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. In addition to its clinical thrust, the book presents current industry standards in implant dentistry and the Medico-Legal issues surrounding them, giving the reader the necessary context for the information at hand. The book concludes with a series of cases by experts in the field, highlighting more complex complications and multi-faceted treatment measures.

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.

List of contributors

Foreword

(Ray C. Williams

Introduction

Stuart J. Froum

1 Implant complications: scope of the problem

Stuart J. Froum

Introduction

Etiology

Prevention and treatment

Acknowledgment

References

2 Implant complications associated with systemic disorders and medications

Louis F. Rose and Brian L. Mealey

Introduction

Etiology

Prevention

Treatment

Take-home hints

References

3 Complications associated with implant planning: etiology, prevention, and treatment

Nicolas Elian, Brian Ehrlich, and Geon U. Kim

Diagnosis and treatment planning

Prevention of complications with proper planning

Avoiding implant complications

Take-home hints

References

4 Implant complications associated with two- and three-dimensional diagnostic imaging technologies

Scott D. Ganz

Introduction

Case 1: Complications due to scanographic templates

Case 2: Long-term complications due to nerve perforation

Case 3: Sinus augmentation complications diagnosed by three-dimensional imaging

Case 4: Complications in the mandibular symphysis related to diagnostic imagery

Conclusions

Take-home hints

References

5 Implant fractures: etiology, prevention, and treatment

Steven E. Eckert and Thomas J. Salinas

Introduction

Incidence

Etiology

Prevention

Treatment

Conclusion

Take-home hints

References

6 Implant failure: prevalence, risk factors, management, and prevention

Edwin S. Rosenberg, Cyril I. Evian, J. Kobi Stern, and Jonathan Waasdorp

Introduction

Etiology and risk factors

Treatment

Clinical recommendations for prevention of implant failures

Take-home hints

References

7 Peri-implantitis: etiology, pathogenesis, prevention, and therapy

Niklaus P. Lang and Maurizio S. Tonetti

Etiology: microbiologic aspects

Diagnostic aspects

Prophylactic procedures

Therapeutic strategies

Conclusions and clinical implications

Take-home hints

References

8 Esthetic complications due to implant malpositions: etiology, prevention, and treatment

Stephen T. Chen and Daniel Buser

Introduction

Esthetic complications due to implant malpositions

Prevention of implant malposition

Treatment of esthetic complications due to implant malposition

Conclusions

Take-home hints

References

9 Prosthodontic complications related to non-optimal dental implant placement

John S. Cavallaro Jr and Gary Greenstein

Introduction

Three-dimensional determinants for correct implant placement

Positional issues

Angulation issues

Apico-occlusal issues (sink depth)

Take-home hints

References

10 Prosthetic-related dental implant complications: etiology, prevention, and treatment

Charles J. Goodacre and Mathew T. Kattadiyil

Introduction

Etiology and timing of complications and failure

Mechanical complications

Phonetic complications

Esthetic complications

Biologic complications attributable to the prosthesis

Conclusions

Take-home hints

References

11 Complications associated with single-implant esthetics: prevalence, etiology, prevention, and treatment

Dario Adolfi and Oswaldo Scopin de Andrade

Introduction

Prevalence of complications

Etiology of complications related to single implants

Prevention and treatment of complications

Prevention of complications

Prevention of single-implant complications

Conclusions

Take-home hints

Acknowledgments

References

12 Esthetic complications with adjacent implant restorations

Dennis P. Tarnow, Sang-Choon Cho, and Stuart J. Froum

Complication

Etiology

Prevention

Treatment

Conclusions

Take-home hints

References

13 Complications of autogenous bone grafting

Craig M. Misch

Introduction

Donor sites

Recipient site complications: early healing complications

Recipient site complications: late healing complications

Patient habits/systemic disease

Take-home hints

References

14 Complications in guided bone regeneration

Filippo Fontana, Isabella Rocchietta, and Massimo Simion

Introduction

Literature review

Prevention of complications: surgical technique

Clinical management of guided bone regeneration complications

Conclusion

Take-home hints

References

15 Avoiding complications for alveolar distraction osteogenesis and osteoperiosteal flaps

Ole T. Jensen

Introduction

Alveolar distraction osteogenesis

Major orthognathic distraction procedures

Take-home hints

References

16 Complications in lateral window sinus elevation surgery

Steven S. Wallace

Introduction

Intraoperative complications

Postoperative complications

Conclusion

References

17 Complications with the bone-added osteotome sinus floor elevation: etiology, prevention, and treatment

Paul S. Rosen

Incidence

Etiology

Prevention

Management of complications

Take-home hints

Acknowledgment

References

18 Implant complications related to immediate implant placement into extraction sites

Barry D. Wagenberg and Stuart J. Froum

Introduction

Etiology and prevention

Treatment of complications

Take-home hints

References

19 Complications associated with flapless surgery

Thomas G. Wilson Jr

Introduction

Definition of flapless surgery

Goals of therapy

Etiology of complications

Prevention of complications

Treatment of complications

Summary

Take-home hints

Potential conflicts of interest

References

20 Complications related to immediately loaded dental implants

Jeffrey Ganeles and David Grossberg

Introduction

Failure to achieve osseointegration: etiology

Surgical complications related to immediate loading

Esthetic complications

Implant malposition

Restorative complications

Guided surgery and prefabricated restorations

Summary

Take-home hints

References

21 Prosthodontic treatment of the malpositioned implant and implant occlusal complications

Thomas D. Taylor

Introduction

Scope and frequency of problems

Etiology

Prevention

Treatment

Etiology of occlusal complications

Prevention of occlusal complications

Conclusion

Take-home hints

References

22 A potpourri of surgical complications associated with dental implant placement: 35 case reports – common problems, avoidance, and management

Gary Greenstein and John S. Cavallaro Jr

Introduction

Diagnosis and treatment planning

Involved tissues: soft tissue, bone, and nerves

Implant placement

Postoperative problems

Sinus issues

Fractured mandible

Take-home hints

References

23 Implant complications related to maintenance therapy

Robert N. Eskow and Valerie Sternberg Smith

Introduction

Inflammatory peri-implant disease

Loss of stability of restorative components

Peri-implant mucosal hyperplasia

Conclusion

Take-home hints

References

24 Medicolegal issues related to implant complications

Edwin J. Zinman

Etiology of malpractice litigation

Prevention of litigation

Litigation risk management

Take-home hints

References

25 Management of implant complications by the experts

Introduction

Cases

Case 1: Treatment of midbuccal recession in the esthetic zone

Pamela K. McClain

Case 2: Treatment of buccal soft-tissue recession on a restored central incisor implant

Jeffrey R. Lemler

Case 3: Repair of failed esthetic implant case

Bobby Butler

Case 4: Treatment of an osseous defect associated with an immediately placed implant

Donald S. Clem

Case 5: Treatment of bone loss from an acute abscess around a dental implant

Bradley S. McAllister

Case 6: Replacement of a failed implant in the esthetic zone

Abd Elsalam Elaskary

Case 7: Treatment and replacement of a malpositioned implant in the esthetic zone

Scott H. Froum

Case 8: Corrective treatment for a malpositioned implant in the esthetic zone

J. Daulton Keith

Case 9: Treatment of implant malposition in the esthetic zone

BurtonLanger and Laureen Langer

Case 10: Treatment of a malpositioned implant in the esthetic zone

Stuart J. Froum and Jeffrey R. Lemler

Index