Misch’s Contemporary Implant Dentistry
- Carl E Misch, DDS, MDS, PHD
- Randolph R Resnik, DMD, MDS
- ORIGINAL ISBN: 978-0-323-04373-1
- PUBLISHER – MOSBY/ELSEVIER INC, ST LOUIS, MO
- 2019, 2008, 1999, 1993 Mosby
- 1002 Page Hardback
The textbook Contemporary Implant Dentistry has long been regarded as one of the original pillars of implant education. The original author Carl E. Misch was considered one of the true visionaries of modern implant dentistry. His continuous study of the subject and implant education advanced the discipline further than anyone had previously.
His first 3 editions of the textbook helped form the basic foundations all implant dentists use today and going forward. Furthermore, the current authors have continuously modified the subject material to align with the current advancements of technology so that the discipline of implant dentistry is promoted and grows accordingly.
It can also be said that the textbook Contemporary Implant Dentistry has been a major catalyst for the overall advancement of implant dentistry for the past 25 years. Author Randolph Resnick has continued the legacy with the 4th edition of this textbook published in October 2019.
Part 1 – Rationale for Implants, pages 3-229
Misch states “The goal of modern dentistry is to restore the patient to normal contour, function, comfort, esthetics, speech, and health, whether by removing caries from a tooth or replacing several teeth.” This statement completely sums up the core philosophy of implant dentistry and makes the case for dental implantology going forward. Additionally, this section defines the massive need for implant dentistry and the life changing benefits of fixed restorations when compared to the deficient outcomes that removable prosthetics provide. This section also addresses other areas, such as
- diagnostic techniques
- prosthetics options
- treatment planning
- scientific rationale for dental implants in general
Part 2 – Treatment Planning, pages 233-418
When a restoring dentist first evaluates the prosthetic needs of a patient, it is imperative that an orderly process is implemented.
In addition, a consistent and structured treatment planning approach is extremely beneficial considering all implant patients have unique conditions and different needs.
The treatment planning section outlines several areas such as:
- single tooth replacement
- the completely edentulous mandible
- posterior maxilla planning
- pre-implant prosthodontics
The authors’ goal is to give the dentist a structured criteria for determining the correct implant strategies for many different edentulous areas and situations so that dentists may deliver excellent long term results and minimize the complications associated with non-ideal outcomes.
Part 3 – Fundamental Science, pages 421-642
The Fundamental Science section of the textbook explores the basic physiological and biomechanical considerations for dental implants.
The first area of focus is the in-depth overall medical evaluation of the dental implant patient and especially the physical and physiological changes that occur as patients tend to age. The rationale for this study is that patients often present with a wide variety of physical ailments, conditions, and treatment medications that can adversely affect implant treatments. The implant practitioner must have a clear picture of the patient’s complete medical situation and the potential effects.
Additional subjects are covered in depth such as:
- applied anatomy
- bone responses
All are covered in depth to give the implant practitioner a road map for evaluating dental implant candidates for surgery and subsequent restoration.
Part 4 – Implant Surgery, pages 645-836
Successful dental implant surgery is obviously the key first step that ensures good restorative outcomes and delivers long term results both patients and dentists desire. Misch devotes many pages specifically to the area of implant surgery and this is because successful long term implant outcomes begin with competent implant placements and osseointegrations.
The view at this point transitions from the overall gross field to the specific implant site and all of the issues associated with successful implant placements. Concentrated attention to the surgical phase of implant treatment is given in these pages. The focused subjects of bone density, implant insertions, immediate loads, angulations, and post operative complications are brought to light with the ultimate goal being implant surgeries done competently, confidently, and consistently.
Again, because successful implant surgeries are the starting point for successful restorations, Misch emphasizes the importance of focused surgical placements and the complete treatment planning associated with great dental implant outcomes.
Part 5 – Soft and Hard Tissue Rehabilitation, pages 839-1051
The surrounding tissues and their growth are absolutely crucial to the long term success of dental implants. Chapters 36-40 illustrate many different grafting scenarios and the procedures required to generate sites with adequate bone quantity and quality.
From single socket grafting to sinus lifts and block bone grafting, these chapters demonstrate the many possible ways bone can be grown to create suitable sites for implants and subsequently fixed restorations.
Part 6 – Implant Maintenance, pages 1055-1085
Dental implants are not the same as natural teeth and they require different maintenance therapies. The periodontal similarities and differences between natural teeth and implants are compared in depth and the criteria provide insights into the ramifications of different homecare and recall techniques. Health indices of adjacent hard and soft tissues are illustrated and discussed so that the clinician may understand the standards for future implant health.