Dental 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 is the first comprehensive reference of its kind 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 is organized sequentially, guiding the reader through complications associated with the diagnosis, treatment planning, placement, restoration, and maintenance of implants at any stage. Complications associated with various bone augmentation and sinus lift procedures are also discussed in detail with emphasis on their etiology and prevention. Each chapter utilizes a highly illustrated and user-friendly format to showcase key pedagogical features, including a list of “take home tips” summarizing the fundamental points of each chapter. Continuing education for this book is provided at company website.
Dental Implant Complications brings together contributions from leading experts in the field under the superior editorship of Dr. Stuart Froum. With its pragmatic approach to preventing and managing implant complications, this expertly crafted text serves as an indispensible clinical reference and guide for all dentists placing or restoring implants.
Dental Implant Complications is organized sequentially, guiding the reader through complications associated with the diagnosis, treatment planning, placement, restoration, and maintenance of implants at any stage. Complications associated with various bone augmentation and sinus lift procedures are also discussed in detail with emphasis on their etiology and prevention. Each chapter utilizes a highly illustrated and user-friendly format to showcase key pedagogical features, including a list of “take home tips” summarizing the fundamental points of each chapter. Continuing education for this book is provided at company website.
Dental Implant Complications brings together contributions from leading experts in the field under the superior editorship of Dr. Stuart Froum. With its pragmatic approach to preventing and managing implant complications, this expertly crafted text serves as an indispensible clinical reference and guide for all dentists placing or restoring implants.
Table of Contents
List of contributors xiForeword xv
Ray C. Williams
Introduction xvii
Stuart J. Froum
1 Implant complications: scope of the problem 1
Stuart J. Froum
Introduction 1
Etiology 1
Prevention and treatment 5
Acknowledgment 6
References 6
2 Implant complications associated with systemic disorders and medications 9
Louis F. Rose and Brian L. Mealey
Introduction 9
Etiology 9
Prevention 22
Treatment 34
Take-home hints 39
References 39
3 Complications associated with implant planning: etiology, prevention, and treatment 46
Nicolas Elian, Brian Ehrlich, and Geon U. Kim
Diagnosis and treatment planning 46
Prevention of complications with proper planning 54
Avoiding implant complications 64
Take-home hints 66
References 66
4 Implant complications associated with two- and three-dimensional diagnostic imaging technologies 71
Scott D. Ganz
Introduction 71
Case 1: Complications due to scanographic templates 71
Case 2: Long-term complications due to nerve perforation 74
Case 3: Sinus augmentation complications diagnosed by three-dimensional imaging 82
Case 4: Complications in the mandibular symphysis related to diagnostic imagery 89
Conclusions 96
Take-home hints 97
References 97
5 Implant fractures: etiology, prevention, and treatment 100
Steven E. Eckert and Thomas J. Salinas
Introduction 100
Incidence 100
Etiology 100
Prevention 104
Treatment 107
Conclusion 108
Take-home hints 108
References 109
6 Implant failure: prevalence, risk factors, management, and prevention 110
J. Kobi Stern, Edwin S. Rosenberg, Cyril I. Evian, and Jonathan Waasdorp
Introduction 110
Etiology and risk factors 112
Treatment 115
Clinical recommendations for prevention of implant failures 117
Take-home hints 117
References 117
7 Peri-implantitis: etiology, pathogenesis, prevention, and therapy 119
Niklaus P. Lang and Maurizio S. Tonetti
Etiology: microbiologic aspects 119
Diagnostic aspects 123
Prophylactic procedures 126
Therapeutic strategies 127
Conclusions and clinical implications 130
Take-home hints 131
References 131
8 Esthetic complications due to implant malpositions: etiology, prevention, and treatment 134
Stephen T. Chen and Daniel Buser
Introduction 134
Esthetic complications due to implant malpositions 135
Prevention of implant malposition 140
Treatment of esthetic complications due to implant malposition 148
Conclusions 154
Take-home hints 154
References 154
9 Prosthodontic complications related to non-optimal dental implant placement 156
John S. Cavallaro Jr. and Gary Greenstein
Introduction 156
Three-dimensional determinants for correct implant placement 156
Positional issues 158
Angulation issues 163
Apico-occlusal issues (sink depth) 164
Take-home hints 170
References 170
10 Prosthetic-related dental implant complications: etiology, prevention, and treatment 172
Charles J. Goodacre and Mathew T. Kattadiyil
Introduction 172
Etiology and timing of complications and failure 172
Mechanical complications 173
Phonetic complications 183
Esthetic complications 184
Biologic complications attributable to the prosthesis 191
Conclusions 194
Take-home hints 195
References 195
11 Complications associated with single-implant esthetics: prevalence, etiology, prevention, and treatment 197
Dario Adolfi and Oswaldo Scopin de Andrade
Introduction 197
Prevalence of complications 197
Etiology of complications related to single implants 198
Prevention and treatment of complications 201
Prevention of complications 202
Prevention of single-implant complications 204
Conclusions 213
Take-home hints 213
Acknowledgments 214
References 214
12 Esthetic complications with adjacent implant restorations 216
Dennis P. Tarnow, Sang-Choon Cho, and Stuart J. Froum
Complications 216
Etiology 216
Prevention 218
Treatment 219
Conclusions 224
Take-home hints 225
References 225
13 Complications of autogenous bone grafting 227
Craig M. Misch
Introduction 227
Donor sites 227
Recipient site complications: early healing complications 238
Recipient site complications: late healing complications 244
Patient habits/systemic disease 248
Take-home hints 251
References 252
14 Complications in guided bone regeneration 256
Filippo Fontana, Isabella Rocchietta, and Massimo Simion
Introduction 256
Literature review 256
Prevention of complications: surgical technique 257
Clinical management of guided bone regeneration complications 264
Conclusion 270
Take-home hints 271
References 271
15 Avoiding complications for alveolar distraction osteogenesis and osteoperiosteal flaps 273
Ole T. Jensen
Introduction 273
Alveolar distraction osteogenesis 273
Major orthognathic distraction procedures 281
Take-home hints 283
References 283
16 Complications in lateral window sinus elevation surgery 284
Stephen S. Wallace
Introduction 284
Intraoperative complications 284
Postoperative complications 298
Conclusion 307
References 307
17 Complications with the bone-added osteotome sinus floor elevation: etiology, prevention, and treatment 310
Paul S. Rosen
Incidence 310
Etiology 311
Prevention 317
Management of complications 321
Take-home hints 322
Acknowledgment 323
References 323
18 Implant complications related to immediate implant placement into extraction sites 325
Barry D. Wagenberg and Stuart J. Froum
Introduction 325
Etiology and prevention 325
Treatment of complications 338
Take-home hints 339
References 339
19 Complications associated with flapless surgery 341
Thomas G. Wilson, Jr.
