Description
Book SynopsisDental implants have become one of the most popular and rapidly growing techniques for replacing missing teeth. While their predictability, functionality, and durability make them an attractive option for patients and clinicians alike, complications can arise at any stage from patient assessment to maintenance therapy. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, updates and expands the hallmark first edition, which was the first comprehensive reference designed to provide clinicians of all skill levels with practical instruction grounded in evidence-based research. Featuring cases from a variety of dental specialties, the book covers the most commonly occurring implant complications as well as the unique.
Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, is organized sequentially, guiding the reader through complications associated with the diagnosis, treatment planning, placement, restorati
Table of Contents
List of contributors xiii
Foreword xvii
Myron Nevins
Introduction xix
Stuart J. Froum
1 Implant complications: scope of the problem 1
Stuart J. Froum
Introduction 1
Etiology 1
Prevention and treatment 6
Acknowledgments 7
References 8
2 Implant complications associated with systemic disorders and medications 10
Louis F. Rose and Brian L. Mealey
Introduction 10
Etiology 10
Prevention 24
Treatment 36
Take-home hints 41
References 41
3 Complications of drug prescribing in implant therapy 49
Mea A. Weinberg
Introduction 49
Etiology of drug prescribing complications 49
Types of drug and drug prescribing complications 49
Prevention of drug prescribing complications 51
Antibiotic prescribing in dental implant therapy 52
Analgesic prescribing 60
Steroid prescribing 63
Conclusions 63
Take-home hints 64
References 64
4 Complications associated with implant planning: etiology, prevention, and treatment 68
Hans-Peter Weber and Panos Papaspyridakos
Introduction 68
Etiology 68
Prevention through careful diagnosis and risk assessment 71
Prevention of complications through careful treatment planning 81
Take-home hints 98
Acknowledgments 98
References 99
5 Implant complications associated with two- and three-dimensional diagnostic imaging technologies 102
Scott D. Ganz
Case 1: Complications due to scanographic templates 103
Case 2: Long-term complications due to nerve perforation 104
Case 3: Sinus augmentation complications diagnosed by three-dimensional imaging 109
Case 4: Complications related to improper surgical technique, diagnosis, and free-hand implant placement 118
Case 5: Complications in the mandibular symphysis – related to diagnostic imagery 122
Conclusions 129
Take-home hints 129
References 129
6 Implant fractures: etiology, prevention, and treatment 132
Steven E. Eckert, Thomas J. Salinas, and Kivanç Akça
Introduction 132
Incidence 132
Etiology 133
Treatment of the fractured implant 142
Conclusion 142
Take-home hints 143
References 143
7 Implant naturalization: restoring osseointegrated dental implants with damaged platforms and connections 145
Dennis E. Waguespack and Brian C. Butler
Introduction 145
Etiology and prevention 145
Etiology 147
Treatment 149
Take-home hints 152
Acknowledgments 152
References 152
8 Implant failure: prevalence, risk factors, management, and prevention 153
J. Kobi Stern, Emily E. Hahn, Cyril I. Evian, Jonathan Waasdorp, and Edwin S. Rosenberg
Introduction 153
Definition and classification of implant failure 153
Incidence of implant failures 155
Etiology and risk factors 156
Prevention of implant failures 162
Treatment for implant failure 162
Take-home hints 167
References 167
9 Peri-implantitis: etiology, pathogenesis, prevention, and therapy 170
Niklaus P. Lang and Maurizio S. Tonetti
Etiology 170
Microbiological aspects 170
Pathogenesis of peri-implant diseases 172
Diagnostic aspects 175
Prevention: prophylactic procedures 178
Treatment: therapeutic strategies 179
Conclusions and clinical implications 183
Take-home hints 184
Acknowledgments 184
References 184
10 Complications related to cemented implant restoration 187
Chandur P.K. Wadhwani
Introduction 187
Advantages of the cement-retained implant restoration 187
Problems associated with cemented implant restorations 187
Cementing restorations onto teeth versus implants – why the difference? 188
Etiology 193
Prevention 197
