citing Book
  • March 2009

... Therefore, completely edentulous patients are handicapped according to the World Health Organization's criteria. (1) The conventional treatment for edentulism was a complete denture. However, the lack of stability and retention of mandibular complete dentures and decreased chewing ability have been common complaints. ...

Comprehensive Treatment Planning for Complete Arch Restorations
  • Citing Article
  • March 2009

... For this reason, the occlusion concepts inherent to natural dentition cannot be applied to implant-supported restorations [3]. The absence of periodontal ligament gives implants lower tactile sensitivity, lower proprioceptive capacity, different load absorption and load distribution behavior, and a lower displacement range than natural teeth (25-100 µm and 56-108 µm, respectively) [4,5]. ...

Occlusal Considerations for Implant-Supported Prostheses: Implant-Protective Occlusion. Implant-Protective Occlusion
  • Citing Chapter
  • December 2015

... In Pakistan, many well-educated populations do prefer implants but only if they are aware of this treatment modality whereas many underprivileged people avoid this treatment due to its cost. 2 Dental implants have the highest survival rate compared with other types of prosthesis. 1 Unlike fixed restorations they won't fail due to decay or require endodontic treatment. They can also be used successfully as drug carriers due to which periodontal diseases can be avoided in implants better than a tooth. ...

Stress Treatment Theorem for Implant Dentistry
  • Citing Chapter
  • December 2015

... According to recommendations from the American Academy of Oral and Maxillofacial Radiology, every implant site evaluation should be conducted using a three-dimensional imaging method like conventional or computerized tomography. The main objective of this treatment phase is to design and implement a patient treatment plan that enables the restoration of the patient's function and appearance through the exact and deliberate placement of dental implants [2]. ...

Radiographic Imaging in Implant Dentistry
  • Citing Chapter
  • December 2015

... Günümüzde diş eksiklikleri yaygın olarak dental implant destekli protezlerle rehabilite edilmektedir. İmplantlar; kemik içinde kalan ve kemiğe osseointegre olan parça (gövde) ile ağız dışında kalan, dayanak olarak adlandırılan parça olmak üzere iki temel bölümden oluşur (1). Dayanak; implant ve protez arasında yer alan, protezi destekleyen, proteze tutuculuk sağlayan, anti-rotasyon ve konumlandırmada rol oynayan ara yapıdır. ...

Generic Root Form Component Terminology
  • Citing Chapter
  • December 2015

... The posterior of the maxilla is the area with the lowest bone density, so one short implant was insufficient to withstand the simulated load in this study, requiring at least two short implants at each distal end of the cantilever to reduce the stress in the bone around the implant. Bidez et al. 18 stated that implant-supported prostheses should avoid designs with cantilevered distal arms because these cantilevers would place a greater load on the bone around the most distal implant, and it is feared that the load would be excessive, causing bone resorption. 18 The placement configuration of Design B attempts to eliminate the cantilever arm in Design A, while still maintaining the overall number of implants used, which is 4 implants. ...

Clinical Biomechanics in Implant Dentistry
  • Citing Chapter
  • January 2015