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Dental Implant Complications: Etiology, Prevention, and Treatment

Stuart Froum (Editor)
ISBN: 978-0-8138-0841-3
513 pages
July 2010, Wiley-Blackwell
Dental Implant Complications: Etiology, Prevention, and Treatment (0813808413) cover image
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 www.IneedCE.com/froumbook.

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.

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List of contributors xi

Foreword 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 481

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Stuart J. Froum, DDS, is a Diplomate of American Board of Periodontology, Clinical Professor Department of Periodontology and Implant Dentistry, New York University Krieser Dental Center, Director of Clinical Research at the Department of Periodontology and Implant Dentistry, NYU Dental Center, and maintains a Private Practice limited to Periodontics & Implant Dentistry in New York City. He has lectured nationally and internationally, has authored close to 100 published research articles, and authored and contributed to 5 books related to periodontics and implant dentistry.
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  • Comprehensive, definitive reference using evidence-based research to provide practical instruction on implant etiology, prevention, and management
  • features cases from a variety of dental specialties
  • covers the most common complications as well as the unique
  • continuing education provided by www.IneedCE.com/froumbook
  • highly illustrated, user-friendly format
  • includes Take Home Tips summarizing key points at the end of each chapter
  • contributions by leading experts worldwide

 

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“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)

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