Treatment 201
The future of cement-retained implant restorations 203
Take-home hints 206
Note 207
References 207
11 Esthetic complications due to implant malpositions: etiology, prevention, and treatment 209
Stephen T. Chen and Daniel Buser
Introduction 209
Etiology 210
Prevention of implant malposition 217
Treatment of esthetic complications due to implant malposition 223
Conclusions 230
Take-home hints 230
References 231
12 Prosthetic-related dental implant complications: etiology, prevention, and treatment 233
Charles J. Goodacre and Mathew T. Kattadiyil
Introduction 233
Etiology and timing of complications and failure 233
Mechanical complications 234
Phonetic complications 245
Esthetic complications 245
Biologic complications attributable to the prosthesis 253
Conclusions 256
Take-home hints 257
References 257
13 The loose implant restoration syndrome 259
Harel Simon
Introduction 259
Scenario 1: Loose implant restoration emergency 259
Etiology of the loose implant restoration syndrome 263
Treatment protocol 263
Scenario 2: Loose screw-retained crown 263
Scenario 3: Loose cement-retained posterior crown 269
Scenario 4: Loose cement-retained anterior crown 272
Scenario 5: Loose anterior implant crown: screw-retained or cement-retained? 275
Scenario 6: Loose screw-retained fixed partial denture 280
Treatment considerations 284
Contributing factors and prevention of screw loosening 288
Take-home hints 295
References 295
14 Management of complications associated with single-implant esthetics 298
Oswaldo Scopin de Andrade, Dario Adolfi, Maristela Lobo, and Maurício Contar Adolfi
Introduction 298
Possible failures, prevalence, and etiology 299
Targeted strategies for implant success in the esthetic zone 300
Tooth extraction: an important factor in avoiding complications 301
Key elements in implant placement and resolving esthetic complications 302
Case report: step-by-step clinical procedures to resolve an implant complication in the esthetic area 305
Conclusions 312
Take-home hints 313
Acknowledgments 313
References 313
15 Esthetic complications with adjacent implant restorations 316
Dennis P. Tarnow, Sang-Choon Cho, Stephen J. Chu, and Stuart J. Froum
Complications 316
Etiology 317
Prevention 318
Treatment 320
Case report 322
Conclusions 326
Take-home hints 330
References 330
16 Complications of autogenous bone grafting 332
Craig M. Misch
Introduction 332
Donor sites 332
Recipient site complications: early healing complications 344
Recipient site complications: late healing complications 350
Take-home hints 357
References 358
17 Complications in guided bone regeneration 362
Filippo Fontana, Isabella Rocchietta, and Massimo Simion
Introduction 362
Literature review 363
Prevention of complications: surgical technique 364
Clinical management of GBR complications 370
Conclusions 379
Take-home hints 380
References 380
18 Avoiding complications of alveolar segmental osteoperiosteal flaps 383
Ole T. Jensen
Alveolar distraction osteogenesis 383
Sandwich osteotomy 386
Alveolar width distraction 388
Island osteoperiosteal flap 390
Book bone flap 392
Major orthognathic distraction procedures 393
Summary 395
Take-home hints 395
References 395
19 Complications in lateral window sinus elevation surgery 396
Stephen S. Wallace and Tiziano Testori
Introduction 396
Intraoperative complications 396
Take-home hints 399
Take-home hints 413
Postoperative complications 413
Take-home hints 421
Conclusion 423
References 424
20 Complications with transcrestal sinus floor elevation: etiology, prevention, and treatment 427
Michael Toffler and Paul S. Rosen
Incidence 427
Etiology 430
Prevention 437
Management 445
Take-home hints 450
References 451
21 Implant complications related to immediate implant placement into extraction sites 457
Barry D. Wagenberg and Stuart J. Froum
Introduction 457
Etiology and prevention 457
Immediate tooth replacement (non-occlusally loaded) at the time of extraction of the natural tooth 463
Procedures to prevent failure using the immediate implant placement protocol with a non-loading provisional 467
Treatment of maxillary molars with the IIP protocol 468
Treatment of mandibular molars 470
Prevention 474
Treatment of complications 478
Take-home hints 479
References 479
22 Complications associated with flapless surgery 481
Thomas G. Wilson, Jr.