Introduction 341
Definition of flapless surgery 341
Goals of therapy 341
Etiology of complications 341
Prevention of complications 342
Treatment of complications 348
Summary 353
Take-home hints 353
Potential conflicts of interest 353
References 353
20 Complications related to immediately loaded dental implants 355
Jeffrey Ganeles and David Grossberg
Introduction 355
Failure to achieve osseointegration: etiology 355
Surgical complications related to immediate loading 359
Esthetic complications 361
Implant malposition 364
Restorative complications 368
Guided surgery and prefabricated restorations 371
Summary 375
Take-home hints 375
References 376
21 Prosthodontic treatment of the malpositioned implant and implant occlusal complications 379
Thomas D. Taylor
Introduction 379
Scope and frequency of problems 379
Etiology 379
Prevention 381
Treatment 382
Etiology of occlusal complications 382
Prevention of occlusal complications 384
Conclusion 386
Take-home hints 386
Acknowledgment 387
References 387
22 A potpourri of surgical complications associated with dental implant placement: 35 case reports – common problems, avoidance, and management 388
Gary Greenstein and John S. Cavallaro Jr.
Introduction 388
Diagnosis and treatment planning 388
Involved tissues: soft tissue, bone, and nerves 398
Implant placement 403
Postoperative problems 407
Sinus issues 409
Fractured mandible 412
Take-home hints 413
References 413
23 Implant complications related to maintenance therapy 415
Robert N. Eskow and Valerie Sternberg Smith
Introduction 415
Inflammatory peri-implant disease 415
Loss of stability of restorative components 424
Peri-implant mucosal hyperplasia 426
Conclusion 426
Take-home hints 427
References 427
24 Medicolegal issues related to implant complications 429
Edwin J. Zinman
Etiology of malpractice litigation 429
Prevention of litigation 431
Litigation risk management 436
Take-home hints 437
References 437
25 Management of implant complications by the experts 441
Introduction 441
Cases 441
Case 1: Treatment of midbuccal recession in the esthetic zone 441
Pamela K. McClain
Case 2: Treatment of buccal soft-tissue recession on a restored central incisor implant 444
Jeffrey R. Lemler
Case 3: Repair of failed esthetic implant case 447
Bobby Butler
Case 4: Treatment of an osseous defect associated with an immediately placed implant 450
Donald S. Clem
Case 5: Treatment of bone loss from an acute abscess around a dental implant 454
Bradley S. McAllister
Case 6: Replacement of a failed implant in the esthetic zone 458
Abd Elsalam Elaskary
Case 7: Treatment and replacement of a malpositioned implant in the esthetic zone 461
Scott H. Froum
Case 8: Corrective treatment for a malpositioned implant in the esthetic zone 468
J. Daulton Keith
Case 9: Treatment of implant malposition in the esthetic zone 473
Burton Langer and Laureen Langer
Case 10: Treatment of a malpositioned implant in the esthetic zone 476
Stuart J. Froum and Jeffrey R. Lemler
Index
Reviews
“A unique feature of this book is its inclusion of 10 interesting cases illustrating different complications and how they were managed by experts … It is my own belief that this book belongs in the library of every dental student and practitioner considering using dental implants.” (Compendium, 1 January 2012)"This comprehensive reference textbook would appeal to both inexperienced and senior clinicians, involved in implant dentistry. It provides 494 pages of lucid text embellished with high quality images. In relation to dental implant complications and their management, it is the first of its kind and it is excellent value for money." (British Dental Journal, November 2010)
"In essence, this textbook is not only a worthwhile read but also an essential addition and a very welcome addition to the literature of implant dentistry. Dr. Froum has undertaken, compiled, edited, and co-authored a book for which he deserves our collective ‘thank you". (Book Reviews, November 2010).
"In essence, this text book is not only a worthwhile read but also an essential addition and a very welcome addition to the to the literature of implant dentistry." (Dentistry Line, October 2010)
"This reference for clinicians at all skill levels presents detailed cases from a variety of dental specialties, covering common and less common dental implant complications." (Book News, September 2010)
"The editor of this monumental text, which is sure to become a classic, is also a major contributor along with 49 other clinicians and researchers...As the saying goes, ‘no stone is left unturned,' be it a surgical ‘stone' or a prosthetic/restorative ‘stone'...In essence, this textbook is not only a worthwhile read but also an essential addition and a very welcome addition to the literature of implant dentistry." (Morton L. Perel, Implant Dentistry, October 2010)
