COMPLICATIONS WITH DENTAL IMPLANTATION
Keywords:
implants, complications, implantation, implant failuresAbstract
Purpose: The primary goal of the study is to observe an intraoperative complication of implant placement due to loss of bone resistance. To highlight the challenges of dealing with surgical complications associated with an appropriate implant treatment plan.
Methodology: The study presents the case of a 50-years old patient who complains of pain in the area of the right maxillary second molar. A clinical and radiographic examination was performed. A surgical plan was made involving the placement of two implants with prior extraction of the right maxillary second molar. An evaluation was performed in a period of 6 months after the implantation.
Results: The evaluation showed that there was no bone defect, the grafted bone was well healed, and the final restoration was set 2 months after the abutment healed. The patient was followed up clinically and radiographically after 6 months of initial surgery. Periodic evaluation did not reveal any pathological periimplant bone loss.
Conclusions: Complications are an expected occurrence and can compromise the entire treatment. Invasion of the maxillary sinus by implant can occur during or after surgery. A competent surgeon is needed to prepare an appropriate pre-treatment evaluation, to prepare an appropriate treatment plan and adequately to recognize a complication during surgical procedure and appropriately to approach its solution and minimize the negative outcome.
Recommendations: With adequate knowledge of anatomy and procedures as well as considering the possibilities for avoiding complications, by managing and planning a possible treatment a satisfactory result will be achieved in an appropriate patient.
References
Froum, S. (2010). Dental Implant Complications: Etiology, Prevention, and Treatment (1st ed., Vol. 2). Wiley-Blackwell.
Happe, A. (2019). Techniques for success with implantsin tne Esthetic Zone, Quintessence Publishing Co, Inc 411 N Raddant Road Batavia, IL 60510, https://lccn.loc.gov/2019019189
Karimbux, N. (2017). Clinical Cases in Implant Dentistry, (Sons Ames, Iowa : John Wiley & Sons, Inc., 2017. | Series: Clinical cases | Includes bibliographical references and index), John Wiley & Sons, Inc, https://lccn.loc.gov/2016036137
Lamas Pelayo, J., Peñarrocha Diago, M., Martí Bowen, E., & Peñarrocha Diago, M. (2008). Intraoperative complications during oral implantology. Med Oral Patol Oral Cir Bucal. 2008 Apr 1;13(4):E239-43. PMID: 18379448
Louie Al – Raraje, Rutkowski, J. L., Christopher, C. (2011). Surgical Complications in Oral Implantology: Etiology, Prevention and Management. 1. Dental Implantation--adverse effects. 2. Maxillary Sinus--surgery. 3. Oral Surgical Procedures, Preprosthetic--adverse effects. WU 640)RK667.I45A44 2011
Nükhet, K., &Gönen, Z. (2014). Reliability of Panoramic Radiography in Determination of Neurosensory Disturbances Related to Dental Implant Placement in Posterior Mandible, Implant Dentistry: December 2014 - Volume 23 - Issue 6 - p 648-652, doi: 10.1097/ID.0000000000000160
Pikos, M. A., & Miron, R.J. (2019). Bone Augmentation in Implant Dentistry: A Step-by-Step Guide to Predictable Alveolar Ridge and Sinus Grafting, Quintessence Publishing Co Inc,411 N Raddant Rd Batavia, https://lccn.loc.gov/2019005043
Schoenbaum, T.R. (2019). Implants in the Aesthetic zone A Guide for Treatment of the Partially Edentulous Patient, Springer International Publishing AG, part of Springer Nature 2019 https://doi.org/10.1007/978-3-319-72601-4
Scortecci, G.M. (2019). Basal Implantology, Scorecci, Springer Nature Switzerland AG, Gewerbestrasse 11, 6330 Cham, Switzerland, https://doi.org/10.1007/978-3-319-44873-2
Wilson T.G. Jr, & Harrel, S. (2019). Dental Implant Failure A Clinical Guide to Prevention, Treatment, and Maintenance Therapy, Springer Nature Switzerland AG 2019, https://doi.org/10.1007/978-3-030-18895-5