Introduction 481
Definition of flapless surgery 481
Goals of therapy 481
Etiology 481
Prevention 482
Treatment 490
Summary 493
Take-home hints 493
Potential conflicts of interest 493
References 493
23 Complications related to immediately loaded dental implants 495
Jeffrey Ganeles and David Grossberg
Failure to achieve osseointegration 495
Surgical complications related to immediate loading 499
Esthetic complications 502
Implant malposition 511
Restorative complications 513
Guided surgery and prefabricated restorations 518
Summary 532
Take-home hints 532
References 533
24 Prosthodontic complications related to non-optimal dental implant placement 539
Lyndon F. Cooper
Introduction 539
Etiology 540
Implant location 541
Prevention 547
Treatment 553
Take-home hints 557
References 557
25 Prosthodontic management of malpositioned implants and implant occlusion complications 559
Avinash S. Bidra
Introduction 559
Etiology of malpositioned implants 559
Prevention 562
Treatment 563
Etiologies of implant occlusion complications 565
Prevention of implant occlusion complications 566
Treatment 568
Conclusion 569
Take-home hints 570
References 570
26 Craniofacial growth in adults and its implications for implant reconstruction 572
Fereidoun Daftary, Ramin Mahallati, Oded Bahat, and Richard M. Sullivan
Introduction 572
Etiology 573
Prevention and treatment 575
Take-home hints 583
References 583
27 Implant complications encountered during maintenance therapy 585
Paul S. Rosen, Stuart J. Froum, Scott H. Froum, and Chris Salierno
Introduction 585
Diagnosis 585
Prevention 587
Treatment 594
Take-home hints 597
References 597
28 Medicolegal issues related to implant complications 600
Edwin J. Zinman
Etiology of malpractice litigation 600
Etiology of implant-related legal claims 603
Take-home hints 616
References 617
Appendix 28.1: Example of an informed consent form 620
Appendix 28.2: Release of liability form 625
29 Management of implant complications by the experts (part 1) 626
Introduction 626
Case 1: Treatment of midbuccal recession in the esthetic zone 627
Pamela K. McClain
Case 2: Treatment of buccal soft tissue recession on a restored central incisor implant 629
Jeffrey R. Lemler
Case 3: Repair of failed esthetic implant case 632
Bobby Butler
Case 4: Treatment of an osseous defect associated with an immediately placed implant 635
Donald S. Clem
Case 5: Treatment of bone loss from an acute abscess around a dental implant 639
Bradley S. McAllister
Case 6: Replacement of a failed implant in the esthetic zone 643
Abd Elsalam Elaskary
Case 7: Treatment and replacement of a malpositioned implant in the esthetic zone 646
Scott H. Froum
Case 8: Corrective treatment for a malpositioned implant in the esthetic zone 653
J. Daulton Keith
Case 9: Treatment of implant malposition in the esthetic zone 658
Burton Langer and Laureen Langer
Case 10: Treatment of a malpositioned implant in the esthetic zone 661
Stuart J. Froum and Jeffrey R. Lemler
30 Management of implant complications by the experts (part 2) 666
Case 1: Long-term retention of a “hopeless” implant 666
Kirk Pasquinelli
Case 2: Treatment of implant malposition in the esthetic zone 671
Burton Langer and Laureen Langer
Case 3: Examples of esthetic implant complications – soft tissue repairs 676
Bobby Butler
Case 4: Treatment of peri-implantitis due to residual cement around an implant 681
Pamela K. McClain
Case 5: The importance of occlusion in success of implant-supported restorations 685
Farhad Vahidi
Case 6: Nonsyndromic oligodontia interdisciplinary approach: challenges and possible complications 688
Farhad Vahidi
Case 7: Successful replacement of a failed dental implant: 5-year follow-up 692
William Becker
Case 8: Management of a failed implant in the esthetic zone 695
Donald S. Clem
Index 701
